SomatoSensory I Flashcards

1
Q

What sensations does the somatosensory convey?

A
  • Touch
  • Propioception
  • Heat, Cold
  • Pain, Itch
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2
Q

How is the Central nervous system connected to the Peripheral nervous system?

A

The CNS (Brain and spinal cord) is connected to the body via spinal (31 pairs) and cranial nerves (Both apart of the peripheral nervous system)

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3
Q

Describe the peripheral nerve structure

A

Think of a nerve as a bundle of axons
- Epineurium is the connective tissue ensheathing the whole nerve
- Within the nerves, axon bundles may be in separate fascicles surrounded by…

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4
Q

List the different spinal cord and spinal nerves

A
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5
Q

Briefly describe the Dorsal root ganglion cells

A

Dorsal root ganglion cells are the sensory receptors of the somatosensory system

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6
Q

Describe the anatomical structure of the dorsal root ganglion cells

A

Broadly two anatomically and functionally distinct systems
- Large fibres (large diameter, myelinated, fast conduction): tactile and proprioceptive
- Small fibres (small diameter, thinly myelinated or unmyelinated, medium or slow conduction): temperature, pain, itch, crude touch

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7
Q

What does the quality of sensation depend on?

A

Quality of sensation depends on afferent fibre type such as specificity
- mechanosensitive fibre insensitive to thermal stimulation
- Thermosensitive fibres sensitive to warming or cooling
- Example of cold receptor responding to skin cooling from 34 to 26°C (A) and warming back to 34°C

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8
Q

What are the different receptors of the somatosensory system?

A
  • Propioception
  • Tactile afferents (discriminative touch)
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9
Q

Describe the proprioception receptor

A
  • A-α afferents: large diameter, myelinated, fast conducting (<100 m/s) muscle fibres
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10
Q

Describe Tactile afferents (discriminative touch) receptors

A

A-β afferents: Large diameter, myelinated, 2nd fastest conducting (30-70 m/s). They include:
- Superficial: Meissner’s corpuscles, Merkel’s discs
- Deep: Ruffinni corpuscles, Pacinian Corpuscles

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11
Q

What are the 2 types of proprioceptors of the somatosensory system?

A

Proprioception - Muscle spindle
Tactile afferents Golgi tendon organ - Specialised sensory ending is skin
Free nerve endings - Low resolution tactile, temperature

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12
Q

In what mechanosensory afferent classes are tactile information encoded in?

A
  • Small receptive fields (Dermis/Epidermis): Merkels disks, meissner’s corpuscles
  • Large receptive fields (Dermis): Ruffini’s corpuscles, Pacinian corpuscles
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13
Q

Which of these 4 examples are slow adapting and fast adapting?

A

Slow adapting
- Merkels disks (Small RF): Pressure, Light touch
- Ruffini’s corpuscles (Large RF): Skin stretch

Rapidly adapting
- Meissner’s corpuscles (Small RF): Vibrarion, light touch
- Pacinian corpuscles (Large RF): Vibration

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14
Q

What are the 2 major central pathways of the somatosensory system?

A

Dorsal column: Medial lemniscal system (DCML)
- mediates discriminative touch, vibration, proprioception
- Inputs from A-β and A-α afferent fibres

Spinothalamic tract: STT also known as anterolateral system
- coarse touch, temperature, pain
- Inputs from A-δ and C fibres

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15
Q

Describe the route map for the DCML central pathway

A
  • Primary afferents enter spinal cord and ascend ipsilaterally to brain stem
  • 1st synapse is in the dorsal column nuclei of medulla
  • 2nd order neurons cross and ascend contralaterally to thalamus
  • 2nd synapse is in the VIP nuclei of…
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16
Q

Describe the route map for the STT central pathway

A
  • Primary afferents enter the spinal cord and terminate in dorsal horn
  • 1st synapse is in dorsal of spinal cord segment
  • 2nd order neurons cross and ascend spinal cord contralaterally to thalamus
  • 2nd synapse is in VP nuclei of…
17
Q

Describe the route map for the body central pathway

A
  • Peimary afferents enter spinal cord and ascend ipsilaterally to brain stem
  • 1st synapse is in dorsal column nuclei of medulla
  • 2nd order neurons cross and ascend contralaterally to thalamus
  • 2nd synapse is in VP nuclei of…
18
Q

Describe the regional variation of cortical cytoarchitecture

A
  • Different areas of cortex have the same basic cell types organised in layers with the same basic organisation
  • Regional differences can be identified on the basis of relative thickness of the different layers, cell size and density
  • Brodmamn defined and numbered over 50 areas in human cortex based on subtle cytoarchitectural differences
  • Many Brodmann areas now associated with function: Brodman areas 1,2&3 comprise somatosensory cortex