Week 1 Flashcards
Where in the most rostral portions of developing neural tube are the sensory nuclei located relative to the motor nuclei?
less dorsally and more laterally
Name the four structures divided by the internal capsule.
- caudate nucleus anteriorly
- putamen laterally
- globus pallidus laterally
- thalamus most medially
The inferior colliculus is specialized for what special sense?
auditory
What is neuromelanin? Where is it classically found? In whom is it typically lacking?
- a product of catecholamine metabolism
- found in the substantia nigra
- diminished levels in those with Parkingon’s
What are the two types of astrocytes? Where is each most concentrated?
- fibrous (white mater)
- protoplasmic (grey mater)
Schwann cells are derived from what embryonic tissue?
neural crest cells
Microglia are derived from what embryonic tissue?
mesoderm
Which carrier proteins are used for anterograde and retrograde transport within neurons?
- anterograde: kinesin
- retrograde: dynein
GFAP can be used to stain what cell type?
astrocytes
Astrocytes are derived from what embryonic tissue?
radial glial cells
List the functions of astrocytes.
- contribute to BBB
- insulation of synapses
- sequestration of NTs
- pH balance
- electrolyte balance
Oligodendrocytes can myelinate how many cells?
more than one
The blood brain barrier is a combination of what two things?
- astrocytic foot processes
- extremely tight junctions between endothelial cells
Blood vessels run in which layer of the meninges?
arachnoid
What is the function of CSF?
- cushion the brain
- remove waste products
- carry hormones and other signaling molecules
What cell population secretes CSF?
choroid plexus cells
Choroid plexus cells are a specialized form of what other cell population?
ependymal cells
Describe the path of CSF fluid.
- lateral ventricle
- third ventricle
- cerebral aqueduct
- fourth ventricle
- subarachnoid space
- arachnoid granulations
- venous drainage
Describe the architecture of the spinocerebellar pathway from the arm.
- primary neuron located in the DRG
- secondary neuron located in accessory cuneate nucleus of medulla
- projects to the ipsilateral cerebellum
Describe the architecture of the spinocerebellar pathway from the leg.
- primary neuron located in the DRG
- secondary neuron located in Clarke’s column
- projects to the ipsilateral cerebellum
What is the physiologic importance of Clarke’s column?
it is the location of secondary neurons in the spinocerebellar pathway from the leg for unconscious proprioception
What is the physiologic importance of the accessory cuneate nucleus in the medulla?
it is the location of secondary neurons in the spinocerebellar pathway from the arm for unconscious proprioception
The ALS and DC/ML system project to what area in the thalamus?
the ventral posterior lateral nucleus
Which somatosensory pathway decussates at the vertebral level into which it projects?
the ALS
What information is carried by the spinocerebellar pathway? The DC/ML? The ALS?
- spinocerebellar: unconscious proprioception
- DC/ML: discriminative touch, vibration, conscious proprioception
- ALS: pain, temperature
The corticospinal tract is organized with which fibers more laterally?
those from more distal locations (leg)
The spinothalamic tract is organized with which fibers more laterally?
those from more distal locations (leg)
The dorsal columns are organized with which fibers more laterally?
those from more proximal locations (arm)
The periaqueductal gray mater receives input from what brain structure?
the cerebral cortex
What are adjuvant analgesics?
those with indications other than pain management but with analgesic properties in select circumstances (e.g. gabapentin)
What is Lissauer’s tract?
a tract composed of projections from first order neurons in the ALS on their way to synapse in the dorsal horn a few vertebral levels higher
A(delta) and C sensory afferents are part of which somatosensory pathway?
the ALS
What is the gate control theory of pain?
the idea that low threshold, large diameter afferent mechanoreceptor input can modulate the intensity of incoming small-diameter, nociceptive inputs
Within the dorsal root of the spinal nerve, A(beta) fibers are located where in relationship to A(delta) and C fibers?
larger A(beta) fibers are located posteriorly and medially
What is secondary hyperalgesia?
pain sensitization due to central mechanisms, rather than peripheral ones
What is primary hyperalgesia?
pain sensitization due to the release of inflammatory mediators as a consequence of the nociceptive axon reflex
What is the nociceptive axon reflex?
the mechanism for peripheral pain sensitization
What are the three endogenous opioid peptides?
- dynorphin
- enkephalin
- endorphin
Failed low-back-surgery syndrome is an example of what sort of pain?
mixed
The nociceptive axon reflex is mediated by what NT?
glutamate
What are TRPV1 receptor channels? On which fibers are they found?
- found on C fibers
- change their sensitivity to pH in response to changes in temperature
- an example of functional convergence
What is the difference between the cuneate and gracilis fasciculi?
the cuneate carries fibers from the arm while the gracilis carries those from the leg
The ventral posterior lateral nucleus of the thalamus is important for what reason?
it is the location of tertiary sensory neurons in both the ALS and DC/ML system
What is the importance of the substantia gelatinosa?
it is the location of some secondary neurons in the ALS