T1: Functional Anatomy Flashcards
What is the pupillary light reflex?
The size of the pupil at rest represents a balance between two antagonistic forces
1. amount of light stimulating the retina
2. the emotional status of the patient
Describe the importance of the light amount got the pupillary light reflex
the amount of light stimulating the retina and influencing the oculomotor neurons to constrict the pupil
- miosis: parasympathetic innervation through CN III
Describe the importance of the emotional status of the patient for the pupillary light reflex
the emotional status of the patient influences the sympathetic system and causes pupillary dilation (mydriasis)
Describe the resting pupil
both pupillary dilator (sympathetic) and antagonistic pupillary sphincter (parasympathetic)
-the relative resting parasympathetic/sympathetic innervation and resulting muscle tone determine the size of the pupil
What is the pupillary sphincter
-constrictor/ the more powerful muscles
Dilated pupil?
- sympathetic
- mydriasis
-muscle contraction increases pupil size
Constricted pupil?
- parasympathetic
-miosis
What is the pupillary light reflex (PLR)?
bright light shone into one eye at a time
- both pupils should constrict
-Direct response: tested eye
-Consensual/indirect response: opposite eye
When/how does a blink response occur?
- the dazzle reflex
-Facial nerve CN VII
-When a bright light is initially flashed into the eye
what is the pupillary escape?
If a poor-quality light source is used the stimulated pupil may dilate slightly with continued stimulation
What is a clinical response?
The direct response in the eye which is stimulated by light
- pupil constriction is stronger in this eye than in the opposite eye (consensual/indirect response)
What is the afferent pathway?
stimulation of the retinal receptors by light
- optic nerve (CN II) to optic chiasm to optic tract to CN III Nucleus (oculomotor nerve)
What is the efferent pathway?
begins in the parasympathetic nucleus of CN III in the mesencephalon on the stimulated side – the CN III — leaves the skull via the orbital fissure — synapses behind the eye (ciliary ganglion) — the pupillary constrictor muscles to cause constriction of the pupil (miosis)
How does the consensual/ indirect PLR pathway occur?
stimulation of the contralateral CN III parasympathetic nucleus results from some fibers of the CN II (optic nerve) that cross over (decussation at the optic chiasm)
The PLR evaluate _____reflex …
subcortical reflex/ no cerebral cortex function, menace response yes!
What is the menace response?
This is a cortically mediated eyelid closure produced by a threatening or unexpected gesture suddenly appearing in the near visual field
When does the menace response appear?
it is a learned response, not a reflex, to a perceived threat
What pathway does the menace response use?
visual stimulus is relayed contralaterally in CN II (optic nerve) to the occipital cortex via thalamus.
- motor cortex stimulates the ipsilateral facial nerve (CN VII) to cause eyelid closure
Pupillary reflex check what?
Menace response check what?
PR: Subcortical structures
MR: cerebral cortex
What are the 4 basic tissues in the body?
- epithelial tissue
- connective tissue
- muscle tissue
- nervous tissue