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Flashcards in Unit 2 Deck (30):
1

What are the four modalities of somatic sensibility?

1) discriminative touch: recognizing size, shape, and texture of objects
2) Proprioception: sense of static position and movement of limbs/body
3) Temperature Sense
4) Nociception: pain/itch, signals tissue damage or chemical irritation

2

Describe the classes of Somatic Sensation

1) epicritic sensations: fine aspects of touch
-highly localizable/discriminative
-encapsulated receptors
2) Protopathic sensations: involve pain, temperature, tickle, itch sensations
-poorly localizable/discriminatory
-nonencapsulated receptors

3

Exteroceptors

-deals with sensation from external stimuli

4

Proprioceptors

-deals with kinesthetics
-conscious proprioception relayed to cerebral cortex, unconscious to cerebellum

5

Interoceptors

-processing of visceral information

6

Meissner's corpuscle

-for discriminative touch
-encapsulated

7

Pacinian corpuscle

-perceives vibration
-encapsulated

8

Ruffini ending

-for perception of grasped objects/pressure
-deep encapsulated receptors

9

Nonencapsulated Receptors

-ex: Merkel Cells
-mostly deals with touch in a nonspecific sense

10

Describe different receptive fields

-small field have many neurons for fine touch (merkels, meissner)
-large fields have fewer neurons with crude touch (pacinian, ruffini)

11

All somatosensory receptors are ____ neurons

pseudounipolar

12

Dorsal Root Entry Zones

1) small unmyelinated axons enter through substantia gelatinosa: pain, temp, crude touch, and visceral
2) Large myelinated axons enter through posterior funiculus: discriminative touch and proprioception

13

Brown Sequard Syndrome

-spinal cord hemisection
-loss of both sensory and motor function

14

Syringomelia

-loss of pain and temp sensation

15

Explain the general significance of the DC-ML

-dorsal column medial lemniscus
-for fine touch, conscious proprioception and vibration sensation excluding the head
-highly localizable/discriminative

16

Go through and describe the DC-ML 3 neuron pathway.

1) primary neuron: in dorsal root ganglion
-pseudounipolar with peripheral and central axons
-fibers enter spinal cord through the medial dorsal root entry zone (large myelinated fibers)
-small branches here for spinal reflexes
-main axon enters dorsal funiculus, and forms either fasciculus gracilis or fasciculus cuneatus: together called dorsal columns
-tracts are arranged from medial to lateral as you go up
2) second neuron: beings in nucleus gracilis and nucleus cuneatus in caudal medulla
-axons head ventromedially, though medullary tegmentum
-cross over the midline and terminate just dorsal to the pyramids as medial lemniscus (crossing fibers termed Internal arcuate fibers)
3) third neuron: medial lemniscus heads up into ventral posterolateral (VPL) thalamus and terminates in the primary somatosensory area

17

Unconscious proprioception

1) ipsilateral: dorso-spino-cerebellar tract (lower C8) and cuneo-cerebellar tract (upper C8) goes through inferior cerebellar peduncle
2) contralateral: ventro-spino-cerebellar tract, goes through superior cerebellar peduncle

18

What are the three tract of the anterolateral system? The main differences.

-spinothalamic: sharp, fast pain sensation, epicritic
-spinoreticulothalamic: slow, crude pain, crude touch sensation: protopathic
-spinotectal: both and reflex sensations

19

Describe the pathway for the spinothalamic tract.

1) first neuron: starts in dorsal root ganglion, associated receptors: nociceptors, thermal
-fibers enter spinal cord through lateral dorsal root entry zone and into lissauers tract
-main axon stays in gray matter of dorsal horn
2) second neuron: located either in substantia gelatinosa (lamina 2) or lamina 5 of dorsal horn
-axons decussate in anterior white commissure and move ventrolaterally (note not directly across, but up the cord a bit and across)
-continues up laterally through medulla/pons/midbrain, terminates in ventral posterolateral nucleus of thalamus
3) third neuron: from VPL terminates in primary and association sensory cortex

20

Describe the pathway for the spinoreticulothalamic tract.

1) first neuron: in dorsal root ganglion
2) second neuron: either in substantia gelatinosa (lamina 2) or lamina 5 in dorsal horn
-like STT, fibers decussate in anterior white commissure, and move ventrolaterally, but then heads up towards reticular formation
3) third neuron: in reticular formation and project to intralaminar nuclei of thalamus
4) fourth neuron: in intralaminar nuclei and ultimately projects to many areas of cerebral cortex

21

Describe the pathway for the spinotectal tract.

1) first neuron: in dorsal root ganglion, nociceptors, thermal, tactile receptors
2) second neuron: either in substantia gelatinosa (lamina 2) or lamina 5 in dorsal horn of spinal cord
-fibers decussate in anterior white commissure and move ventrolaterally joining with STT and SRTT
-fibers head up similar to STT but once they hit the midbrain, go to superior colliculus and periaqueductal gray
3) third neuron: in superior colliculus: DESCENDS to upper cervical spinal cord, involved in reflex control for head, neck and eyes
-in periaqueductal gray: descends, enkephalin/substance P pathway meant to inhibit the other two pathways when needed
-THIS TRACT DOES NOT REACH CONSCIOUSNESS

22

General trigeminal pathway components

1) spinal trigeminal nucleus
2) chief sensory nucleus
3) mesencephalic nucleus
first three sensory plus the motor nucleus

23

Spinal trigeminal nucleus and tract

concerned with pain, temp, and crude touch info from head
-analogous to anterolateral system

24

Chief nucleus

-main sensory nucleus
-concerned with fine touch, vibrations, and conscious proprioception from head
-analogous to medical lemniscal system

25

mesencephalic nucleus

-concerned with unconscious proprioception from head
-analogous to spinocerebellar system

26

Tracts of the trigeminal system

1) VTTT: ventral trigeminalthalamic tract
-for fibers coming from spinal trigeminal nucleus: head up to thalamus next to anterolateral system and into ventral posteromedial nucleus and finally to sensory cortex/association cortex
-from here there are also fibers that head to reticular formation and tectal pathways
-for fibers coming from chief sensory nucleus: also head to VPM nucleus of thalamus close to DC-ML pathway ultimately to sensory cortex
2) dorsal TTT: from chief nucleus to VPM, not sure of use

27

Describe divisions in vision

-vertical divisions creates nasal and temporal fields
-horizontal split creates superior and inferior fields

28

Describe how optic nerves travel as it relates to field of vision

-in both eyes, the nasal field crosses over while the temporal field stays ipsilateral
-the whole visual field of one eye is processed by opposite side (right visual field has right nasal and left temporal)

29

What is the relay center for visual info?
What is the primary visual cortex?

lateral geniculate nucleus
striate cortex

30

Clinical pupil reflexes

-if optic nerve damage: neither of the unhealthy eyes will constrict with light
-if CN3 damage: only healthy eye will resond
-argyll robertson pupils: accomodate but do not respond to light, sign of neurosyphilis