Neuro facts Flashcards
Nociceptive pain
Pain that arises from actual or threatened damage to non- neuronal tissue and is due to the activation of nociceptors
Neuropathic pain
Pain initiated or caused by a primary lesion/dysfunction of the nervous system e.g. due to spinal nerve root compression
Where would you find the cell bodies for first order neurones (pain)?
DRG or TRG
What factors are released upon tissue damage reduce threshold of pain? What can result?
bradykinin & prostaglandin E2. Hyperalgesia
Properties of alpha delta and C fibres?
A/C
- Myelinated/ unmyelinated
- Fast pain, temp, pressure and opposite for C
- C fibres are slower and are also responsible for itch
Divisions of the spinothalmic tract (pain)?
Lateral –> Pain and temp
Anterior–> Crude touch
What does the insult do in pain reception?
Degree of pain is judged and contributes to the subjective aspect of pain perception.
What does the cingulate gyrus do?
Emotional response to pain. Linked with process learning and pain so if you burn your hand by touching hot surface you will learn not to do it again.
Difference between analgesia and anaesthesia?
- Analgesia: the selective suppression of pain with-out effects on consciousness or other sensations
- Anaesthesia: the uniform suppression of pain - NO PAIN IS FELT AT ALL, and sometimes consciousness is lost (general anaesthesia)
What do you know about Melzack wall pain gate?
states that non-painful input closes the “gate” to painful input, thereby preventing pain sensation from travelling to the somatosensory cortex to be perceived and thus felt
What is the effect of substance P?
- Peptide neurotransmitter involved in pain transmission
2. Remains bound to receptors for longer time thereby transmitting long-lasting pain
What are the two optic pathways past the LGN?
- Meyers (inferior retina) so the superior visual field and runs through temporal lobe to visual cortex
- Baums in opposite and runs through parietal lobe to get to the visual cortex.
What forms the outer ear (Pinna and ear canal)
Pharyngeal arches 1 and 2
What are the two muscles of the middle ear?
Tensor tympani and stapedius. These both contract in response to loud sounds by inhibiting the movements of the malleus (acoustic reflex). This is a protective mechanism.
Role of the Eustachian tube?
Ventilation of the middle ear space and the drainage of secretions. Also to equalise pressure?
Dysfunction in children can lead to glue ear.
What are the three compartments of the cochlea?
Scala tympani, Scala media and Scala vestibuli
Composition of endolymph and perilymph?
Endolymph: High K+
Perilymph: Na+
What is the central auditory pathway?
E.COLI and I’m Auditory
Eighth nerve, Cochlear nucleus, olive, lateral leminiscus, inferior colliculus.
From the IC it goes to the medial geniculate body of the thalamus. it them travels through the internal capsule to the primary auditory complex in temporal lobe
Innervation of stapedius and tensor tumpani
Stap: CN7 and TT: CN5 iii
Which part of the basilar membrane is sensitive to high frequencies?
Base of basilar is narrow and stiff so sensitive to high frequencies and vice versa for apex
Contents of the vestibular system?
Three semicircular canals and two swellings Utricle and saccule.