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Medicine Notes Neurology Notes

Somatosensory Physiology Notes

Updated Somatosensory Physiology 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 11

Somatosensory Physiology- Peripheral terminations of non nociceptive DRG neurons

  • Somatosensory nervous system

    • Transmits all sensory (or afferent) neural info, excluding the special senses

    • Includes nerves sending info from

      • Skin; Sensors in muscles and tendons; Sensors in visceral organs and tissues

  • Non-nocicpetive cutaneous afferent fibre types

    • Glaborous skin

      • Pacinian corpuscle

        • Non hairy and hairy skin

        • 1mm in length

        • Fingers, toes, genitals

        • 20-60 concentric lamellae of fibrous connective tissue/fibroblasts

        • The lamellae are very thin, flat, modified Schwann cells

        • Fluid-filled cavity with a singleafferent unmyelinated nerve ending

        • Detect tap and (particularly) vibration

        • Very rapidly adapting low threshold mechanosensitive Abeta fibres

      • Meissner’s corpuscle

        • Responsible for “light touch” and low frequency vibration

        • Just below epidermis

        • Rapidly adapting low threshold mechanoreceptor, Abeta fibres

        • Not in hairy skin

        • Unmyelinated endings enclosed in capsule

        • Corpuscle=30-140micrometres length; 40-60micrometers diameter

Composed of elastin attached to epidermis

  • Merkel’s cells

    • Oval receptor ~10micrometres cells in skin and oral/rectal mucosa and mammary glands

    • Synaptic contact with disc like terminal of SA1 low threshold mechanosensitive AB fibres (branch innervating up to 90 cells)

    • Stratum basale of epidermis clustered in touch domes

    • Light touch (Braille)

    • Small receptive field

    • Transmitter may be glutamate

  • Ruffini end organ

    • Slowly adapting mechanoreceptors in deep sites skin (hairy, glabous) & also in joints

    • Monitor tissue stretch

    • May also sense heat

    • Innervated by single Abeta fibres which branch in corpuscle ending

  • End-bulbs of Krause

    • Encapsulated nerve ending in conjunctiva, lips, tongue, penis, clitoris

    • Not in hairy skin

    • May be a cold receptor not well understood

  • Unencapsulated nerve endings

    • Respond to temperate, pain and pressure

    • Project to spinal cord via ‘A-delta’ and C sensory afferents (slow)

  • Hairy skin

    • Hairs receive sensory innervation which provides important means of mechanosensation in hairy skin

    • G-hair unit

      • Fulfils role played by Meissner’s in glabrous skin

      • Activated by hair movement- particularly rapid movements

      • Signal through rapidly adapting Abeta fibres

    • D-hair unit

      • On finer down hairs

      • Rapidly adapting signal through Adelta fibres

      • Very sensitive to slow movements “flea detectors”

  • Thermoceptors (in skin)

    • Different units respond to different temperatures

  • Proprioceptors

    • Proprioceptors provide information about the position and movement of the body

    • Signal muscle stretch, tension, & joint position

    • Receptors involved are in muscle, tendons and joints

  • Afferents projecting to muscle

    • General

      • Send sensory information about muscle dynamics

      • Located in “belly” of muscle

      • ‘Intrafusal’ muscle fibres contain ‘muscle spindles’, which signal passive, static and dynamic muscle strength

    • Types

      • Ia (primary fibres)

        • Annulospiral endings

        • Firing pattern: dynamic and static

        • Dynamic rapidly adapting

        • Detect change in stretch

      • II (secondary)

        • Flowerspray endings (spread over the muscle)

        • Firing pattern: static

        • Static slowly adapting

        • Detect tonic stretch

    • Tendon and joint receptors

      • Nerve type fibre= Ib

      • Ending on golgi tendon organs

      • Static firing pattern

      • Slowly adapting

      • Detect stretch

  • Ascending pathway for information from low threshold mechanoreceptors=DORSAL COLUMN/MEDIAL LEMNISCAL PATHWAY

    • Sensory pathway (overview)

      • Primary afferent neuroneNeurones in dorsal columni of medullaThalamic nucleiSomatosensory cortex

    • Pathway

      1. Mainly A-alpha and A-beta LTMs and types I & II LTMs into dorsal part of spine

        • FIRST ORDER NEURON (primary afferent)

        • Branches in dorsal horn contribute to

          • Local spinal cord reflexes

          • ...

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