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Medicine Notes Neurology Notes

Somatosensory Neurones And Receptors Notes

Updated Somatosensory Neurones And Receptors Notes

Neurology Notes

Neurology

Approximately 117 pages

These notes helped me achieve a mark of 76% in my neurology exam, which is the equivalent of a 1st. The notes are based on a series of 49 lectures on the subject. This is a very good, thorough and in depth review of the nervous system. They are very clearly laid out and easy to follow. They cut out unnecessary information on the topic, making the notes very concise, and fast to get through. Anyone studying medicine, or any other subject requiring knowledge of the nervous system (e.g. physiology o...

The following is a more accessible plain text extract of the PDF sample above, taken from our Neurology Notes. Due to the challenges of extracting text from PDFs, it will have odd formatting:

Lecture 10

Somatosensory neurones and receptors

  • General

    • Somatosensroy NS includes all sensory (or afferent) neural info excluding special senses e.g. from skin, muscle and viscera (organs)

    • System receives info

      • From outside world (sensors beneath skin)= EXTEROreceptors

      • About posture/movement (sensors in muscles/tendons)=PROPRIOreceptors

      • About internal environment/organs (sensors in viscera/tissues)= INTEROreceptors

    • Afferent: proceeding towards a centre (in this case periphery to CNS)

    • Special senses: Vision, olfaction, hearing, vestibial senses

  • Sensory Modalities

    • Heat, Cold, Stretch, Acid, Sting, Itch, Press, Stroke, Tickle, Ache

    • Thermal; Mechanical; Chemical

    • Labelled line concept – separate pathways for the transmission of information relating to different modalities. Generally accepted for skin/muscle afferents.

  • Primary afferent neurons

    • Pseudo-unipolar

      • Detect sensory stimuli & send message towards the CNS- therefore a type of peripheral neurone (their cell body lies outside the CNS)

    • With cell bodies in the

      • DORSAL ROOT GANGLIA

        • Between each vertebra

        • Peripheral fibres running with segmental nerves (muscle and skin afferents) or with autonomic nerves (visceral afferent fibres)

      • CRNIAL NERVE ROOT GANGLIA

        • Cranial nerve outflow (e.g. swelling on Vth nerve= trigeminal ganglion from head region, or on vagus Xth cranial nerve from visceral afferents)

        • Fibres running with autonomic nerves

  • Are there specific pathways related to specific sensory modalities?

    • Separate pathways for transmission of information relating to different modalities (sensations) from sensory receptor cortex

    • Concept accepted for most types of somatic (skin & muscle) afferents, but discussion continues about visceral afferents

  • TRANSDUCTION occurs at sensory receptive terminals

    • Energy of stimulus gives rise to RECEPTOR POTENTIAL (depolarisation of membrane)-Stimulus energy transduced into electrical impulse

    • If threshold exceeded an AP results, propagated along fibre

    • Threshold not exceeded, receptor potential remains local to terminal

    • Intensity of applied stimulus is reflected in rate of AP fired (‘all or nothing’)

  • Sensory receptive properties of primary afferent neurons

    • Modality –what they respond to

      • PRINCIPLE TYPE of ADEQUATE stimulus transduced into electrical signal by the primary afferent neurone

      • ADEQUATE STIMULUS= stimulus to which a receptor responds effectively & gives rise to a particular sensation

      • Modalities include: touch, temperature, sound, sight, pain etc.

      • Modality depends on the type of channels or membrane structure present in the sensory receptive membrane

      • It is this membrane that is responsible for the transduction into an electrical signal that travels along the nerve

      • Type of adequate stimulus Channels in receptor membrane opened by

Mechanical Understanding channels poor so far

Chemical Some chemoreceptor channels known

Thermal Cool and warm sensitive channels found

  • Threshold- low or high “how much” of the modality is required to activate them

    • Unit: Represents single neurone or activity measured from a single neurone

    • LOW THRESHOLD UNITS:

      • Units fire AP to low intensity (non-damaging/non-painful) stimuli

      • Adequate stimulus is non-damaging to the tissues

      • Low threshold mechanoreceptors (LTMs)= sensations of TOUCH, STROKE, SQUEEZE et

      • Low threshold thermoreceptors activated= sensations of WARM, COOL

      • Low threshold chemical stimuli= sensations such as TASTE/SMELL

    • HIGH THRESHOLD UNITS:

      • Stimulus threshold at which APs generated set by fibre/type of neuron

      • Neurones don’t respond to low intensity stimuli, only high intensity

      • High intensity stimuli potentially damaging (NOXIOUS) to the tissues

      • HT neurons therefore called NOCICEPTORS

      • Info interpreted as PAINFUL but ONLY if reaches brain higher centres

      • Very active during child birth but are still active after an epidural

      • Similarly with general anaesthetics

      • Different types

        • HT mechanoreceptors= high intensity mechanical stimuli

        • Thermal receptors= hot/cold

        • Chemical nociceptors= noxious chemical (acid), agents from tissue damage

        • Polymodal nociceptors= respond to at least 2 of above

    • NB: High intensity needed to activate high threshold fibre

  • Adaptation rate – how do they react to a maintained activating stimulus

    • Property of primary sensory neurons,...

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