Somatosensory cortex Flashcards

(36 cards)

1
Q

Where do sensory nerve fibres entering dorsal root synapse?

A

One of 6 layers (rexed laminae) or dorsal horn

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2
Q

Where do touch afferents synapse?

A

lamina III and IV`

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3
Q

Where do proprioceptors synapse?

A

lamina V and VI

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4
Q

Where do nociceptors synapse

A

lamina I and II

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5
Q

What do you call the cells in the dorsal horn

A

Second order afferents

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6
Q

Where do axons of second order afferents travel?

A

Cross spinal cord within 1 segment of cell body and project up contralateral spinal cord in spinothalamic tract

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7
Q

What are the 2 components of spinothalamic tract?

A

Older lateral (paleo) part and newer medial (neo) part

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8
Q

What forms of cutaneous sensation does spinothalamic tract transmit

A

Heavy pressure, crude touch, temp and pain

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9
Q

What 2 places do touch and proprioceptive nerve fibres synapse/ branch to?

A

Cells in dorsal horn

Dorsal funiculi

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10
Q

What are the dorsal funiculi

A

Large tracts of white matter in dorsal spinal cord

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11
Q

What side of the spinal cord do fibres of dorsal columns ascend?

A

Same side they enter

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12
Q

Are fibres in dorsal columns post synaptic

A

No- they are actual extensions of afferent fibres in peripheral nerves with cell bodies in dorsal root ganglia

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13
Q

Where does dorsal fasciculi project to

A

The dorsal column nuclei in the lower medulla

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14
Q

What are the fibres leaving the base of the cuneate and gracile nuclei called

A

The start of the medial lemniscus

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15
Q

Where do medial lemniscal fibres leaving dorsal column nuclei send their axons?

A

Across the midline as internal arcuate fibres, and ascend to the VPL nucleus of contralateral thalamus. VPL cells project to somatosensory cortex

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16
Q

Where are medial lemniscal fibres known as internal arcuate fibres

A

At the region they cross the midline- the lower closed medulla

17
Q

Where do cutaneous afferents from the face come from?

A

Contralateral trigeminal nucleus

18
Q

Where do fibres from the trigeminal nucleus terminate

A

In the ventro-postero-medial nucleus

19
Q

Where is the somatosensory cortex?

A

Runs medio-laterally just posterior to central sulcus

20
Q

In the sensory homunculus, where are legs and face relativelly?

A

Legs- medial

Face- lateral

21
Q

Why are the legs medial on the sensory homunculus?

A

Because the nerve fibres from the thalamus to the somatosensory cortex rotate 180 degrees

22
Q

What does the somatosensory cortex tell us?

A

Where something is on your body, its touch and temperature

23
Q

What types of areas occupy largest areas of map?

A

Areas with highest density of touch and proprioceptive receptors

24
Q

Why do we have 2 pathways to the somatosensory cortex?

A

Spinothalamic tract conveys crude touch

Dorsal columns conveys discriminate touch

25
What does Rombergs test check?
Proprioception from muscles and joints
26
What is sensory ataxia?
Inability to balance with eyes closed
27
What are nocicepors and where are they found?
Receptors specific to tissue damage | Found at end of A delta and C nerve fibres
28
What is the function of nociceptor activity
Protective- minimises injury
29
How does inflammation promote pain?
Free nerve endings have TTX resistant sodium channels | Inflammation opens these channels leading to tonic depolarisation and nerve activity
30
Where do nociceptor afferents end
Lamina I and II
31
Where do cells from lamina I and II send their axons
across contralateral spinothalamic tract to form lateral part of spinothalamic tract
32
What receptors does a painful stimulus stimulate?
Touch receptors and nociceptors
33
Where do touch receptors project to?
Neospinothalamic which ends in VPL nuclei of thalamus
34
Why is the paleospinothalamic tract poor at localising pain?
Receptive fields of fibres are very large
35
What does paleospinothalamic tract register in terms of pain
Degree and chaacter
36
What mediates paleospinothalamic detection of pain
Cingulate and insula cortex of the limbic system