C: Ascending Sensory Pathways 1 Flashcards

1
Q

What kind of modalities are carried in the spinothalamic pathway? 4

A

Modalities that are essential to survival:

1) Pain
2) Temperature
3) Some touch
4) Pressure

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2
Q

Modalities carried in the spinothalamic pathway are carried via neurons with what characteristics? How fast is conduction?

A

Thin, poorly myelinated or unmyelinated fibres

Conduction is slow

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3
Q

What kind of modalities are carried in the dorsal column pathway? 2

A

Modalities that increase detail:

1) Discriminative touch: 2-point discrimination and vibration
2) Proprioception

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4
Q

Modalities carried in the dorsal column pathway are carried via neurons with what characteristics, how fast is conduction?

A

Large diameter, heavily myelinated fibres

Fast conduction

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5
Q

General sensory pathways involve how many neurons?

A

3

A primary, secondary and tertiary

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6
Q

Where is the cell body of the primary neuron in a general sensory pathway located?

A

Ipsilateral dorsal root ganglion - outside the CNS

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7
Q

On which side does a primary neuron enter the CNS?

A

Same side as the receptor

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8
Q

Which neuron in a general sensory pathway crosses the midline?

A

Axon of the secondary neuron

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9
Q

In a general sensory pathway where does the cell body of a secondary neuron reside?

A

Ipsilateral grey matter of the CNS

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10
Q

In a general sensory pathway cell bodies of the tertiary neuron reside where?

A

In the contralateral thalamus

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11
Q

Axons of the tertiary neurons in a general sensory pathway project to where?

A

The somato-sensory cortex

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12
Q

Is synaptic transmission in a general sensory pathway a simple relay?

A

No, it can be modified by other inputs such as descending pathways

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13
Q

What 2 kinds of circuits can exist in the relaying of sensory information?

A

1) Diverging circuit - emphasises input

2) Converging circuit - diminishes input

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14
Q

In a spinothalamic pathway where does the axon of the secondary neuron cross the midline?

A

At the level that it enters the spinal cord - crosses anterior to the canal via the ventral white commissure

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15
Q

How does the axon of a secondary axon in the spinothalamic pathway ascend the spinal cord?

A

In the spinothalamic tract

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16
Q

Where do the primary and secondary neurons in a spinothalamic pathway synapse?

A

In the ipsilateral dorsal grey horn at the level of entry to the spinal cord

17
Q

What is meant by the statement that the spinothalamic tract is somatotypically organised?

A

Input from a specific sensory receptor will go to a specific region in the spinothalamic tract

18
Q

What name is given to the spinothalamic tract once it enters the brainstem?

A

The spinal/lateral lemniscus

19
Q

Where do primary and secondary neurons synapse in the dorsal column pathway?

A

In the cuneate and gracile tubercles

20
Q

Cuneate fascicle carries sensory info from approximately what level?

21
Q

Gracile fascicle carries sensory info from approximately what level?

22
Q

Where are the cell bodies of secondary neurons in the dorsal column pathway located?

A

In the gracile and cuneate nuclei (within the tubercles)

23
Q

How do the axons of primary neurons ascend the spinal cord in the dorsal column pathway?

A

In the ipsilateral cuneate or gracile fascicle

24
Q

Where are the cell bodies of tertiary neurons located in the dorsal column pathway?

A

Contralateral thalami

25
At what level do the axons of secondary neurons cross the midline in the dorsal column pathway?
At the level of the closed medulla
26
Axons of the secondary neurons in the dorsal column pathway cross the midline via what?
Internal arcuate fibres
27
After crossing the midline fibres in the dorsal column pathway ascend to the thalami via what?
The medial lemniscus - which is somatotopically organised
28
Which lies more lateral the cuneate fascicle or the gracile fascicle?
The cuneate fascicle
29
Fibres travel from the thalami to the post central gyri via what?
The posterior limb of the internal capsule
30
Do fibres carrying pain and temperature travel ipsilaterally or contralaterally in the spinal cord?
Contralaterally
31
Do fibres carrying discriminative touch and proprioception travel ipsilaterally or contralaterally in the cord?
Ipsilaterally
32
What kind of neuron is a primary neuron in a general sensory pathway?
Pseudounipolar
33
Do all the fibres in the spinothalamic tract decussate at the level of entry to the spinal cord?
No, MOST do but some fibres ascend ipsilaterally for a few vertebral levels in the spinal cord before decussating, these are fibres in the spinothalamic tract carrying light touch and pressure sensation.