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278 Cards in this Set

  • Front
  • Back
specialized nerve cells or nerve cell terminals that are able to detect specific stimuli
sensory receptors
sensory receptors that detect outside stimuli
exteroceptors
sensory receptors that detect inside stimuli
enteroceptors
the region of space where receptor will respond to adequate stimulus
receptive field
the conversion of the original form of energy into electrical energy (action potential)
stimulus transduction
graded change in membrane potential that requires a sufficient amplitude to trigger an action potential
receptor potential
the four attributes of a physical stimulus
modality, intensity, duration, location
type or form of energy
modality
level of stimulation; coded by frequency of action potentials
intensity
tells us how long the stimulus is present, whether the receptors are slow or fast adapting
duration
sensitivity of the region depends on receptor __
density
the minimal interstimulus distance required to perceive two simultaneously applied stimuli as distinct
2-point discrimination
these fibers transmit information from the periphery to the spinal cord, then to the brain
sensory afferents
the cell bodies of the sensory afferents are located here
dorsal root ganglion
the axons of the sensory afferent axons terminate on the interneurons in the __ __
dorsal horn
these sensory afferents are 13-22 micrometers in diameter, conduct at a rate of 70-120 m/s, and primarily function as alpha motor neurons and muscle spindle primary endings
Aa; Ia, Ib
these sensory afferents are 8-13 micrometers in diameter, conduct at 40-70 m/s, and function in touch, kinesthesia, muscle spindle secondary endings
AB, II
these sensory afferents are 4-8 micrometers, conduct at 15-40 m/s, and function in touch, pressure, and gamma motor drive
Agamma
these sensory afferents are 1-4 micrometers in diameter, conduct at 5-15 m/s, and function in pain, crude touch, pressure, and temperature
Adelta, III
these sensory afferents are 1-3 micrometers, conduct at 3-14 m/s, and function as pre-ganglionic autonomics
B
these sensory afferents are 0.1-1 in diameter, conduct at 0.2-2 m/s, and function in pain, touch, pressure, temperature, and post-ganglionic autonomics
C, IV
these two types of receptors in the somatic sensory system detect light touch, vibration, pressure, and cutaneous tension
mechanoreceptors and proprioceptors
these two types of receptors in the somatic sensory system detect pain and temperature
nociceptors and thermoreceptors
these receptors are located in the dermal papillae, the fingers, palms, and toes; they respond to light touch and detect the texture of objects and are low threshold and rapidly adapting
Meissner's corpuscles
Meissner's corpuscles represent __%of the sensory innervation of the hand
40
These receptors are in the epidermis, aligned with papillae beneath dermal ridges; they discriminate edges, shapes, and rough texture with light pressure; they have slowly adapting axons and are dense in the fingertips lips, and external genitalia (VERY sensitive)
Merkel disks
Merkel disks make up __% of the mechanoreceptors in the hand
25
These receptors are located in the subcutaneous tissue and are made up of a laminar capsule surrounding a single afferent nerve fiber; they detect deep pressure and high frequency and have large receptive fields, and are rapidly adapting and have a low response threshold
Pacinian corpuscles
Pacinian corpuscles account for __-__% of the innervation of the hand
10-15
these receptors are long and spindle shaped and are located deep in the skin, ligaments, and tendons; they are particularly sensitive to cutaneous stretch and are slowly adapting
Ruffini Corpuscles
Ruffini corpuscles account for __% of the receptors in the hand
20
these receptors are located in every tissue of the body except nervous tissue; they are unspecialized free nervous endings and do not adapt, and pick up pain
nociceptors
this type of pain usually occurs within 0.1 s after stimulation, and is transmitter over the Adelta fibers; it is an acute, sharp, pricking type of pain
First (fast) pain
this type of pain occurs 1 second or more after stimulation, and it increases in intensity over time; it is a chronic, burning, aching, throbbing pain and it is transmitted by the unmyelinated C fibers
Second (slow) pain
these types of nociceptors are associated with unmyelinated C fibers and respond to chemical, thermal, and mechanical stimuli
Polymodal
these receptors are free nerve endings with receptive fields on the skin surface; they detect temperature changes
thermoreceptors
cool thermoreceptors are activated by temperatures between __ and __º C, with the highest firing rate being at __
5-40, 25
warm thermoreceptors are activated by temperatures between __ and __ºC, with the highest firing rate at __
29-45, 45
this is a phenomenon that occurs when you present a hot stimulus to a cold thermoreceptor, and it perceives it as cold
paradoxical cold
the sense of limb movement
kinesthesia
a sense of where limbs are in space
limb position sense
the two components of proprioception
kinesthesia and limb position sense
these receptors are small encapsulated sensory receptors that are arranged in parallel with striated muscle fibers; they provide information about the length of the muscle
muscle spindles
muscle spindles contain these types of sensory afferent fibers
IA and II
this is an intrafusal fiber that has single file nuclei, and are thin and short
nuclear chain fibers
this is an intrafusal fiber that has nuclei clustered at the center, and are thicker, and have both static and dynamic types
nuclear bag fibers
this is the primary, or annulospiral sensory afferent in muscle spindles; they encircle the center of all the intrafusals and are rapidly adapting (fire continuously throughout the stretch then cease once the stretch is finished)
IA
this is the secondary, or flower spray sensory afferent in muscle spindles; they innervate the end of the chain and the static bag and do not go to the dynamic bag; they are slowly adapting; they respond during stretch but maintain the firing rate after the muscle has stopped moving
II
these are the spindle efferent fibers that innervate the intrafusal muscle fibers and run in the peripheral nerves along with alpha motor neurons
gamma motor neurons
these gamma efferents innervate the chain and static bag fibers, and cause them to shorten, increasing the firing rate of IA and II afferents without a change in the extrafusal length
static
these gamma efferents innervate dynamic bag fibers, and cause the polar regions to contract, resulting in increased polar region resistance to stretch and thus increased sensitivity to velocity changes
dynamic
this organ is located in the muscle-tendon junction and is distributed among the collagen fibers of the tendon; it responds to muscle tension and force when the tendon pulls on the organ
golgi tendon organ
each golgi tendon organ is innervated by 1 of which type of afferent nerve?
IB
the somatosensory system is a __ neuron pathway
3
the first order neuron of the somatosensory system is located in the __ __ __, and the axon extends into the spinal cord via the dorsal horn to the synapse
dorsal root ganglion
the second order neuron of the somatosensory system is located in the___; the fibers cross the midline and ascend to the___ and synapse
thalamus
the third order neuron of the somatosensory system originates in the thalamus and travels to synapse on the __ __ __
primary sensory cortex
this pathway carries information from the mechanoreceptors about tactile discrimination (light touch), proprioception, and vibration
dorsal column medial lemniscus
the second order neuron of the dorsal column medial lemniscus pathway synapses at the __ __ __ nucleus of the thalamus
ventral posterior lateral
the two components of the posterior funiculus, which is made up of the dorsal columns of the spinal cord; the information ascends ipsilaterally into the medulla
fasiculus gracilis and fasiculus cuneatus
the third order neuron of the dorsal column medial lemniscus pathway terminates on the __ __ of the parietal lobe, in the __ __ cortex
postcentral gyrus; primary somatosensory
the four Brodmann's areas in the primary somatosensory cortex
1,2 3a and 3b
the primary somatosensory cortex projects to the __ __ cortex and other regions
secondary somatosensory
the spinothalamic pathway functions in perception of what three modalities
pain, temperature, and crude touch
where do the first order neurons of the spinothalamic pathway terminate?
the dorsal horn of the spinal cord
where do the second order neurons of the spinothalamic pathway terminate?
the ventral posterior lateral nucleus of the thalamus
where do the third order neurons of the spinothalamic pathway terminate?
the somatosensory cortex
this pathway/sensory system transmits information about touch and pressure and pain and temperature sensation from the face
trigeminal pathway
the first order neuron for touch and pressure of the trigeminal system terminates in the __ __
principal nucleus
the first order neurons for the trigeminal system enter the brainstem at the __
pons
the first order neurons for pain and temperature in the trigeminal system terminate in the __ __ of the medulla
spinal nucleus
the second order neurons of the trigeminal pathway terminate where?
the ventral posterior medial nucleus of the thalamus
the third order neurons of the trigeminal pathway terminate where?
cortical neurons in layer IV of the somatosensory cortex
this sensory pathway relays unconscious proprioceptive information to the cerebellum; the input comes from the body and provides information relative to the muscles and joints
spinocerebellar
the first order neurons of the spinocerebellar pathway synapse where?
Clarke's column (C8-L3) and the gray matter above and below these levels
the second order neurons of the spinocerebellar pathway synapse where?
terminate as mossy fibers in the vermis of the cerebellum
the second order neurons of the spinocerebellar pathway enter the cerebellum via the __ __ __.
inferior cerebellar peduncle
these levels of the spinocerebellar pathway provide sensory feedback from the upper extremities during evolving movements
C1-C7 (aka spinocuneocerebellar)
these levels of the spinocerebellar pathway provide the cerebellum with sensory feedback from the LE and trunk during evolving movements
C8-L3 (aka dorsal spinocerebellar)
these levels of the spinocerebellar pathway carry internally generated information about central locomotor rhythm
L4-S1 (aka ventral spinocerebellar)
this is the area of the skin that is innervated by the nerve fibers comprising a dorsal root
dermatome
Disruption of the medial lemniscal pathway by a lesion would result in loss of what sensations?
light touch, proprioception, and vibration
hemisection of the spinothalamic tract would result in loss of what sensations?
pain, temperature, and crude touch
this syndrome occurs when there is a hemisection of the spinal cord that results in contralateral loss of pain, temperature, and crude touch and ipsilateral loss of fine discrimination, active touch, proprioception, and vibration
Brown-Sequard syndrome
an infarct of the trigeminal pathway would result in a loss of what sensations contralateral to the lesion?
pain/temperature and touch/pressure
a lesion in the spinocerebellar pathway would lead to what issues?
uncoordinated movement and a lack of body awareness (dysmetria and ataxia)
a disease that is associated with impaired ability to judge distance or range of movement (overshooting)
dysmetria
this is a disease that is associated with uncoordinated movement and loss of order of joint motions
ataxia
the cervical spinal enlargement occurs at these levels
C5-T1
the lumbar spinal enlargement occurs at these levels
L2-S3
these are the two branches of spinal nerves
ventral and dorsal
this branch of the spinal nerve carries the axons of motor neurons
ventral
this branch of the spinal nerve carries the axons of sensory neurons
dorsal
this structure contains the cell bodies of the sensory neurons
dorsal root ganglion
this is a structure where spinal nerves join together to serve a particular area; each contains fibers from more than one spinal nerve
plexus
nerves that emerge from plexuses are __ nerves
peripheral
this is a fast, involuntary, unplanned sequence of actions that occur in response to a stimulus
reflex
this is the pathway followed by nerve impulses to produce a reflex
reflex arc
these are 1 or more regions of gray matter in the CNS that serve to accept sensory information and send it out via a motor neuron
integrating center
stretching leads to an increase in this afferent activity
Ia
the tendon reflex is mediated by which organ located in the muscle tendon?
Golgi tendon organ
this reflex prevents the muscle from being overloaded; it normalizes muscle tension in the optimal range and enables us to handle delicate objects while exerting a steady grip
tendon reflex
this is the sensory afferent that is being activated during the tendon reflex
IB
is the tendon reflex polysynaptic or monosynaptic?
polysynaptic
this is the phenomenon by which the agonist is excited and the antagonist is inhibited, or vice versa during a reflex
reciprocal innervation
this reflex is produced by a noxious stimulus, and is polysynaptic; it results in ipsilateral flexor excitation and extensor inhibition; allows for withdrawal of the limb from the noxious stimulus while maintaining balance and posture
flexor withdrawal reflex (crossed extension flexor withdrawal reflex)
this is a proposed mechanism that is said to control the timing and coordination of complex movement patterns; it is a neural network of interneurons that is capable of generating a rhythmic pattern of motor activity in the absence of movement related sensory input from peripheral receptors
central pattern generator
the signs of this syndrome include damage to the descending pathways of the brain and brainstem, loss of voluntary movements, spasticity, increased tone, and overactive reflexes, and a positive Babinski's sign
upper motor neuron syndrome
this syndrome is damage to the cell bodies in the brain stem and spinal cord; muscles become weaker, reflexes are absent, there is decreased muscle tone, paralysis, and areflexia
lower motor neuron syndrome
this disease presents with a slow degeneration of the neurons controlling movement (both U and L motor neurons); the person has atrophy and weakness, and eventually voluntary movement is lost; may affect the diaphragm
amyotrophic lateral sclerosis (ALS)
these nociceptor axons conduct at 5-30 m/s and respond to dangerously intense mechanical stimuli or thermal stimuli
A delta
these nociceptor axons conduct at about 2 m/s and are polymodal; they respond to thermal, mechanical, and chemical stimuli
C fibers
thermal nociceptors are activated at temperature extremes of greater than __ and less than __ºC
45, 5
these types of afferent fibers modify the quality and characteristics of pain
Aa and Ab (large diameter)
this is the excitatory neurotransmitter of Adelta and C afferents that is used by nociceptive afferents to mediate synaptic transmission onto dorsal horn neurons
glutamate
this substance is released from C afferents; it enhances and prolongs the actions of glutamate and the excitability of the dorsal horn neurons
neuropeptides (substance P)
this is an altered pain response where there is enhanced sensitivity to stimulation in an area around injured tissue; mildly painful stimuli are perceived as significantly more painful
hyperalgesia
this is a pain response that occurs when non-painful stimuli are perceived as painful
allodynia
this is a phenomenon that occurs when previously unresponsive nociceptive endings become responsive (have a lower threshold for activation); it is caused by the release of chemicals that activate or decrease the threshold for nociceptors (histamine, prostaglandin, bradykinin)
peripheral sensitization
this is a stimulation of sensory neurons that leads to the release of inflammatory mediators (substance P and CGRP) that produces vasodilation, plasma extravasation, and hypersensitivity
neurogenic inflammation
this phenomenon occurs when there is a hyperexcitability of dorsal horn neurons; occurs when there is repetitive, continuous C fiber firing
central sensitization
where do the central pain pathways synapse?
Rexed's laminae
These are 10 layers of spinal gray matter that are arranged from dorsal to ventral and classified according to cellular structure
Rexed's laminae
this layer of Rexed's laminae contains the posteromarginal nucleus, and has pain and temperature pathways
lamina I
this layer of Rexed's laminae contains the substantia gelatinosa, and contains pain and temperature pathways that are by interneuron only
lamina II
this layer of Rexed's laminae contains the substantia gelatinosa and contains pathways for pain by mechanoreceptors
lamina III
these layers of Rexed's laminae contain the nucleus proprius and contains pain pathways by mechanoreceptors
lamina IV, V, VI
this layer of Rexed's laminae contains the nucleus dorsalis/Clarke's nucleus and interomedial nucleus; contains 2nd order proprioceptive neurons for LEs and preganglionic sympathetics
lamina VII
this layer of Rexed's laminae contains motor nuclei and transmits via interneurons
lamina VIII
this layer of Rexed's laminae contains motor nuclei and transmits via alpha motor neurons
lamina IX
this layer of rexed's laminae contains neurons surrounding the central canal and contains commissural neurons for pain and temperature sensation
X
the anterolateral system arises from second order neurons in which laminae?
I, IV, V
in the gate control theory, these afferent fibers inhibit the firing of neurons in the nociceptive pathway, closing the gate
Ab
in the gate control theory, these afferent fibers excite spinothalamic neurons but inhibit the firing of lamina II inhibitory interneurons, opening the gate
Adelta and C fibers
electrical or chemical stimulation of this area in the midbrain can produce relief of pain by activating descending pain modulating pathways that inhibit nociceptive neurons in the spinal cord
periaqueductal gray (PAG)
this pain phenomenon is when there is a tingling or burning sensation of pain in an amputated body part that occurs when central pain processing circuits are still active in the absence of peripheral inputs
phantom pain
the cerebral cortex can best be seen in the __ plane of the brain
coronal
there are __ layers of the cerebral cortex that are primarily named for the shapes of the cell bodies within that layer
6
this type of stain shows the types of dendrites and axons within the layers of the cortex
Golgi stain
this type of stain shows the cell bodies within the layers of the cortex
Nissi stain
this type of stain shows the myelin and axons that are present within the layers of the cortex
Weigert stain
this layer of the cerebral cortex has granular cell bodies and the axons project horizontally
I (molecular layer)
this layer of the cerebral cortex has granular cell bodies and the axons project to deeper layers in the same cortical area
II (External granular layer)
This layer of the cerebral cortex has pyramidal cell bodies and has axons that project to other cortical areas or to the same area in the opposite hemisphere
III (external pyramidal layer)
this layer of the cerebral cortex has granular cell bodies and has axons that receive the bulk of input from the thalamus
IV (internal granular layer)
this layer of the cerebral cortex has pyramidal cell bodies with axons that project to subcortical centers
V (internal pyramidal layer)
this layer of cerebral cortex has fusiform cell bodies and has axons that project to other areas of cortex and to subcortical centers
VI (multiform layer)
neurons that are in one hemisphere of the cortex can project to the other hemisphere via this structure
corpus callosum
this is a ridge in the brain
gyrus
this is a valley in the brain
sulcus
this is a deep valley in the brain
fissure
the primary motor cortex is located in this area of the brain
precentral gyrus
The primary motor cortex is often labeled as Brodmann's area __
4
the premotor cortex is located in Brodmann's area __
6
this is an area in the brain that is located anterior to the primary motor cortex and is involved in motor planning
premotor cortex
these are the four components of the premotor cortex
Premotor Dorsal (PMd), Premotor ventral (PMv), Supplementary Motor Area (SMA), and the Cingulate Motor Area (CMA)
the function of this area of the brain is to execute voluntary movement through activation of the muscle via spinal motoneurons
primary motor cortex
the function of this section of the premotor cortex is to plan "where" to move; gives the body information about the location of an object
Premotor Dorsal
the function of this section of the premotor cortex is to plan "what" to move; gives the body information about the properties of the object
Premotor Ventral
this area of the premotor cortex is involved in sequence learning (series activation of movement) and imagined movements "motor imagery"
Supplementary motor area
this area of the premotor cortex is located on the very medial portion of the cortex, and it's function is still widely unknown, however it has been proposed that it is involved in planning voluntary movements with respect to reward
Cingulate motor area
this concept states that multiple pieces of information from multiple cortical neurons come together to activate a single spinal motoneuron
convergence
this concept states that a single piece of information is spread to multiple spinal motoneurons
divergence
this idea states that the use, or non-use, of a muscle can change its cortical representation (change in the somatotopic map)
neuroplasticity
this descending motor pathway is the most direct pathway from the cortex to the spinal motoneurons
the corticospinal tract
From where does the corticospinal tract originate?
many areas in the frontal and parietal lobes
about __% of the axons in the corticospinal tract come from the primary motor cortex
30
about __% of the axons in the corticospinal tract come from the non-primary motor areas (SMA, PM, CMA)
30
about __% of the axons in the corticospinal tract come from the parietal lobe (Brodmann's areas 1,2,3,5 and 7)
40
Corticospinal tract axons arise from the large and small pyramid-shaped cell bodies in cortical layer __
V
The axons of the corticospinal pathway pass through the __ __ after leaving the cortex
corona radiata
the axons of the corticospinal tract enter the brain where?
the internal capsule
within the internal capsule, the corticospinal neurons are located within the __ limb
posterior
the axons in the corticospinal tract that come from the nonprimary motor areas pass through the __ and the __ 1/3 of the internal capsule
genu, anterior
the axons in the corticospinal tract that come from the primary motor cortex pass through the __ 1/3 of the internal capsule
middle
the axons in the corticospinal tract that come from the parietal areas pass just __ to the M1 axons in the internal capsule
posterior
As the axons of the corticospinal tract descend through the internal capsule, they shift posteriorly and pass below the __
thalamus
After passing below the thalamus, the axons of the corticospinal pathway descend through the middle 1/3 of the __ __ of the midbrain
cerebral peduncle
After descending through the cerebral peduncle, the axons of the corticospinal pathway go to the __, where they pass around nuclei
pons
After they pass around nuclei in the pons, the axons of the cerebrospinal tract enter the __ to form pyramids
medulla
At this junction, the majority of the fibers of the corticospinal tract cross the midline (decussate) to become the lateral corticospinal tract
spinomedullary junction
At the spinomedullary junction, about __% of the corticospinal axons cross the midline to become the lateral CST
85
The remaining axons that did not cross at the spinomedullary junction continue to descend uncrossed as the __ corticospinal tract
ventral
axons traveling in the __ corticospinal tract tend to synapse on motoneurons and interneurons involved in the control of more distal musculature
lateral
axons traveling in the __ corticospinal tract tend to synapse on motoneurons and interneurons involved in the control of more proximal limb muscles and axial musculature
ventral
Less than __% of the axons in the corticospinal tract recross the midline in the spinal cord and terminate on the ventral horn ipsilateral to their origin
10%
the first order neurons in the vestibulospinal tract come from the __ __ in cranial nerve __
vestibular ganglion, VII
the first order neurons in the vestibulospinal tract enter the brainstem at the __ __ junction
lateral pontomedullary
the first order neurons in the vestibulospinal tract synapse on __ vestibular nuclei after entering the brainstem at the lateral pontomedullary junction
4 (superior, lateral, inferior, and medial)
some of the 1st order fibers of the vestibulospinal tract also go straight to the __ of the brain
cerebellum
the second order neurons from the lateral vestibular ganglion form the __ __ tract
lateral vestibulospinal
the second order neurons from the medial vestibular ganglion form the __ __ tract
medial vestibulospinal
the __ vestibulospinal tract prefers axial and proximal limb motorneuron pools
lateral
the __ vestibulospinal tract controls axial muscles related to head and neck movements
medial
the origin of the reticulospinal tract is the __ __
reticular formation
The most important source of input to the reticular formation are these areas
the bilateral motor areas (primary motor cortex, premotor cortex, and supplementary motor area)
the reticulospinal tract in man exists as a scattered bundle of fibers, terminating primarily in the __ portion of the spinal gray matter at or above the __ enlargement
venteromedial, cervical
this tract does motor control that is exerted chiefly over axial and proximal limb musculature to assist with postural control and orientation
reticulospinal tract
the origin of the rubrospinal tract is in the __ __ of the midbrain
red nucleus
the red nucleus of the midbrain receives input from the __ motor cortex
ipsilateral
the axons of the rubrospinal tract cross immediately to the opposite side in the __ __ __
anterior tegmental decussation
the axons of the rubrospinal tract that have crossed descend in the __ column of the spinal cord
lateral
the axons of the rubrospinal tract terminate in the dorsal and lateral parts of the __ __ of the spinal cord
intermediate zone
the primary somatosensory cortex contains these Brodmann's areas
1, 2, 3a and 3b
the primary somatosensory cortex is known by this symbol
S1
the secondary somatosensory cortex is known by this symbol
S2
this phenomenon explains that some areas of the body take up much more territory in the cortex than you would think based on their size (more receptor density)
cortical magnification
It is easier to measure plastic changes in __ because it is very strictly/intricately arranged somatotopically
S1
the primary sensory cortex is located in the __ gyrus of the parietal lobe
postcentral
__ __ at all levels of sensory pathways allows for accurate stimulus localization; it is known as the capacity of an excited neuron to reduce the activity of its neighbors
lateral inhibition
__ neurons provide information needed to precisely control hand and finger movements (e.g. grasping)
S1
these types of neurons in the sensory system respond to movement in all directions
motion-sensitive
these types of neurons in the sensory system respond to movement most in one direction
direction-sensitive
these types of neurons in the sensory system respond more to movement along one axis than to movement along another axis
orientation-sensitive
this is the capability of being molded; the capacity of representation (maps) in the central nervous system are able to be changed as a result of alterations in inputs and direct damage
plasticity
These are four ways to measure motor plasticity
ICMS, PET scan, TMS, and fMRI
this procedure is performed when the skull is opened and electrodes are inserted into a gridlike pattern; current is sent through the electrodes and which body part moves is observed
intracortical microstimulation (ICMS)
this procedure to measure motor mapping is when a person is asked to perform a task, and it is seen which areas of the brain have more blood flow to them during and after the task is performed
fMRI
there is a general trend for somatotopy with the trunk more __ and the jaw/face more __
medial, lateral
in this type of motor mapping technology, a device is put onto the outside of the head and a magnetic pulse induces brain current, which increases the EMG activity of a muscle (where? to what magnitude?)
transcranial magnetic stimulation (TMS)
motor __, not use, is associated with an M1 plasticity
learning
this is a large, functionally diverse set of nuclear structures that lie deep within the cerebral hemispheres and influence movement by acting upon/regulating upper motor neurons
basal ganglia
this is the relay center for the CNS
thalamus
these are the 6 nuclei that comprise the basal ganglia
Striatum, subthalamic nucleus (STN), GPi, SNr, GPe, and SNc
these are the two components of the striatum
caudate and putamen
this is the largest input to the basal ganglia
the cerebral cortex
cortical input to the basal ganglia is excitatory, and uses __ as its neurotransmitter
glutamate
the subthalamic nucleus receives __ input from the frontal cortex
excitatory
the striatum receives __ input from the thalamus and brainstem
excitatory
the striatum receives __ input from the brainstem and local interneurons
inhibitory
these two areas project to the posterior putamen
somatosensory and motor cortices
this area projects to the anterior caudate
prefrontal cortex
this area of the striatum is associated with movements of the body
putamen
this area of the striatum is associated with movements of the eyes
caudate
in the striatum, the cortical inputs terminate on these types of neurons
medium spiny neurons (MSNs)
the medium spiny neurons utilize __ as their neurotransmitter, which cause them to send inhibitory inputs to both the GP and the SN
GABA
these neurons send inhibitory output to structures outside of the basal ganglia, most importantly the ventral anterior and lateral nuclei of the thalamus
GPi
The GPi receives inhibitory input from these two structures
Striatum and GPe
the GPi receives excitatory input from this structure
STN
the SNr receives inhibitory input from these structures
striatum, GPe
the SNr receives excitatory input from this structure
STN
these neurons send inhibitory output to structures mainly outside the basal ganglia, namely the superior colliculus and frontal eye fields, as well as ventral anterior and lateral nuclei of the thalamus
SNr
the GPe receives inhibitory projections from this nucleus
striatum
this nucleus sends inhibitory projections to both the SNr and the GPi
GPe
these nuclei are large dopamine containing cells, and send projections back to the striatum that are dependent upon the type of dopamine receptor located on the striatal neuron
SNc
the SNc receives inhibitory projections from this area
striatum
the GPi contains __ dopamine receptors
D1
the GPe contains __ dopamine receptors
D2
the direct pathway functions via the medium spiny neurons that contain __ dopamine receptors
D1
the indirect pathway functions via the medium spiny neurons that contain __ dopamine receptors
D2
this pathway inhibits the tonically active inhibitory firing of the Gpi neurons, resulting in upper motor neurons being released from their tonic inhibition
direct pathway
this pathway increases the tonic firing of the GPi neurons, thus increasing the inhibitory output from the basal ganglia and inhibiting the upper motor neurons (surround inhibition of competing movements)
indirect pathway
the net effect of this neurotransmitter is to allow movement to take place more easily
dopamine
these disorders occur when there is an overactive indirect pathway that increases inhibitory output from the BG, resulting in excessive inhibition of upper motor neurons; due primarily to increased drive from the STN
Hypokinetic disorders
these disorders result from an underactive indirect pathway, which causes reduced inhibitory output of the BG and unwanted excitation of the upper motor neurons (uncontrollable movements)
Hyperkinetic disorders
types of hypokinetic disorders
Akinesia, bradykinesia, rigidity, tremor at rest
types of hyperkinetic disorders
Athetosis, Ballismus, chorea, dystonia, dyskinesias, Huntington's disease
this is a disease that is predominantly manifested in the 4th or 5th decade, and the prominent symptom is chorea; it includes other hyperkinetic symptoms and there are emotional and cognitive changes as well
Huntington's disease
this is a hyperkinetic symptom that is manifested in rapid, jerky ballistic movements (dancelike)
chorea
this disease is characterized by violent, involuntary movements of the limbs due to lesion of the STN; the movements are due to discharges of the upper motor neurons that are now less tonically inhibited
hemiballismus
hemiballismus manifests itself in the side of the body __ to the lesion
contralateral
this disease is characterized by sustained muscle contractions that cause twisting, repetitive movements and abnormal postures
dystonia
This disease has many hypokinetic symptoms (tremor, rigidity, etc) that results in postural instability, a flexed forward posture, mask-like face, shuffling gait, and monotonous speech
Parkinson's disease
This disease is caused by loss of SNc neurons, causing loss of dopamine, and the BG output becomes abnormally inhibitory
Parkinson's disease
These are all of the sensory pathways that ascend from the periphery to the CNS
(1) Dorsal column medial lemniscus
(2) Spinothalamic
(3) Trigeminal
(4) Spinocerebellar
These are all of the motor pathways that descend from the CNS to the periphery
(1) Corticospinal
(2) Reticulospinal
(3) Rubrospinal
(4) Vestibulospinal
what are the two types of rapidly adapting sensory receptors?
Pacinian corpuscles and Meisner's corpuscles
what are the two types of slowly adapting sensory receptors?
Merkel discs and Ruffini corpuscles
Brodmann's area 3a in the primary somatosensory cortex are associated with what proprioceptive structure?
muscle spindles
Brodmann's areas 3b and 1 in the primary somatosensory cortex are associated with what sensory receptors?
cutaneous
Brodmann's area 2 in the primary somatosensory cortex is associated with what sensory receptors?
deeper receptors within joints and muscles
which layers of Rexed's laminae are located in the dorsal horn of the spinal cord?
I-VI
what are the two nuclei of the basal ganglia that receive input from structures outside the BG?
Straitum and STN
what are the two nuclei of the basal ganglia that send output to structures outside the BG?
GPi and SNr
what are the two nuclei of the basal ganglia that are intrinsic (all projections are inside the BG)?
GPe and SNc
During deep brain stimulation, which brain region would be targeted in order to reduce tremors?
thalamus
During deep brain stimulation, which brain structure would be targeted in order to reduce dyskinesia and choreic movements?
GPi
During deep brain stimulation, which brain region would be targeted in order to reduce bradykinesia and axial motor symptoms?
STN