Trigeminal Pathways Flashcards

0
Q

What are the three regions where there is only pain sensation?

A

Teeth, cornea, and eardrum

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1
Q

Is trigeminal sensory ipsilateral or contra lateral?

A

Ipsilateral

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2
Q

What do the motor output of the trigeminal nerve do?

A

Muscles of mastication

Tensor tympani

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3
Q

How many sensory ganglia are there in CN V?

A

3
Mesencephalic - properiception in jaw
Main (principal or chief) - normal touch
Spinal (descending) trigeminal - pain and temp (like spinal thalamic tract)

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4
Q

Where does the mesencephalic tract axons have their cell bodies of their primary neurons?

A

In the CNS

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5
Q

Where are most primary sensory cell bodies?

A

Outside the CNS

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6
Q

Where is the chief sensory nucleus of CN V?

A

The pons

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7
Q

What is unique about the sensory inform to the oral cavity?

A

It is bilateral

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8
Q

What side is pain?

A

It is ipsilateral

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9
Q

What do we call the face, oral, and pain/temp nerves going to the thalamus and what does it carry?

A

The ventral trigeminothalamic tract

Have sensory to the face, oral cavity, and pain to the face

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10
Q

What is contained in the DTT dorsal trigeminothalamic tract?

A

Sensory to the oral cavity

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11
Q

At what level is the trigeminal ganglion?

A

Midpons

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12
Q

What end of the pons is closed?

A

A little more caudal

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13
Q

What is the ventral basal nuclei made of?

A

VPM

VPL

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14
Q

What is the orientation of the VPM?

A
Face most laterally
Intraoral cavity in the middle
Taste most medically 
Face and taste is contralateral
Oral is both ipsilateral and contralateral
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15
Q

What nucleuses of the trigeminal are involved in the jaw jerk reflex?

A

The mesencephalic trigeminal nucleus and the Motor nucleus. It is a two neuron reflex

16
Q

What side is motor neurons of the motor nucleus of the trigeminal nerve?

A

Ipsilateral

17
Q

What is the one exception of primary sensory neurons being in the CNS?

A

The mesencephalic nucleus of CN V

Involved in the jaw jerk reflex

18
Q

What is the afferent supply of the trigeminal?

A

Ipsilateral to face, top of head, eardrum, 2/3 of tongue, proprioceptors for the jaw

19
Q

What is the major input to the main sensory nucleus from?

A

Mechanoreceptors

20
Q

Is the main sensory nucleus ipsilateral or contralateral?

A

Contra to the VPM joins the VTT

BUT a small part is bilateral to the mouth

21
Q

Where are the cell bodies of the mesencephalic nucleus?

A

The pons and medulla NOT the trigeminal ganglion

Pseudounipolar

22
Q

What area involves the jaw jerk reflex?

A

The mesencephalic nucleus