Lateral Spinothalamic tract Flashcards

1
Q

The sensory modalities of pain, temperature and non-discrimative touch for the body are carried over why system?

A

Anterolateral system or

Spinothalamic System

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2
Q

What are the two primary pathways of the Anterolateral system?

A

1.) Lateral spinothalamic pathway

2.) Anterior spinothalamic pathway

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3
Q

Sensory modalities for the antiero 2/3 of the head, face, oral and nasal cavities utilize what nerve when dealing with pain and non-discriminative touch?

A

The trigeminal nerve

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4
Q

What sensation is carried by the latearl spinothalamic system?

A

Pain and Temperature

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5
Q

The sensation of pain affiliated with the Lateral Spinothalamic Pathway is considered what?

A

Very pervasive and personal

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6
Q

The lateral spinothalamic pathway is named in essence of what?

A

the position of the fiber bundle of axons from the second neuron of the three-neuron chain

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7
Q

In the Lateral Spinothalamic Pathway the first order neuron is a _______ neuron with its cell body located where?

A
  1. ) Pseudounipolar neuron
  2. ) Dorsal Root Ganglia
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8
Q

The peripheral receptors for the Lateral Spinothalamic Pathway are what fiber type?

A

Free Nerve Endings (non encapsulated)

—A-delta fibers

–Lightly myelinated

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9
Q

A delta fibers of the Lateral Spinothalamic Pathway carry the sensation of what type of pain? Is it localizable or non-localizable?

A

Pricking pain that is fairly localizable

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10
Q

The central processes enter the spinal cord where (medially/laterally) and bifurcate where?

A

Laterally

Bifurcate in the Lissauer’s tract

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11
Q

After entering the dorsal horn the Lateral Spinothalamic Pathway involves a synapse where?

A

On neurons in substantia gelatinosa/nucleus proprius

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12
Q

What is the neurotransmitter affiliated with the synapse on neurons in substantia gelatinosa/nucleus proprius?

A

Glutamate

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13
Q

Where is the exact positin of the cell body for the second-order neuron in the Lateral Spinothalamic Pathway?

A

Most likely in substantia gelatinosa

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14
Q

Where so second order neurons sen their axons?

A

Across the midline through the anterior white commisure

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15
Q

Second order neuron axons enter through the anterior white commisure in what fashion?

A

An ascending and oblique (1-2 segements) direction

—this is what forms the Lateral spinothalamic tract on the contralateral side of the cord

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16
Q

The more laterally placed fibers in the lateral spinothalmic tract carry what type of sensation?

A

Pain and temperature sensations fomr the lower body

17
Q

The more medially placed fibers in the lateral spinothalmic tract carry what type of sensation?

A

Pain and temperature sensations from the UE

18
Q

The Lateral spinothalamic tract ascends through the spinal cord and brain stem to reach what?

A

Ventral posterolatearl thalamic nucleus (VPL) and intra-laminar thalamic nuclei

19
Q

Where is the third nueorn cell body located?

A

Ventral Posterolateral Thalamic nucleus (VPL)

20
Q

Somatotopic distribution of the latearl Spinothalamic pathway is maintained wihtin the nucleus of what?

21
Q

In the nucleus of the VPL information concerning pain from the LE (lumbar-sacral dermatomes) are located where?

22
Q

Axons of third order neurons leave the VPL and ascend where?

A

The Primary somatosensory cortex via the superior thalamic radiations

23
Q

The superior thalamic radiations is located where?

A

The medial part of the posterior limb of the internal capsule

24
Q

Primary somatosensory cortex is located where in the postcentral gyrus?

A

Cortical areas, 3, 1, 2

25
Loss of 3rd order neurons wil result in what?
Loss of localization of pain, but not the affective emotional response to pain
26
The Homunculus is upside down, making LE information represented where? What about trunk, and head/neck?
**LE:** At the midline, paracentral lobubule **Trunk:** more laterally **Head/Neck:** towards the lateral sulcus
27
The homunculus allows for waht?
Precise localization of prickling pain (burning pain is less localized)
28
Precision of this system makes it useful to define what?
Spinal cord Lesion sites --identified by the loss of painful stimulation
29
In regards to this system What makes it possible to idenify the level of a spinal cord lesion?
The fact that sensations cross in a relatively segmental manner
30
Loss of pain all over the body is termed? Half the body?
Anesthesia ---hemi-anesthesia
31
Technically speaking the Lateral Spinothalamic tract is from what point to what point?
Substantia gelatinosa/nucleus proprius to VPL