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722 Cards in this Set

  • Front
  • Back
Properties of AP?
1. big/fast; 2. All or none; 3. Invariant; 4. Conducted rapidly; 5. Refractory period
Ion direction with NA+/K+ pump?
2 Na+ is pumped out, 3 K+ is pumped in
EPSP definition?
Excitatory post synaptic potential—the depolarization that the dendritic spine undergoes (passive spread/depolarization)
What is responsible for all or none AP?
The presence of voltage gated Na+ channels at the axon hillock
Draw a simple reflex and describe mediators
1. muscle spindle senses increased tension; 2. Afferent info travels to SC; 3. Synapses and feeds back to muscle of interest to increase tension
Define divergence
A sensory neuron may get info from multiple spindles (multiple specialized sensory regions), but feed to one neuron
Define convergence
Multiple sensory fibers impacting a single motor neuron
What does the resting memb. potential represent
The RMP represents a separation of charge that is maintained through the action of the Na+/K+ ATPase via active pumping of Na+ out and K+ in
AP characteristics?
~1 ms; 0.1 volt amplitude; overshoot (because Na+ closed and K+ open [cell goes to K+ equilibrium]; all or none
How are duration and intensity of stretch encoded?
Duration of stretch= duration of AP “train”
Draw the relationship (time and intensity) as described above
What causes the relative refractory period? How long?
Caused by increased K+ conductance, fact that some Na+ channels still have a “ball” blocking the hole; usually <5 ms, but 1-10 ms is the range
What mediates absolute ref period?
Mediated by “ball” [ball and chain model] that blocks the channel; this makes sure AP’s don’t travel in both directions
Draw and exp. temporal summation
Temp. sum. is a result of the lack of IMMEDIATE voltage dissipation within the cell dotted line = threshold
Exp. spatial summation
Cell gets multiple input from axons at same time, these sum at the axon hillock, but come from spatially distinct dendrites
IPSP
Inhbitory post synaptic potential; usually used Cl- to “buffer” a cell from reaching threshold
Properties of local potentials
1. graded [not AP]; 2. Travel passively; 3. Dissipate quickly
What does Nernst eq. do?
Describes the voltage across the membrane in terms of K+
What is happening with ions in equilibri
There is no net movement of charge
What are general bits of info re: [ions] in/out & voltage.. don’t memorize
Ion Out In Eq. Pot.
Most cells selectively perm to what?
K+; they have a straight curve for [K+] vs. rest mem potential
What determines the rest mem potential?
The ion concentrations and the charges on each side of the membrane = electrochemical equilibrium
Does the [ion] change much?
NO; it is mostly charge that moves when the membrane depolarizes not a significant number of ions
How much (%) can Na/K ATPase use?
Incredible amounts 60-80% of some neurons needs, this now makes sense that even resting the brain uses 20% of O2
Draw the difference in membrane potential vs. [K+] for both glia and neurons; why does this happen (in general)
the cell is also permeable to Na+
What is the Goldman equation; how is it different from Nernst
Goldman takes into account multiple ions, Nernst is generally set up only to take into consideration K+
Why is an EPSP depolarizing?
The action of neurotransmitter opens Na+ channels which move down both electrical and chem. gradient into cell
What are the 4 main characteristics of AP?
1. all or none; 2. Threshold for AP generation; 3. Refractory period; 4. The AP doesn’t dissipate with increasing distance
Why is there an AP threshold at all? What range is considered to be threshold?
There is a threshold because the Na+ channels are voltage sensitive [probability of being open depends on increasing voltage]; therefore if you hit a certain depolarization a positive feedback loop gets started and creates the all or none AP. –(-40)→(-30) mV is threshold
This is one of the most important things you will learn… Why does the AP initially decrease?
Volatage of the membrane (dotted) rises initially because permeability to Na+ has increased (gNa+); then the slower K+ voltage channels open and bring charge out of cell (down electrical and chemical gradient)… Later, all the Na+ channels are stuck inactivated via “ball-and-chain” which allows overshoot
What are the slower K+ channels called?
Delayed-rectifying potassium channels (due to their 1 msec delay in opening in response to the voltage change)
Which channel type primarily determines the AP of a cell?
The K+ channels, because they are the ones responsible for repolarization; e.g. is the cardiac calcium-dependent Ca++ channel diagramed here
What do TTX and STX block?
TTX- Tetrodotoxin & STX- saxotoxin both block Na+ channels
What are the toxins that block K+? Who cares?
TEA- tetraethylammonium; 4-AP- 4- aminopyridine; these have been useful to determine membrane properties via examination of a single type of ion channel
How do local anesthetics work? Antitiarrythmics?
e.g. lidocaine works by blocking the Na+ channels, can also decrease cardiac excitability
How does voltage normally spread down a conduit? Why need APs?
Normally voltage spreads passively and degrades quite quickly; therefore APs (and nodes of Ranvier) re-generate the AP to allow quick, non-degrading spread of information
What is the length constant? Why care?
Tau (when current injected has degraded to 37%); it is mostly useful to compare cells ability to spread current; a length constant is <1 mm; therefore you need AP to communicate long distance
Why does the AP travel in only one direction?
This is because of the absolute (and relative) refractory period that is generated “behind” the AP due to the “ball-and-chain” model of inactivation of voltage sensitive Na+ channels
What is the node spacing in myeliniated axons?
Nodes are about 100 times the diameter of the axon; he said in the syllabus that it was interstingly “optimal” – this isn’t interesting… the ones that weren’t optimal were eaten by tigers (too bad). The signaling required to optimize is interesting
What is hyperkalemic periodic paralysis?
“ball-and-chain” is damaged; therefore patient uses up all ATP then collapses to the floor
What are the main kinds of neuronal connections?
1.
2.
Minor- Electrical- fast, invariant response
How is NT released?
In “quanta” essentially vesicles – although new research shows that some areas have “kiss-and-run” therefore non-quantal release
What is a MEPP?
Miniature end plate potential; it is the depolarization from the release of one (or a few) vesicles of NT
What are characteristics of Lambert-Eaton
1. pts produce Ab agains P/Q voltage sensitive Ca++ channels in axon terminal; 2. Therefore low levels of VGCa++ Channels in terminal- this causes insufficient Ca++ entry and limited vesicular release; 3. Associated with carcinoma (… for some reason the carcinoma activates immune system to self)
How to vesicles release contents? Who cares?
V & T-snare hypothesis; Ca++ allows the binding, capture, and release of NT within vesicles.
Why does Lambert-Eaton show a U shaped curve
because there is a slow accumulation of Ca++ in the synaptic buton allowing more vesicles to release contents [this is called facilitation]
What is the omega profile?
It is the EM pic of a vesicle fused (very illustrative)
What happens at buton for NT release?
1. AP travels down axon; 2. Volt sense Ca++ channels open; 3. Vesicle fuses through V&T-snares; 4. NT released into cleft
How is [Ca++] decreased in buton?
Via possible mitochondrial buffering; Ca++ pumping out of buton
What are the actual proteins in V&T snare hypothesis?
V-Snares→ synaptobrevin
What would increased [Ca++] do to vesicle release?
The increased [Ca++] would tend to increase the vesicular release because it is required for snare binding
Where are places where kiss and run happens
The retina is a place where quantal release does not happen always (specifically the rods and cones)
How does botox work?
Botox is a zinc endopeptidase (there are multiple) that is targeted to some component of the NMJ (there are also multiple targets)
What are some characteristics of NT?
1. synthesized and concentrated in neurons; 2. Released from neurons; 3. Local application mimics synaptic release; 4. There are mechanisms for removal of protein
Where is ACh mainly found?
it is the main NT at the neuromuscular junction, it is also used in the basal forebrain
What NT is inhibitory?
The main inhibitor in the brain in GABA (amino acid)
What NT are in the monoamine class? Function?
dopamine; 2. Serotonin; 3. Norepi; 4. Epi; 5. Histamine→ these are all based off the tryptophan & tyrosine; -----Function→ modulation of other NT
What do the peptide NT do?
Conrol hypothalamic pituitary axis; feeding/sexual behavior
Where are NT released?
from the synaptic buton; in quanta (usually); in an active zone (can be seen on EM)
How is NT loaded into cells?
H+ ATPase on surface of vesicle pumps H+ in; this H+ is allowed to exit through a co-transporter and NT gets to come in
What is the rate limiting step in Catecholamine syn? Who cares?
Tyrosine hydroxylase is the rate limiting step; this is only important because knowing some rate limiting steps allows you to know places to intervene to increase or decrease amount
What are the Catecholamines?
Tyrosine→ L-Dopa→ Dopamine→ Norepinephrine→ Epinephrine
What are the fates for dopamine
1. degradation by COMT/MAO; 2. Reuptake and degradation; 3. Reuptake and repackaging
How is cocaine thought to work?
Through the inhibition of dopamine transport (therefore there is increased dopamine in the cleft)
How are Amphetamines thought to work?
Crank, X (works same way); disrupt proton gradient allowing NT leakage (not through vesicle fusing)
clinical ways to increase dopamine?
L-Dopa (precursor); MAOi (monoamine oxidase inhibitor); COMT
ACh degraded how?
AChE; choline take into buton; combined with Aceyl CoA= ACh
How do VX and Sarin gas work?
They inactivate AChE, this causes too much ACh in the cleft and paralysis (because you run out of ATP)
How is glutamate recycled?
Glutamate uptake into glia; converted to glutamine; shuttled to neurons and made back into glutamate
How are Neuropeptides made?
They are proteins; therefore made in ER→ Golgi→ endosomes → released; because a protein must be resynthesized
What are brisk reflexes indicative of?
Upper motor neuron damage; long term this has increased tone; together this is termed spacticity
What would getting knifed in the back give you?
1. A very bad day; 2. Brown-Sequard syndrome: ispilesional weakness, loss of Big 4; contralateral loss of little 3
Drawbacks & good of electrical synapses?
1. no amplification is possible; 2. Cell sizes matter (usually cells are same size)… Good → fast; bi-directional
2 main classes of a chemical synapse
1. directly gated/coupled (receptor for NT and channel in same protein); 2. Indirectly gated/coupled→ GPCR (usually)
Benefits of indirect coupling?
1. allows for massive amplification; 2. Allows for changes in gene expression; 3. Allows multiple signals to converge
What causes Myasthenia Gravis?
Immune reaction against the AChReceptors (causing endocytosis)
What are the two main drug classes for seizures? Function?
1. Diazepams→ act as GABA agonists (increasing inhibition); 2. Valproate→ increases GABA synthesis
Define direct coupling
NT receptor and channel are part of the same complex
Inhibitory synapses included which ions?
Mainly Cl- and K+ because both tend to polarize cell (move cell further from threshold)
Can inhibitory signals depolarize the cell?
Yes; the cell can get closer to the threshold, but they “clamp” the cell and still make it harder for Na+ to bring to threshold
What does Succinyl choline do? Why?
Flaccid paralysis; this is because it keeps ACh like action in the cleft for a long time, this desensitizes the NMJ
Best plasticity catch phrase?
“Fire together wire together”
How do we think memory is formed [generally]
We think that long term potentiation & depression (LTP/D) forms the basis for the changes in weighting given to neurons
What’s the difference between AMPA and NMDA receptors?
Both respond to glutamate; has Mg++ in the pore (which is kicked out by high depolarization) allowing Ca++ to enter cell; this high Ca++ causes changes in gene expression→ magic→ LTP (Note: Ca++ is also required for LTP).

NMDAR activation along with AMPAR activation can result in LTPotentiation.
What does Ca++ do?
Ca++ activateds CaMKII (which can phosphorylate lots of stuff); KO mice lack LTP; loading a cell with CaMKII mimics LTP
What is the end result of this stuff?
More AMPA receptors are expressed at the surface; therefore higher depolarization with each incoming signal
Differences between LTP/D?
high frequency vs. low frequency stimulation
Describe Hippocampus pathway
1. perforant pathway contact granual cells; 2. Granual cells contact CA3 pyramidal cells (which send out axons as schaffer collaterals); 3. These SC synapse with CA1
What are the main divisions of PNS
1. sensory; 2. Motor; 3. Autonomic (which is divided into sympathetic and parasympathetic)
Bundles of nerves are called?
fasicles
Draw the parts of the nerve bundles and label
Epineurium- most outside tough—collagen and epithelial cells)
How do PNS axons grow back? Speed?
Through the sheath that remains used for guidance; grow back about 1 mm/day
Where are sensory neuron cell bodies
DRG
Number and division of SC roots
31 roots; 8 cervical, 12 thoracic, 5 lumbar, 5 sacral, 1 coccygeal
How are mechano-receptors specialized?
They can be specialized to detect vibration, light touch, temp, chemicals, pain→ this is accomplished via the end organ
What do propioceptors do?
they bring fine motor information re: limb and muscle position
What are muscle spindles? Do?
specialized muscle cells (intrafusal) that wrap sensory axons; they contract and stretch to keep receptor sensitive;
What are the two kinds of MS fibers? Info conveyed by?
Nuclear chain- provide static info about length- IIa
What are reflex arcs good for?
1. coordinating movements; 2. (more importantly?) maintaining static position
why …CNS damage cause hyperreflexia?
The stretch reflexes are inhibitied via a connection from the CNS, if this inhibition is lifted the reflexes are enhanced
channels that underly temp sense?
TRP channels; have temp sensitive Na+ channels, these channels also respond to chemicals (e.g. capsacin)
What are the two separate pain fibers?
A delta- small myelinated carry fast info
What is in a motor unit?
1. motor neuron; 2. NMJ; 3. At least one muscle fiber (the units get smaller for fine control-e.g. eyes)
Review muscle contraction
Smooth muscle contraction
1. depolarization; 2. Ca2+ influx through L-type volt sense Ca2+ channel; 3. Tyanodine receptor binding; 4. Ca2+ release; 5. Ca2+ binds calmodulin and activates light chain kinase (thus phosphorylating myosin and causing APTase activity of myosin)
ANS divisions and functions
Symp- fight or flight- ACh then noreipi
Which axon for both para/ sympathetic is the longer one? Who cares?
→The sympathetic preganglionic axon is short (top)
What does symp stim do to iris, salivary, sweat, bronchi, heart, GI, sex organs, bladder
Syptathetic stimulation dialates the iris, decreases salivation, increases sweatin, dilates bronchi, increases HR, decreases GI motility, constricts vasculature (aroused state), constrict bladder sphincter & relax detrusor
How does caffeine work?
antagonizes adenosine A1 receptor thereby increasing norepi release in the PNS and CNS
What is the NT for para sympathetic?
ACh only (pre & post ganglionic); remember ganglia are usually embedded in tissue
Enteric NS (ENS)
Controls the function of the GI, it really is the bastard stepchild and gets no attention; it has the machinery to function separate from the CNS
What are some characteristics of Charcot-Marie-Tooth?
1. both sensory and motor function loss; 2. Classical “claw-like” hand posture; 3. Caused by demylination of PNS; 4. Mutation in connexin 32 (which are needed for gap junctions)
Guillan Barre Syntrome
GBS- rare autoimmune reaction (following URI or vaccination); sudden loss of both sensory and motor control; extensive supportive care is needed (as is immunosupression)
Ulnar nerve palsy
leaning on ulnar nerve (can been seen in alcoholics)
what (specifically) provides a conduit for PNS regeneration?
the perineurium, epineurium, and endoneurium; therefore surgical repair requires accurate aposition
What myelinates PNS? Derived from?
Schwann cells myelinate PNS; NCS derived, each Schwann myelinates only a single (portion) axon
What is EMG and Nerve conduction used for?
These measure speed of conduction, and also are a surrogate for the number of axons conveying information
What covers the SC?
The three layers of meninges; 1. Pia; 2. Arachnoid; 3. Dura
# of spinal nerves from each segment?
2 (remember bilateral)
Gestalt of Big 4 path
1. DRG gracile cunate fasiculi; 2. G & C nuclei; 3. Thal VPL
Gestalt of little 3
1. DRG neuron; 2. Synapse dorsal horn, cross in anterior white commisure; 3. VPL in thal to cortex
Gestalt of CST (cortico-spinal)
cortex, synapes with LMN in layer #9, out to muscle
where does the SC end, where LP done?
SC ends around L1/2; and LP is done @ L4/5 (in the lumbar cistern)
draw each of the tracts and synapses, label neuron number
DCML path neurons # and function
1st cell body in DRG, synapses in G & C nuclei; 2nd G & C nuclei to the VPL thal; 3rd thalamus to the cortex
Differences between spinothal & DCML?
is in the 2nd order neuron location DCML is in the G & C nuclei, whereas the Spinothal synapses after going up or down a little
annoying but important… layers and functions of SC areas… Draw
What are Lamina I/ II?
Marginal zone (I) Substantia gelatinosa (2) many spinothalamic 2nd order nerons have CB here
What are Lamina III-VI doing?
Nucleus proprius (forms the majority of the dorsal horn) processes sensory info (discussed later)
Lamina VII
Clarke’s nucleus between C8 –L2
Lamina IX
ventral horn motor neurons
Lamina X
periaqueductal grey- thought to do “something” with pain
Again what is Brown-Sequard syndrome
Hemisection of SC causing loss of Big 4 contralateral and little 3 ipsilateral; paralysis on side of section
What are Betz cells? Where are they?
Betz cells are in layer V of the cortex, they are the pyramidal cells that synapse in the ventral horn for motor action ( their axons forms most of cotricospinal tract) 90% cross at pyramids
Signs of UMN damage
hyper-reflexia and increased tone (from lack of inhibition)
signs of LMN disease
muscle wasting (chronic) hypo-reflexia, flaccid
Draw and describe 4 main functional components of spinal nerves
GSA- general somatic afferent- sensory BIG 4 & little 3
Draw the circle of willis, describe what each vessel feeds
occlude an ICA what happens?
Generally nothing, that is why you have a circle of willis
what is supplied by posterior circ?
Brainstem, pons, occipital lobes (generally), and thalamus; infarction of the thalamus can mimic hemispheric MCA stroke
Draw the circle again
What are the most common branches for stroke
The lenticulostriate areteries these feed the basal ganglia and the internal capsule
Describe that path of the cartotid to M1 branch
1. through carotid canal; 2. Curves while within the cavernous sinus; 3. Penetrates the dura; 4. Ophthalmic branches while still ICA; 5. Then MCA & ACA separate
Describe M1 MCA→ distal braches course
M1 MCA then either bifurcates or trifurcates; 2. Travels over the insula; 3. Within the sylvian fissure; 4. Then most of the lateral surface of the brain
Describe the posterior circ branches and what they come off
1. posterior spinal- come of each vert; 2. Anterior spinal join, but come off each vert; 3. PICA comes off each vert… can come off at different levels (L & R); 4. AICA off basilar; 5. SCA (smaller just under PCA off basilar); 6. PCAs (normally); 7. Thalamoperforating arteries
Thing to remember when describing vasculature
IT IS VARIABLE!! Not everyone has a complete circle, not every one has PCA’s that come off the Basilar, not everyone’s territory of perfusion is the same for each vessel
What is unusual about brain veins?
not usually with arteries, they don’t have valves
Draw and label venous flow
Basic concepts re: brain metabolism?
Brain is hungy: 20% glucose, possibly 50% oxygen (resting requirements); <60 sec after blood flow stops unconscious
How is cerebral blood flow maintained with changes in BP?
Through autoregulation: therefore increases in BP don’t change tissue perfusion
Describe they types of hemorrhages and causes
Epidural- often from trauma, minndle meningeal aretery tears
Draw and label ventricles (figure →)
This is a great figure. Notice how anterior and posterior the horns traverse
What is within the vents making CSF?
Choroid plexus (yucky crappy looking stuff in dissection)
Describe the flow of CSF
1. lateral vents; 2. Foramen of monro; 3. 3rd Vent; 4. Cerebral aqueduct; 5. 4th vent; 6. Out foramen luschka (lateral) & magendie (medial); 7. Into subarachnoid space (around all CNS essentially); 8. Arachnoid villi; 9. Sup sag sinus; 10. I Jug
Cisterns of brain: what are they? What are a few? draw
They are enlargements in the space for CSF
Characteristics of normal CSF? function
clear, colorless, odorless; functions to support brain (so it floats… 1400 gram brain weighs 50 grams while floating)
Rate CSF made; amount of CSF in brain
CSF is made about 20 cc/hr, but total CSF is only 150 cc; therefore it must be reabsorbed or the stupid choroids plexus keeps making and you get hyrocephalus
Types of hydro
1.
2.
non-communicating usually obstruction of aqueduct or other small communication
Draw and label ventricles (figure →)
This is a great figure. Notice how anterior and posterior the horns traverse
What is within the vents making CSF?
Choroid plexus (yucky crappy looking stuff in dissection)
Describe the flow of CSF
1. lateral vents; 2. Foramen of monro; 3. 3rd Vent; 4. Cerebral aqueduct; 5. 4th vent; 6. Out foramen luschka (lateral) & magendie (medial); 7. Into subarachnoid space (around all CNS essentially); 8. Arachnoid villi; 9. Sup sag sinus; 10. I Jug
Cisterns of brain: what are they? What are a few? draw
They are enlargements in the space for CSF
Characteristics of normal CSF? function
clear, colorless, odorless; functions to support brain (so it floats… 1400 gram brain weighs 50 grams while floating)
Rate CSF made; amount of CSF in brain
CSF is made about 20 cc/hr, but total CSF is only 150 cc; therefore it must be reabsorbed or the stupid choroids plexus keeps making and you get hyrocephalus
Types of hydro
1.
2.
non-communicating usually obstruction of aqueduct or other small communication
Big picture of BS
Spinal cord like functions and integrative functions; 1. Acts as a conduit; 2. Gives rise to cranial nerves; 3. Integrative functions regulating respiration, cardiovascular and consciousness (via the reticular formation)
What are two main reasons for unconsciousness? Differentiate?
1.
2.
a lesion (possibly small) to the reticular formation
What type of fibers arise from the Edinger westphal nuc
Parasympathetic fibers to the iris, these fibers run with the third nerve; therefore with damage to the nerve or the nucleus you get a blown pupil (via release of parasympathetic drive)
What are the 5th nerve nuclei/function
Mesencephalic- propioception; Principal sensory- light touch; spinotrigeminal- pain and crude touch
First things to do when identifying BS nuclei
Which part of the brainstem? Is it medial (efferent) vs dorsolateral (afferent)
Why unilateral facial droop?
This is due to the fact that UMN were damaged, UMN for the forehead is bilateral, but face is only unilateral
What should you always do to make sure a patient is dead
You should check the “Dolls-Eyes” reflex→ eyes tend to stay back… dead they move with the head; Gag→ 9 in 10 out; corneal→ V2 in 7 out (blink)
Nuclei in the pons?
V-IIIV although 6-8 exit at the pontomedullary junction
Which is the only nerve to exit dorsal
The trochlear is the only nerve to exit dorsally, the trochlear also innervates the contralateral side
What are & function of mixed nuclei
V- facial sensation and mastication; VII- taste and 2/3 of tongue and facial expression; IX- Tase post 1/3 & swallowing; X- thoracic and abdominal viscera & speech, swallowing
Pure sensory nuclei?
1,2,8
Pure motor nuclei
3,4,6,11 (head/shoulder),12 (tongue movements)
SSA & SVA
SSA- hearing, vision, balance; SVA- olfaction & taste
GSE
Derived from mesoderm (tongue [12] and extraocular muscles [3,4,6])
What are the rest of the muscles called?
Branchiomeric as they develop from the brachial arches—they are innervated by the SVE
SVE
Motor of V, Motor of VII, Nucleus ambiguous (9,10) [controls striated muscles of larynx and pharynx], accessory 11
GVE
Parasympathetic preganglionic neurons, E-W (3), superior and inferior salivitory nucleus (7,9) [salivation and mucous glands], motor of vagus [10] heart lung gut
Sensory include
GVA/SVA; SSA; GSA
GVA/SSA
Solitary nucleus (7,9,10)→carotid body, larynx, pharynx, heart, lungs, guts
SSA
Choclear nucleus (8), Vestibular (8)
GSA
V1-V3 for trigeminal, mesencephalic nucleus of 5 (propiorception of jaw); principal sensory of 5; spinal trigeminal nucleus → pain and temp for head & neck
Draw path of sense info to cortex from face
Principal sensory of 5, VMP thal, to cortex; pain via spinal V nucleus
Corticobulbar describes?
It describes the motor tract for the face and neck (that rely on BS neuclei)
VL-input BG (SNr GPi) CB; output to motor & premotor cortex
Relay nuclei of the sensory system
VPL- Body – DCML and spinothalamic output to sensory cortex
The only sense that doesn’t go to thal?
Olfaction goes directly to cortex
What are the parts of diencephalon and their parts
1. Epithalamus- pineal, habenular nuclei; 2. Subthalamus- STN functionally related to BG; 3. Hypothalamus- reg autonomic function and drive- behaviour
What are the main thal projections?
Diffuse projection nuclei, and relay nuclei
General principles
Connections with cortex are bi-directional; parallel info remains segregated in the thal e.g. pain light touch, joint postion in VPL
What is the internal medulary lamina?
It is a Y shaped band of white matter that divides the thal into three main sections: 1. Anterior; 2. Medial; 3. Lateral
Draw and label thalamic nuclei, if you want state the connections
VA & VL do?
Input from BG, output to motor/premotor cortex
VPM & VPL do?
Inputs from sense BIG 4 & little 3; outputs primary sensory
AV
Limbic fuctions: input from hypothal via mamilothalamic, output to the cingulated (emotion & memory?)
DM
Limbic functions: input amygdala, olfactory cortx, output prefrontal cortex (planning, organizing behavior)
Intralaminar nuclei
Input – BS reticular activating system, spinal cord; output- frontal cortex, other Thal nuclei (regulates alertness, consciousness?)
CM
Most prominent intralaminar nucleus
Reticular nucleus
Input- corticothalamic and thamocortical collaterals
What is thalamic pain syndrome?
After damage even light touch can stimulate strong feelings of pain
Pulvinar
Projects, connects lots of parietal and temporal association cortex
Lecture 15: Basal Ganglia
What is the nucleus accumbens
Anterior region where the head of the caudate and putamen join, part of reward center, think drug addiction
Why do we consider caudate and putamen one structure
They start as one structure, they have the same function (as far as we can tell) but during development they become separated by the internal capsule
Striatum=
Caudate + Putamen
SNc vs SNr
Pars compacta (SNc) vs Pars reticulata (SNr)
What is the function of SNc?
This is the modulatory part of the substantia nigra that contains dopamine. It increases movement likelihood in two ways: 1. Increasing signal to the direct; 2. Inhibiting the indirect
What is hemibalism? Cause?
It is uncontrolled movements of one side of the body; it is caused by STN damage
Damage in PD?
PD results from selective loss of neurons (dopamine containing) in the SNc → PD always think decreased movement (with rx)
Board question: what does the BG do?
“Gating of movements”
Draw the BG circuit
A circuit is diagramed below… use for reference
Who are the players in the BG circuit?
1. caudate; 2. Putamen; 3. GPe; 4. GPi; 5. STN; 6. SNr; 7. SNc
BG principal input/output?
Input- BG input from cortex to the caudate and putamen
What (on movement) does activity in GPi/SNr do?
Activity in these areas inhibits movement
Where do direct / indirect path go?
Direct- goes from caudate/putamen to GPi/SNr directly
What does the direct path do in general?
It inhibits the inhibitory output of BG; therefore it increases movement
What are hyperkinetic movement diseases?
HD- ultimately affects whole striatum, STN can’t be inhibited, so the inhibitory output (to stop movement) is inhibited so you get more movement
Pacinian corpuscle does?
Responds best to vibration & pressure
Meissner?
Responds to lower frequency vibration
What kind of info to slow adapting and fast adapting carry?
Slow adapting carry information (usually poor temporal resolution), but they tell you a stimulus is happening
What do Golgi tendon organs tell you?
They give you the tension that the muscle is under (they are hypothesized to stop (muscle) contracting if damage will occur
Joint receptors tell you?
The syllabus says propioception (I can tell you that is wrong [except possibly for knee])… unkown what it does… it might be a primative (reasonably unused) system for propioception
Anterolateral made of what?
The spinothalamic & spinoreticulothalamic; pain/temp/crude touch
How would you test the anterolateral sys?
You could do hot/cold and pain (e.g. pin-prick)
DC-ML?
BIG 4 from body (except head)
What is magnification re: brain tissue?
It is the ratio of cortex vs the area on the body (e.g. the lips have lots of cortex for size.. why you don’t kiss with you knees)
How does the DCML sharpen information?
Like vision there is excitatory center with inhibitory surround, therefore the inhibition allows greater sensitivity for the center, without this inhib you would have worse 2-point discrimination
Describe two-point discrimination over body surface?
Two point discrimination is very good in areas that have large cortical representations (better to think this way than innervation density) think skin vs back
Where does sensory info project?
Thalamic (VPL/M) info goes to the granule cells in layer 4; and to the dendrites of pyramidal cells in 3,5,6; output 5,6
Map in 3a for?
Most anterior for muscle afferents
3b
Slow and rapid adapting mechanoreceptors (aka fine touch)
1
Rapidly adapting neurons with slightly larger fields
Most posterior (2)
Receives input from joint afferents
How does a doctor assess pain in pts?
They really can’t; one must trust a patient… this is one reason that pain is such a huge problem
Is pain a good thing?
Acute paint is a warning (and useful); chronic pain is not
Is pain objective? And features?
No, it is not a stimulus→ “an experience”: components of pain actual stimulus, emotional, and cognitive
What is allodynia?
The perception of pain to normally non-painful stimuli
hyperalgesia
Increased sensitivity to pain
How does aspirin reduce pain?
What is the diff between nocioceptive and neuropathic pain
Nocioceptive- Pain produced from tissue injury (A-delta & C fibers); Neuropathic- from damage to the CNS (post herpes, phantom limb, thalamic pain syndrome) BURNING pain
Why do C & A-delta respond to noxious?
They generally have free nerve endings
Why pain with nerve compression?
The large fibers are the first to be KO and the nocioceptive small fibers are the last (remember cyanotic hand video)
Without large fibers how is pain perceived
All pain is perceived as burning in the absence of large fiber information
How do NSAIDs reduce pain
Inhibition of cyclooxygenase (which normally makes prostaglandins) and sensitizes nerve endings to pain
Back to SC Lamina
Lamina I; name? respond to?
Lamina I; marginal zone; responds to noxious stimuli; many cell bodies in this lamina contribute to spinothal tract
Lamina II; same drill as above
Lamina II; substantia gelatinosa; small interneurons, many respond to noxious stim; primary afferent from small fibers
Lamin III & IV
Respond to BIG 4, does not increase activity to noxious stim
Lamina V
Inhibitory and excitatory effects to non- noxious stim; also excited by noxious stim
Lamina VI
Respond to joint movements
Study the sensitization figure at the end of this lecture
Focus on how NSAIDs work… like we are going to be doctors… and like should know this (at least)
Lamina V describe why loss of large fibers increase pain
Loss of large fibers normally are inhibitory (when non-noxious stimulus); therefore loss of this inhibitory input increases pain sensitivity
What is secondary hyperalgesia?
The SC via NMDA receptors becomes sensitized to specific pain stim; therefore “pre-emptive” analgesia is used to plastic changes do not happen in the spinal cord (even with general anesthesia)
Review amazing Lamina Diagram… draw and label if you want
What lesions cause thalamic pain?
Lesions in the medulla, mesencephalon, or thalamus→ essentially if the spinothalamic tract is disrupted along length
“Where” is pain in the cortex?
S1 and also in the cingulated… there are studies I can send if you are interested
What happens if you activate large fibers?
If you activate large fibers you can decrease pain; remember inhibitory activity… large and small fiber activity act as a gate for pain
→You produce analgesia; this is mediated by the projections from PAG medulla 5-HT (serotonin) cells of the nucleus raphe magnus to lamina I and V in dorsal horn (inhibit firing) →PAG cells have high [opiate receptors]; then opiates bind, and descend to inhibit the lamina I and V
Lecture 18: Clinical Demonstration: Movement disorders
What is a tremor
1. repetitive movement with frequency (regular); 2. Also has a specific location (hands fingers toes)
TRAP for PD what does it mean
T→ tremor; R→ rigidity; A→ Akinisia; P→ postural abnormality
What is the characteristic PD posture & walk
Flexed arm, flexed knee; tiny steps/ little to no arm swing; during Romberg test the patient will often fall back
What is TX for PD?
1. L-Dopa (side effects include dyskinesia [extra uncontrolled movements]); 2. Dopamine agonists- don’t get dyskinesias (short term) (side effects include drowsiness, sudden sleep onset); 3. DBS- this inhibits overactive area of STN, can modulate, but invasive
What is an action tremor?
Small physiological tremor in everyone, modulated by hunger, caffeine, sleep etc.
Essential tremor
Type of familial benign tremor, alcohol is the best tx to get rid of the tremor
HD characteristics
Chorea (dance) irregular non tremor-like movements
Dystonias
Think cervical dystonia- can use Botox to inhibit muscles, thought to be mediated via BG abnormality
Orofacial dyskinesia
Abnormal involuntary lip and tongue movements (choreaform)
Signs of CB damage
1. intention tremor (tremor during conscious movement); 2. Loss of coordinated automatic movemtns (ataxia); 3. Unable to learn new motor skills (but depends on side of CB damage)
Which CB peduncle is input only?
The middle CB peduncle; the superior is mostly output, with some input; the inferior has both input and output
Describe CB information flow
1. afferent fibers enter; 2. 2 projections [one to the cortex & one to the deep nucleus]; 3. Cortical activation; 4. Output neurons (purkinje cells) project to deep nuclei; 5. Deep nuclei fibers project out of CB
What are the main inputs to the CB?
1. vestibular nucleus (CN 8); 2. Spinal cord (sensory); 3. Pontine nuclei; 4. Reticular formation; 5. Inferior olive
Where to vestibular afferents enter?
Vestibular afferents project to the flocconodular lobe and the vermis, they enter through the inferior peduncle
Where do the spino CB tracts enter and info?
SpinoCB tracts enter though the inferior peduncle; there are 4 that project to anterior and posterior CB in gross somatotopic fashion;
How many maps in the CB?
There are two maps [ one in the anterior CB lobe, the other in the posterior] that are not highly organized [oriented head to head around the primary fissure]
Where do cortical afferents go in CB?
CorticopontoCB tract go to pontine nuclei, cross, and enter the contralateral CB hemisphere [form most of the mossy fibers];
What does reticuloCB tract do?
Carries corollary discharges associated with postural adjustments of axial muscles and head & eyes
OlivoCB tract
Largest single source of fibers into CB; redundant path [carries sensory and motor info]; they end as climbing fibers
Lesion of olives causes?
The same as if you have lesions to the CB
Major CB outputs
1. from deep nuclei (dentate example) efferent exit sup CB ped; innervate contralateral VL thal, then projects to motor cortex
Where do fibers from interposed and fastigial go?
They primarily exit the sup CB ped, but travel to the red nucleus; cells from red nucleus project in the rubrospinal tract
What is Gait Ataxia?
Wide irregular unsteady “dunken sailor’s”
What are other CB [damage] signs?
Hypotonia- lack of tone against passive movement; Lack of check- inability to stop actions quickly; tremor- intention tremor [worst at end of movement]; dysarthria; Nystagmus
Titubation
Is a truncal tremor
Molecular layer made of?
Mostly fibers but occasional stellate and basket cells
Characteristics of Purkinje cells
1. only source of output (to deep nuclei); 2. Dendritic tree is flat and fan shaped; 3. Perpendiclular to the folia
Characteristics of Granule cells
1. most numerous cell in brain; 2. Send fibers to the molecular layer, they run parallel to the folia, and interact with multiple purkinje cells; 3. Small cell body
Characteristics of basket cells
1. located deep in the molecular layer; 2. Similar to purkinje cells but smaller and dendritic tree is less dense; 3.
Stellate cells
Smaller than baskets; highly branched synapse on purkinje cells
Diagram mossy fiber inputs to CB
1. Dorsal spino CB tract enters via inferior CB ped; 2. ventral spino CB tract via sup CB ped; bring sensory and propioceptive info; 3. Reticulo spinal CB tract from head through sup; 4. CCT from arms via inferior
Vesibular inputs from
The vestibular nucleus via inferior CB ped
Cortical inputs
CortocopontoCB via middle CB ped
Postural control input
Reticular input from reticular nucleus, via inf CB ped; to the vermis and flocconodular lobe
Error system origin?
Climbing fibers from the inferior olive to all parts of CB
Diagram the outputs of the CB
Dentate→ VL/VA thal; interpositus→superior ped to red nucleus; fastigial→ reticular and vest nuclei
Main cortex cell type
Pyramidal cells
Describe cortical layers output & input
Synergists are?
In this instance: muscles that contribute to the same action
Characteristics of slow twitch?
1. long term-contraction; 2. Small twitch tension; 3. Little fatigueability; 4. Oxidative only; 5. Motor neuron tonic discharg
Characteristics of fast twitch?
1. high intensity short duration; 2. Large twitch tension; 3. Rapidly fatigue; 4. Anaerobic metabolism; 5. Motor neuron phasic discharge
What are the 3 kinds of motor neurons?
1. alpha- innervate fast & slow muscles; 2. Gamma- innervate contractile portion of spindle; 3. Beta- innervate all three
What do the two types of interneurons do in SC?
1. coordinates motor output between synergistic (& inhibits antagonist); 2. Provides feedback inhibition to motor neurons to regulate output
What is the final common pathway?
The alpha motor neuron, when it fires the cells it connects to (motor unit) will contract
Where do the cell bodies lie (alpha)
In the ventral horn of the SC, how is it layed out? Most ventral is extensiors (more dorsal is flexors) distal motor is lateral
What are the afferent types and characteristics
I (Ia Ib)- 13-20 micrometers (80-120 meters/sec)
Intrafusal vs. extrafu-sal characteristics?
Intra- they are the muscle spindles
Info about intrafusal fibers
1. ends still contract; 2. Middle contains bag (dynamic stretch sensors) and chain fibers (more receptive to absolute length)
Describe monosynaptic reflex arc
1. stretch excites the Ia afferent; 2. Signal to SC excites Ia efferent to stim same muscle, inhibit antagonist; 3. Central control causes contraction of gamma to keep sensor taught
What does spinal circuitry do?
1. Generates rhythmic patters of movement; 2. Muscle tone; 3. Coordinate reflexes; 4. Compensates for fatigue
Where are flexors, extensors, proximal/distal represented in ventral horn of SC?
Extensors are most ventral, flexors dorsal, proximal is medial and distal (like fingers) is lateral
Order that motor units activated?
Smallest recruited first, then larger, etc, this done because the smallest are the most finely controlled and smooth force progression
Reciprocal inhib is?
The concurrent stim of synergistic muscle and inhibition of antagonist muscles; this is mediated by the interneuron pool
Myotatic reflex does?
Automatic load compensation during movements and postures; unexpected changes in load increase/decrease muscle force
Clasp-Knife does
Mediated by golgi, there to stop damage (from too much activity from happening)
What is the flexion/extension reflex?
When you step on a nail the ipsilateral foot is flexed (withdrawn) and the contralateral leg is extended; therefore you stay upright
Spinal shock is?
Loss of reflexes following cord transection; reflexes return within months and it is thought to be mediated through the loss of normal signal to the SC cells→hyper-reflexia
(Again) what innervates extra and intra muscles
Extrafusal muscles- force are innervated by the alphas
Please give origin and termination of
Lat-vest-spinal tract
O: lateral and vestibular nuclei; T: Ipsilateral cord all levels
Med-vest-spin-tract
O: medial and descending vest nuclei; T: bilateral cervical cord innervating neck muscles
Reticulo-spinal tract
O: medullary and pontine reticular formation T: all levels of contralateral cord
Rubro-spina l
O: red nucleus; T: contralateral cord (mainly cervical in humans)
Cortico-spinal
O: cortex Brodmann’s areas (BA) 4,6,3,1,2,7 ; T: conralateral cord all levels
Bilateral lesions of cortico-spinal cause?
Initially quite deficit (type of spinal shock?); then recovered most function; couldn’t ever control fingers
Bi- lesion rubro = ?
This leads to slightly more proximal difficulties
Rubro + cortico-spinal tracts are?
This is the lateral system and is responsible for fine, and distal limb movements
Vestibulo-spinal lesions cause?
Could not sit up (medial system) but could do all of the lateral movement things (e.g. fine finger and arm movements)
Which system does the vermis use?
The midline via fastigial nucleus to medial systems (reticulospinal & vestibulospinal)
What then do paravermis and hemispheres use?
To the lateral descending system
Where do the fibers come from in corticospinal system
55% from BA 4, 35% from BA 3,2,1, and 10% from association cortex
What are some targets of the cortico-spinal tract
Brainstem (both motor and sensory structures); red nuc, reticular formation, inferior olive, lateral redic, gracilis nuc, cuneatus nucleus; biggest one is interneurons in SC
What are some functions of inter-neurons?
coordination: 1. agonist/antagonist at a single joint via reciprocal innervation; 2. Complex multiple limb movements flexion withdrawal reflex; 3. Rhythmic movements
Differences between the lateral and medial descending pathways
Origin; lateral are only crossed, medial are bilateral; lateral usually contact MN directly medial doesn’t
What layer does the cortico-spinal tract arise in?
Layer 5 Betz cells (gigantic)
What is encoded in M1 (BA 4)
Force, “groups of muscles”, direction of movement, sensory signals related to movement, context that a muscle is used
What are the general points of vest system
Wholly subconscious; 2. Multimodal (equilibrium vision inputs); 3. Adaptable (constantly changing growth) landsickness
2 main parts of vest?
Otolith organs (utricle & saccule) which detect head tilt and linear accelerations & semicircular canals which detect rotations
Sensory epithelium of otoliths is?
Macula; hair cells imbedded in membrane which also has otoliths imbedded; head tilt induces it to pull on the cilia
Where is the saccule
Just beneath the utricle, perpendicular to saccula (macula orientation)
What is the sensory epi set up on the semicircular cannals?
Ampula is the region of dilatation, there is a stiff region the cupula that moves in the ampulla. Endolymph rotation induces movement opposite that of head roation
Where is the vest. Ganglion, what does it connect?
Scarpa’s ganglion in the internal aud. Meatus, has bipolar ganglion cells that innervate the hair cells and form part of 8th nerve
What are the parts of the vestibular gangia?
1. superior; 2. Medial; 3. Lateral; inferior → each of these has a specific set of connections with the 3rd, 4th, 6th nuclei for VOR
Lateral vest nucl input is from?
(Deiter’s nucleus); receives input from the macula of the utricle; sends output to the vestibulo-spinal tract mostly for the antigravity muscles
Medial and sup get input from?
Mostly cristae of the semi-circular cannals; axons send input to MLF [which mediate eye and neck movements]
Inferior get input from?
(descending vest-nucl) gets input from both semi-circ and maculi of utricle and saccule;
Vestibular reflexes divisions?
1. vision- attempts to stabalize image on retina [eyes shift opposite direction of head-DOLLS EYES [dead]; 2. Postural- ; 3. Righting- brings head to horizontal irrespective of the body position- head righting is lost if otoliths are destroyed
What mediates postural reflexes
Lateral vestibulospinal tract, mainly to gamma motor neurons which change muscle done (alpha a fair amount too); TONIC drive also gives tone to muscle
What is the vestibulocollic reflex
Just like VOR but for head (think chicken walk)
What does the VOR do to muscles?
Head turn L, Eyes rotate right; therefore you must stimulate the muscles on the R and inhibit the ones on the left; this is done by contralateral input (R semi inhibits L side muscles)
What are the functions of the Outer, middle, inner ear?
Outer (pinna and aud canal)- amplify and filter sounds; Middle (cavity and ossicles- amplify pressure and alow gain control; inner- cochlea
How does the pinna amplify sound? Aud cannal?
It collects sounds over a wide area and projects it towards the auditory canal; Auditory canal acts as a resonant chamber for sounds in the range of voice; this is up to 20 dB (100x)
Why does the middle ear exits (or at least one reason)
The middle ear exists so that you can collect pressure on the tympanic membrane and transduse it to fluid (which requires 20 time more force) without middle ear you loose 30dB
How is gain controlled in the middle ear
The tensor tympani muscles (analogous in fxn to pupil) which are innervated by (CN V)—maleus and incus; stapedius from facial nerve CN VII
What is the helicotrema
End of the basilar membrane space; connection between the scala vestibuli and scala typani
Describe the spatial frequency on basilar mem
Stiff at start floppy at end, related to where basilar is most deformed with differing frequencies
Organ of Corti is?
The name given to the sensory/motor/membranes that make sound transduction possible
Why is sound transduced by the hair cells
Because hair cells are deformed due to being imbedded in two types of membranes with different properties of stiff/floppy; motion opens ion channels
Why don’t you get single ear deficits?
There is lots of cross-talk between the ears throughout the auditory system. Therefore you don’t get deficits (lasting)
What are the three main auditory paths?
1. Classical- this is the most important for understanding; 2 & 3. Are interested in determining the source location of sounds
Classical pathway
1. spiral ganglion; 2. Cochlear nucleus→ acoustic stria and trapezoid body; 3. Inferior colliculus; 4. MGN; 5. BA 41
What are the parts of cochlear nucleus
The DCN → inferior colliculus (classical pathway)
What are the divisions of the inf colliculus?
1. central → largest component and is for the classical pathway [very sharp frequency tuning] also from LSO & MSO; 2. Pericentral → inputs from cortex and AVCN; 3. External → integrates somatosensory and acoustic inputs
Three subnuclei of MGN
1. dorsal→ broad tuning for frequency (no tonotopy [location?]); 2. Ventral→ primary for the classical pathway; 3. Medial → broad tuning but has tonotopic organization
What does cortical (auditory) damage do in a human?
It decreases ability to localize and move towards (although you can reflexively respond) and you have difficulties with the specific timing and tone parameters (why speech is a problem)
What does the MSO do?
It compares time of arrival in each ear do determine location of sound origin (for each frequency)
Why does the LSO input from the contra ear stop off?
It needs to be changed to an inhibitory signal, by doing this you get to compare the absolute intensity that each ear received
What is the trade off for rods vs cones
Rods are fast (and more sensitive to light) but slow to respond to following changes; cones can respond quickly but need more light to function
What does light do to RM potential in cell?
It decreases the resting membrane potential (hyperpolarizing the cells)
What is the threshold of independent sound discrimination?
About 1800 Hz in humans
Which component of sound requires binaurality for effective discrimination?
Perception of the direction of propagation to localize sounds
What are the components of the outer ear?
External meatus (auditory canal)
Describe pinna function.
Amplification and directional filtering (ear most sensitive to sounds from the front)
Describe external auditory meatus function.
Filtering through resonance. Especially good at amplifying frequencies between 2-6000Hz
What kind of gain does the external ear provide?
About 20 db
What implications does a less versatile, smaller pinna have for human hearing?
Amplification not as dependent on the pinna, localization not deterred
What comprises the middle ear? What is its function?
Tympanic membrane
How do the ossicles provide amplification?
Area ratio (tm: oval window, 20:1)
How does the middle ear provide gain control?
Action of two muscles attached to the ossicles:
Explain auditory hypersensitivity in Bell’s palsy and/or myasthenia gravis.
Loss of control over middle ear muscles prevent the ossicles from effectively dampening sound—can result in inner ear damage.
What comprises the inner ear?
Cochlea (ventral)
Where is the sensory apparatus of the ear located?
In the membranous labyrinth, tube contained within bony cochlea
What is the modiolus?
Axis of the bony spiral
Describe the relationship of the labyrinths within the cochlea.
Membranous labyrinth divides the osseous labyrinth into the scala vestibuli and the scala tympany
What parts of the membranous labyrinth partition the scala vestibuli and scala tympani from the cochlear duct?
Reisner’s membrane and basilar membrane, respectively
What is the cochlear duct?
Canal formed by membranous labyrinth
Describe the path of sound from stapes to hair cell.
Stapes vibrates oval window. Pressure waves travel through scala vestibuli across the basilar membrane, dissipated by movements of round window. Meets hair cells in the organ of Corti on top of the basilar membrane
Where is high frequency energy best transmitted along the basilar membrane? Why?
Through the basal end, near the cochlea, because it is stiffer there. Lower frequency waves may transmit through more of the basilar membane, and are generally “detected” at the apical end. This has to do with the variable compliancy of the basilar membrane: it is stiffer on the basal side near the cochlea and wider and more compliant at the apical end.
Where is the round window? The oval window? How does the function differ?
The round window is at the end of the cochlea, at the end of the scala tympany. It helps dissipate the pressure waves.
Describe changes in the displacement waves as they move down the basilar membrane.
The traveling wave increases in amplitude as it moves through the cochlea, until it reaches a point where it induces the maximal membrane movement. Then it dies out rapidly. The location along the membrane is characteristic for a particular frequency.
Described how sound frequencies are “mapped” along the length of the basilar membrane.
The changing characteristics of the basilar membrane make it differentially responsive to fluid pressure waves of varying frequencies. Because the membrane becomes more compliant and wider towards the apical surface (distal to the cochlear entrance), lower frequencies cause the greatest membrane displacement at points further along the basilar membrane than those of higher frequency.
What is the organ of Corti?
Specialized epithelial structure on top oof the basilar membrane that contains the hair cells.
What is the tectorial membrane?
Gelatinous “membrane” in which the stereocillia (microvilli) of the hair cells invests in. Movements of the basilar and tectorial membranes provides a mechanism for the detection of sound by transducing the pressure waves into electrical energy.
How do hair cells transduce fluid pressure energy?
Bending hairs opens stretch-sensitive cation channels causing depolarization. Bending in the other direction causes hyperpolarization.. Depolarization causes transmitter release onto an auditory neuron, increasing the firing rate of neuron.
Describe the path of sound transduction by the ear.
Sound→ tympanic membrane vibration→ ossicle vibration→ oval window→ basilar membrane traveling wave→ shear of hair cell stereocilia→ cation flux→ receptor potential→ increase in transmitter release→ excitation of ongoing discharges in auditory neuron
What are the types of hair cells? What do they do? Where are they located?
Inner hair cells located in row closest to modiolus. Sensory structures, communicate with brain via auditory neurons in nerve.
How are inner hair cells innervated?
By radial fibers from bipolar cells in spiral ganglion. 20 radial neurons to 1 inner hair cells.
How are outer hair cells innervated?
From olivocochlear bundle from contralateral superior olivary complex, mostly all direct efferent connections.
What is characteristic frequency?
Frequency at which a particular hair cell is responsive (tip of V)
How do characteristic frequencies of hair cells change along the basilar membrane?
High to low
Describe the idea of “labeled lines”
Concept that types of stimuli are transmitted by particular cells. Particular hair cells transduce and transmit information about only a particular (sometimes group of) frequency (cies).
What is “phase-locking” and what component of sound does it encode?
Encodes “timing” of acoustic events.
How is sound intensity encodes?
Firing rate of individual neurons or by the number of activated fibers.
How does the frequency range that a particular hair cell responds to, change with increasing amplitude?
The range becomes larger
How does the rate of firing change at the beginning and at the end of an auditory event?
Dramatic increase in firing at the beginning, drop off (below basal activity) when it ends.
What is tonotopy?
Systematic arrangement of neurons according to their frequency tuning
Why is there such extensive bilateral convergence in the auditory system?
Sound localization
Describe “step 1” in the auditory system, from cochlea to brain stem.
Bipolar neurons (cell bodies in spiral ganglion) relay signal from hair cells in cochlea, through auditory nerve, intl brain stem.
Describe the course of auditory nerve fibers from the brain stem cochlear nucleus to the inferior colliculus.
Fibers from cochlear nucleus decussate in the acoustic stria and trapezoid body
Where does the lateral lemniscus send collaterals as it ascends to the inferior colliculus?
Superior olivary complex
In what tracts do fibers from the cochlear nucleus cross the brainstem?
Acoustic stria
From where does the inferior colliculus receive projections? What is its function?
Lateral lemniscus (from cochlear)
To where does the inferior colliculus project?
Contralateral inferior colliculus
Where does the medial geniculate nucleus project?
To auditory cortex
What is are the auditory radiations?
Projections from MGN to auditory cortex
What are the components of the cochlear nucleus? How are the fibers organized?
Dorsal (DCN)
What different cell types are contained within the three tonotopic subdivisions of the cochlear nucleus?
DCN—fusiform, “pausers”
How do pausers, primary-like, and onset neurons function?
Pausers, respond with few spikes at onset of auditory stimulation, pause, then train of spikes for duration of stimulus
Secondary cells of the auditory processing system are contained within which structure? Give three examples.
Cochlear nucleus:
Where does the DCN project?
Pauser cells project to contralateral inferior colliculus
Where do onset cells project? From which region of the cochlear nucleus?
Onset cells project to pontine nuclei (then to inferior colliculi)
Where do AVCN cells project? What type of cells are these?
Primary like cells project to the pontine nuclei
What are the direct and indirect pathways in acoustic processing? Which nuclei and cell types are involved?
Direct. From DCN to contralateral inferior colliculus. Pauser cells.
What function does the direct pathway have and how is this different from the indirect pathway?
The direct pathway is likely involved in sound identification while the indirect pathway integrates binaural information and contributes to sound localization
What are two binaural cues?
Interaural intensity differences
What is IID and what is the threshold for human detection?
Interaural intensity differences. Idea that contralateral ear detects a lower intensity sound.
What is ITD, what is the human threshold? How does this compare with the duration of an action potential?
Interaural time differences.
Which structure seems to be primarily responsible for binaural stimuli integration? Which nuclei contribute?
Pontine nuclei
What is the initial site for IID detection? What inputs does it receive?
Lateral superior olive
What is the NTB? Where does it project? What information does it receive? What kind of output does it have?
Nuclei of the trapezoid body
How does the LSO encode IID information?
Particular neurons have different selectivity for various IID, received from the AVCN and the NTB
Where is binaural time comparison occur?
Medial superior olive
Describes the composition of the MSO.
Ribbon of spindle-shaped cells with two primary dendrites (medial and lateral)
Where do inputs from the ipsilateral AVCN go (in the MSO)?
To the lateral dendrites.
Medial dendrites of MSO neurons receive information from ___?
Contralateral AVCN
How is the inferior colliculus divided?
Central
Where does the classical ascending pathway project?
Central nucleus of the inferior colliculus
What projects to the pericentral, external, and central nucleus of the inferior colliculus?
Pericentral—strong descending projection from auditory cortex
What region integrates SS and acoustic inputs?
External nucleus of the inferior colliculus
Which nucleus contains neurons with a well defined CF and sharp frequency tuning?
Central nucleus
How are frequencies represented in the central nucleus of the inferior colliculus?
Tonotopically (low dorsal, high ventral)
What nuclei comprise the MGN? Which is involved in the “classical” pathway?
Dorsal
From where do the other regions receive information?
Dorsal—pericentral nucleus
Which MGN nuclei are tonotopically organized?
Ventral and Medial
What BA is the primary auditory cortex? What are its inputs/outputs?
Area 41
Describe the different dimension of organization in the primary auditory cortex.
Tonotopic bands (medial high frequency→)
Where are other auditory fields located? What is their function?
Belt around AI
What are the connections of AII?
Reciprocal with Dorsal MGN and project to pericentral nucleus of inferior colliculus
Describes the classical pathway.
Central nucleus of inferior colliculus→ ventral of medial geniculate→A1 of auditory cortex
Alternative pathway.
Pericentral nucleus of inferior colliculus->dorsal MGN→AII of auditory
What defects does a cortical lesion have on auditory function?
Sound localization and recognition of temporal sound patterns
Medial geniculate
CN: DCN, AVCN, PVCN
Be able to draw pathways
What type of image do the cornea and lens produce on the retina?
Real, inverted image
What types of photoreceptors does the human eye contain (two types and then subtypes)?
Rods
What is the fovea? What photoreceptors are located here?
Central portion of the visual field
What properties of the photoreceptors allows for such high visual acuity in the fovea?
Cones are thinner, allowing for denser packing, and smaller area: cone ratio
What accounts for the “pit-like” appearance of the fovea?
Other cells between the light source and the photoreceptors are pushed aside to reduce light scattering
Where are rods located? How might this affect how one looks at dim light and why?
Mostly in periphery
What are the three segments of a photoreceptor? What are the basic contents/function of each segment?
Outer segment: visual pigment molecules, responsible for absorbing light and generating the electrical signal
How does the structure of the photosensitive membranes in rods and cones differ?
Rods. Series of intracellular discs, surrounded by a separate outer envelope.
What are pigment epithelial cells? What is their function?
Epithelial cells on back of eye, in contact with photoreceptors
Where are melanin granules located? What do they do?
Located in pigment epithelial cells
Describe turnover of the outer segments.
Discs are continuously made and shed from the tip of the outer segment.
Describe the structure of visual pigments in rods and cones.
Similar structure in both. Protein portion and a chromophore, 11 cis-isomer of vitamin A (retinal)
What is the general structure of the rod pigment?
Rhodopsin contains opsin (7 transmembrane protein) and chromophore (retinal) that lies between the helices of opsin
Why does rhodopsin appear to be red? How does this property correspond with the ability to see dim light?
Absorbs light near 500 nm, which is bluish-green
What happens when retinal (bound to the protein) absorbs light?
11-cis→ all-trans form producing metarhodopsin II. Involves activation of G-protein cascade, all-trans retinal released from opsin by hydrolysis
What are the light reactions in the phototransduction cascade?
Photoisomerization of retinal from 11-cis to all-trans
What are dark reactions?
The reactions following photoisomerization of 11-cis retinal that proceed spontaneously
What does it mean that light “bleaches” rhodopsin?
Light causes photoisomerization of retinal to all-trans form which is eventually cleaved from the opsin molecule.
How does the photoreceptor “unbleach”?
11-cis is regenerated enzymatically and spontaneously rejoins opsin
What proteins are involved in the light-activated signal transduction pathway? What do they do?
Metarhodopsin II (all-trans retinal-opsin) stimulates transducin (GTP-binding protein)→ activates cGMP phosophdiesterase→ hydrolysis of cGMP→ closes cGMP-gated cationic channels
What is the end result of cGMP hydrolysis?
Closing of cGMP-gated cationic channels
What happens when metarhodopsin II binds transducin?
Exchange of GDP for GTP, resulting in activation of cGMP PDE
Describe the deactivation of the phototransduction pathway.
Metarhodopsin II is phosophorylated by rhodopsin kinase and binding of arrestin
Alpha-subunit of transducin?
What is “bradyopsia”? What can cause it?
Slow vision, diminished visual acuity for moving objects
What is the polarization state of the outer segment in darkness? In lightness? What causes this?
Dark: depolarized, cationic channels open
How is stimulus strength encoded by photoreceptors?
Response amplitude
What is the threshold of stimulation that will result in photoreceptor hyperpolarization? What is required for conscious perception of light?
1 photon
What is thermal isomerization of rhodopsin and how does this relate to dim light perception and the stability of rhodopsin?
Thermal isomerization is the decay of rhodopsin. Since it is indistinguishable from light-mediated bleaching, sets a limit on ability to perceive dim light
How do the synapses of photoreceptors onto horizontal and bipolar cells differ from regular synapses?
Ribbon synapses, contain 100s of vesicles and release increases steadily as function of membrane production
What is the NT released by photoreceptors and how does light affect this release?
Glutamate
What types of glutamate receptors are involved in the post synaptic response and how does this define bipolar cell types?
Metabotropic→ depolarization→ “On” cells
How do on and off cells respond to light?
On cells (metabotropic) depolarize in light
What are other names for on and off bipolar cells?
D and H bipolar cells
How is the retina organized?
Photoreceptors and horizontals to bipolars and horizontals in outer plexiform layer
What are amacrine cells? Where are they located and what are inputs/outputs?
Diverse group of neurons forming the inner plexiform layer
What is the “direct path” in the retina?
Photoreceptor→ bipolar→ RGC
What are the different types of bipolar cells, other than “on” or “off”?
Rod bipolars (receive input from multiple rods)
Similarly, what are the different types of RGCs?
Midget ganglion cells (usu 1 midget bipolar)
How does the spatial resolution of parasol cells related to that of midget cells?
Lower spatial resolution
Which NTs are released by the retina (and by which cells)?
Glutamate: rods, cones, bipolars
What are interplexiform cells?
Neurons that relay info from inner layers of retina back to horizontal cells in outer plexiform layer
How does a horizontal cell respond to light? What type of stimulus is best to activate this response?
Graded hyperpolarization
What is a receptive field?
Region of retina that influences the activity of a cell when stimulated by light
What is a receptive field “surround”?
Region around center of receptive field that gives opposite response to light (than center)
Why would a light falling on both the center and surround of a receptive field elicit any bipolar cell response?
B/c surround signals are delayed by traveling through additional synapse
What type of stimulus that most depolarized the Off-bipolar?
Dark spot on bright background
How do negative feedback synapses regulate surround of receptive fields in bipolars? What cell types is responsive to this?
Horizontal cells modulate response of photoreceptors presynaptically.
Why do bipolar cells have center surround receptive fields?
Important form of data compression that gives more significance to points of contrast rather than intensity at every point
What is spatial contrast?
Degree to which a region is brighter or darker than surrounding regions
Most ganglion cells carry which type of information?
Most have center-surround receptive fields, so carry information about spatial contrast
How is surround receptive field mediated for retinal ganglion cells?
Response of bipolar cells (on-bipolar cells antagonized by light in surround)
What are two major classes of ganglion cells?
Magnocellular (parasol), respond transiently and have larger receptive fields, spatial and temportal contrast
What is univariance? How does this apply to color processing?
Any receptor with a single binding site cannot encode identity of ligand (wavelength) separately from concentration of ligand (intensity)
What is an action spectra?
Measurements based on light responses
Describe structure of the three cone pigments.
Similar to rhodopsin. 7-tm protein, with chromatophore
What is protanopia?
Red-pigment lacking color blindness
What is deuteranopia?
Green-pigment deficient color blindness
What is tritanopia?
Blue-cone lacking color blindness
Which is the most rare?
Tritanopia
What is anomalous trichromacy?
Trichromatic but have a mutation which shifts the absorption spectrum of one of the pigments
What is achromatopsia? What causes this?
Failure to see colors but not patterns, with normal cones
How might one view the color red given non-white illumination?
Computation of “reflectance” from ratio of reflect and incident spectral intensities
What are double color opponent cells? Where are they located?
Located in parvocellular layer of LGN
Chapter 27: Visual System I
What are scotomas?
Regions of blindness in the visual field
What is diplopia when does it happen?
It is double vision; it occurs for multiple reasons the most important being the fact that CN or CN nuclei are damaged
What parts of each eye does the R monocular hit
R monocular hits L temporal and R nasal
Describe path of visual information starting at fovea (to cortex exclude brainstem stopoffs)
1. hit fovea- travel to optic nerve; 2. Leave eye as optic nerve; 3. Both nasal portions cross at the chiasm; 4. LGN; 5. Optic radiations [ upper bank in parietal is lower visual field], Meyer’s loop (lower bank) is in temporal lobe; 6. Cuneate- lower visual field & Lingual- upper visual field
Describe other light pathways
1. Suprachiasmatic nucleus- SCN above the chiasm, gets info about light/day conditions, helps entrain circadian rhythm sends output to pineal; 2. 10% of info goes to BS (two places) a. to the superior colliculus, b. to the pretectal nucleus→E-W nucleus→ciliary ganglion→ constrict muscles
What optic N. called after chiasm?
Optic tract- it not has information from only one hemi-field
Right optic tract cut deficit
Both eye L visual hemi-field= L homonymous hemianopsia
Thalamo-cortical path is responsible for (cognitive)
The things we normally associate with vision, perception, object recognition, depth perception, color vision
stimulate sup colic in monkey what happens
You evoke saccadic eye movements, important as it is subconscious, brings eyes to interesting things (e.g. flash)
What is E-W input, output and action
Input is from the pretectal nucleus which somehow calculates light intensity; output Is parasympathetic to the ciliary ganglion→ iris sphincter muscles to constrict
Which layers are contralateral in LGN; who cares?
1/4/6; I remember 1+4 = 5 is contra
One possible function of LGN?
To ensure that visual information from each eye is precisely aligned before being sent to the cortex
Which layers ore P & M
1 & 2 are M; 3→ 6 are P and carry color information and center surround info
What are the M cells good at then?
They are very good at timing issues, where as P are not→ nor is the downstream cortical area
What is the koniocellular pathway
This is a new (ish) path that carries blue info to the cortex; it is between the other LGN layers
Why synapes at LGN if no info transformed?
It receives input from cortex and probably acts as a gate; (from fact that only 10% of synapses are LGN, rest cortex)
History note→
Much of the primary visual cortex was mapped during WWI due to the high number of people with damage from bullets (I just like this fact… a lot… just takes an observant eye/brain)
How is info transformed at cortical level
Info goes from spots (on/off center) to line segments; ~80% of cells in V1 are orientation selective; these cells also display direction (movement) selectivity
What are the exceptions to orientation select
Some V1 cells have receptive fields that are the same as LGN (on off center cells)→ maybe important for timing?
What are the two main cells types in V1?
Stellate and pyramidal cells; most stellate are in layer IV, most pyramidal are in 2,3,5,6
What are the response prop in other than layer 4
They are complex in general, and send their output to other cortical areas
How is orientation selectivity organized
Orientation colums (cortical layers 1-6) all respond best to the same line orientation
As you travel across cortex how does orientation select change?
1 & 2 columns; 3 shows that orientation selectivity smoothly changes from column to column (can hit 90 degree switches though)
How quick does the change occur (distance)
About 10 degree change every 25-50μm (180 degrees/ 0.5-1 mm)
Hubel and Wiesel thought it was a grid, but how is it really?
Not layed out in a grid, more complex, but the idea is the same
What are CO blobs what do they do?
CO blobs are the regions that get color information in V1 and are insensitive to orientation
What does each square mm of cortex contain
All the machinery necessary to analyze one patch of visual field for orientation, color, and eye of origin→ together this is a functional module or hypercolum
Where are the binocular cells?
They are in layer 3 and get input from layer 4 from both eyes; but those closest to the border for each eye are the most binocular
In general what does the striate cortex do?
1. efficiently represents important features (lines etc); 2. Unifies both eye input; 3. Functional architechture for line orientation
What is extrastriate visual cortex?
Cortex outside of V1 that deals with vision, but is processing higher level (more complex/abstract) representations
What are the 2 main visual pathways
1. dorsal pathway→ concerned with where things are (“where” pathway, might be better to think about as “how” path… how would I act on a ball for example): 2. Ventral pathway→ “what” pathway responsible for determining the specific object (what it is, not caring about where)
What is blindsight
Ability of people (without conscious perception) to act correctly on visual stim, mediated by sup colic
What does visual agnosia mean
“agnosia” not knowing
Apperceptive agnosia
These people cannot copy; can’t recognize due to more visual deficits
Associative agnosia
These people can copy, but have problems with the semantic or visual object recognition point; they may be able to recognize when presented physically etc.
What is extinction
Can “see” in both R and L visual fields but if stimulated in both at the same time, misses one of the stimuli (always on the contralateral side to damge)
What is ventral simultagnosia?
Patients have difficulty perceiving multiple objects (no matter where they are in space)
Cerebral akinotopsia
These patients have difficulty sensing motion, and is often from damage that includes the posterior middle temp gyrus (like MT)
Cerebral achromatopsia
Inability to precieve color (usually damage is unilateral, as is the deficit)→ associated damage: inferior occipitotemporal cortex BA 37/19
Prosopagnosia
Iniability to recognize faces, in this deficit you selectively loose the ability to distinguish familiar objects (faces, birds (if a birder), goats, etc.)
Monkey studies and lesion location object vs. landmark
Monkey MT does
Motion; receives input from the direction selective cells; think cerebral akinotopsia
V4
Color area (think cerebral achromatopsia); fine discrimination; major output is to temporal areas “what” path
Attention influence general principals
Many areas of higher/association cortex don’t respond to visual stimulation without the modulation of either being awake or attentive (or both); essentially you can block out processing and access to consciousness if you focusing
What (again) are the input layers of cotex
4c alpha & 4 c beta
Neglect in humans
“Oh I missed something on that page? It must be on my left I guess.”
Define sleep
1. little movement; 2. Stereotypic posture; 3. Reduced response to ext. stim; 4. And it is reversible
What are the EEG properties of wake
Low voltage fast (16-25 Hz) ossilation
Sleep stages and EEG findings
Stage 1: EEG decreases, EOG slow rolling eye movements, theta waves 3-7 Hz
What is the sleep cycle and progression
Sleep onset and consequences
Retrograde amnesia→ can’t remember a phone call or page in night, sleep deprived can enter REM directly,
How does sleep change as we age
At birth 16-18 hours w/o consolidation → progression to consolidation and sleep ~8 hrs/day→ old age can’t sleep in later phase of sleep morning so up early (need naps)
How is motor activity inhibited during REM
By the pontis oralis inhibitory connections to the ventromedial medullary reticular formation
Important edocrine changes
1. Human growth hormone is stimulated by sleep (typical time, but increased greatly if you are asleep); 2. TSH peak in the late evening but are suppressed by sleep; 3. Melatonin from the pineal is secreted during sleep, function is unknown; 4. Prolactin increased greatly in sleep (both sexes); 5. Gonadatropins, (LH) and FSH: first released during sleep in puberty, LH secreted during sleep and not wake
What does the pontine locus coeruleus do? Who else does this
Stimulates wakefulness; also by 1. Midbrain dorsal raphe nuclei; 2. Tuberomamilary nucleus, basal forbrain, lateral dorsal tegmentum,
How is NREM mediated
Active inhibition of most of the neurons in the hypothalamus, temp may mediate this
How is REM mediated?
Cholinergic neurons in the basal forbrain, lateral dorsal tegmentum and pedunculopontine nuclei are active during REM
What do high/low amplitude EEG signify
High amp signifies synchrony it has nothing to do with activity low equals asynchronous→ likely from thalamocortical oscillations
Insomnia means
Difficulty initiating or consolidating sleep (20-33% of people have), shor sleep time, or non-restorative sleep
Narcolepsy
Tetrad of symptoms: 1. Cataplexy [sudden loss of muscle tone]; 2. Excessive daytime sleepiness; 3. Hypnagogic hallucination (dream-like experiences at sleep onset); 4. Sleep paralysis (conscious but unable to move)
Apnea 2 kinds
1.
2.
central → CHF and premature/ young infants possibly because BStem isn’t mature
Parasomnias
Movements and behaviours occurring during sleep; sleepwalking, night terrors, RLS
Facts about sleepwalking
First third of night; 15 seconds →30 min; sitting, standing, walking, fumbling with objects
RLS
Strong almost compulsive desire to move legs, often feelings of things crawling in lefs, worse if the leg is at rest; treated with dopamine drugs
Night terrors
Stage 3 & 4 sleep most common in children; terrified and scream; sleep terrors are usually not remembered
REM sleep behavior disorder
Man fights wolf from eating wife→ really hitting wife
Physiologic changes in sleep
1. active heat loss; lower volume more concentrated urine; less digestion; decreased responsivity to senses
What does sleep do to TSh levels
It actively suppresses TSH thereby decreasing metabolism
What are the 3 main stages of dev?
1. neuron generation (neurogenesis); 2. Extend axons (pathway/target selection); 3. Selecting the correct connections (address selection)
Where is the zone of proliferation?
Near the ventricles→ cells here divide and eventually give rise to the whole nervous system
Interkinetic nucl migration
The progression from G1 → mitosis and the location that each timepoint the cell portray (diagramed above)
What is the order of cell generation
From the inside out (later neuons must migrate through previous layers to get to their specific spot)
How is position related to generation time?
The early time points end up in earlier layers (6 & 5) that the ones that divide later “birthdating”
What does a radial glia do?
Provides a guide to the migrating neuron
Why design a system where the cell has to move?
In this way the cell can sense the environmental signals and determine what type of cell to become
When are neurons and glia made
In general neurons are made first, once this is complete the glia are made, tumors may arise from these remaining NSC in the SVZ
What happens to the radial glia after dev
The radial glia actually degenerate
How do cells (in layers) know what to become?
Determined by environment, but early cells (layer 6) multipotent (later cells like 3) cannot go back to being layer 6 cells only forward to 1,2 etc.
How do NSC know to make glia
Neurons make glial growth factor with inhibits NSC from making neurons, then they make glia
How are axons guided?
axons have growth cones →
What are guidpost cells
Just what they sound like, they are waypoints that the cell has to pass in order to reach its destination
What is required for early circuitry development?
Molecular cues, but the later fine circuitry development is based upon activity
What is the visual critical period?
The idea that correct vision (no strabismus cataracts etc) is required to accurately prune and finalize the circuit
What happens if you cover an eye during critical period?
If an eye is covered during the critical period it is devoid of stimulation; the adjacent area (in this case other eye) gobbles up the cortex [uses it itself]
What does the above test tell you?
That stimulation is required for normal wiring; that if quiet, adjacent areas make stronger connections and use the “unused” cortex
So what mechanism explains this phenomenon
Competition; this is a constant act; through practice or experience we get better [one reason] because cortical areas gobble up more to have more cortical representation
How could you prove activity is required?
Inject TTX into cat’s eyes [bilateral]; no ocular dominance formed, b/c there was no competition→ this is the exact experiment that was performed to prove this
At the cellular level how could competition change wiring?
Wiring could be changed by LTP/LTD mechanisms to the point that if a synapse isn’t used (or some low threshold) the synapse is endocytosed [while more & stronger connections of the others are made]
Why does this competition lead to lasting structural changes?
The cells during the critical period are competing for limited resources (neurotrophic factors); when they don’t get enough they retract
What can this competition allow?
It can allow the matching of the number of pre & post synaptic terminals
Glia make up __% of brain cells
90% of cells, but because they are smaller about 50% of volume
What are the two main classes of glia
1. microglia→ are phagocytes that mobilize after injury, infection or disease [derived from meso not ecto]; 2. Macroglia→ the main type of glia in the brain→ two main tys the astocytes and oligodendrocytes
What is know about the fxn of astrocytes
Both have end-foot dilations that contact and surround the capillaries and arterioles throughout the brain (BBB); they also envelope synapses
What are the two types of astrocytes
Protoplasmic & Fibrous→ they may have different functions but it isn’t know, they are probably different cells (from different lineage) as their surface has different proteins expressed
What are the two types of oligos?
1.
2.
interfasicular- white matter
What do perineuronals do
Adhere to somas of neurons (not myelinating)… the might actually be microglia and not astrocytes (unknown)
And interfasicular
Myelinate axons from 1-30 of them
What are the main proteins in myelin
1. proteolypid protein (PLP)-- transmembrain; 2. Myelin basic protein (MBP)—cytoplasmic
Where/when do glia develop
They develop in the SVZ following neurons; they also migrate along the radial glia
What controls oligo dev? And why is the number perfect for myelination?
It seems as though neurons control the # of oligos, there are no bare patches and no spare oligos; PDGF (platelet-derived GF) increases oligo division (made if astrocytes are close to electrically active neurons)
What happens to the others?
They undergo apoptosis (about 2x as many are mad as are needed)
What is distinct about glia membrane properties vs neurons
No dendrites; axon; or synapes; -90 mV resting membrane potential; therefore primarily permeable to K+
Why can K+ be taken up by glia? What is it called?
K+ can be taken up b/c of nernst equation; therefore the glia “buffer” by quickly taking up K+
What do astrocytes do?
Unknown (but lots of theories); structural support; insulate synapes; maintain ECF [K+]; BBB; nourish neuons; promote neuronal survival (via trophic factors); synapse formation; NT spillover (re-uptake)
What happens to neurons w/o glia?
You can form synapes (but low #) and they are 100 times less active
What are the different types of memory?
Declarative (explicit/episodic/recent) memory
What is declarative memory?
Memory that mediates conscious recollection of events and facts
How can declarative memory be tested?
Presentation of words/items to remember, and after a delay ask to recognize or recall items
What type of memory is impaired in global amnesia? What is global amnesia?
Declarative memory
What sort of lesion characterizes anterograde amnesia?
Medial-temporal brain regions (HM) or
What sort of lesion did HM have?
Bilateral medio-temporal lobectomies
What is Korsakoff’s syndrome?
Consequence of long-term alcoholism (usually) or vitamin deficiency that leads to progressive destruction of the periaqueductal or periventricular regions that may spread to the mamillary bodies
How might unilateral medio-temporal lobe or diencephalic damage present?
As material-specific amnesia (left-sides with learning verbal material, right-sided with learning nonverbal material)
What lesion might result in an inability to learn new verbal material?
Due to a left sided medial-temporal or diencephalic lesion
What evidence is there that medial temporal lobe structures are not involved in storage of long term memory?
HM did not have retrograde amnesia, must mean that those memories are stored elsewhere. However, MT lobe is important for consolidation of declarative memory
In what disease is there progressive damage to entorhinal and hippocampal brain regions? What type of memory does this impair?
Alzheimer’s disease
Developmental abnormalities are common to which two disorders?
Schizophrenia
What region may be important for emotional aspects of memory?
Amygdala
What is procedural memory?
Memory that mediates forms of skill learning
How is procedural memory measured?
By progressive improvements in speed or accuracy by a subject across different sessions
What is classical conditioning? To which type of memory is it most closely related?
Association learning between some unconditioned stimulus with an unconditioned response to form a conditioned response
What type of memory is frequently impaired in individuals with basal ganglia disease? What are three examples?
Usually skill learning (procedural memory)
What types of learning/memory are impaired with cerebellar disease?
Skill learning and classical conditioning (procedural memory)
What is repetition priming?
Change in speed, accuracy, or bias with which repeated stimuli are processed relative to either their initial processing or some baseline
Do most amnesiac patients have normal or abnormal repetition priming?
Normal
What is perceptual priming?
Form specific processes involved in stimulus identification
What is conceptual priming?
Meaning-related processes involved in stimulus comprehension
Plasticity in modality-specific input cortices (like visual, auditory, etc) is demonstrated with which kind of priming?
Perceptual priming
Which type of priming is associated with multi-modal (association) cortices?
Conceptual priming
Repetition priming is associated with more or less activation in cortical regions?
Less
What is working memory?
Mnemonic processes involved in temporary storage of information being presently used
What are “memory buffers”
Refer to areas of brain that hold information
What are executive working-memory processes?
Hold goal-oriented information in mind and guide mental and motor action
Where are the executive working-memory regions located?
Prefrontal neocortex
What type of memory processes are important for strategic memory performance?
Executive working memory
Why might HD or PD patients have trouble with executive working memory deficits?
Frontal lobes may be impaired or basal ganglion may play a role (b/c of communication with frontal lobe structures)
Is working memory the path to long term memory?
No. These are actually processed in parallel.
In the most general sense what is aphasia?
It is a disturbance in the ability to understand or produce speech (but not motor deficits) e.g. grammar/syntax
Can deaf (signers) get aphasia?
Yes; therefore this machinery isn’t simply for sound interpretation but for grammar and syntax
What is syntax
The grammatical structure of sentences
What are language issues based on motor problems called?
Dystarthria→ this is important because dysarthria leaves language comprehension completely intact
How is the language circuit conceptualized now
A series of regions that perform functions on the material and form bidirectional communication (neural network)
What does a broca’s aphasic sound like
Telegraphic speech, correct nouns, slow, halting, usually unable to repeat sentence unless highly stereotyped (but meaning is there); called nonfluent; also can’t determine who does the action in reversible sentences “the boy was kicked by the girl” who kicked who?
Wernicke’s aphasia
Speech is fluent (in that it is effortless sounding), but utterly meaningless; they make lots of paraphasias
What is a paraphasia? Who cares
When you select the wrong word for your meaning, there are semantic- ocean vs pond apple vs lemon
Global aphasia
Usually from and M1 occlusion of the MCA (whole L hemisphere) person can’t really comprehend or produce
What is sham rage?
Characteristic set of behaviors elicited by removal of the neocortex and dorsal part of diencephalons (in cats)
Stimulation of the VM hypothalamus may lead to what types of behaviors (in cats)?
Defensive behaviors
Stimulation of the L hypothalamus may lead to what types of behaviors (again, cats)?
Attack behaviors
Describe the Papez circuit
Major connection between hypothalamus to cortex: through mamillary bodies to anterior thalamus to cingulate gyrus
What are the major components of the limbic system?
-amygdala
What is Kluver-Bucy syndrome?
Results from bilateral temporal lobe ablations
What does Kluver-Bucy indicate for the role of limbic structures?
Lots of things: in particular that may be involved in selective attention (esp amygdala)
Lesions of which area produce an increase in sham rage/aggression?
Septal nuclei
Where are benzodiazepines most effective at inducing their anxiolytic effects?
In the amygdala
What is the primary site of action of cocaine and amphetamines?
At the nucleus accumbens (DA-ergic inputs from VTA)
What are the primary drug actions of cocaine and amphetamine
Cocaine: block reuptake of DA
What is the primary site of action of opiates?
VTA
Review the paths to and from the amygdala and hippocampus.
Where is the amygdala located?
Deep to the medial surface of the temporal lobe
What are the different amygdalar nuclei?
Corticomedial group (cortical, medial, central nuclei)
What are the afferents to the central nucleus?
From other limbic structures: septal nuclei, VMH
What are the afferents to the basolateral amygdala?
Limbic: cingulated cortex, DM and intralaminar thalamus
What are the two major efferent amygdalar tracts?
Stria terminalis: VM and medial preoptic hypothalamus)
What are other connections from the amygdala?
Direct projection to prefrontal cortex
What comprises the hippocampal formation?
Hippocampus, dentate gyrus, subiculum, entorhinal cortex
Describe the cortical composition of the hippocampal formation
Allocortex. Hippocampus and dentate have archicortex (three layered) while entorhinal is six layered. The subiculum shows the transition from 3→6 layers
What is ammon’s horn?
Hippocampus proper
Describe the internal connections of the hippocampal formation.
Most inputs to formation go to entorhinal
What are the perforant pathways?
Projections from entorhinal cortex to the granule cells in the dentate gyrus
What type of fibers project from the granule cells of the dentate gyrus to Ammon’s horn? What cell type do they terminate on?
Mossy fibers
What are the most prominent cell type of the dentate gyrus?
Granule cells
What does CA refer to?
Cornu ammonis
What are CA-4 and CA-3 projections called? Where do they go to?
Schaeffer collaterals
Where do cells of the hippocampal commissure originate?
Dentate gyrus and ammon’s horn
What is the psalterium?
Fiber tract of hippocampal commissure
How do inputs to entorhinal cortex compare with inputs to the amygdala?
Entorhinal inputs are from the association cortices and represent polymodal sensory areas
Where do the efferents from the subiculum go?
To the fornix (anterior thalamus, mamillary bodies, cingulated cortex)
What extrinsic connections project to areas of the formation outside of the entorhinal cortex and subiculum?
Locus coeruleus and Raphe nucleus to ammon’s horn
What are the components of the septal region?
Lateral and medial septal nuclei
Name the major septal nuclei efferents
Amygdale and hippocampal formation and anterior and DM thalamus
What are the major afferents of the septum?
Input from reticular system: raphe, locus coeruleus, substantia nigra
Which hypothalamic area sends diffuse projections all over the neocortex?
Lateral hypothalamus
Lecture 36: fMRI
What is the basis for BOLD
Detection of oxygenated vs deoxygenated blood, this changes the field strength and therefore the MR signal; you can detect on a second time scale and it is analogous to the specific regions requiring blood
What does increased signal mean in fMRI?
It means the area is engaged in processing, but has no information as to whether or not it is required for a specific function
DTI
Measures white matter tracts (diffusion tensor imaging) looks at restricted (spatially) diffusion of H2O
Diffusion clinical reason
Clinically this is the most important scan for stroke. It is sensitive within minutes to the decoupling of metabolism and restricted diffusion
What does the anatomy of the corpus callosum (CC) tell you about function
The CC anatomically connects areas of the brain in very stereotyped ways: anterior does anterior structures of the brain, posterior the same (e.g. striate, temporal, parietal)
What is “a” main function for the CC
Inerhemispheric transfer of information
How does one communicate with the R hem
Use as little verbal information as possible
What is the R hem good at?
Spatial manipulation and other nonverbal skills