practical 2 sensory pathways W2 Flashcards

1
Q

major sensory pathways and their functions?

A

dorsal columns (fasciculi gracilis and cuneatus): proprioception and discriminative touch (aka fine touch)

spinothalamic tract: pain, crude touch, temperature

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

difference between fine and crude touch?

A

fine: allows localisation of touch
crude: doesn’t allow localisation of touch

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

dorsal columns pathway?

A

->peripheral receptor
->dorsal root ganglion
->fasciculus cuneatus/gracilis
->nucleus cuneatus/gracilis (medulla)
->internal arcuate fibres (medulla)
->medial lemniscus (medulla/pons/midbrain)
->VPL thalamus
->internal capsule
->corona radiata
->post central gyrus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what does the dorsal root ganglion contain

A

cell bodies of sensory neurons

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

spinothalamic pathway?

A

->peripheral receptor
->DRG
->dorsal horn
->ventral white commissure
->spinothalamic tract of spinal cord
->spinal lemniscus
->VPL thalamus
->internal capsule
->corona radiata
->post central gyrus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

caudal medulla features?

A

posterior: fasciculus gracilis lies medial to fasciculus cuneatus. deep to these lie the corresponding nuclei.

medial: internal arcuate fibres run to the medial lemniscus which lines the anterior median fissure.

anterior: pyramid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

where is the medial lemniscus found in different cross sections of the brainstem

A

medulla: medial, stretches anterior/posterior

mid-pons: deep to pontocerebellar fibres (transverse pontine fibres). stretches medial/lateral

midbrain: lateral, in continuous line with spinal lemniscus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

where is the location of the nucleus gracilis and nucleus cuneatus marked? where are these visable?

A

gracile and cuneate tubercles
visible on dorsal surface of medulla above fasciculus cuneatus/gracilis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

how to identify the thalamus on half brains and coronal brain sections?

A

half brain - find 3rd ventricle, forms wall of this (visible superior)

coronal section - lateral to third ventricle, medial to internal capsule

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

where do neurons carrying sensory information for the head and neck synapse?

A

ventroposteriomedial nucleus of the thalamus (VPM nucleus)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

where do neurons carrying sensory information from the rest of the body synapse?

A

ventroposteriolateral nucleus of the thalamus (VPL nucleus)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what areas of grey matter form the boundaries of the internal capsule?

A

caudate nucleus
lentiform nucleus (globus pallidus, putamen)
thalamus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what is the functional arrangement of fibres within the internal capsule?

A

anterior limb: fibres associated with higher functions
posterior limb: major ascending somatosensory fibres and descending motor fibres

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

where is the primary somatosensory cortex?

A

post central gyrus (gyrus immediately posterior to central sulcus)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what is the principle arterial blood supply to the sensory cortex receiving information from the lower limb?

A

anterior cerebral artery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what is the principle arterial blood supply to the cortex receiving information from the head?

A

middle cerebral artery

17
Q

where are dorsal root ganglia found?

A

dural root sleeve in the intervertebral foramen (only visible when some bone has been cut away)

18
Q

what are the large pink cells visible in a H and E stained DRG section?

A

cell bodies of first order sensory neurons.

19
Q

what are dorsal root ganglion?

A

a collection of sensory neuron cell bodies outside of the CNS

20
Q

features of the cervical spinal cord?

A

increased grey matter due to increased neuron cell bodies to provide innervation to upper limbs
large amount of white matter (increases closer to brain)

21
Q

features of thoracic spinal cord?

A

small amount of grey matter

22
Q

features of lumbar spinal cord?

A

increased grey matter due to increased neuron cell bodies to provide innervation to lower limbs
less white matter than cervical as further from brain

23
Q

sacral spinal cord features?

A

very small amount of white matter as far from brain

24
Q

what is a dermatome

A

the specific region on the surface of the body innervated by the sensory axons carried in each individual spinal nerve (and the trigeminal nerve)

25
body region associated with C2/3 dermatome?
posterior scalp and neck
26
body region associated with C6 dermatome?
anterior arm and thumb
27
body region associated with T4 dermatome?
ant/post thorax at level of 6th rib (approx. nipples level)
28
body region associated with T10 dermatome?
ant/post abdomen at level of umbilicus
29
body region associated with L4 dermatome?
front of knee to medial aspect of ankle/foot
30
what is carried in the trigeminal nerve?
sensory information for the head and neck
31
where is the trigeminal nerve found in the brain stem
enters brainstem at level of the pons visible on a cross section travelling inwards, lateral to the pontocerebellar fibres.
32
sensory nuclei in brainstem where sensory neurons with cell bodies in the trigeminal ganglion synapse? what type of information is associated with each nucleus?
mesencephalic nucleus: proprioception chief sensory nucleus: touch, pressure nucleus of the spinal tract of the trigeminal: pain, temperature
33
trigeminothalamic fibres decussate in the brain stem and travel to the thalamus. where in the thalamus do these fibres synapse?
ventroposteriomedial nucleus of thalamus
34
locations of the nuclei where trigeminal ganglion nerves synapse? (brainstem)
mesencephalic nucleus: rostral chief sensory nucleus: middle nucleus of spinal tract of the trigeminal: caudal (lateral to dorsal columns, visible on isolated brainstem)
35
what information does the spinocerebellar pathway carry
control of posture coordination of movement
36
where is the cell body of the first and second order neurons of the spinocerebellar pathway found?
first order: dorsal root ganglion second order: mostly in dorsal horn of spinal cord
37
2 principle tracts relating to spinocerebellar pathway? do they cross?
dorsal spinocerebellar tract (does not cross, ipsilateral) ventral spinocerebellar tract (does cross, contralateral)
38
where do the dorsal and and ventral spinocerebellar tracts enter the cerebellum? (describe where these are found)
dorsal: inferior cerebellar peduncle (medial to middle cerebellar peduncle) ventral: superior cerebellar peduncle (diagonal ridge)
39
what type of sensory information is carried in the spinocerebellar tract
relative stretch in muscles from muscle spindles stretch in tendons joint receptors pressure on skin and superficial fascia