Functional Organisation of CNS Flashcards

(77 cards)

1
Q

Where does a somatosensory neuron make its first synapse?

A

all the way up through the dorsal column and synapse at the medulla

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2
Q

What are gracile and cuneate nuclei responsible for?

A

for somatosensation, gracile nucleus is the location for first synapse from the lower body, whereas cuneate is for the upper body

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3
Q

T/F the primary somatosensory neuron decussate at the medulla

A

False, primary neuron runs ipsilaterally. It’s the secondary neuron that crosses over

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4
Q

The dorsal column is topographically organised. Neurons from the lower body tend to run more ________ while the upper body neurons, like cervical neurons, run more _________. Therefore, gracile nucleus is _______ to cuneate nucleus

A

medially (medial for lower body)
laterally (lateral for upper body)

Medial, because it receives lower limb neurons

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5
Q

At the point of decussation, the name given to the neurons crossing over is?

A

internal arcuate fibres

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6
Q

At the point of decussation at the middle region of spinal cord, where are the fibres of cuneate nucleus in relation to fibres of gracile nucleus?

A

Gracile is ventral to cuneate

Gracile secondary neurons run laterally to cuneate secondary neurons

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7
Q

Where is the second synapse for somatosensation?

A

At ventral posterolateral nucelus (VPLN) of the thalamus

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8
Q

Where are the neurons from lower reigion in relation to neurons from upper region at the thalamic region?

A

neurons from lower limb (gracile) are lateral to neurons from upper region (cuneate)

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9
Q

What is the name of the tract where the secondary neurons run within?

A

medial lemniscus

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10
Q

after synapsing at the thalamus, the tertiary neurons project to which region of the cortex?

A

Somatosensory cortex (primary, and some secondary), which is posterior to the central sulcus

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11
Q

What is the topographical organisation of the primary somatosensory cortex? What is the significance of that?

A

Neurons from gracile (lower limb) are located more medially, and neurons from cuneate are located more laterally.

There is a cross over of topographic organisation in the course of tertiary neuron

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12
Q

What are the sub-divisions of primary somatosensory cortex? How are they organised in relation to the central sulcus?

A

Area 1, 2, 3a, 3b

from central sulcus - 3a -> 3b -> 1 -> 2
makes no sense whatsoever

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13
Q

What is an evidence suggesting that there is a secondary somatosensory cortex?

A

the representation of body structures are repeated in S2

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14
Q

How many body maps are there in total for sensory cortex?

A

4 in primary, 2 in posterior parietal cortex. 6 in total

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15
Q

Are slow adapting and fast adpating neurons segregated ?

A

Yes, there are islands of slow adapting eurons within each topographical map

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16
Q

Which sub-division of S1 receive most input?

A

3b

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17
Q

What gives rise to “cognitive touch”?

A

the integration of information from the four-subdivisions of S1 at S2

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18
Q

Area 1 is more for ________, while area 2 is more for _______

A

area 1 for texture

area 2 for size/shape

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19
Q

what is the function of posterior parietal cortex

A

it receives and integrates inputs from visual, auditory and somatosensory, and it’s involved in planning movement and working out where you are spatially

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20
Q

Can you reorganise topographic map?

A

Yes, in an amputated individual, the unused area will get taken up by the nearby areas of neuron

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21
Q

What is an example of normal physiological cortical reorganisation

A

during lactation, there is increased somatosensory input from breasts

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22
Q

Do PNS nerve injuries recover?

A

Yes, but it’s never a complete recovery, because there is a lack of specificity with regrowth. The original function can never be restored

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23
Q

What the CNS plasticity respond to? What is the significance?

A

CNS plasticity responds to the frequency of use, not the pattern of use

If there is peripheral nerve injury, the CNS cannot reorganise to restore the PNS function
“erroneous peripheral nerve regeneration does not produce compensatory central plasticity”

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24
Q

Where are the reflex patterns generated?

A

in the spinal cord

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25
During development, the growth of spinal cord is ______ than vertebral column, and it stops at the level of _______ , but beyond that, there are bundles of spinal nerves called _______ which give rise to pairs of spinal nerves for the _______
slower L1/L2 caudal equina lower limbs
26
What colour is white matter on histological sections?
black
27
What colour is fluid on MRI 1) T1 2) T2
On T1, it is dark | On T2, it is bright
28
Why is there more white matter towards to the upper spinal region?
there are more fibres closer to the head, because spinal roots fan out at each level
29
Where in the spinal cord does the nociceptive neurons run?
in the anterolateral column
30
What are proprio-spinal neurons?
neurons that make connection within the spinal cord
31
What are the two types for pain fibres and what information do they provide?
C fibres - slow, burning pain | A delta fibres - fast, shape pain
32
Why are lower motor neurons often called the final common pathway
Because they receive inputs and modulations from both local interneurons and upper motor neurons
33
What is a motor unit
the motor neuron and the muscles fibres that it innervates
34
What is a motor neuron pool
clusters of motor neurons innervating a group of muscles collectively
35
Muscles are formed in pairs of _________ , and all muscles except for __________ have proprioceptive _________ that transduce _________ into nerve impulse
functional units extra-ocular muscles muscle spindles muscle stretch
36
What is the function of gamma motor neurons?
They adjust the length of muscle spindles so spindles are always in the optimal position to detect muscle length
37
Why are the sensory apparatus for muscle spindles also called interfusal fibres?
because the apparatus has its own fibrous sheath
38
T/F muscle spindles start off as normal muscles
True, but sensory neurons come in to differentiate muscles into spindles
39
What is the function of golgi tendon
respond to amount of force placed on the muscles
40
Golgi tendons are described to be in ______ with muscle fibres, while muscle spindles are in ______ with muscle fibres
series | parallel
41
Why is "knee jerk" a monosynaptic reflex?
there is only one central synapse - sensory neuron picks up the stretch signal and directly feeds it back to the motor neuron for the same muscle
42
What is the function of reflex system?
reflex maintains joint position and posture
43
The sensory neuron excites the motor neuron from the same muscle, but what else does it need to do?
synapse on an inhibitory interneuron to inhibit/relax the antagonist muscle
44
Describe the golgi tendon feedback circuit
golgi tendon regulates force too much force -> need to drop the load sensory neuron synapse to two separate interneurons - inhibitory to primary muscle (relax primary) excitatory to antagonist muscle (contraction)
45
Is golgi feedback circuit monosynaptic?
No, it synapses onto an interneuron first
46
When we step on something sharp, what happens to 1) ipsilateral flexor? 2) ipsilateral extensor? 3) contralateral flexor? 4) contralateral extensor?
1) contracts 2) relaxes 3) relaxes 4) contracts Ipsilateral muscle groups do the opposite of contralateral ones
47
Why are priospinal neurons short in the lateral region?
Lateral region is more for distal structures like digits. They are more fine movements rather than posture control, so the local interneuron circuits don't need to be long
48
T/F the pattern for reflex tends to change with different starting positions
False, the pattern is the same as long as the stimulus is applied at the same spot. This is because the purpose of reflex is the same even with different starting positions
49
Most interneurons in the spinal cord are _______ , same as the _______ motor neuron
inhibitory | upper
50
What is the clinical presentation of upper motor neuron damage
UMN damage = lifted inhibition on LMN Increase reflex, tone, and muscle excitability
51
Is Myasthenia Gravis a motor neuron disease
Yes, although there is nothing wrong with the motor neuron
52
What are the two sets of SNS ganglion?
prevertebral and paravertebral ganglion
53
Which part of the ANS nerve is myelinated?
the preganglionic neuron is lightly myelinated postganglionic neuron is not myelinated
54
What are some non-classical transmitters?
ATP, nitric oxide, neuropeptides
55
What is co-transmission?
multiple transmitters being released with one AP
56
T/F There is one neurotransmitter release site per axon
False, there are multiple release sites
57
Why are some receptors expressed remotely from the synapse? What is the name of this kind of receptor?
Don't know why, but they can be used as exogenous drug targets They are called extra-junctional receptors
58
Where are the SNS neurons located in the spinal cord?
in the intermediaolateral nucleus
59
What is it important to have ganglions?
the ganglions are essential for integrating and coordinating information before reaching organs
60
What does 1) paravertebral ganglia 2) prevertebral ganglia control?
1) para - constriction of vasculature | 2) pre - control smooth muscle
61
T/F SNS ganglia communicates to a single neuron
false, the ganglia works in a divergence and convergence fashion, receiving many signals and sending out many signals
62
What is the function of adrenaline?
it is activated along with the SNS system to double the effect by having circulating adrenaline, activating receptors all throughout the body
63
What are the four PNS ganglion in the cranial region?
Edinger-Westphal nucleus Salivatory nuclei Dorsal motor nucleus of vagus nucleus ambiguus
64
What is the name of the sacral collection of PNS ganglions? In what way are they different to the cranial ganglions?
inferior hypogastric plexus They have long post-ganglionic neurons they are mixed with the sympathetic neurons There is little integration, more like a relay station
65
Do PNS provide circulating factors?
no, the action is more local
66
Do SNS and PNS always work antagonistically?
No, they are not antagonists of each other in functions like 1) salivary secretion 2) tear secretion
67
What are some examples of antagonism of SNS and PNS at cellular level?
control of heart rate and force of contraction | control of airway
68
what are some examples of functional antagonism via different cells?
control of pupil | control of bladder (SNS controls the base, PNS controls the body of the bladder)
69
What are some examples of different but not opposite actions
SNS serous salivary secretion, PNS mucous salivary secretion SNS for constriction of abdominal vasculature and lipolysis PNS for tear secretion at the lacrimal gland
70
What is the only correct way of identifying SNS and PNS neurons?
based on the anatomy/location of the preganglionic neurons
71
What is the term describing ANS reflexes involving the brain?
supraspinal reflex
72
What are some sensory inputs to trigger ANS reflex?
chemical signal | distensible organ stretch
73
What are some possible consequences of ANS dysfunction when the spinal cord is severed
bladder, bowel, sexual dysfunction CV dysregulation thermal dysregulation
74
What is the main function of nucleus of solitary tract of the medulla?
it's a major integrative centre for ANS function
75
What are the two possible pathways when signal reaches the nucleus of solitary tract?
1) trigger immediate feedback to control local reflexes | 2) provide information to higher centres to drive complex response involving other components like emotion/endocrin
76
What is the most important higher centre for autonomic output?
paraventricular nucleus of the hypothalamus
77
ANS provides complex changes around the body. Therefore, what do drugs need to do in order to modulate these complex functions?
Drugs need to target the autonomic centres in the CNS in order to relief the complex connections involving pain, emotion and their relevant physiological changes