Sensory (5,6,7) Flashcards

1
Q

What are modalities of sensation?2

A

Primary and cortical

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2
Q

What primary modalities consists of?2

A

Exteroreceptive sensation (superficial) and proprioreceptive sensation (deep)

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3
Q

Exteroreceptive sensation. What tractus? what 3 sensations?

A

Tractus spinothalamicus.

Touch, pain, temperature

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4
Q

Proprioreceptive sensation. What 2 fasciculi? what 3 sensations?

A

Fasciculus gracilic, fasciculus cuneatus (both in dorsal collumn of spinal cord)
Pressure, vibration, proprioreception

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5
Q

Which part of the brains is responsible for cortical sensory function?

A

Parietal lobes

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6
Q

Cortical sensory function. What sensations?4

A

Touch localization (topognosis), two point discrimination, stereognosis, spatial orientation

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7
Q

What is stereognosis?

A

Ability to identify object in the hand by feeling them without visual control

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8
Q

What is graphesthesia?

A

Ability to identify numbers and letters written on skin

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9
Q

What is sensory pathway to spinal cord?

A

Sensory receptors –> peripheral nerve –> nerve plexus –> spinal nerve –> dorsal root

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10
Q

In what sensory participates pseudounipolar neurons?

A

If makes synaptic contact with second neuron in dorsal horn –> superficial sensory
If ascends toward the brainstem nuclei –> deep sensory

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11
Q

Tractus spinothalamicus eiga. (neuronai)

A

1st - dorsal root ganglion
2nd - dorsal root
3rd - thalamus

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12
Q

How sensory info travels after reaches thalamus via spinothalamicus tract?

A

It goes to thalamocortical tract and goes to cortex (gyrus postcentralis lobus parietalis)

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13
Q

Fasciculus gracilis and cuneatus eiga (neuronai)

A

1st - dorsal root ganglion
2nd - nucleus gracilis and cuneatus in brainstem
3rd thalamus

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14
Q

How sensory info travels after reaches thalamus via gracilis and cuneatus?

A

It goes to thalamocortical tract and goes to cortex (gyrus postcentralis lobus parietalis)

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15
Q

From where parietal lobes receive sensory input?

A

From primary sensory modalities

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16
Q

Where in parietal lobes cortical sensory input is processed?

A

In sensory association cortical area

17
Q

PSS. What involves mononeuritic?

A

Peripheral or cranial nerve impairment

18
Q

PSS. What involves polyneuritic?

A

Multiple peripheral nerve impairment

19
Q

PSS. What involves posterior root and dorsal root ganglion? ,,RADICULAR”

A

Dorsal root impairment in specific dermatome

20
Q

What type of sensations are affected in radicular type?

A

All types of sensation in the appropriate dermatome

21
Q

Where is the damage in central sensory syndromes but peripheral sensory loss?

A

In spinal cord

22
Q

How is dissociated sensory loss in central sensory syndrome?

A

Segmental-dissociated type

23
Q

Which part of spinal cord is damaged in central sensory syndromes - dissociated sensory loss?

A

Dorsal horn (2nd neuron)

24
Q

What sensations are affected in central sensory syndrome - dissociated sensory loss?

A

Only superficial sensation in appropriated dermatome

25
What sensories are affected in conductive central sensory syndromes?
One sided deep sensory loss - same side of lesion. | One sided superficial sensory loss - opposite side of lesion and 2 segments below
26
Lesion on the left side of spinothalamic tract. Where sensory loss?
Superficial sensory loss on the opposite side two segments below.
27
Lesion on the left side of gracilis and cuneatus. Where sensory loss?
Deep sensation on the same side right just below the lesion.
28
Where crosses spinothalamicus?
It goes from the brain, crosses in the spinal cord at particular level (2nd neuron crosses) and goes at the distance of 2 segments.
29
Where crosses gracilis and cuneatus?
In the brain stem
30
What are 2 types of central sensory syndromes?
Alternating sensory loss and hemitype sensory loss
31
Alternating sensory loss. Where is the lesion?
Lesion in the brainstem.
32
Alternating sensory loss. What is affected? nucleus and tractus
N. trigeminus nuclei and sensory tracts
33
Where are sensory disturbances in alternating sensory loss?
In one side of face and opposite side of the body.
34
Hemitype sensory loss. Where is the lesion? 3
Cranial part of brainstem thalamus cerebral hemisphere
35
Hemitype sensory loss. What is affected? 2 tractus
Tr. spinothalamicus and tr. thalamocorticalis
36
Where are sensory disturbances in hemitype sensory loss?
In one side of the facer and the same side of the body