neurophysiology Flashcards

1
Q

What is the function of Oligodendrocytes and Schwann cells?

A

They help to provide the myelin sheath around axons in the CNS and PNS, respectively.

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2
Q

What is the function of astrocytes?

A

They are a stem cell population in the CNS, involved in ion homeostasis and nutritive functions, secretes neurotransmitters, maintains BBB by inducing tight junctions

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3
Q

What is the function of microglia?

A

They are the immune cells within the brain for inflammation and repair, involved in phagocytosis

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4
Q

What is the function of ependymal cells?

A

They are epithelial cells lining the ventricles and separate the cerebrospinal fluid from the nervous tissue. Some ependymal cells have a specialised function within the ventricles as part of the chorus plexus which produces CSF.

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5
Q

Difference between oligodendrocytes and Schwann cells

A
  • oligodendrocytes are found in the CNS while Schwann cells are found in the PNS
  • 1 oligodendrocyte myelinates multiple axons while 1 Schwann cell myelinates 1 axon
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6
Q

What are the 3 ascending pathways and their functions and decussations?

A

1) Spinothalamic System
- Anterior spinothalamic: crude touch, pressure
- Lateral spinothalamic: pain, temperature
- decussates at the spinal segment

2) Dorsal Column Medial Lemniscus System
- fine/discriminative touch, vibration, pressure, proprioception (conscious)
- decussates at medulla from dorsal column to medial lemniscus

3) Spinocerebellar System
- unconscious proprioception
- nerve fibres can cross or not cross midline

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7
Q

What are the descending pathways and their functions?

A

1) Cortico-spinal tract
- conscious voluntary control of the muscles of the body and face
- decussates at the medulla

2) Extrapyramidal System
- responsible for the involuntary and automatic control of all musculature, such as muscle tone, balance, posture and locomotion

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8
Q

Name the functional areas of the cerebral cortex:

A

Frontal lobe:
- Pre-central gyrus (motor cortex)
- Pre-frontal cortex (PFC)
- Motor speech (Broca)

Parietal lobe:
- Post-central gyrus (sensory cortex)

Temporal lobe:
- Auditory cortex
- Sensory speech (Wernicke)

Occipital lobe
- Primary & secondary visual cortex (Brodmann)

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9
Q

Homunculi of the brain aspects
Lateral:
Superior:
Medial:

This is referred to as _______

A

Lateral: Face, Tongue, Hands
Superior: Hands, rest of the body
Medial: Genitalia, Legs, Feet

This is referred to as somatotopic arrangement.

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10
Q

Spaces on myelinated neuron that aren’t myelinated are called ____________. The conduction that takes place here is called ____________.

On non-myelinated neurons, _____________ takes place. Activation of __________________ occurs along the __________________.

A

Spaces on myelinated neuron that aren’t myelinated are called {{c1::Nodes of Ranvier}}. The conduction that takes place here is called {{c1::saltatory conduction}}.

On non-myelinated neurons, {{c1::continuous conduction}} takes place. Activation of {{c1::voltage-gated sodium channels}} occurs along the {{c1::entire length of the neuron}}.

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11
Q

Summarise the UMN/LMN lesions in parts of the CNS

A

Brain Lesions (what kind of lesion, affects what)
1. Cerebral hemispheres: {{c1::UMN, contralateral}}
2. Brain stem: {{c1::UMN, contralateral +/- ipsilateral face}}
3. Cerebellum does not contain UMN/ LMN, but lesions here can cause {{c1::pure ataxia at ipsilateral side}}

-> Brain lesions tend to produce unilateral signs.

Cord Lesions
4. Cervical spinal cord: {{c1::UMN/LMN, 4 limbs}}
5. Thoracic spinal cord: {{c1::UMN/LMN, legs}}
6. Lumbosacral spinal cord: {{c1::UMN/LMN, legs}}

-> Cord lesions tend to produce bilateral UMN signs.

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12
Q

Consequences of LMN lesion

A

Hypotonia - flaccid paralysis (loss of muscle tone)
Muscular atrophy
Areflexia (absent reflexes)

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13
Q

Consequences of UMN lesion

A

Hypertonia - rigid paralysis (increased muscle tone)
Hyperactive reflexes

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14
Q

The opening of which channel will lead to the initiation of action potentials?

A

voltage-gated Na+ channel (higher conc. of Na+ outside cell would cause Na+ to ENTER the cell causing depolarisation)

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