Exam 1 Flashcards
What is the function of a somatosensory system?
Detects and processes body sensations (touch, temperature, pain, pressure, limb position) via extero and intero receptors
What are steps in sensory perception
Detection and transduction
Transmission
Modulation
Perception
What is the primary function of a sensory system?
To detect changes in the environment and relay that information to the CNS
What are sensory receptor types?
Mechanoreceptors, photoreceptors, nociceptors, chemoreceptors, thermoreceptor
Which sensory receptor is activated by mechanical forces (i.e. touch, stretch, pressure, vibration, etc)?
Mechanoreceptors
What are primary receptors?
Specialized sensory nerves. Receptors for touch, pain, temp are specialized nerve endings
What are secondary receptors?
Specialized non-neuronal cells that send a chemical signal to the sensory neuron. This includes rods and cones of the retina
What are TRP channels?
Ion channels that open and close in response to a stimulus. The channel opens based on what the stimulus is.
Cation channel- permeable to Na and Ca (excitatory signal)
What is the difference between slow and rapid adapting receptors?
Slow (tonic) adapting receptors have action potentials that continue to be generated at a slow rate while rapid (phasic) adapting receptors initially fire, then the action potential stops.
Somatosensory system
= body sensory system (outside of the body/ muscles and joints)
What does the somatosensory pathway include?
Involve 3 different neurons with 2 synapses
- synapses in the brain->thalamus-> sensory cortex
Where are most of the sensory receptors located?
In the dermis
Of the somatosensory receptors, which ones have free nerve endings?
Thermoreceptors and nociceptors
Where is the sensory neurons axon found in the somatosensory system?
found in the dorsal root ganglion near the spinal cord
How are merkel cells clinically relevant?
Merkel cell carcinomas can occur in cats (malignant) and dogs (benign)
What are merkel cells?
Cells in the pressure sensitive areas of the skin that detect light touch
What is the function of nociceptors?
They respond to actual or potential tissue damage
How are thermoreceptors divided?
Low threshold (cold) and high threshold (warmth)
What is the function of golgi tendon organs?
Help to detect the position of limbs. Provide information about muscle contraction and prevent excessive contraction
What is the role of joint kinesthetic receptors?
Prevent joint and muscle damage by keeping animals from over extending or flexing their joints
What are some first order somatosensory neurons?
Pseudounipolar neurons, peripheral process, cell body, central process
What is the effect of myelination and diameter on action potential?
More myelination= fast action potentials travel
More diameter = faster action potentials
What do spinal nerve roots innervate and what is the clinical significance of that?
Each spinal nerve segment innervates a strip of skin called dermatome. You can see where a lesion is by testing dermatome areas.
Where do the cell bodies of the first order sensory neurons live?
In the dorsal root ganglion
What is inflammation of the dorsal root ganglion called?
Ganglioneuritis
Where do the sensory pathways in the spinal cord end up?
In the dorsal / lateral funiculi
What type of receptors are activated by light?
Photoreceptors
Which part of the brain is primarily associated with conscious perception of sensory stimuli?
Primary sensory cortex
What are the layers of the dorsal faciculus?
toward the midline of the spinal cord - where the funiculus gracilus is. The faciculus cuneatus is more toward the outside.
What is inflammation of nerve roots of dorsal root ganglia called?
Radiculoneuritis
Which half of the spinal cord contains sensory neurons and axons based on their function?
Dorsal half
What is the function of the spinothalamic tracts?
Relay information about pain and temperature
How many neurons are apart of the spinothalamic tract?
- First, second, and third order
Where does the axon of the first neuron in the spinothalamic tract originate and synapse?
Its cell body originates in the dorsal root ganglion. It synapses in the dorsal horn of the spinal cord.
Do sensory neurons have to go all the way up to the sensory cortex?
No. Some neurons just go to the spinal cord.
What are some other ascending pathways besides the spinothalamic tract?
Spinoreticular tract (response to pain), spinovestibular tract (posture and balance), and spinocerebellar tract (unconscious proprioception).
Where is the primary somatosensory cortex located?
Caudal to the primary motor cortex
What is itch?
An unpleasant sensation provoking the desire to scratch.
Which motor neuron is responsible for the concept of whatever occurs on the right is transmitted to the left side of the brain and vice versa?
Second order neuron
What pathways travel from the spinal cord to brain
Spinothalamic tract and spinoreticular tract
True or False: itch is included in the somatosensory system
False
True or false: axons for itch involve C and Ad
True
What nerves are responsible for somatosensory innnervation of the head and what do they innervate?
Trigeminal n. (CN V): most of the head
Facial n. (CN VII): part of the ear
Glossopharyngeal n. (CN IX): throat
Spinal n. C2: part of pinna, cranial neck
What is the function of the nervous system?
To enable the body to respond to changes in the environment and control organs and systems
Describe the anatomic divisions of the nervous system
Central nervous system and peripheral nervous system
Describe the parts of the peripheral nervous system
Peripheral nervous system isn’t covered by bone (peripheral and cranial n. And ganglia)
The CNS is made up by the __________ & ____________.
Brain and spinal cord
True or false: Neurons are metabolically active cells.
True. They have a high demand for oxygen and energy.
Name the supporting cells of the CNS
Astrocytes, oligodendrocytes, microglia, ependymal cells
Describe the function of astrocytes
Contribute to the BBB and provide physical and metabolic support for neurons
Describe the function of oligodendrocytes
Make and maintain the myelin sheath
What is the role of microglia?
Phagocyte in the CNS
Kufer cell is the __________
Macrophage of the liver
The ependymal cells do what in the CNS?
Form the ventricular lining. They have cilia on their surface to help circulate CSF in the CNS.
What cell produces myelin the in PNS?
Schwann cells
What do the satellite cells do in the PNS?
Provide mechanical and metabolic support
Why is white matter white?
It consists almost entirely of myelinated axons.
It is rich in lipid (myelin). Lipid is fat and fat is white.
True or false: the grey matter is rich in neurons
True
Arborizing folds in the cerebellum are called
Folia
Molecular layer contains
Nerve fibers and dendrites
These cells are located between the granular and molecular layer of the cerebellum
Purkinje cells- a great place to find negri bodies of rabies
What is responsible for producing CSF?
Choroid plexus
What are the 3 layers of the meninges
Dura matter (tough mother)
Arachnoid
Pia (tightly covers the outside of the brain)
The arachnoid and pia together form whats called the __________.
Leptomeninges
What does the endoneurium do?
They surround each nerve fiber and Schwann cell
What surrounds each nerve fascicle?
Perineurium
What surrounds the peripheral n.?
Epineurium
Name the sensory systems
Somatosensory, olfactory, gustatory, visual, and vestibular
What are primary receptors
Specialized terminals of sensory neurons that detect touch, pain, and temperature
Which major somatosensory pathways transmits information about touch, pain, temperature, and body position to the cerebral cortex?
Dorsal somatosensory pathway
Where do first order sensory neuron axons typically branch.
On second order neurons and other interneurons that mediate local effects
Which ascending pathway transmits information about posture and balance to the vestibular nuclei?
The spinovestibular tract
The primary function of the thalamus in sensory processing is
Acting as a relay station for almost all sensory information going to the cerebral cortex
Where are the nuclei that contain the cell bodies of third-order neurons of the somatosensory system located?
ventral part of the thalamus
Where is the primary somatosensory cortex located relative to the primary motor cortex?
Just caudal to it.
Where do the third order neurons project in the sensory pathways?
Somatosensory cortex
What distinguishes the sensory pathways for the facial and glossopharyngeal nerves from the trigeminal nerve pathway?
the axons of the first order neurons travel in the facial and glossopharyngeal nerves.
The first-order neurons synapse on second order neurons in the trigeminal sensory nuclei
How is visceral sensation different from somatic sensation?
Somatic sensation includes sensations from skin, muscles, tendons, whereas visceral sensation pertains to internal organs
What type of receptors are found on visceral organs?
Enteroreceptors (or interoreceptors)
What is visceral pain caused by in veterinary species?
gastrointestinal or urinary tract obstruction or inflammation in the viscera (such as pancreatitis).
What are some signs of colic in horses?
Stretching, rolling, pawing, or kicking/biting at the flanks
What is the role of transient receptor potential (TRP) channels in sensory reception?
Result in depolarization in response to stimuli (Na & Ca)
Which receptors include rods and cones of the retina and hair cells in the inner ear?
Secondary receptors
What is receptor adaptation in sensory systems defined as?
Decrease in sensitivity to a prolonged stimulus. This allows the sensory system to adjust to sustained inputs.
In sensory systems, what is modulated based on inputs from other sensory receptors?
Sensory perception- information in sensory systems
The grey matter of the spinal cord is organized, based on function, into layers called ____________.
Rexed’s laminae
Where are the nuclei containing cell bodies of the third-order somatosensory neurons located?
In the ventral part of the thalamus
How are the neurons in the cortex organized regarding sensory information?
In a somatotopic map- where each part of the cortex receives information from a particular part of the body
What structure runs through the mandibular canal?
Inferior alveolar VAN. It will run through the mandibular foramen and exit as the mental n. through the mental foramin
What 4 bones make up the zygomatic arch?
The zygomatic, temporal, frontal, and maxilla bones
What three parts form the temporal bone?
Petrous, tympanic, squamous
What structures make up the temporo-mandibular joint?
The condylar process of the mandible
The squamous part of the temporal bone
What is the significance of the temporal lines?
They converge to form the external saggital crest and the form the rostromedial boundary of the temporal fossae which houses the temporalis m. (Major muscle of mastication)
What bony complex provides passage for olfactory nerves and blood vessels?
Cribiform plate
What is a location for dental n block that involves the infraorbital VAN?
Infraorbital foramen (becomes the maxillary formen as you move caudal
What major aspects does a neuro exam consist of?
Observation- what you see and hear
Hands on
What four areas can you localize to in the case of an intracranial lesion?
Forebrain: prosencephalon
Cerebellum: dorsal metencephalon
Brain stem: mesencephalon, ventral metencephalon, myelincephalon
Vestibular: central vs. peripheral
You can localize to these 4 areas when a spinal cord lesion is suspected:
C1-C5: cranial cervical spinal cord
C6-T2: cervicothoracic
T3-L3: thoracolumbar
L-S3: lumbosacral intumescense
Define intumescence
The area of the spinal cord where the nerves are coming off and supplying the limb (i.e. lumbosacral intumescense)
Define decusation and where it occurs
Occurs at the forebrain. Meaning crossing over.
The information on the right side of the brain controls the left side of the body.
True or False: you can get lesions just in the sensory system of the PNS.
True. You can both motor and sensory deficits occurring by themselves.
Motor deficits are called motor unit disease (or neuromuscular disease).
Sensory deficits are called sensory neuropathy
What is a neuropathy
A lesion to the entire nerve in the PNS (sensory and motor deficits occur together)
A disease to the brain is called an ____________.
Encephalopathy
Disease of the spinal cord is referred to as what?
Myelopathy
The following are examples of disease in what system?
(Neuropathy, Junctionopathy, Myopathy Axonopathy, Myelinopathy, Radiculopathy)
Peripheral nervous system
The sympathetic nervous system originates from where?
Hypothalamus
Nerves start coming off of the sympathetic nervous system starting where?
C7 (caudal cervical thoracic intumescense)
Which cranial nerves supply sympathetic innervation to the head, thoracic viscera, and abdominal viscera?
III, VII, IX, X
Of the vagus nerve and vagosympathetic trunk, which one is going toward the head?
Vagosympathetic trunk
What is Horner syndrome?
Lack of sympathetic innervation to the head and neck
How do you differentiate between upper and lower motor neurons?
Pay attention to REFLEXES, tone, and atrophy
Where do upper motor neurons come from?
Forebrain, brain stem, cerebellum, C1-C5 spinal cord
Where do lower motor neurons originate?
At the intumescense
What effect can an upper motor neuron lesion cause?
An exaggerated reflex response
What causes a decreased reflex/ tone response?
A lower motor neuron lesion/ disruption
What is the expected reflex and tone response of UMN vs LMN lesions
UMN- normal to increased reflexes and tone
LMN- decreased to absent reflexes and tone
What can occur with an C1-C5 lesion?
Increased reflexes and tone in thoracic and pelvic limbs.
No more control over LMN activity
What occurs with a C6-T2 lesion?
Decreased reflexes and tone in thoracic limb (LMN affected) and increased reflexes and tone in pelvic limb (UMN affected)
What occurs with a T3-L3 lesion?
Thoracic limb normal, pelvic limb has increased reflexes and tone
A lesion occurring in L4-S3 would affect the thoracic and pelvic limbs in what ways?
Normal thoracic limb function; decreased reflexes and tone in pelvic limb
Where is disuse atrophy seen most?
With orthopedic & UMN lesions (chronic and mild)
What type of atrophy is associated with a LMN lesion?
Neurogenic atrophy (acute and severe)
True or false: UMN & LMN differentiation includes sensory (proprioception and nociception).
False. A patient can have proprioceptive and nociceptive diseases with both
What tools are needed for a neuro exam?
Surface with traction, plexometer, hemostats, transIlluminator (light source), cotton balls
If there’s a behavior change, what part of the brain should be on the differential list?
Forebrain lesion
The main gait generator is the _______ _______.
Red nucleus
Why do dogs head press or “go, go, go”?
If there’s a forebrain lesion where you’ve lost inhibition to the red nucleus