Ascending Sensory Pathways 2 Flashcards

1
Q

What are the three divisions of the trigeminal nerve?

A

Ophthalmic - V1
Maxillary - V2
Mandibular - V3

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2
Q

Which cranial nerve exits via the foramen rotundum

A

Maxillary branch of trigeminal

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3
Q

Which cranial nerve exits via the superior orbital fissure?

A

Ophthalmic branch of trigeminal

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4
Q

Which cranial nerve exits via the foramen oval?

A

Mandibular branch of trigeminal

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5
Q

Where does Herpes Simplex reside in a latent state?

A

The trigeminal ganglion

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6
Q

Where are the cranial nerve nuclei located?

A

The brainstem

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7
Q

Which cranial nerves carry general sensation of the head?

A

V - Trigeminal
VII - Facial
IX - Glossopharyngeal
X - Vagus

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8
Q

What does the information from CN V/VII/IX and X travel in?

A

Trigeminal Sensory Pathway via the trigeminal nucleus to the thalamus

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9
Q

Where do the motor nuclei of trigeminal nerves lie?

A

Medial to sensory nuclei

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10
Q

What are the three segments of the trigeminal nuclei?

A

Mesencephalic nucleus
Pontine/Chief Sensory nucleus
Spinal nucleus

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11
Q

Which parts of the spinal nucleus receives pain and temperature input?

A

Caudal region

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12
Q

Which parts of the spinal nucleus receives simple touch and pressure

A

Rostral region

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13
Q

Where are the primary neutron cell bodies located in the trigeminal pathway?

A

The trigeminal ganglion

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14
Q

What is the key feature of fibres carrying pain, temp, touch and pressure, in the trigeminal pathway?

A

They descend before they synapse with secondary neurons

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15
Q

What are the features of the fibres carrying pain, temp, touch and pressure in the trigeminal pathway?

A

Thin and slow conducting

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16
Q

The descending fibres of the trigeminal pathway in what region of the brainstem?

A

Descend in the spinal react of the trigeminal nucleus

Superficial on the outer edge of the medulla

17
Q

Where do primary fibres carrying pain, temp, touch and pressure synapse?

A

primary to secondary: in the spinal nucleus

Secondary to tertiary: in the thalamus

18
Q

Where does the trigeminothalamic tract ascend?

A

Adjacent to cerebroaqueduct

19
Q

Which pathway, touch and pressure or pain and temperature, descend furthest before synapsing?

A

Pain and Temperature Pathway

20
Q

Where do the fibres of the touch and pressure pathway synapse to second neurons?

A

The more rostral region of the spinal nucleus

21
Q

Which nucleus do fibres carrying discriminative touch information travel to?

A

The pontine / chief sensory nucleus

22
Q

Which nucleus do fibres carrying proprioception information travel to?

A

Mesencephalic nucleus

23
Q

What is special about the mesencephalic nucleus?

A

This pathway is an exception to the generalisation that first order cell bodies are in the peripheral ganglia.

24
Q

What are the characteristics of discriminatory touch fibres?

A

Fat

Fast conduction