Somatosensation Flashcards

1
Q

Body senses

A
  1. Exteroceptive: external stimuli applied to skin (touch)
  2. Propioceptive: body position
    • muscles, joints, balance, organs
    • alcoholics have problems with this
  3. Interoceptive: general body conditions
    • body temp, glucose levels, homeostasis
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2
Q

Types of skin

A
  • hairy + glabrous
  • 2 layers: dermis (inner) and epidermis (outer)
  • protection from evaporation and direct contact with world
  • largest sensory organ
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3
Q

Receptors

A
  • at the heart of all receptors are unmyelinated axon branches
    1. PACINIAN: lies deep to dermis, 2mm long
    • largest receptor (fluid filled)
    • about 2500 in each hand, most dense in fingers
    • hairy and glabrous skin
    • rapidly adapting
      1. RUFFINIS: hair and glabrous skin
    • slow adapting
      1. MEISNERS: glabrous skin (edges)
    • specialized
    • rapid adapting
      1. MERKELS: nerve terminal + flattened non-neural epithelial cells
    • slow adapting
      1. KRAUSE: border region of dry skin + mucous membrane
    • lips and genitals
    • nerve terminals look like knotted balls
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4
Q

Receptive fields

A
  • meisners: small receptive field
    • high sensitivity and discrimination
  • pacinian: large receptive field
    • lower sensitivity
  • pacinian more sensitive to pressure than meisners
  • meisners optimal frequency = 50hz
    • pacinian 300hz
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5
Q

Mechanosensitive ion channels

A
  • all mech receptors have unmyelinated axon terminal which have mech ion channels
  • Merkel cell has channel called PIEZO2 that open in response to pressure
  • force can come from within cell or outside cell
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6
Q

2 point discrimination

A
HIGHEST
1. Fingers and thumb
2. Lips
3. Big toes
4. Soles of feet
5. Forearm
6. Back
7. Calf
LOWEST
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7
Q

Braille

A
  • fingers have highest density of mechanoreceptors
  • fingertips have many Merkel cells with small receptive fields
  • more brain tissue devoted to sensory of fingers
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8
Q

Primary afferent axons

A
  • enter spinal cord through dorsal root
  • Aa= largest, fastest, most myelination
    • propioception of skeletal muscles
  • Ab=second largest, fastest, myelinated
    • mechanoreceptors of skin
  • Ad= smallest myelinated
    • pain and temperature
  • C= slowest, unmyelinated
    • pain, temperature, itch —> NOCICEPTION
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9
Q

Spinal cord

A
  • cervical= C1-C8
  • thoracic=T1-T12
  • lumbar= L1-L5
  • sacral=S1-S5
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10
Q

Dermatome

A
  • area of skin innervated by the right and left dorsal roots of a single spinal segment
  • if a dorsal root is cut, other nerves can compensate
  • SHINGLES: all neurons of a single dorsal root ganglion infected with a virus
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11
Q

Dorsal column-medial lemniscus pathway

A
  • pathway for touch
  • Ab branch enters IPSILATERAL DORSAL COLUMN
  • primary sensory axons terminate in DORSAL CLOUMN NUCLEI
  • decussation to MEDIAL LEMNISCUS at level of medulla
  • medial lemniscus rises through medulla, pons, midbrain to VENTRAL POSTERIOR NUCLEUS (VP) in thalamus
  • neurons then project to S1
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12
Q

Trigeminal nerve pathway

A
  • somatic sensation from face supplied by trigeminal nerve
  • enters brain at pons
  • twin nerves on either side branch into 3 peripheral nerves
  • axons synapse in the IPSILATERAL TRIGEMINAL NUCLEUS
  • decussate to VP nucleus
  • project to S1
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13
Q

Somatosensory cortex

A
  • S1= Area 3b= primary cortex on post-central gyrus
  • areas 3a, 1, and 2 on post-central gyrus
  • areas 5 and 7 on posterior parietal cortex
  • area 1= texture
  • area 2=size and shape
  • areas 5 and 7 = processing/association/dealing with space

-thalamic inputs terminate in layer IV of the cortex then project to other layers

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14
Q

Area 3b

A
  • primary Cortex because:
    1. Receives dense inputs from VP nucleus
    2. It’s neurons are extremely responsive to somatosensation
    3. Lesions here impact somatosensation
    4. When electrically stimulated evokes somatic sensory experiences
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15
Q

Somatotropin

A
  • mapping of bodies surface sensations onto structure of brain
  • legs and feet at top of gyrus
  • head at bottom of gyrus
  • HOMUNCULUS
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16
Q

Rodents

A

-sensory input from each whisker/vibrisae goes to special cluster of neurons called barrels

17
Q

Plasticity

A

-brain will change map if sensory area removed from body or if an area increases its function

18
Q

Posterior parietal

A
  • involved in somatic sensation, visual stimuli, movement , planning, attentiveness
  • damage can cause neurological disorders
    • agnosia, astereognosia, neglect syndrome
19
Q

Agnosia

A

-inability to recognize objects through simple sensory skills

20
Q

Astereognosia

A
  • cant recognize objects by feeling them

- deficits limited to contralateral side

21
Q

Neglect syndrome

A
  • entire visual field is ignored/suppressed

- commonly from damage to right hemisphere

22
Q

Pain

A
  • feeling of irritating, sore, stinging, aching, throbbing sensations
  • perceptual —> taking sensory info and making judgements about it
23
Q

Nociception

A
  • processes that provide pain signals
  • usually involve tissue damage
  • sensory
  • opioid addicts have no tolerance for pain because of tolerance for opioids
24
Q

Nociceptors

A
  • free nerve endings: Ad + C fibres
  • many types: polymodal, mechanical, thermal, chemical
  • found in almost all tissues except hair
25
Q

Transduction

A
  • stretching, bending of nociceptive membrane —> depolarize
  • damaged cells at site of injury can release substances that cause ion channels to open
    • proteases, ATP, K+
26
Q

Hyperalgesia

A
  • reduced threshold for pain, increased sensitivity to painful stimuli, and spontaneous pain
  • primary and secondary
27
Q

Substances that mediate inflammation and modulate nociceptor excitability

A

-makes nociceptors more sensitive

  1. Bradykinin: make heat activated channels more sensitive
  2. Prostaglandins: increase sensitivity of nociceptors to other stimuli
    • aspirin inhibits enzymes required for prostaglandin synthesis
  3. Substance P: causes vasodilation + releases histamine
    • cause of secondary hyperalgesia
28
Q

1st and 2nd pain

A
  • 1st pain: Ad fibres (slightly myelinated)
    • sharp pain

2nd pain: C fibres (unmyelinated)
-dull, lasting pain

29
Q

Primary nocicpetive afferents

A
  • have cell bodies in dorsal root ganglion and enter DORSAL HORN
  • fibres branch immediately, travel short distance up and down spinal cord in a region called ZONE OF LISSAURE
  • synapse on outer part of dorsal horn in SUBSTANTIA GELATINOSA
  • cross over in SPINAL CORD
  • substance P in storage granules in axon terminals in substantia gelatinosa
    • can be released by high frequency trains of APs
    • synaptic transmission mediated by Subs P required to experience intense pain
30
Q

Referred pain

A

-visceral nociceptor activation is perceived as cutaneous sensation due to mixing of axons entering spinal cord

31
Q

Spinothalamic pathway

A
  • pain pathway
  • second order neurons immediately decussate in spinal cord
  • ascend through SPINOTHALAMIC TRACT through medulla, pons, midbrain and synapse in INTRALAMINAR + VP NUCLEI
32
Q

Thalamus and cortex

A
  • spinothalamic tract + trigeminal lemniscus axons synapse over wider region of thalamus
  • pain and touch stay separate
33
Q

Afferent regulation

A
  • pain evoked by nociceptors can be reduced by spontaneous activity in low threshold mechanoreceptors (Ab fibres)
  • gate theory of pain: nociception +sensory diminishes pain due to interneurons and projection neurons
34
Q

Descending regulation

A
  • PAG neurons send axons to raphe nuclei in medulla

- raphe nuclei uses serotonin and projects axons to DORSAL HORN where they can depress activity of nociceptive neurons