CNS S2 Flashcards
External ear anatomy
Pinna, ear canal, tympanic membrane
Inner ear anatomy/function of each
Cochlea (hearing), vestibular apparatus (equilibrium)
Frequency and hearing
Low-frequencies are low-pitched sounds, high-frequencies are high-pitched
What range of sounds do humans hear (Hz)
16-20,000 Hz (10 octaves)
Amplitude and hearing
Amplitude determines loudness; the larger the amplitude, the louder the sound
How do soundwaves produce sound
Canal > vibrates eardrum > vibrates malleus bones > incus moves stapes > oval window > cochlea > round window
Oval window anatomy
A membrane between the middle and inner ear (cochlea). Stapes pushes against the window
Ossicles
Smallest bones in the body and carry vibrations from the eardrum to the oval window
Organ of Corti
Inside the cochlear duct in the vestibular and tympanic duct. Has receptor cells for hearing
Organ of Corti receptor cells name
Hair cells (mechanoreceptors)
Hair cells
Epithelial cells with 50-100 stiff stereocilia which extend to the tectorial membrane
Hair cells mechanism
Cilia bend towards longest cilium, depolarizing neurons to release a neurotransmitter to activate primary sensory neurons. Axons from these form the auditory nerve
Basilar membrane
Narrow and stiff membrane near the round and oval windows. Helicotrema end (wider and flexible at one end)
Basilar membrane function
Responds to different frequencies. High-frequency waves displace membrane at oval window, low-frequency waves at other end
Auditory signal pathway
Auditory nerves > cochlear nuclei in medulla > midbrain > medial geniculate nucleus in thalamus > auditory cortex in temporal lobe
How is loudness coded
By firing frequency (louder sounds have faster firing)
Conductive hearing loss
Hearing can’t be transmitted through the external or middle ear
Sensorineural hearing loss
Damage to hair cells or elsewhere in the inner ear
Central hearing loss
Damage to the to the cortex or pathways from cochlea to cortex. Trouble with interpreting sounds, not detecting
Rinne test
Tuning fork held against mastoid bone and then beside ear to determine where it’s louder.
Rinne test results
If louder through bone, there is conductive loss since sound can be transmitted through the bone
Weber test
Tuning fork held against forehead and midline to see which ear is louder
Weber test results
Louder in good ear with sensorineural, louder in bad ear with conductive
Vestibular apparatus and equilibrium
Utricle and saccule contain hair cells that activate with head tilt. Semicircular canals contain fluid to detect head rotation
Equilibrium pathway
Vestibular hairs > primary sensory neurons in vesitbular nerve > cerebellum OR synapse in medulle OR thalamus > cortex
Somatic senses
Touch, temperature, proprioception (body position), nociception (pain/itch)
Free nerve ending receptors
Detect mechanical stimuli, temperature, chemicals
Merkel receptors
Mechanoreceptor nerve endings in contact with epithelial (Merkel) disks
Encapsulated receptors
Mesinner and Pacinian corpuscles. Sheathed in connective tissue
Merkel disks
At the bottom of the epidermis. Sensitive to deformation, signal contact. More tonic than phasic
Meissner Corpuscles
Top of dermis mainly in erogenous zones. Detect sideways shearing. Phasic
Pacinian Corpuscles
Deep in dermis. Sense tiny, quick, displacements. Phasic
Thermoreceptors
Free nerve endings with more cold than warm receptors. Phasic-tonic
Nociceptors
Free nerve endings that respond to noxious, harmful stimuli (ex, chemicals from damaged cells, heat)
Small fibre afferents
C and A-delta which come from free nerve endings. C fibres are unmyelinated (slow pain), A-delta’s are thicker/myelinated (fast pain)
Long fibre afferents
A-delta. Come from Merkel disks or encapsulated mechanoreceptors. Myelinated
Long fibre projection
upward upon reaching spinal cord, run ipsilaterally to the medulla tracts (dorsal columns) Synapse in medulla
Small fibre projection
Synapse directly/via interneurons and motor neurons or on dorsal-horn neurons who run in spinothalamic tracts
Large fibre main functions
Provide feedback to the brain, especially motor cortex to manipulate objects
Small fibre main functions
Evoke simple responses to specific stimuli. Don’t need immediate input from the brain
Thalamus to the cortex
spinal cord/head > ventroposterolateral nucleus of thalamus/ventroposteromedial nucleus > primary somtaosensory cotex
Nociceptors and TRP ion channels
Transient receptor potential (TRP channels) which are also found in thermoreceptors
TRPV1 channels
Vanilloid receptors which respond to damaging heat/chemicals including capsaicin in chili
TRPM8 channels
Respond to cold and menthol in mints
Nociceptive signals
Evoke responses from the CNS and reach the limbic and hypothalamus. Descending pathways in thalamus can block cells in spinal cord
Referred pain
Pain in internal organs that is felt on the body surface
Pain gated by A-beta activity
C fibres in dorsal horn contact secondary neurons which are inhibited by A-fibre activity
Acetylsalicylic acid
Asprin. Inhibits prostaglandins and inflammation, slowing transmission of pain
Opioids
Decrease neurotransmitter release from primary sensory neurons and postsynaptically inhibits secondary sensory neurons
Smell and taste similarities
Forms of chemoreception
Olfactory epithelium
Contains olfactory receptors at the top of the nasal cavity
Olfactory epithelium pigment
Richness of colour is correlated with olfactory sensitivity
Olfactory receptor cells
Contain a single dendrite that extends to the epithelium to form non motile cilia that catch odorant molecules
How many primary odors do we have
About 400 as we have about 400 kinds of receptor cells
Odorant molecule binding
Binds to a receptor, activating G proteins, increasing cAMP to open cation channels for depolarization
How many cells must react before smells are sensed
40 cells, or, 40 odorant molecules are required
Olfactory receptor cell properties
Pinocytotic, short-lived, send axons to the brain through holes in the cribriform plate, project to olfactory bulb
Olfactory bulb
An extension of the cerebrum and lies on the underside of the frontal lobes. Projects directly to olfactory cortex (frontal/temporal)
Limbic system
Linked to motivation and emotion. Made up of hippocampus, amygdala, cingulate gyrus. Bulb projects here
Vomeronasal organ (VNO)
Found in rodents to respond to sex pheromones. Disappears during fetal development in humans
Taste buds
Live 10 days, we have around 5000. Each contain 100 receptor cells (epithelial cells) and contact oral cavity through taste pore
5 kinds of taste receptor cells
Sweet/umami (sugar/glu), bitter (poison), salty/sour (Na+, H+ ions)
Type I taste receptors
Sense salt
Type II taste receptors
Sense sweet, bitter and umami (release ATP which act on type III)
Type III taste receptors
May sense sour (synapse with sensory neurons, activating them with serotonin)
Membrane proteins for taste receptor cells
Sweet, umami, bitter have G protein called gustducin for ATP release. Salt/sour is not G protein linked (uses ion channels)
Taste signal pathway
Receptor cells in taste buds excite cranial nerves VII, IX, X which synapse in the medulla and thalamus to the cortex
Simple reflexes
Sensory neurons synapse with motor neurons in the spinal cord (simplest form of motor control)
Reflexes
Innate and genetically determined. Efferent signals (sensory stimulus > motor response)
Monosynaptic pathway
Sesnory afferent neuron synapses directly to motor neurons in CNS to produce response
Polysynaptic pathway
Sensory neuron synapses with interneuron that synapses with motor neurons
Stretch reflex
Subconscious (ex, posture) that is triggered by passive muscle stretch from applied load/contraction, causing active contractive
Stretch reflex properties
Essential for posture, strongest in postural muscles, multisynaptic paths, suppressed during movement
Golgi tendon reflex
Contracted, relaxed. Afferents synapse on interneurons in the intermediate zone of spinal cord to inhibit motor neurons of the same muscle
Golgi tendon stimulus/response
triggered by active tension in muscle, causing relaxation through negative feedback
Flexion withdrawal reflex
Triggered by noxious inhurt of limb, causing flexion of proximal joints to the stimulus (slow, multisynaptic)
Reciprocal inhibition of reflexes
Activation of one motor nucleus is coupled to inhibition of antagonistic motor nuclei
Patellar tendon reflex
Patellar tendon tap causes quad stretch/contraction and hamstring contraction inhibition
Cross extension flex
Step on something sharp, causing flexion on leg where the pain is an extension on other (multisynaptic)
Extensor thrust reflex
Pressure on the sole of the foot causes activation of leg extensors (walking)
Babinski sign
Extensor thrust reflexes are influenced by the corticospinal tract.
Corticospinal tract damage
Reflex pattern is switched to flexion withdrawal
Vestibulo-spinal reflex
Downward deviation of head on one side activates otolith afferents for downhill limb extension on same size
Central pattern generators
Networks of interneurons in the spinal cord and brainstem that coordinate interaction of motor groups
Leg step cycle CPGs
2 CPGs for each leg; flexor burst generators, extensor burst generators
3 properties of the leg step cycle
1) Pacemaker neurons: diffuse excitation
2) Reciprocal inhibition: only one CPG on at a time
3) Phase-dependent reflexes