Lecture 4 + Assignment 4 Flashcards
Spinal segment order
Cervical
Thoracic
Lumbar
Sacral
What do the spinal segments control
SLTC on the diagram
Trigeminal nerve
= front of head
Cervical
= behind ear/headband area to fingertips
Thoracic
= chest and underside of arms
Lumbar
= above hips down
Sacral
= butt and bits, the back of legs
look at pic of person touching the floor without bending their knees
Spinal cord slice components + how is thoracic different
Grey and white matter
White matter = myelinated axons
Gray matter = cell bodies and dendrites
Gray matter makes a butterfly with dorsal horns
Thoracic = smaller butterfly so less motor control
From fingertip to CNS pathway
DCML and STT
- Receptor endings
2.a) Abeta mechanosensory afferent fiber
b) Adelta or C axons pain and temperature afferent fibers
- Dorsal root ganglion (neuron cluster)
4.a) Abeta to dorsal column
b) Adelta/C CROSSES OVER to ventral spinothalamic tract
=anterolateral
Three types of somatosensory axons - facts + examples
- A Beta
Mechanoreceptive
touch
merkel, meissner, pacinian, and ruffini cells - A Delta
Thermo/nociceptive
pain, temp.
free nerve endings - C
Thermo/nociceptive
pain, temp., ITCH
unmyelinated free nerve endings
Three types of somatosensory axons - speeds + diameters
A beta
- 35-75 m/s
- 6-12 nm
A delta
- 5-30 m/s
- 1-5 nm
C
- 0.5-2 m/s
- 0.2-1.5 nm
First and second pain
- touch sensation through Abeta axons
- first pain through Adelta axons
- second pain through c axons
- fastest to slowest axon conductance speeds
- due to myelination and diameter
- we become aware of sensations when APs reach the cortex
Why does second pain last much longer
- there is a range of velocities
- all different “racers”
- large diameter racers in a “team” (axon type) move faster
- keep feeling the sensation until all team members have passed the finish line
- difference between fastest and slowest Adelta speeds still much smaller than for the C axons
- also gap until first of second pain racers gets there
Somatosensory tracts
DCML
- A beta
- decussates in the caudal medulla (in brain)
- after synapse 1/3 at the dorsal column nuclei
STT
- A delta and C axons
- decussates immediately
Somatosensory tracts - topography
DCML
- more caudal entry = more medial
(longest in the middle)
STT
- more caudal entry = more lateral
(longest on the side)
SWITCH TO OPPOSITE SIDE
Somatosensory tracts - diagrams
Dorsal
(A betas)
- stays on the same side
CTLS SLTC
TLS SLT
LS SL
S S
Ventral
(A deltas and Cs)
- swaps sides immediately
SLTC CTLS
SLT TLS
SL LS
S S
Picking lesion locations
- Touch or pain/temperature
touch = DCML (dorsal)
p/t = STT (ventral) - Right or left
DCML: injury right = feel on right
ipsilateral
STT: injury right = feel on left
contralateral - Dermatome location
CTLSSLTC dorsal
SLTCCTLS ventral
Central cord syndrome / syringomyelia
no pain/temp in bolero region
C4-T1
single lesion in center of spinal cord
- prevents decussating of second order neurons
- affects both sides
Brown-sequard syndrome
Lower thoracic injury
Ipsilateral loss of touch sensation
Contralateral loss of pain and temperature sensation
Sensory cell pathway - touch
All A beta
- Meissner corpuscle
- Merkel-cell neurite complex
- Ruffini ending
- Pacinian corpuscle
Different sensory cells - mechanoreceptors
receptive field size + respond best to
Meissner
- small
- low frequency vibrations (2-50)
Merkel
- small
- static indentation
Ruffini
- large
- skin stretch (dynamic)
Pacinian
- large
- high frequency vibrations (50+ Hz)
Benefit of vibration sensation
- lets us feel textures, slippage, and light vibration of tools
- low frequency = feeling texture
Stimulus-response graphs
- adaption types
Slowly adapting
- merkel and ruffini
- first fast dynamic phase, then static phase
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Rapidly adapting
- meissner and pacinian
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- only respond initially