Exam 2 week 8 ppt 6 Ascending Pathways of Somatic Sensory System Flashcards

1
Q

what system is the spinothalamic tract part of?

A

anterolateral system

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2
Q

what does DCML stand for?

A

Dorsal Column–Medial Lemniscal System

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3
Q

what system is the dorsal column a part of?

A

medial lemniscal system

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4
Q

How many major systems are there that are invovled in carrying information from somatic receptors to cerebral cortex for conscious recognition and discrimination of environmental stimuli

A

two

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5
Q

what are the two major systems involved in carrying information from somatic receptors the the cerebral cortex for conscious recognition and discriminition of environmental stimuli?

A
  1. –Dorsal column-medial lemniscal system
  2. –Spinothalamic tract of the anterolateral system
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6
Q

name three functions of the dorsal column-medial lemniscal system

A
  1. discriminative tactile sensation
  2. kinesthesis
  3. steregnosis
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7
Q

name three functions of the spinothalamic tract of the anterolateral system

A
  1. pain
  2. temperature
  3. non-discriminative touch
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8
Q

What are the sensory end organs in the dorsal column-medial lemniscal (DCML) system? (7)

A

they are mechanoreceptors

Skin:

  1. Peritrichial, (hair)
  2. Meissner’s,
  3. Merkel cell,
  4. Pacinian &
  5. Ruffini endings

Other

  1. Muscle receptors
  2. tendon receptors
  3. joint receptors
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9
Q

What fiber types are the primary afferents from the skin and joint for the DCML?

where is the cell body?

A
  1. Group II (A-beta) primary afferents &

– cell body in dorsal root ganglion

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10
Q

What fiber types are the primary afferents from the muscles for the DCML?

where are the cell bodies?

A

•Group I (A-alpha) primary afferents from muscles

(some A-beta from muscle spindles)

cell body in dorsal root ganglion

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11
Q

describe the pathway of the first order neurons in the DCML system:

A
  • from their receptors, they pass through the DRG, enter the dorsal column of spinal cord, and ascend ipsilaterally in the (Fasiculus Gracilis and Cuneatus) to medulla
  • •End on second-order neurons in dorsal column nuclei (nuclei gracilis and cuneatus) in the medulla
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12
Q

describe the path of second order neruons in the DCML?

A
  1. start at dorsal column nuclei in the medulla,
  2. then decussate and ascend to thalamus as the medial lemniscus.
  3. They end on 3rd order neuorns in the ventral posterolateral nuclei (VPL) of the contralateral thalamus
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13
Q

describe the path of third order neruons in the DCML?

A
  1. •Axons of 3rd-order neurons in the ventral posterolateral (VPL) nucleus of thalamus terminate in parietal lobe - again contralateral to the side from which the receptors arose
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14
Q

what happens to the information in teh DCML at the thalamic and dorsal column nuclei?

A

There is Efferent modulation by somatosensory cortex of information as it is relayed in both the thalamic and dorsal column nuclei. In this way the cortex helps regulate the extent of the somatosensory information that reaches it.

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15
Q

the DCML is ___________________ organized through its entire coures

A

Somatotopically organized

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16
Q

what is the orientatio nof the LE and UE in the spinal cord for The DCML?

A

–LE medial (in fasiculus gracilis)

and UE lateral (in the fasciculus cuneatus)

17
Q

what is the orientation of the LE and UE in the Medial lemniscus in the medulla for The DCML?

A

–– LE ventral & UE dorsal

18
Q

what is the orientation of the LE and UE in the Medial lemniscus in the pons for The DCML?

A

UE medial & LE lateral.

19
Q

what happens at the pons to the DCML?

A

the addition of the trigeminothalamic tract just medial to the Medial lemniscus with somatosensory information from the head and face

20
Q

what does the trigeminal tract join at the level of the pons?

A

the DCML

(just medial to the medial lemniscus)

21
Q

what is the orientation of the LE and UE in the midbrain for The DCML?

A

LE dorsal & UE ventral

22
Q

what is the orientation of the LE and UE in the thalamus for The DCML?

A

–- LE dorsal lateral & UE ventral medial

23
Q

DCML: where are the trigeminothalamic fibers in the midbrain?

A

–Just ventral to the medial lemniscus in the midbrain

24
Q

DCML: where are the trigeminothalamic fibers in the thalamus?

A

Just medial to the body representation in the Thalamus

in the ventroposteromedial nucleus of the thalamus

25
Q

DCML system: How is the LE, UE, and head region represented in the cortex?

A

–LE medial & UE lateral
–Also in the cortex the head region is represented even more ventrolateral along the primary somatosensory cortex of the post-central gyrus

26
Q

what is an alternate way of describing the spinothalamic system?

A

the anterolateral system

27
Q

what type of sensory organs does the the anterolateral system begin with?

A

•Sensory end organs - deep cutaneous & noiciceptive free nerve endings

28
Q

Anterolateral system: what type of fibers are the primary afferent fibers?

A

Primary afferent fibers Class III (A-delta) & IV (C)

also some Class iI (A-beta) deep pressure receptors

29
Q

Anterolateral system: describe the path of the primary neurons

A
  1. •Primary afferent fibers Class III (Ad) & IV (C) come from deep cutaneous & nociceptive free nerve endings along with the Class II (A-beta) deep pressure receptors).
  2. they enter spinal cord and synapse in dorsal horn
    • nociceptive fibes synapse in the substantia gelatinosa
    • non-nociceptive neurons synapse in the nucleus proprius
30
Q

Anterolateral system: describe the path of the 2nd order neurons

A

Axons from 2nd order neurons in the dorsal horn of the spinal cord

  1. decussates promptly &
  2. ascends contralaterally in the
    1. anterior part of the lateral funciculus and
      • as the lateral sponothalamic tract and
        • carries the nociceptive and thermal afferents
    2. anterior funciculus
      • as the anterior spino-thalamic tracts.
        • transmits the non-discriminative touch and pressure sensations
  3. The 2nd order axons end in ventral posterolateral (VPL) nucleus of thalamus
  4. 2nd order axons are also jointed by the nociceptive fibers from the face of the trigeminothalamic tract.
31
Q

Anterolateral system/spinothalamic tract: describe the path of the 3rd order neurons

A
  1. Axons of 3rd order neurons from the body relay in the VPL thalamus project to post-central gyrus of parietal lobe (somatosensory cortex)
  2. those from the head (Trigeminothalamic tract) relay in the ventral posterior medial nucleus (VPM) of thalamus
32
Q

Does the spinothalamic tract/anterolateral system have modulation?

if so, explain it

A

There is efferent modulation particularly from brainstem and from cortical areas to dorsal horn of spinal cord

33
Q

Does the Spinothalamic tract/anterolateral system organized somatotopically?

A

yes

34
Q

Anterolateral tract: what is the somatotopic organization of LE and UE in the spinal cord and much of the brainstem (medulla & pons)?

A

–LE lateral & UE medial in spinal cord and much of brainstem (mudulla and pons I think)

35
Q

Anterolateral tract: what is the somatotopic organization of LE and UV in the midbrain?

A

LE dorsal & UE ventral

36
Q

Anterolateral tract/anterolateral asystem: what is the somatotopic organization of LE and UE in the Thalamus?

A

–LE dorsal lateral & UE ventral medial

37
Q

Anterolateral tract/anterolateral asystem: what is the somatotopic organization of LE and UE in the cerebral cortex?

A

–– LE medial & UE lateral
(follows the pattern of the somatosensory homunculus)