Chemosensation Flashcards
Ageusia:
loss of taste
Anosmia
loss of smell
test smell
scratch and sniff test
taste test
Patients react to different chemical concentrations in taste testing; this may involve a simple “sip, spit, and rinse” test, or chemicals may be applied directly to specific areas of the tongue.
Simple chemosensation test
In clinic, 2/3 of people will complain of loss of taste.
However, once you actually check for loss of taste, instead, 90% have actually lost or reduced their sense of smell.
Smell: Receptor cell =
ciliated bipolar neuron innervated by CN I w/ olfactory bulb as primary sensory nucleus.
Taste: Receptor cell =
- modified epithelial cell that synapses onto nerve fiber from cranial ganaglion cell to CN VII, IX, X.
- The primary CNS nucleus is the NST.
Chemisthesis: Receptor cell:
- free nerve ending of cranial ganglion cell innervated by CNV.
- Detection of irritant chemicals by trigeminal nerve endings.
- Primary sensory nucleus is Spinal Trigeminal Nucleus.
Ortho-nasal =
actually through your nostrils.
Retro-nasal =
through your mouth traveling through the concha to get to the olfactory epithelium.
CN 3 exits midbrain at
interpeducular cistern
CN 4 exits midbrain
dorsally, just below inferior colliculus (note it originates in contralateral midbrain and crosses before it exits the brainstem)
CN 5 enters/exits
the lateral pons. fibers traverse middle cerebellar peduncle
CN 6 exits
medially at the ponto-medullary junction
CN 7/8 exit and enter respectively
at cerebello-pontine angle