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21 Cards in this Set

  • Front
  • Back
Ventrolateral system with 3 parts
pain (1st pain, 2nd pain), temperature, and crude touch
Dysesthesia
abnormal response to a somatic stimulus; unpleasantness
Paresthesia
sponatneous sensation,
Algesia
painful sensation
Analgesia
absence of pain
Hypalgesia
reduction in painful response to a painful stimulus
Hyperalgesia
increased painful response to a painful stimulus
Allodynia
painful response to a normally innocuous stimulus
Sensory receptors for ventrolateral system
mechanoreceptors, bare nerve endings
nociceptors (bare nerve endings not associated with nonneural specialization)
high threshold mechanoreceptor
part of A delta axon and signals first pain
Polymodal nociceptor
responds to several modalities of intense stimuli (mechanical, heat, and irritant chemical) , associated with C sensory neurons and signal second pain

respond to protons (acid), algesic substances released during intense stimulation like bradykinin, histamine, prostaglandins and 5HT
polymodal nociceptor originally called
capsaicin receptor because it responded to capsaicin in chili peppers that induces sensation of heat, ion channel that allows Ca2+ to enter
Capsaicin receptors respond directly to
heat, protons, and capsaicin of chili peppers
capsaicin receptors respond indirectly to
G proteins, algesic substances like bradykinin and prostaglandins
new name for capsaicin receptor
TRPV1 which are part of TRP family (transient receptor potential protein)
fast pain and thermal sense is conducted via
small myelinated axons; A delta fibers
slow pain and some thermal sense is conducted via
unmyelinated C axons
Fast pain pathway
from spinal cord to thalamus --> ventroposterolateral nucleus = neospinothalamic pathway

from thalamus to cortex --> post central gyrus

allows us to localize and discriminate painful stimuli
Slow pain pathway
from spinal cord to thalamus --> intralaminar nuclei in the thalamus = paleospinothalamic pathway

from thalamus to cortex --> cortical areas activated : ss1, ss2, anterior cingulate gyrus, and insular cortex
spinoreticular pathway: 3 components with 3 functions
activates descending pain control pathway (periaqueductal gray of midbrain); to produce arousal of cortex areas (reticular activating system); to provide back up activation of nociceptive areas of thalamus
opiods and opioid receptors are concentrated in the
periaqueductal gray and dorsal horn