King Ch 9 - Special senses Flashcards

Vision, hearing, vestibular system, taste, smell, limbic system

1
Q

Describe the visual pathway

A

Light > retina > CN II > optic chiasm > optic tract > lateral geniculate nucleus (80%) (diencephalon) > optic radiation (part of the internal capsule) > visual cortex

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2
Q

What is the first neuron in the pathway of vision?

A

The bipolar cell of the retina

This neuron receives impulses from the neuroepithelial cells of the retina, i.e. the rods and cones.

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3
Q

What is the second neuron in the pathway of vision?

A

The ganglion cell of the retina

Its axon lies in the optic nerve and continues through the optic canal to the optic chiasma.

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4
Q

What occurs at the optic chiasma?

A

Partial decussation of the axons of neuron 2

Decussation is almost complete in mammals with laterally directed eyes.

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5
Q

What percentage of fibers decussate in horses, dogs, and cats?

A
  • Horses: 80-90%
  • Dogs: 75%
  • Cats: 66%

This refers to the proportion of fibers that cross to enter the opposite optic tract.

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6
Q

Where does neuron 3 in the visual pathway reside?

A

The lateral geniculate nucleus

This is within the lateral geniculate body, and the axon projects to the visual area of the occipital cerebral cortex.

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7
Q

What is the optic radiation?

A

A band of fibers projecting from the lateral geniculate nucleus to the visual area of the occipital cerebral cortex

This is part of the pathway for visual processing.

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8
Q

What is the role of the rostral colliculus?

A

Projects to motor nuclei of CNN III, IV, VI controlling conjugate movements of both eyeballs towards a source of light

Colliculus is in the tectum of the mesencephalon

It also initiates pupil dilation and contributes to alertness.

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9
Q

Describe the PLR pathway

A

Light > retina > CN II > optic chiasm > optic tract > Pretectal nucleus (in midbrain border between di and mes) > decussation at the caudal commissure and bilateral innervation > parasympathetic nucleus of CN III > CN3 > ciliary ganglion > short ciliary nerve > ciliary muscle

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10
Q

Fill in the blanks

A
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11
Q

What is the function of the mesencephalic pretectal nucleus in the visual pathway?

A

Involved in controlling pupil constriction

Approximately 20% of optic tract axons synapse here.

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12
Q

What is the direct reflex in pupil response?

A

Contraction of the pupil receiving the light stimulus

The consensual reflex is the constriction in the opposite eye.

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13
Q

What is the tectospinal tract?

A

Pathway that controls reflex turning of the head and neck towards a source of light or movement

Neurons in the rostral colliculus project to this tract.

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14
Q

What does the ascending reticular formation do in relation to visual input?

A

Receives visual input contributing to alertness

This structure is involved in regulating arousal and attention.

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15
Q

What is the first neuron in the pathway of hearing?

A

The cell of the spiral ganglion of the cochlear nerve (CN VIII)

This neuron receives impulses from neuroepithelial cells in the spiral organ of Corti.

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16
Q

What is the cell location of neuron 2 in the auditory pathway

A

The cochlear nuclei

Many of the axons decussate at once, forming the trapezoid body. These axons synapse with the dorsal and ventral nucleus of the trapezoid body.

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17
Q

Where does neuron 3 in the auditory pathway project?

A

To the auditory area of the temporal cerebral cortex

This occurs through the auditory radiation in the internal capsule.

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18
Q

Describe the hearing pathway

A

Neuroepithelial cells in the spiral organ of Corti (in the cochlea) > cell of the spiral ganglion of the cochlear nerve (first neuron) > axons pass through the internal acoustic meatus > enter the medulla > synapse in the cochlear nuclei with neuron 2 > many axons decussate at one, forming the trapezoid body > turns rostrally into the contralateral lateral lemniscus > synpase with the caudal colliculus > neuron 3 in the contralateral medial geniculate nucleus > axons project through the auditory radiation in the internal capsule > auditory area of the temporal cerebral cortex

Other axons of neuron 2 do not decussate but project to the ipsilateral medial geniculate nucleus, so each ear is projected to both sides of the forebrain

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19
Q

How are the trigeminal and facial nerves involves in auditory regulation?

A

Regulation of the sound wave frequency occurs through neuronal connections between the
cochlear nuclei and the efferent motor neurons of the trigeminal and facial nerves that
innervate respectively the tensor tympani and the stapedius muscles: these muscles control
the degree of mobility of the ear ossicles.

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20
Q

Describe the vestibular pathway

A

Impulses from the crista of the ampulla of each of semicircular ducts, the macula of the utricle, and the macula of the saccule > neuron 1 is the vestibular nerve, the ganglion is located within the petrous portion of the temporal bone > axons through the internal acoustic meatus into the ipsilateral vestibular nuclei, in the medulla oblongata and pons > four nuclei are rostral, medial, lateral, and caudal > projections to the spinal cord, brainstem, and cerebellum

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21
Q

Describe the anatomy of the vestbular nuclei

A
  • Receive afferents from the vestibular division of CN VIII
  • Located on either side of the dorsal part of the pons and medulla adjacent to the lateral wall of the fourth ventricle
  • The four nuclei are the rostral, medial, lateral, and caudal vestibular nuclei, which form a continuous column on either side of the pons and medulla
  • Project to the spinal cord, brainstem, and cerebellum
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22
Q

Describe the anatomy and functions of projections from the vestibular nuclei to the spinal cord

A
  1. Lateral vestibulospinal tract - cell bodies in the lateral vestibular nucleus > courses caudally in the ipsilateral ventral funiculus through the entire spinal cord > axons terminate in all of the spinal cord segments on interneurons in the ventral gray columns
  2. Medial vestibulospinal tract - cell bodies in the rostral, medial, and caudal vestibular nuclei > passes caudally in the ipsilateral ventral funiculus of the cervical and cranial thoracic spinal cord segments > axons terminate on interneurons in the ventral gray columns. In addition, the medial vestibular nucleus projects axons into the medial longitudinal fasciculus, which courses caudally in the dorsal portion of the ventral funiculus through the cervical and cranial thoracic spinal cord segments.
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23
Q

Describe the function of the lateral vestibulospinal tract

A

Facilitatory to ipsilateral alpha and gamma motor neurons to extensor muscles, inhibitory to the ipsilateral alpha motor neurons to flexor muscles, and some interneurons cross to the opposite ventral gray column, where they are inhibitory to the contralateral alpha and gamma motor neurons to extensor muscles. Thus the effect of stimulation of the neuronal cell bodies, the axons of which are in the vestibulospinal tract, is an ipsilateral extensor tonus and contralateral inhibition of this mechanism.

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24
Q

Describe the function of the medial vestibulospinal tract

A

Axons terminate on interneurons in the ventral gray columns, which influence the activation of the alpha and gamma motor neurons that innervate neck muscles primarily

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25
What is the function of the maculae in the vestibular system?
Record the position of the head ## Footnote Gravity acts on the statoconial membrane, affecting the firing of neuroepithelial cells.
26
Describe the three terminations in the brainstem for neurons from the vestibular nuclei
* Axons course rostrally in the medial longitudinal fasciculus to terminate in the motor nuclei of cranial nerves VI, IV, and III - provide coordinated conjugate eye movements associated with changes in the position of the head. * Axons project into the reticular formation. Some of these axons provide afferents to the vomiting center located there. * Conscious perceptions through a thalamic nucleus and then internal capsule to cortex, probably in temporal lobe – pathway not well defined.
27
Describe the vestibulocerebellar pathways and functions
* Axons of neuronal cell bodies in the vestibular nuclei, in addition to some in the vestibular ganglia, project to the cerebellum through the caudal cerebellar peduncle and terminate mostly in the cortex of the flocculus of the hemisphere and the nodulus of the vermis (the flocculonodular lobe). These axons have collaterals that synapse in the fastigial nucleus, which is the most medial of the three nuclei in the cerebellar medulla. * Functions to coordinate the position of the eyes, neck, trunk, and limbs with the position and movements of the head.
28
How many vestibular nuclei are there?
Four: rostral, medial, lateral, and caudal ## Footnote These nuclei are located near the cochlear nuclei in the medulla oblongata and pons.
29
What is the function of the medial longitudinal fasciculus in the context of the vestibular system?
Connects vestibular nuclei to motor nuclei of cranial nerves III, IV, and VI ## Footnote This tract is involved in coordinating eye movements and head position.
30
What is the role of commissural fibers in the vestibular system?
They connect the right and left semicircular ducts with the contralateral vestibular nuclei.
31
Which cranial nerves are influenced by the vestibular nuclei?
Cranial nerves III, IV, and VI.
32
Where does the direct vestibulocerebellar tract go?
Projects directly to the ipsilateral cortex of the flocculonodular lobe and the fastigial nucleus of the cerebellum.
33
What is nystagmus?
An involuntary rhythmic oscillation of the eyeball, usually from side to side.
34
What distinguishes physiological nystagmus from pathological nystagmus?
Physiological nystagmus occurs with head movement; pathological nystagmus occurs when the head is still.
35
What is jerk nystagmus?
A type of nystagmus characterized by a quick and slow phase of eye oscillation.
36
What is the most common sign of vestibular disease in humans?
Spontaneous nystagmus.
37
Describe the taste pathway
CN VII (facial) for taste buds of rostral two-thirds of tongue and CN IX (glossopharyngeal) for caudal two-thirds and CN X for mucosa of the caudal pharynx and larynx > cell locations in the geniculate ganglion (VII) and distal ganglion (IX) > contralateral solitariothalamic tract > nucleus of the solitary tract > contralateral ventral caudal medial nucleus of the thalamus > internal capsule > sensory neocortex
38
Describe this diagram
39
In which part of the nervous system are taste neuron 1 cell bodies located?
In the ganglion of the VIIth, IXth, and Xth nerves.
40
Describe the olfactory pathway
Central process of the olfactory neuroepithelial cell, on the ethmoturbinate bones > axons pass through the cribriform plate of the ethmoid bone > synapses in the olfactory bulb, characterised by four organised layers of neuronal cell bodies > axon of neuron 2 passes caudally into the olfactory peduncle > division into the medial and lateral olfactory tracts (ventral surface of forebrain) > some axons in the lateral olfactory tracts and end in the olfactory tubercle via the lateral olfactory stria. Some other axons in the medial olfactory tract decussate, and project to the olfactory tubercle on the contralateral side. Other axons synapse with the olfactory tubercle > some pathways project from the olfactory bulb through the medial olfactory stria to the septal nuclei and subcallosal area > axons project into the medial forebrain bundle and end in the hypothalamus > olfactory tubercle > piriform lobe ## Footnote Some pathwayd from the olfactory bulb continue caudally in the medial forebrain bundle to reach the reticular formation of the brainstem > further projections make synapses in the parasympathetic motor nuclei of the facial, glossopharyngeal and vagus nerve, thus completing pathways by which olfactory stimuli induce salivation and gastric secretion.
41
What is the olfactory neuroepithelial cell?
The first neuron in the olfactory pathway.
42
What distinguishes the olfactory pathway from other sensory pathways?
It projects to the cerebral cortex without a relay in the thalamus.
43
What are the components of the rhinencephalon?
* Olfactory components * Limbic components
44
What is the role of the hippocampus in the limbic components of the rhinencephalon?
Involved in the control of motor expression of emotion, learning, and memory.
45
Label the diagram
46
What is the paradoxical vestibular syndrome?
A condition where the head tilts to the opposite side of a central vestibular lesion.
47
What area of the brain is involved in the control of motor expression of emotion and rage?
The hippocampus ## Footnote The hippocampus is also involved in learning, memory, and instinct.
48
Where is the amygdaloid body located?
Buried deeply in the piriform lobe ## Footnote The amygdaloid body consists of a complex of nuclei.
49
What are the main sources of afferent connections to the amygdaloid body?
* Lateral olfactory tract * Areas of the neocortex * Thalamus * Rostral hypothalamus * Hippocampus * Nucleus of the solitary tract
50
What is the primary function of the amygdaloid body?
Involved in autonomic, endocrine, and somatic motor responses associated with emotion ## Footnote This includes responses like respiration, circulation, and expressions of fear, rage, and aggression.
51
What are the septal nuclei?
A small area of grey matter in the septum pellucidum, connected with the habenular nuclei via the habenular stria, and have afferent and efferent connections with the hippocampus via the fornix
52
What type of behavioral reactions are the septal nuclei involved in?
Reactions to external stimuli, particularly sexual and aggressive behaviors
53
Where do the habenular nuclei lie?
In the roof of the third ventricle
54
What types of impulses do the habenular nuclei receive?
Olfactory impulses via the septal nuclei
55
What is the primary function of the habenular nuclei?
Participate in autonomic responses to olfactory and emotional stimuli
56
What does the term 'limbic system' refer to?
Parts of the forebrain concerned with visceral processes associated with emotion, memory, behavior, and personality
57
What are the main components of the limbic lobe?
* Hippocampus * Parahippocampal gyrus * Cingulate gyrus
58
What additional structures are now generally included in the limbic system?
* Amygdaloid body * Septal area * Fimbria and fornix * Cingulum * Stria terminalis * Medial forebrain bundle * Habenular nuclei * Rostral thalamic nuclei * Hypothalamus * Mamillary body
59
What are the geniculate nuclei considered part of?
The caudal group of thalamic nuclei
60
What is unique about the olfactory pathway in relation to the thalamus?
It bypasses the thalamus
61
How many conscious modalities are there?
12
62
What are the four distinct groups of conscious modalities?
* Group 1: Touch, pressure, joint proprioception * Group 2: Superficial pain, heat, cold * Group 3: Deep pain * Group 4: Vision, hearing, balance, taste, olfaction
63
What do the pathways of modalities in groups 1 and 2 share?
They converge on and share the medial lemniscus
64
What is the typical arrangement of the pathways conducting modalities in groups 1, 2, and 4?
Built on a chain of three neurons
65
Where does the first neuron in the pathway typically originate?
In a dorsal root ganglion (spinal or cranial)
66
What is the function of the ascending reticular formation in relation to pathways of modalities?
Connects to specific systems conducting the modalities
67
Which modality is conducted by the ascending reticular formation instead of the medial lemniscal system?
Deep pain (group 3)