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 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
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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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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