Spinal Cord Ascending Systems Flashcards

1
Q

What information is relayed on the dorsal column pathway (DCP)?

A

Proprioception
2 Point Discrimination
Vibration Sense

GSA function

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2
Q

What are the fast adapting receptors?

A

Hair Follicle
Meissner’s Corpuscle
Pacinian Corpuscle

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3
Q

What are the slow reacting receptors?

A
Free Nerve Endings
Merkel's Disk
Ruffini Ending
Joint Receptor
Neuromuscular Spindle
Golgi Tendon Organs
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4
Q

What do free nerve endings detect?

A

Pain and Temperature

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5
Q

What do Merkel’s Disk detect?

A

Touch

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6
Q

What do hair follicles detect?

A

Touch

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7
Q

What do Meissner’s Corpuscles detect?

A

2 point discrimination

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8
Q

What do Pacinian Corpuscles detect?

A

Vibration

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9
Q

What do joint receptors detect?

A

Joint Position

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10
Q

What do neuromuscular spindles detect?

A

Limb and muscle stretch

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11
Q

What do Golgi Tendon Organs detect?

A

Muscle tension

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12
Q

What do Ruffini Corpuscles detect?

A

Stretch and pressure

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13
Q

Describe the pathway of the DCP.

A

Receptors ->
Gray Matter ->
Fasciculus Gracilis (medial - lower body) OR Fasciculus Cuneatus (lateral - upper body) ->
Nucleus Gracilis/Cuneatus (SYNAPSE) ->
Thalamus as the Ventral Posterolateral Nucleus (SYNAPSE)

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14
Q

What are other names for the motor cortex?

A

Area 4

Precentral Gyrus

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15
Q

What are other names for the sensory cortex?

A

Area 312

Postcentral Gyrus

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16
Q

Descibe the 3 orders of neurons in the DCP.

A

1st Order - go from the limb to the nucleus cuneatus/gracilis and synapse

2nd Order - cross the midline through the medial lemniscus and synapse at the VPL in the thalamus

3rd Order - synapse on the post central gyrus of the sensory cortex

17
Q

What are the fibers to the medial lemniscus that cross the midline called?

A

Internal Arcuate

18
Q

What is Romberg’s sign (tabes dorsalis)?

A

It is positive if patient requires vision to stand. It appears positive in sensory ataxia.

19
Q

Describe the pathway of the spinothalamic tract.

A

Receptors ->
Gray Matter (SYNAPSE) crosses midline ->
Neospinothalamic Tract ->
Thalamus at the VPS (SYNAPSE)

20
Q

Describe the effects of syringomyelia.

A

As the tub expands in the spinal cord, it will hit the STT and affect the arms first and move downwards.

21
Q

What are the effects of the Brown-Sequard lesion?

A

Pain and temperature sensation are lost from the opposite side of the lesion and proprioception from the same side.

22
Q

What do the spinocerebellar tracts detect?

A

Unconscious proprioception

23
Q

Where are the spinocerebellar tracts located?

A

On the very lateral part of the white matter

24
Q

What do the spinocerebellar tracts arise from?

A

Clark’s Nucleus (Nucleus Dorsalis)

25
Q

What information do the spinocerebellar tracts relay?

A

Muscle Stretch

26
Q

Describe the path of the dorsal spinocerebellar tract.

A
Receptor -> 
Nucleus Dorsalis in the Gray Matter (SYNAPSE) ->
DSCT in White Matter ->
Inferior Cerebellar Peduncle ->
Cerebellum (SYNAPSE)
27
Q

Describe the path of the cuneocerebellar tract.

A
Receptor -> 
Gray Matter ->
Fasciculus Cuneatus ->
Accessory Cuneate Nucleus (SYNAPSE) ->
Inferior Cerebellar Peduncle ->
Cerebellum (SYNAPSE)
28
Q

Where is the DSCT located?

A

At the levels of C8 - L2

29
Q

What is the function of the ventral spinocerebellar tract?

A

It monitors the activity of the interneurons in the gray matter and relays the information to the cerebellum

30
Q

What is the pathway of the VSCT?

A

Gray Matter (crosses midline) ->
VSCT on White Matter) ->
Superior Cerebellar Peduncle (crosses midline ->
Cerebellum (SYNAPSE)