Somatosensory Pathways Flashcards

1
Q

Where is the C1 dermatome?

A

C1 does not have a dermatome

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2
Q

Thalamus to cortex: ipsilateral or contralateral?

A

always ipsilateral

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3
Q

What tract contains fibers for fine touch, vibration, and proprioceptive sensation?

A

medial lemniscal tract

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4
Q

What tract contains fibers for pain and temperature?

A

spinothalamic tract

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5
Q

The spinothalamic tracts carries what kind of signals?

A

pain and temperature

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6
Q

Where do fibers carrying pain and temperature information synapse?

A

dorsal gray horn onto secondary afferent fibers

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7
Q

Where do secondary afferent spinothalamic fibers run?

A

from dorsal gray horn across white commissure to contralateral spinothalamic tract

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8
Q

Where are the spinothalamic tracts located?

A

anterolateral portion of cord cross section

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9
Q

Where do fibers of the spinothalamic tract terminate?

A

ventral posterior lateral thalamus

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10
Q

What are the two divisions of the medial lemniscus?

A

fasciculus gracilis

fasciculus cuneatus

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11
Q

What fibers are carried in the fasciculus gracilis?

A

afferent from lower body

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12
Q

What fibers are carried in the fasciculus cuneatus?

A

afferent from upper body

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13
Q

Where do the second order neurons from the spinothalamic tract synapse?

A

postereoventral lateral (PVL) thalamus

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14
Q

Where do the third order neurons from the spinothalamic tract synapse?

A

PVL thalamus –> cortex

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15
Q

What is a somatotropic map?

A

spacial neuronal relative relationships are preserved throughout somatosensory system

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16
Q

What is convergence?

A

second order neurons receive synapses from 2+ first order afferent neurons –> second order neurons have larger receptive fields

17
Q

Describe a cordotomy

A

palliative treatment, creating lesion on anterolateral funiculus (spinothalamic tract)

18
Q

Describe a syringomyelia

A

cyst in center of cord, first causes loss of pain and temperature sensation in upper extremities

19
Q

Brown-Sequard Syndrome

A

loss of sensation and motor function due to lateral hemisection of the spinal cord