3.1 somatic sensation and pathways Flashcards

1
Q

what is the difference between general and special sensation?

A

general = body wall and viscera

special = senses of vision, hearing, balance, taste and smell

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2
Q

what is a modality of sensation?

A

a ‘unit’ of sensation, relying on a distinct receptor type

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3
Q

what are the modalities of the spinothalamic system?

A

temperature (thermoreceptors)
pain (nociceptors)
pressure/crude touch (mechanoreceptors)

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4
Q

what are the modalities of the dorsal column medial lemniscus system?

A

vibration
proprioception
fine touch
two point discrimination (highest in finger tips and lips, low in elbows)

All by mechanoreceptors

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5
Q

give some examples of primary sensory neurones

A

dorsal root ganglia
primary afferents
first oder sensory neurones
psuedunipolar neurones

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6
Q

how does the strength of receptor activation affect the frequency of action potentials in the primary sensory neurone

A

strong receptor activation causes high frequency of action potentials in the primary sensory neurone

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7
Q

what are rapidly adapting receptors? explain with an example.

A

initially, mechanoreceptors send a high frequency of action potentials e.g when you first sit on a chair. However, eventually the frequency of action potential firing slows so you are unaware of the fact you are sat on a chair. if you change your position in the chair, are AP frequency is higher and you detect the chair

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8
Q

what are slow adapting receptors? give ab example.

A

e.g nociceptors. Change their frequency of firing very little after the initial stimulus = why pain can be so persistent, and you never reply get use to having pain. e.g tooth ache

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9
Q

what is a receptive field? how do they relate to two point discrimination, and why can they affect dermatome boundaries?

A

an area of skin that a single sensory neurone innervates

if an area of skin is supplied by sensory neurones with relatively large receptive fields, the area will have low sensory acuity e.g the back

if an area of skin is supplied by sensory neurones with relatively small receptive fields, this area will have high sensory acuity and good two point discrimination e.g fingertips

the overlap of receptive fields of primary sensory neurones from adjacent dermatomes is one of the reasons why dermatomes can have fuzzy boundaries

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10
Q

what are the properties of first order sensory neurones in the somatosensory system?

A
  • Have their cell bodies in the DRG
  • Communicate with a receptor
  • Their central axon projects ipsilateral to the cell body
  • Project onto second order neurones
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11
Q

what are the properties of second order sensory neurones in the somatosensory system?

A
  • Have their cell bodies in the spinal cord dorsal horn or medulla
  • Decussate
  • Project onto third order neurones
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12
Q

what are the properties of third order sensory neurones in the somatosensory system?

A
  • Have their cell bodies in the thalamus

- Project to the primary sensory cortex (postcentral gyrus)

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13
Q

what are the properties of first order neurones in the dorsal column medial lemniscus system?

A
  • Those from the lower body (T7 and below) ascend through the gracile fasciculus to the gracile nucleus in the medulla)
  • Those from the upper half of the body (T6 and above) ascend through the cuneate fasciculus to the cuneate nucleus in the medulla
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14
Q

what are the properties of second order neurones in the dorsal column medial lemniscus system?

A
  • Neurones in the gracile nucleus (lower body) project to the contralateral thalamus
    in the medial lemniscus
  • Neurones in the cuneate nucleus (upper body) project to the contralateral thalamus in the medial lemniscus
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15
Q

what are the properties of third order neurones in the dorsal column medial lemniscus system?

A

Thalamic neurones receiving information ultimately from the lower half of the body (via gracile nucleus) project to the medial part of the primary sensory cortex

Thalamic neurones receiving information ultimately from the upper half of the body (via cuneate nucleus) project to the lateral part of the primary sensory cortex

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16
Q

what are the properties of first order neurones in the spinothalamic tract?

A

They project onto second order neurones in the ipsilateral spinal cord dorsal horn in the segment at which they enter the cord through the dorsal root (generally)

17
Q

what are the properties of second order neurones in the spinothalamic tract?

A
  • Their cell bodies are in the dorsal horn
  • Their axons decussate in the ventral white commissure of the cord and then go on to form the spinothalamic tract
  • The spinothalamic tract projects to the thalamus
18
Q

what are the properties of third order neurones in the spinothalamic tract?

A

Thalamic neurones receiving information ultimately from more inferior parts of the body project to the medial part of the primary sensory cortex

Thalamic neurones receiving information ultimately from more superior parts of the body project to the lateral part of the primary sensory cortex

19
Q

where do axons from the lower part of the body run in comparison to axons from the upper part of the body in the spinothalamic tract?

A

Axons from the lower parts of the body run most laterally/superficially

Axons from progressively superior body segments are added medially/deeper onto the spinothalamic tract

This is the opposite of the situation for the dorsal columns, and is due to the decussation of the STT second order neurones at the level of entry of the first order neurones

20
Q

what is brown sequard syndrome?

A

a complete cord hemisection causing destruction of one lateral half of a single cord segment resulting from trauma or ischaemia, the following structures will be completely destroyed unilaterally:

  • The dorsal horn
  • The ventral horn
  • All other cord grey matter
  • All white matter pathways
  • Dorsal and ventral roots

This will lead to the following signs (making reference to the side of the lesion):

  • Ipsilateral complete segmental anaesthesia affecting a single dermatome (due to destruction of dorsal root and dorsal horn)
  • Ipsilateral loss of dorsal column modalities below the destroyed segment
  • Contralateral loss of spinothalamic modalities at and below the destroyed segment
21
Q

in the spinothalamic system, why can the sensory level for pain and temperature be felt a couple of segments lower to where it actually is?

A

because first order neurones of the system ascend a couple of segments in Lissauers tract before synapsing in the dorsal horn

22
Q

why does rubbing a sore area relieve pain?

A

Second order neurones of the spinothalamic system dealing with pain receive
nociceptive primary afferents as well as inhibitory interneurones which
contain the endorphin encephalin

These encephalinergic interneurones can be activated by incoming impulses
from mechanoreceptors (hence explaining why rubbing a sore area relieves the pain)

Additionally, these encephalinergic interneurones can also be activated by descending inputs from higher centres such as the periaqueductal grey matter or the nucleus raphe magnus