Session 3 Flashcards

1
Q

Classify sensory receptors according to their sensory endings

A

Encapsulated receptors - specialised nerve endings consisting of non-neural components, contributing to the functional properties of the nerve terminals. E.g. Pacinian corpuscles, Ruffini endings.
Free nerve endings - receptors which have unmyelinated terminal branches, which spread through the dermis and into the epidermis.

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2
Q

What is sensory transduction?

A

When a stimulus impinges upon a receptor, it causes a change in its membrane potential, which is proportional to stimulus intensity. This change fires action potentials encoding information about the intensity and duration of the stimulus.

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3
Q

How is sensory transduction achieved?

A
  • Frequency coding: strength determined by rate of action potential stimulus.
  • Activation of neighbouring cells: stronger stimulus activated neighbouring cells to a greater degree
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4
Q

Describe the two types of adaptation

A

1) Slowly (tonic) - may keep firing action potentials as long as the stimulus lasts, e.g. joint and pain.
2) Rapidly (phasic) - respond maximally and briefly to a stimulus. E.g. touch. No information on the duration of the stimulus.

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5
Q

What are the special senses?

A

All carried in the cranial nerves and are olfaction, vision, taste, hearing and vestibular function.

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6
Q

What are the general senses?

A

Somatic and visceral, including touch, pressure, pain and temperature, as well as posture and movement. Carried in spinal nerves, except when it is from the head, in which case it is carried via the trigeminal nerve.

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7
Q

What is sensory acuity?

A

Precision by which a stimulus can be located. Determined by lateral inhibition, two-point discrimination and synaptic convergence and divergence.

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8
Q

What is lateral inhibition?

A

The first order nerve fibre closest to the point of stimulation will produce more action potentials than those on the periphery.
They are connected to inhibitory interneurones, reducing the action potentials spread to second order neurones at the periphery.

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9
Q

What is two-point discrimination?

A

The minimal distance required to perceive two simultaneously applied skin indentations. The distance is determined by the density of receptors and the size of the specific neuronal receptive field.

Fingertips is 2mm apart.
Forearm is 40mm apart.

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10
Q

What do the terms convergence and divergence mean in terms of sensory acuity?

A
Convergence = decreases acuity. 
Divergence = causes amplification.
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11
Q

What is somatotopic distribution?

A

The point-for-point correspondance of an area of the body to a specific point on the CNS. Typically, the area of the body corresponds to a point on the primary somatosensory cortex (postcentral gyrus), represented as a sensory homunculus.

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12
Q

Which regions of the brain are required to ‘feel’ a sensation?

A

Thalamic level - for crude localisation and distribution of stimuli, and produces highly organised projections to the cortex.
Somatosensory cortex - receives projections from the thalamus and acts to localise and recognise the qualities of the modalities received (post-central gyrus).

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13
Q

Give three examples of cutaneous mechanoreceptors.

A

1) Krausse (cold)
2) Ruffini’s end organ (heat)
3) Meissner’s corpuscle (texture, slow vibration)
4) Pacinian corpuscle (deep pressure, fast vibration)
5) Merkel’s disc (sustained touch and pressure)
6) Free nerve endings

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14
Q

What is tactile discrimination?

A

The ability to differentiate information received through the sense of touch, e.g. between sharp and dull objects.

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15
Q

What is the role of the Dorsal column - medial lemniscus pathway?

A

Fine touch and conscious proprioception.

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16
Q

Describe the pathway of the dorsal column.

A

From dorsal root ganglion (cell bodies of 1st order neurones) to gracile/cuneate nuclei (cell bodies of 2nd order neurones), and then from the thalamus (cell bodies of 3rd order neurones) to the sensory cortex.

DECUSSATES IN THE MEDULLA.

17
Q

What is the role of the lateral spinothalamic pathway?

A

Pain, temperature.

18
Q

Describe the pathway of the spinothalamic tracts.

A

From dorsal root ganglion (cell bodies of 1st order neurones) to the dorsal horn (cell bodies of 2nd order neurones), and then from the thalamus (cell bodies of 3rd order neurones) to the sensory cortex.

DECUSSATES IN THE SPINAL CORD.

19
Q

What is the role of the anterior and posterior spinocerebellar tracts?

A

Unconscious proprioception.

20
Q

Describe the pathway of the spinocerebellar tracts.

A

From dorsal root ganglion (cell bodies of 1st order neurones) to the spinal grey mater (cell bodies of 2nd order neurones), and then to the cerebellum.

ANT DECUSSATES IN THE CORD AND THEN AGAIN IN THE BRAINSTEM.

21
Q

What is the role of the cuneocerebellar tract?

A

Unconscious proprioception

22
Q

Describe the pathway of the cuneocerebellar tract.

A

From dorsal root ganglion (cell bodies of 1st order neurones) to the accessory cuneate nucleus (cell bodies of 2nd order neurones), and then to the cerebellum.

DOES NOT DECUSSATE.

23
Q

Where are the dorsal columns located?

A

Between the dorsal median sulcus and the dorsal horn. Comprised of fasciculus gracilis (medially - lower limb) and fasciculus cuneatus (laterally - upper limb).

24
Q

Describe the results of damage to the dorsal column.

A

Symptoms on the ipsilateral side, at and below the level of the spina cord region. Loss of tactile sense and proprioception.

25
Q

Describe the results of damage to the spinothalamic tracts.

A

Usually causes contralateral anaesthesia (loss of pain and temperature). Normally begins one to two segments below the level of the lesion.

26
Q

Which fibres would be affected first of the spinothalamic tracts due to an expanding tumour in the grey mater?

A

Thoracic and cervical fibres affected first, hence results in sacral sparing.

27
Q

Describe the results of damage to the spinocerebellar tracts.

A

Anterior: loss of proprioception and co-ordination to the contralateral lower limb.
Posterior: loss of proprioception and co-ordinated movement to the ipsilateral side to the lesion.

28
Q

What is syringomyelia?

A

Repeated trauma to the neck causes formation of elongated cavity around the central canal of the spinal cord. It results in compression of fibres such as the spinothalamic tract.

29
Q

What is brown-sequard syndrome?

A

Lesion causing a hemisection of the spinal cord. All ascending pathways on one side of the cord are lost.
Fine touch and vibration lost below the level of the lesion on the ipsilateral side (as dorsal column decussates in the medulla).
Pain, temperature and crude touch are lost below the level of the lesion on the contralateral side (as spinothalamic tract decussates in the SC).