Lecture 4 - Somatosensory System Flashcards
What does dermatome mean?
Skin slice
What consists the grey matter?
Cell bodies + dendrites
What consists the white matter?
A lipid containing myelinated axons
What is the dorsal root ganglion (DRG)?
Whare the neuron cell bodies are located
How is the grey matter separated?
Dorsal Horns (sensory input), Ventral horns (motor control, so the smaller the ventral horns the less tactile abilities)
What are the primary afferent that convey information from skin to the CNS?
A beta axons: touch
A delta axons: Pain or Temperature
C axons: Pain or temperature
For the mechanoreceptor (touch) axon, name its afferent type, its receptor type(s), diameter and velocity
Receptors: Meissner, Merkel, Ruffini, Pacinian
Afferent type: A beta axon
Diameter: 16-12 um
Velocity: 35-75 m/s
For the thermo- and nociceptive (pain and temperature) axon, name its afferent type, its receptor type(s), diameter and velocity
Receptors: Free nerve endings
Afferent type: A delta axon
Diameter: 1-5 um
Velocity: 5-30 m/s
For the thermo- and nociceptive (pain, temperature and itch) axon, name its afferent type, its receptor type(s), diameter and velocity
Receptors: Free nerve endings (unmyelinated)
Afferent type: C axon
Diameter: 0.2-1.5 um
Velocity: 0.5-2 m/s
Which axon is responsible for first pain?
A delta axon
Which axon is responsible for second pain?
C axon
Compare the speeds of first and second pain
First pain: Short+fast
Second pain: Long+slow
Why is second pain so much longer than first pain and occurs with a delay?
Think of the racer analogy, where A delta axons and Olympian racers that make it to the finish line much quicker than the non Olympian racers who take much longer to reach the finish line.
What are the two somatosensory tracts?
- Dorsal Column Medial Lemniscus tract (DCML)
- Spinothalamic Anterolateral tract (STT)
Where does decussation occur in the DCML?
Dorsal Column Nuclei of the medulla (ipsilateral - dorsal)
Where does decussation occur in the STT?
Dorsal Horn of the spinal cord (contralateral - ventral)
What does DCML respond to and what are its axons?
Touch, A beta axon
What does STT respond to and what are its axons?
Pain and temperature, A delta and C axons
How many synapses occur between the skin and the cortex and where?
3 synapses occur
1st synapse: DCML; DCN, STT; Dorsal Horn
2nd synapse: Thalamus (VPL nucleus)
3rd synapse: Primary somatosensory cortex
What are the roles of 1st, 2nd and 3rd order neurons?
1st order neurons: bring sensory input into CNS
2nd order neurons: Decussate after receiving info from the first order neurons
3rd order neurons: Send signal from second order neurons to the cortex
What is the topography of DCML tract?
The more caudal the axon is at first, the more medial it can go
The more rostral the axon is at first, the more lateral it can go
What is the topography of STT tract?
The more caudal the axon is at first, the more lateral it can go
The more rostral the axon is at first, the more caudal it can go
What does a spinal cord transverse look like at the upper cervical level?
Dorsal Column: CTLSSLTC (the more caudal, the more medial)
Spinothalamic Tracts: SLTCCTLS (the more caudal, the more lateral)
As you go down the spinal cord, why is there less and less white matter?
The more caudal in the spinal cord you are there are fewer axons from the levels above that have yet gotten up
The cervical level will have a lot more white matter, than the lumbar level for instance
What is Brown Sequard Syndrome?
Brown Sequard Syndrome involves ipsilateral loss of touch sensation, and contralateral loss of pain and temperature sensation (for STT tract, if the lesion is on the left, than the tract must be coming from the right towards the left)
What differentiates lesions in the white matter vs the grey matter?
Lesions in the white matter affect larger areas, whereas lesions in the grey matter only affect the localized area
What are the different somatosensory receptors
Temperature and pain: Free nerve endings
Touch: Merkel, Meissner, Ruffini, Pacinian
What is Microneurography?
The use of a stimulus probe and a recording electrode to tap around the skin, and find areas that activate action potentials (they look for receptive fields in A beta axons)