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Flashcards in Vestibular pathways Deck (44)
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1

Outline the visual pathway

Optic nerve consists of axons from retinal ganglion cells -> optic chiasm -> optic tract -> from lateral geniculate nucleus, optic radiation projects -> primary visual cortex

2

What is the extra striate cortex?

Region adjacent to the primary visual cortex that is necessary for higher visual processing

3

What is a receptive field?

It is the space in the retina within which light falling upon it will alter the firing rate of a given neuron.

4

What is convergence?

It is the number of lower order neurones that synapse with one higher order neurones

5

What is the difference in convergence between rod and cone cells?

Cone cells: Low convergence, few photoreceptors synapse on one ganglion cell. Smaller receptive field.
Rod cells: Higher convergence but low near the macula than the peripheral retina

6

What is the difference and significance of low and high convergence?

Low convergence: small receptive field, fine visual acuity, low light sensitivity
High convergence: large receptive field, course visual acuity, high light sensitivity

7

What is the difference between on and off centre retinal ganglion cells?

On-centre: Stimulated by light falling at the centre of its receptive field and inhibited by light falling on its edge
Off-centre: Inhibited by light falling on its centre and stimulated by light falling on the edge of its receptive field
-Important in enhanced edge detection

8

How does a lesion anterior and posterior to the optic chiasm affect vision?

Anterior lesion: Affects one eye
Posteiror lesion: Affects both eyes

9

Where do crossed and uncrossed fibres arise from?

Crossed: Nasal retina responsible for the temporal half of the visual field
Uncrossed: Temporal retina responsible for nasa half of visual field

10

What occurs to your vision with a lesion at the optic chiasm?

Affects crossed fibres e.g. those from nasal retina
Bitemporal hemianopia

11

What occurs to your vision with a lesion posterior to the optic chiasm?

Right sided lesion: left homonymous hemianopia in both eyes
Left sided lesion: right homonymous hemianopia in both eyes

12

What are the different parts of optic radiation?

Upper division (parietal lobe): inferior visual quadrants
Lower division (temporal lobe): superior visual quadrants. Loops back anteriorly and forms Meyer's loop.

13

What is Meyer's loop lesion?

Loss of vision in one of the superior quadrants.
Superior homonymous quadrantopia

14

What happens if there is a lesion to the parietal lobe?

Inferior homonymous quadrantopia

15

What is a cause of a bitemporal hemianopia?

Pituitary gland tumour as it sits below the optic chiasm

16

What can cause a homonymous hemianopia?

Stroke or cerebrovascular accident

17

Where is the primary visual cortex and how do you recognise it?

Situated along the calcarine sulcus in the occipital lobe
Characterised by a distinct white myelinated fibre of the optic radiation

18

What does the primary visual cortex function as?

Processes visual info for static and moving objects
Large area represents macular central vision

19

Where do the inferior and superior visual fields project to?

Inferior visual field: projects above calcarine fissure
Superior visual field: projects below calcarine fissure

20

Where do the right and left hemifields project to?

Right hemifield projects to left primary visual cortex
Left hemifield projects to right primary visual cortex

21

How is the primary visual cortex organised?

In functional columns, each sensitive to visual stimuli at different orientations

22

What is meant by macular sparing and when would this present?

Presents in contralateral homonymous hemianopia
Macular is spared as it receives dual blood supply from right and left posterior cerebral arteries

23

What is the extrastriate cortex?

It is the area around the primary visual cortex in the occipital lobe.
Converts basic visual information, orientation into complex

24

What is the dorsal pathway?

Primary visual cortex -> parietal lobe
Motion detection
Damage results in motion blindness

25

What is the ventral pathway?

Primary visual cortex-> inferiotemporal cortex
Object and facial recognition
Detailed and fine visual acuity
Damage results in cerebral achromatopsia

26

What is the pupillary response in light?

Ciliary muscle contraction
Decreases size of pupillary aperture
Reduces photopigment bleaching
Increases depth of field
Decreases glare
Mediated by parasympathetic nerve of CNIII

27

What is the pupillary response in darkness?

Pupil dilation due to sympathetic nerve (ophthalmic nerve)
Iris radial muscle contracts
Increases light sensitivity

28

Describe the afferent pathway of the pupillary light reflex

Pupil specific retinal ganglion cells exit the posterior third of the optic tract
Synapse at the pretectal nucleus of the brainstem and relay to the Edinger-westphal nucleus
Constricts the pupil via pupillary sphincter via the ciliary ganglion

29

What is the consensual light response?

Only one eye needs to be stimulated to elicit the pupillary constriction response

30

Describe the efferent pathway of the pupillary light reflex

Parasympathetic nerve from Edinger-westphal nucleus
Synapses at ciliary ganglion -> short posterior ciliary nerve -> innervates pupillary sphincter