Medicine Notes Neurology Notes
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...
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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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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...
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