control of mastication Flashcards

1
Q

muscle of mastication UMN location

A

motor cortex (precentral gyrus)

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2
Q

muscle of mastication LMN location

A

trigeminal motor nucleus in the pons

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3
Q

______ projection of UMN –> LMN receives _______ innervation

A

bilateral

bilateral

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4
Q

jaw-jerk reflex

A

tapping chin with percussion hammer –> stretch of mm. mastication –> stretch of muscle spindles –> sensory root of V3 –> mesencephalic nucleus of V –> trigeminal motor nucleus –> motor root of V3 –> muscle of mastication contraction

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5
Q

jaw-jerk reflex location of proprioceptor cell bodies

A

mesencephalic nucleus

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6
Q

jaw-jerk reflex location of motorneuron cell bodies

A

trigeminal motor nucleus

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7
Q

the jaw-jerk reflex is _______ under physiological conditions but is exaggerated in ____________ of the innervation to the trigeminal motor nucleus

A

weak or absent

upper motor neuron lesions

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8
Q

jaw-jerk reflex:
___________ innervating muscle spindles set reflex sensitivity and _________, and keep _______ in sensitive range during muscle contraction (jaw closing)

A

gamma-motorneurons
muscle tone
afferents

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9
Q

lesions of motor component of trigeminal nerve:

UMN unilateral lesion

A

very little effect (because of bilateral projections)

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10
Q

lesions of motor component of trigeminal nerve:

UMN bilateral lesion

A

impairment of jaw movement, increased jaw-jerk reflex

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11
Q

lesions of motor component of trigeminal nerve:

LMN lesion

A
  • paralysis of muscles of mastication ipsilaterally
  • muscle atrophy (temporalis atrophy detectable on palpation)
  • on opening, deviation of the jaw to the side of the lesion
  • diminished jaw jerk reflex
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12
Q

initiation of chewing is _______ and ________

A

unconscious and automatic

*triggered by food placed in the mouth

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13
Q

chewing is controlled by…

A

brainstem central rhythm & pattern generator circuitries

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14
Q

direction of mandibular movements with chewing

A

vertical, lateral, and anterior/posterior

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