Lec 04- General Sensory Mechanisms II Flashcards

1
Q

What makes up the primary somatosensory area?

A

Brodmann’s area 1,2,3

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2
Q

What makes up the somatosensory association area?

A

Brodmann’s area 5, 7

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3
Q

What are the results of widespread bilateral excision of somatosensory area I?

A

Loss of ability to:

  • Localize discretely the different sensations in different parts of the body (crude localization still possible)
  • Judge critical degrees of pressure against the body
  • Judge weights of objects
  • Judge shapes or forms (asterognosis)
  • Judge texture of materials

**Pain and temperature sense = still preserved but poorly localized

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4
Q

Where does the somatosensory area II receive signals from?

A
  • Brain stem (transmitted upward from the body bilaterally)
  • Secondarily from somatosensory area II
  • Other sensory areas of the body (visual and auditory)
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5
Q

What is required for function of somatosensory area II?

A

Projections from somatosensory area I

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6
Q

What does the removal of somatosensory area II do to the neurons in somatosensory area I?

A

Removing II has no apparent effect on response of neurons in I

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7
Q

Which layers of the somatosensory cortex receive input signals from lower brain centers?

A

1

2

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8
Q

Which layer of the somatosensory cortex has large neurons in it that project to distant areas such as basal nuclei, brainstem, and spinal cord?

A

5

6

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9
Q

Which layers of the somatosensory cortex send information through corpus callosum to the opposite hemisphere?

A

2

3

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10
Q

Which layer of the somatosensory cortex has its axons project to the thalamus?

A

6

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11
Q

How are receptor potentials created?

A

By opening modality gated channels (Na+ channels) that are opened in response to membrane deformation caused by the touch or pressure

Touch/pressure > membrane deformation > Na+ channel opens > receptor potential

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12
Q

if the receptor potential is strong enough (through summation), it may generate an AP at the _______________ on the primary sensory neuron

A

1st node of Ranvier

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13
Q

Where do the primary sensory neurons originate from?

A

from peripheral receptors

Merkel’s receptors

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14
Q

Through which roots of the spinal nerves do the primary sensory neurons enter the spinal cord?

A

dorsal roots

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15
Q

Where are the cell bodies of the primary sensory neurons located?

A

dorsal root ganglia

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16
Q

Where do the primary sensory neurons synapse?

A

in spinal cord with secondary neurons

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17
Q

Where do the secondary sensory neurons originate from?

A

spinal cord gray matter

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18
Q

Where do the secondary sensory neurons travel through?

A

myelinated columns of the spinal cord

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19
Q

Do the secondary sensory neurons decussate?

A

YES

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20
Q

Where do the secondary sensory neurons synapse?

A

thalamus with tertiary neurons

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21
Q

Where do the tertiary sensory neurons travel through?

A

internal capsule

Myelinated pathway between thalamus and some of the basal nuclei

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22
Q

Where do the tertiary sensory neurons synapse?

A

somatosensory cortex

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23
Q

Where does two-point discrimination touch travel?

A

dorsal column-medial lemniscal pathway

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24
Q

What is two-point discrimination touch?

A

the ability to distinguish 2 separate points as close as 2mm apart

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25
Q

Why is lateral inhibition important?

A
  • Blocks the lateral spread of excitatory signals

- Increases the degree of contrast in the cerebral cortex

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26
Q

What are the 3 synaptic levels where lateral inhibition occurs?

A
  • Dorsal column nuclei
  • Ventrobasal nuclei of thalamus
  • Somatosensory cortex
27
Q

Dorsal column-medial lemniscal pathway through the CNS

A

1- Primary neurons (peripheral sensory neurons) originate from receptors in periphery
2- Travel through a spinal nerve
3- Travel through dorsal root of respective spinal nerve
4- Continue into spinal cord
5- Travel up spinal cord through dorsal columns
6- Axons in fasciculus gracilis synapse in lower medulla in nucleus gracilis
7- Axons in fasciculus cuneatus synapse in lower medulla in nucleus cuneatus
8- Secondary neurons travel through brain stem as paired tracts (medial lemniscus)
9-Secondary neurons synapse in basolateral nucleus of thalamus with tertiary neurons
10- Tertiary neurons travel through internal capsule to somatosensory cortex

28
Q

Where do the axons from the lower limbs travel though in the dorsal column-medial lemniscal pathway?

A

in the medial portions of the 2 dorsal columns

Fasciculus gracilis

29
Q

Where do the axons from the upper limbs travel through in the dorsal column-medial lemniscal pathway?

A

in the lateral portions of the 2 dorsal columns

Fasciculus cuneatus

30
Q

What are free nerve endings?

A

pain receptors (nociceptors)

31
Q

What are the 5 characteristics of fast pain?

A
  • Felt within 0.1 seconds after stimulus
  • Not felt in deeper tissues
  • Elicited by mechanical and thermal stimuli
  • Carried by Ad pain fibers
  • Pain fibers terminate in lamina I (lamina marginalis) of dorsal horns of spinal cord
32
Q

Which pain fibers are myelinated?

A

alpha (fast pain)

33
Q

Which pain fibers are non-myelinated?

A

C fibers (slow pain)

34
Q

What are the 4 characteristics of slow pain?

A
  • 1 second after stimulus and increases over several seconds
  • Aching, slow burning, throbbing, nauseous, chronic
  • Elicited by mechanical, thermal, chemical stimuli
  • Carried by C type fibers
  • Pain fibers terminate in layers II and III (Substantia gelatinosa) of dorsal horns of spinal cord
35
Q

Pain pathway

A

1- Pain travels through Anterolateral pathways
2- Primary pain fibers synapse in dorsal horns (Layers I, II, or III) with secondary fibers
3- Secondary fibers immediately decussate (make up Anterolateral pathways)
4- Fast pain fibers synapse terminate in Ventrobasal nuclei of thalamus (make up Neospinothalamic tracts)
5- Tertiary fibers ascend to somatosensory cortex

36
Q

What do the fast pain fibers make up?

A

Neospinothalamic tracts

37
Q

What do the secondary pain fibers make up?

A

Anterolateral pathways

38
Q

What do the slow pain fibers make up?

A

Paleospinothalamic pathway

39
Q

Where do most of the paleospinothalamic secondary fibers terminate?

A

throughout the brainstem (some pass all the way to the thalamus)

40
Q

What is the nt for the Ad fibers of the fast pain pathway?

A

glutamate

41
Q

What do the Type C fibers or slow pain release?

A
  • Glutamate (acts instantaneously)

- Substance P (released slowly)

42
Q

When does Brown-Sequard Syndrome occur?

A

hemisection of the spinal cord

43
Q

What happens to the motor function in Brown-Sequard Syndrome?

A

Blocked on side of the transection in all segments BELOW the level of the transection

44
Q

What is lost on the OPPOSITE side of the transection in Brown-Sequard Syndrome?

A
  • sensations of pain, heat, and cold (spinothalamic pathway)
  • in dermatomes 2-6 segments BELOW the level of transection
45
Q

What is lost on the SAME side of the transection in Brown-Sequard Syndrome?

A
  • kinesthetic and position sensations
  • vibration sensations
  • discrete localization
  • two-point discrimination

-in ALL dermatomes BELOW the level of transection

46
Q

What are the 3 components of the Analgesia system?

A
  • Periaquaductal gray & Periventricular regions of brainstem and 3rd ventricle
  • Raphe magnus nucleus & Reticular nuclei in medulla
  • Pain inhibitory complex in dorsal horns of spinal cord
47
Q

What are the reticular nuclei?

A

regions of gray matter in the middle of the brainstem

48
Q

What are the 3 types of receptors that discriminate thermal gradations?

A
  • cold
  • warmth
  • pain
49
Q

What are the warmth nerve endings?

A

-free nerve endings

50
Q

What types of fibers are the warmth nerve endings mainly transmitted over?

A

Type C fibers

51
Q

How many more cold receptors are there than warm nerve receptors?

A

3-10 times as many

52
Q

What type of endings are the cold receptors?

A
  • Small
  • Type Ad
  • Myelinated
53
Q

What stimulates cold and warmth receptors?

A

changes in their metabolic rates

54
Q

Thermal signals are transmitted in pathways ___________ to those for pain signals

A

parallel

55
Q

When does referred pain occur?

A

when visceral pain fibers are stimulated and stimulate some of the pain fibers that conduct pain signals from the skin

56
Q

When does severe pain result?

A

diffuse stimulation of pain nerve endings throughout the viscera

(opposed to highly localized types of damage to the viscera)

57
Q

What does the diffuse pain result in?

A

ischemia

58
Q

What type of fibers are all visceral pain from the thoracic and abdominal cavities transmitted?

A

Type C pain fibers

59
Q

What are headaches a result of?

A

referred pain to the surface of the head from deep head structures

60
Q

What is almost completely insensitive to pain?

A

the brain

61
Q

What kinds of injuries and conditions can result in headache?

A

-

62
Q

What is the difference between headaches caused by meningitis, migraines, and removal of CSF?

A

-

63
Q

What are the 3 areas of headache?

A
  • Nasal sinus and eye HA
  • Cerebral vault HA
  • Brainstem and Cerebellar vault HA