Lec 24 Special Senses Flashcards
What is anosmia?
loss of smell
What is hyposmia?
decreased sensitivity to odorants
What is specific anosmia? possible cause?
inability to perceive odor of particular compound or class of compounds
- usually genetic/congenital
what is hyperosmia/olfactory hyperesthesia? cause?
increased olfactory acuity
- migraine, psychosis, substance abuse
What is olfactory agnosia? what does it suggest?
- aware of smel lbut can’t recall name
suggests problem with higher cortical area
what is parosmia/dysosmia?
distorting in a small experience
can happen with seizures
what is phantosmia?
- olfactory hallucination
- perceptions of smeel when no odor present
- happens in migraines/seizures
What is cacosmia? cause?
formation of disagreeable olfactory auras
- epilepsy/psychiatric disorders
What causes olfactory hallucinations/cacosmia/parosmia?
epilepsy
psychiatric disorders
Which bone is cribiform plate a part of?
ethmoid bone
what are raccoon eyes? sign of what?
sign of basilar skull fracture – tears meninges –> blood goes into sinuses
have trouble with smell
How does infection/sinus disease affect sense of smell?
- blocks access of odorants to olfactory epithelium
- can cause edema of olfactory epithelium
- treat with systemic anti-inflammatory drugs
how can viruses of URI effect smell?
can permanently damage olfactory epithelium
Where does seizures often originate from? why cause distorted smell?
originate from uncal region of temporal lobe
this is really close to olfactory bulb –> get cacosmia
How does olfaction change in aging?
- normal decline with age
- diminished peripheral sensitivity or altered central activity
- can affect palatabiliyt of foods
What is association olfactory and neurodegenerative diseases?
- involves central olfactory paths in alzheimers + parkinsons
- appears early in course of disease
What 3 CNs are responsible for taste?
CN V: anterior 2/3
VN IX: posterior 1/3
VN X: epiglottis
Where do taste nerves project?
synpase in solitary nucleus –> to VPM of thalamus –> insula and frontal cortex
travels via internal capsule
Where is primary taste cortex?
- frontal cortex
- insula
What is function of insula cortex vs frontal in taste response?
insula: specific interpretation of what you are eating
frontal: integration with other sensory stimuli
What is function of taste neurons that project to amygdala?
emotional response to what you are eating [yum vs yuck]
what are taste papillae?
consist of multiple taste buds [taste buds on lateral surface of papillae protuberances]
What are the functions of olfactory system?
- detection/identification of odorants
- intake regulation
- detection of nonmicrobial hazards
- role in human sexual behavior
What is unique about the olfactory tracts path to the cortex?
no stop over in thalamus [unlike the other senses] and goes straight to the olfactory cortex
What makes up the olfactory cortex?
piriform cortex = amygdala + incus + parahippocampal gyrus of temporal lobe
How does olfactory epithelium receive smell?
- cilia on apical epithelium capture odorants