EXAM 2 Flashcards
How increasing intensity of sensory stimuli is encoded by action potentials and receptor potentials?
For receptor potential: The greater the amplitude, the stronger the intensity at receptor potential.
For AP: the greater the intensity the greater the frequency will be.
Which types of senses are mediated by dorsal root ganglion neurons
Proprioceptors: pain in muscle, tendon, and joints.
Nociceptive receptors (TRP channels) : pain, temperature, coarse touch.
Cutaneous mechanoreceptors: tactile (touch, vibration, pressure).
What is the function of ABeta afferent fibers?
Functions in cutaneous mechanoreceptors and is myelinated.
Slowly and rapidly adapting somatic sensory afferent fibers provide which types of information
La fibers provide pain in muscles, tendons, and joints (proprioceptors)
Aepsilon/Cfibers provide general pain, temperature and coarse touch (nociceptive)
Abeta fibers provide touch sensation (mechanoreceptors)
Merkel:
slow adapting fibers, function to sense points, edges, and curvature.
Meissener corpuscles:
function to sense objects moved across skin
Pacinian corpuscles
function to sense skin vibration
Ruffini:
function to sense skin stretch
Touch domes
function to sense skin indentation in hairy skin
Circumferential endings
function to sense skin stroke
longitudinal lanceolate
function to sense direction-selective hair deflection and gentle caress (PIEZO1/2 Channels)
Muscle spindles
rapidly adapting responses to changes in muscle length (Piezo2)
Golgi tendons:
detect changes in muscle tension/muscle force (piezo 2)
Describe the central pathways conveying tactile information from the body:
Dorsal root ganglia (mechanoreceptors)3 -> lateral cervical nucleus in spinal cord/dorsal column nuclei in medulla -> contralateral ventral posterior lateral nucleus in thalamus -> contralateral primary somatosensory cortex
What are the regions of the primary somatic sensory cortex?
Brodmann 1,2,3a,3b
What lesion to which area of the primary somatic sensory cortex will cause the most severe deficit?
Lesion to 3b as it will have profound deficits in all tactile sensations.
Dorsal Column:
Tactile + Proprioceptive
Dorsal Column: Second Order Neuron:
Dorsal column nucleus neurons in brainstem or lateral cervical nucleus neurons in cervical spinal cord.
Dorsal column arise from
mostly axons from first order DRG neurons
Dorsal Column location of crossing midline:
Brainstem or cervical spinal cord
Dorsal Column ascending location in spinal cord
ipsilateral side of spinal cord.
Anterolateral column
Nociceptive
Anterolateral column: Second Order Neurons:
Dorsal horn neurons in spinal cord
Anterolateral column arises from
second order dorsal horn neurons
Anterolateral column: location of crossing midline:
spinal cord
Anterolateral column ascending location in spinal cord:
Contralateral side of spinal cord.
Structures involved in the sensory discriminative pain pathway:
First order neurons in cranial nerve ganglia > second-order neurons in spinal nucleus of trigeminal complex > Third order neurons in contralateral ventral posterior medial nucleus in thalamus > fourth-order neurons in contralateral somatosensory cortex > sensory discriminative aspect of pain.
Structures involved in the affective-motivational aspect of pain:
First order neurons in cranial nerve ganglia > second-order neurons in spinal nucleus of trigeminal complex > third order neurons in midline thalamic nuclei > fourth order neurons in anterior cingulate cortex or insular cortex > affective-motivational aspect of pain.
If done through third order neurons in brainstem and forebrain regions, there’s no need to go through the fourth-order neurons in anterior cingulate cortex or insular cortex.
Hyperagesia:
following a painful stimulus associated with tissue damage, stimuli in the injury and surrounding areas that would ordinarily be perceived as slightly painful are perceived as significantly more so (e.g. increased sensitivity to temperature after a sunburn), resulting from both peripheral and central sensitization
Allodynia
induction of pain by a normally innocuous stimulus; resulting from inputs from low‐threshold mechanoreceptors to activate dorsal horn neurons (a type of central sensitization)
What neurotransmitter is involved in the placebo effect for pain modulation?
Endogenous opioids
What is the gate theory of pain?
activation of mechanoreceptors (such as vigorously rub the injure site after crack your shin or stub a toe) modulates the transmission of nociceptive information to higher center
What is the three-neuron chain in the retina?
Photoreceptor > bipolar cell > ganglion cell.