NEU 4 Flashcards
Outline what is meant by a spinal segment and how this can be used to localise a lesion.
- Spinal cord segments do not line up with the segments of the vertebrae
- The nerve apears caudal to segment, as has to get through the intervertebral foramen
- e.g. L7 is attached to the L7 segment of SC
- This can be used to localise a lesion as there will usually be pain over lesion
- Can work out which muscles have atrophied and what their roots are, this can then show the approximate location of the lesion
Which spinal nerves supply the forelimb?
C6 - T2
Which spinal nerves supply the hindlimb?
L4 - S3
What clinical signs will be seen if there is damage in the T3 - L3 region in the grey matter?
- UMN symptoms only in the hindlimb
Describe the structure and function of the cranial cavity.
- Lined by periosteum and dura mater (fused in cranial cavity)
- Cranial vault separated into 3 compartments by dura fold: falx cerebri, tenorium cerebelli, diaphragmasellae
- 9 main foramina - all bar one are for nerves (carotid canal is for carotid artery)
- Tentorium cerebelli separates cranial and caudal fossa
- Hypophyseal fossa for pituitary gland
Describe the strcutre of the wall of the skull
- Outer and inner cortical layer of bone
- Middle layer has reduced spongiosa
- Called diploe (weight saving)
- Surface covered by periosteum
List the foramina of the skull in order, rostral to caudal
- Cribriform plate
- Optic canal
- Orbital fissure
- Foramen rotundum
- Oval foramen
- Carotid canal
- Internal acoustic meatus
- Jugular foramen
- Hypoglossal canal
Explain the difference between vomiting and regurgitation.
- Regurgitation: food has never reached stomach
- Vomiting: forceful expulsion of the stomach contents through the oesophagus and through the mouth
Explain the clinical signs associated with feline dysautonomia with reference to the ANS
- Key-Gaskell syndrome
- Raised temperature, low heart rate, dry crusty nose, no PLR, dry mucous membranes, normal CRT, hard faeces in colon, full distended bladder
- Marked reduction in number of neurones in autonomic ganglia, brainstem and cranial nerves
Describe ways of treating cats with feline dysautonomia
- IV fluids
- Antibiotics
- Paraffin enemas to releive consipaation
- Empty bladder (cystocentesis)
- Metoclopramide (improve gastric motility)
- Pilocarpine for eyes
Describe ways in which the autonomic nervous system can be manipulated pharmacologically and the physiological consequences of these manipulations
- Administration of epinephrine - agonsit to alpha and beta receptors so increases heart rate, contractility and vasoconstriction
- Parasympathetic agonsits to inrease gut motility, watery secretions, decrease heart rate, stimulate vasodilation
- Anticholinesterases: increase ACh levels in a synapse which then compete with a blocker (e.g. neostigmine)
- Parasympathetic antagonist (atropine) acts to increase heart rate by reversing heart blodk caused by increased tone in the vagus nerve
At what points may the ANS be manipulated by the use of drugs?
- Synaptically: prevent break down and reuptake of NT or increase the break down and reuptake of an NT before can reach the other side
- Postsynaptic membrane: prevent binding with receptors by using a blocker, or increase binding by increasing NT available, or blocking enzymes that break down NT to maintain action potential propagation for longer
Give examples of TSEs
- Scrapie: sheep
- BSE: bovine spongiform encephalitis
- Kreutzfeld-Jakob syndrome: humans
Discuss the role of prions in the development of TSEs.
- Prions are derived from normal, native glycoproteins = PrPc
- PrPSc = the abnormal scrapie prion protein
- The PrPc is required for the development of TSEs
- There are species barriers because of this - different species do not always share the same glycoproteins
- Different strains can develop
- The species barrier can be overcome
Describe the clinical signs caused by TSEs
- Abnormal behaviour
- Aggression
- Hypersensitivity to touch, sound, visual stimulation
- Abnormal locomotion (ataxia)
- BSE specific: high stepping, excessive nose licking, reduced milk yield, weight loss, downer cow
- Scratching in scrapie
Describe the pathology of TSE and the current diagnostic procedures
- Primary site for pathogenic prions is in the obex
- Vacuolarisation in infected brain tissue (white gaps where there shouldn’t be any)
- Definitive diagnosis can only be made by demonstrating the presence of prion protein
- Can be done by transfer of brain extract to permissive experimental animal (ethical issue, long incubation period before diagnosis, costly)
- Specific identification of the PrPSc (disease specific protein)
- Rapid screening test: protease treatment prior to tests and then PrPSc purified and detected by ELISA
- Western blotting: detect PrPSc protein by molecular weight and rection to antibodies
Explain the economic impact of TSEs in the UK
- Stock restrictions if TSE detected. Suscpetible stock must be culled (all goats, sheep with susceptible genotype)
- Slaughtered stock may or may not be able to enter the food chain depending on genotype
- Tests can be costly
Explain how TSEs can be transmitted
- Ingestion of PrPSc contaminated feeds (previously meat and bone meal prepared from slaugher offal - now banned)
- Horizontal transmission during perinatal period (milk has high level of infectivity, placental material from scrapie infected ewes may play important role, not seen musch in cattle)
- Superficial abrasions
- Environmental factors (last a long time in the environment, but not a prathway for infection in cattle)
Explain how PrPScs may get to the brain
- 3 proposed pathways (but pooly understood)
- Parasympathetic fibres of the vagus: bypasses spinal cord, innervates viscera of head, neck, thorac, abdomen, originates in medulla oblongata
- Splanchnic nerve sympathetic trunk: enteric plexus -> prevertebral ganglia -> splanchnic nerves -> sympathetic trunk -> spinal cord -> brain
- Sympathetic and vagosympathetic trunk: sympathetic trunk -> cervicothoracic ganglion -> ansa subclavia -> vagosympathetic trunk -> brain
Discuss the transmission risk of TSE in the context of public health
- Can be spread by puncture contact or ingestion
- Long survival time in soil
- Ban on feeding mammalian meat and bone meal
- Prevent risk of material entering food chain (suspect animals and their products
Describe the pattern of the development of the cerebellum
- Upward growth of alar lamina of hindbrain
- All neurones association in type - no efferent motor neurones
- Initllay has the mantle zone (cellular) which is deep and grey matter and the marginal zone fibrous) which is superficial and white matter
- Later some mantle zone migrates to surface becoming cerebellar cortex - becomes white matter
- Remainder stays deep forming cerebellar nuclei
- Paired upgrowth from the future pons part of the hindbrain
- fuses into single cerebellum
Describe the general anatomy of the cerebellum
- Cerebellar cortex: fissures on surface divide into lobules and further subdivison into folia
- White matter: fibres running to/from cortex (arbor vitae)
- Cerebellar nuclei: 3 on each side, from lateral to medial: dentate, interpositus and fastigial
- All of it is grey matter except the arbor vitae
- Rostal, caudal and flocculonodular lobes
Describe the relations of the cerebellum to other parts of the brain
- Sits dorsal to pons, medulla oblongata and 4th ventricle
- Attached to the brainstem by peduncles
- 3 pairs: rostral (to midbrain), middle (to pons) and caudal (to medulla oblongata)
Describe the afferent fibres found in the cerebellar cortex
- Mossy and Climbing
- Mossy synapse to granular cells and on way to crotex synapse with deep cerebellar nuclei
- Climbing connect to Purkinje cells in molecular layer and also connect to deep cerebellar nuclei (output)
Describe the location function of the Purkinje cells in terms of the cerebellum
- Are the only efferent cells of the cerebellum
- Project to the deep cerebellar nuclei and from there to other parts of the CNS as final target outside teh cerebellum
- Are inhibitory
- EXCEPTION: connection from cerebellum to vestibular system is a direct connection, does not require nuclei
Describe the topography and main subdivisions of the diencephalon
- Midline part of forebrain
- Rostral to midbrain
- Medial to cerebal hemispheres
- Subdivisons: epithalamus, thalamus and hypothalamus
Describe the structure and function of the epithalamus
- Most dorsal portion of diencephalon
- Contains some small nuclei and their connections
- Contains the pineal gland - endocrine function
Describe the structure and function of the thalamus
- Largest part of diencephalon
- Wakefulness
- Right and left thalami project medially to come together and form the interthalamic adhesion
- General and special sensory information relays through appropriate groups of thalamic nuclei
- Special through geniculate nuclei
- Feedback from cortex to the rest of the brain
- Have specific and non-specific nuclei
- Specific: well defined sensory and motor functions, highly organised point-to-point connection with sensory and motor regions of cerebral cortex
- Non-specific: receive less functionally distinct afferent input, connect with wider area of cortex, including associative and limbic regions
List the specific nuclei of the thalamus and where they go
- Lateral geniculate nucleus: from eye to primary visual cortex
- Medial geniculate nucleus: from inner ear to primary auditory cortex
- Ventrolateral: from cerebellum to primary motor cortex
List the non-specific nuclei of the thalamus and where they go
- Intralaminar: diffuse projections to much of the cortex
- Midline
Describe the structure and function of the hypothalamus
- Lies below thalamus and forms ventral part of diencephalon
- Exposed on ventral surface of brain
- Largely used for survival
- Optic chiasm gives attachment to optic nerve
- Tuber cinereum gives attachment to infundibulum of the pituitary gland
- Mamillary bodies receive inputs from hippocampus via fornix, relay via mammillothalamic tract to thalamus, function uncertain but usually grouped within limbic system
Describe the location and general function of the pineal gland
- In epithalamus
- Just above the interthalamic adhesion and behind the third ventricle
- Endocrine gland
- Produces melatonin and plays a role in circadian and seasonal rhythms
Describe the location and main parts of the pituitary gland and their main functions
- Just under the hypothalamus in the pituitary fossa
- Has an anterior, posterior and intermediate section
- The posterior lobe: ADH, oxytocin, uterine smooth muscle, mammary gland smooth muscle
- Intermediate lobe: melanocyte stimulating hormone
- Anterior: FSH, LH, ACTH, TSH, GH, prolactin
Give the hypothalamic nuclei.
Paraventricular, supraoptic, suprachiasmatic, lateral, ventromedial, arcuate, mammillary
What is the function of the paraventricular and supraoptic nuclei?
Control oxytocin and ADH production and secretion
What is the function of the suprachiasmatic nucleus?
- Biological clock
- Circadian rhythm
What is the function of the lateral nucleus?
- Arousal/feeding (excitatory, stimulates feeding)
What is the function of the ventromedial nucleus?
- Feeding (inhibitory, reduces feeding)
What is the function of the arcuate nucleus?
Controls energy homeostasis (insulin)
What is the function of the mammillary nucleus?
Wakefulness via histamine