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HSC350 midterm
HSC350 - midterm
345
Health Care
Undergraduate 3
02/17/2013

Additional Health Care Flashcards

 


 

Cards

Term
what are the names of the meninges that cover the brain and spinal cord?
Definition
Dura Mater (outermost layer)
- periosteal layer (attached to inner surface of skull)
- meningeal layer covering the brain
Arachnoid Mater (middle layer)
- separated from pia by the subarachnoid space (which is filled with CSF)
Subarachnoid space
Pia Mater (innermost layer)
Term
Dura Mater
Definition
thickest, outermost layer of the meninges of the brain. Impermeable and protective.
Term
Arachnoid Mater
Definition
Middle layer on the outside of the brain, found between the Pia Mater and the Dura Mater.
Impermeable.
Term
Pia Mater
Definition
Rests on the brain surface and is the innermost layer of the meninges. Vascular membrane that adheres closely to the brain. Arteries carry sheath of Pia as enter parenhyma. Fuses with ependyma - choroid plexus.
Term
The meninges
Definition
From outside to inside:
Dura mater
Arachnoid mater
Subarachnoid space
Pia mater
Term
Subarachnoid space
Definition
Filled with CSF. Found between the pia mater and the arachnoid mater.
Term
Venous sinus
Definition
Large, low pressure blood vessel return path for cerebral venous blood
Term
Tentorium Cerebelli
Definition
Structure that fits between the cerebellum and the occipital lobes.
Separates the posterior cranial fossa from the rest of the cranial vault. It arches upward along the median line to become continuous with Falx Cerebri to form Straight venous sinus.

**functions alongside the Falx Cerebri to restrict brain displacement associated with acceleration and deceleration.
Term
Falx Cerebri
Definition
Sickle shaped fold separating the cerebral hemispheres. The superior convex border of the Falx Cerebri forms the floor of the superior sagittal sinus.
The inferior border of the Falx Cerebri houses the inferior sagittal sinus.
Term
Epidural hematoma location
Definition
Between the dura mater and the skull.
Cause: rupture of the middle meningeal artery during head trauma.
Term
Subdural hemorrhage/hematoma
Definition
Location: either between the dura mater and arachnoid mater.
Usual cause:
Acute: rupturing of bridging veins that pass through en route to dural sinuses (shear injury).
Chronic: Also caused by atrophy in elderly people, where the brain pulls away from the dura mater and the skull itself.
Term
Where do more brain aneurysms occur?
Definition
Within the cerebral arteries, into the subarachnoid space.
Term
Parenchyma
Definition
The brain proper
Term
Where do all cerebral arteries and veins lie relative to the parenchyma?
Definition
In the subarachnoid space
Term
Trabeculae
Definition
Delicate threads that connect the pia mater and the arachnoid mater.
Term
Arachnoid granulations
Definition
Where the cerebral spinal fluid diffuses into the venous sinuses.
Term
Headaches
Definition
Brain has no pain receptors. Pain comes from the trigeminal and the first three cervical nerves innervating the meninges and vasculature.

Dura ABOVE the tentorium innervated by the trigeminal; forehead and face.
Dura BELOW the tentorium innervated by C1-3; back of the head and neck.
Term
Causes of headaches:
Definition
Space occupying lesions, raised intracranial pressure, irritation, stretching of the dura mater.

Tumor located above tentorium - front of head; below-back of head.
Term
Migrane headaches depend on the activation of what?
Definition
Depend on the activation of trigeminal afferents that densely innervate the meninges.
Term
Where would you feel meningitis?
Definition
It is a global pain.
Term
Hangovers are due to a direct effect on what brain structure?
Definition
On the meninges, tho it is multifactorial.
Term
Cluster headaches
Definition
Occur in clusters (a few times a day) with spaces in between (a few days break in between).
"lancinating" or "boring" pain periorbital pain.

Known to be more painful than childbirth
Term
CGRP
Definition
Released by afferent pain fibers. They dilate blood vessels in a recurring loop of excitation. (causing the pulsing feeling of headaches)
Term
Blood supply to the brain
Definition
Can be divided into two divisions; posterior and anterior. Blood supply is also bi-lateral (both carotid arteries and vertebral arteries are separated into right and left)

Posterior: subclavian artery goes through the vertebra through the vertebral artery, then the basilar artery to the brain.

Anterior: coming off the common carotid artery is the external and internal carotid arteries.
Term
What is the circle of willis?
Definition
An anastamosis --> a rounding or joining of vessels that allows for bypassing of vascular blockages without compromises.

Vertebral artery --> basilar artery --> posterior communicating artery --> anterior communicating artery
Term
Describe posterior brain circulation
Definition
Aorta --> right/left subclavian artery --> extracranial / intracranial artery --> basilar artery --> posterior cerebral arteries
Term
Describe anterior brain circulation
Definition
Aorta -->right/left common carotid artery --> external/internal carotid artery --> Anterior cerebral artery / middle cerebral artery
Term
Which artery of the brain supplies for the largest areas of the brain?
Definition
The middle cerebral artery
Term
Which artery is most commonly the culprit in a stroke?
Definition
The middle cerebral artery. It covers so much of the brain that it is most commonly the culprit of such damage.
Term
Cortical areas of the brain are supplied by what arteries?
Definition
By the anterior cerebral artery, the posterior cerebral artery and the medial cerebral artery.
Term
Middle cerebral artery
Definition
Supplies most of the cortices and comes off the internal carotid artery at a deep aspect of the brain. Has an artery stem that has many little feeders coming off of it, leading to the aspects of the brain.
Term
Hemineglect
Definition
Caused by damage to the right hemisphere middle cerebral artery.
Patients experience an unawareness of the patients own body contralateral to the lesion. Patients may seem unaware or deny their handicap.
Term
Anosognosia
Definition
Caused by damage to the right hemisphere middle cerebral artery.
Patients may experience unawareness of quite dramatic impairments, such as blindness or paralysis.
Term
Contralateral hemiparesis
Definition
Involve mainly the face and arm; precentral and postcentral gyri.
Term
Damage to the left hemisphere middle cerebral artery
Definition
Can damage Broca's/Wernicke's area's.

Can cause aphasias --> cause difficulty with language.
Term
Parietal neglect syndrome
Definition
Characterized by a failure to recognize side of body contralateral to injury.
May not bathe contralateral side of body or face
Denying own limbs
Objects in contralateral visual field may be completely ignored.
Term
Aphasia
Definition
The disturbance in formulation or comprehension of understanding. Damage occurs on left side of the brain.
Term
Broca's Aphasia
Definition
Difficulty producing speech though comprehension is intact.
Disordered grammar and syntax, with meaningful produced with great effort.

Damage in Broca's area.
Term
Wernicke's Aphasia
Definition
Difficulty comprehending speech.
Speech is fluent, well structured, grammar and syntax are adequate but nonsensical.

Damage in wernickes area
Term
Contralateral hemiparesis
Definition
Caused by damage to the anterior cerebral artery.
Characterized by paralysis or weakness on one side of the body. Hemisensory loss involving mainly the leg and foot (paracentral lobule).

*personality changes could occur as well.
Term
Hemianopsia
Definition
Occurs through damage to the posterior cerebral artery.
Loss of vision of one half of the visual field.
Term
Visual agnosia
Definition
Occurs through damage to the posterior cerebral artery.
Inability to recognize or interpret objects in the visual field.
Term
Memory impairment could mean that there is damage to what part of the brain?
Definition
Damage to the posterior cerebral artery could cause memory impairment.
Term
Prosopagnosia
Definition
Damage to the inferior temporal cortex. Most commonly caused by a posterior carotid artery stroke.

Characterized by an inability to identify facial characteristics - may not be able to recognize faces at all.

Aware that some sort of visual stimulus is present and can discriminate subtle shape differences, even able to recognize the age, sex, and 'likeability' of a face.

Therefore people are identified through other characteristics.
Term
Intraparenchymal hemorrhage
Definition
Bleeding occurring within the brain.
Term
Extraparenchymal hemorrhage
Definition
Bleeding occurring at the surface of the brain (subarachnoid)
Term
Hematoma
Definition
Accumulation of blood that clots
Term
Embolus
Definition
Material (blood clot, air, fat) carried from one point to lodge in another
Term
Embolisom
Definition
Embolus becomes lodged in an artery and obstructs flow
Term
Anoxia
Definition
Reduced oxygen supply
Term
Infarction
Definition
Tissue death.
Term
Venous drainage of the cerebral hemisphere
Definition
Superficial veins drain into superior sagittal sinus and the cavernous sinus.
Deep veins drain into the deep venous conduits
Superior sagittal sinus drain into two transverse sinuses, heading out the sigmoidal sinus, down the internal jugular and then out.
Term
Functional hyperemia
Definition
When a portion of the brain is being utilized, there is increase bloodflow to that region. This can be shown using modern imaging techniques
Term
The BOLD effect
Definition
"Blood Oxygen Level Dependent Signal"
This is what fMRI's are based off of.
Exploits paramagnetic nature of oxygenated hemoglobin. Oxygenated blood, conversely, is NOT magnetic.

The bold signal is affected by changes in ratio between deoxygenated and oxygenated blood.
Term
Astrocyte
Definition
Type of glial cell that outnumbers neurons by 10x.

Cause vasoconstriction of an arteriole. Work by signalling calcium signals and spreading this information as a wave.
Term
Where is the ventricular system found
Definition
Sits deep within the brain. It lies within the core of the forebrain and brainstem.
Term
CSF
Definition
Functions:
- Cushions/protects CNS from trauma.
- Provides mechanical buoyancy and support for the brain
- Serves as lymphatic system for the brain
- Important for maintaining constant external environment for neurons and glia

Located:
- In the ventricles, subarachnoid space around the brain and spinal cord

Components:
- 99% water, proteins, glucose, Na+, K+, H+/HCO_3, Ca+2, Mg+2, No RBC and very little WBC.
Term
Where is cerebral spinal fluid formed
Definition
Lateral, third and fourth ventricles by the choroid plexuses.
Term
Choroid plexus
Definition
Vascular-like structure derived from the pia, covered with fenestrated cuboidal epithelium of the ependyma. located around the lateral, third and fourth ventricles.

The cuboidal epithelium set up an osmotic gradient created by the active transport of solutes, exploiting this to diffuse fluid across.
Term
Describe the structures that the cerebral spinal fluid moves through when it's being produced from the lateral ventricles.
Definition
1) Lateral ventricles
2) Intraventricular foramina of Monro
3) Third Ventricle
4) Cerebral aqueduct of Sylvius
5) Fourth Ventricle
6) Foramina of Magendie and Luschka
7) Subarachnoid space, central canal of spinal cord, over spinal cord, over convexity of brain
8) Reabsorbed by arachnoid granulations
Term
Arachnoid granulations
Definition
Structures that poke up through the meningeal layer into the dural venous sinuses. They are the structures that reabsorbs used cerebral spinal fluid, working as a sort of one-way pressure sensitive valve. (when CSF Pressure > venous pressure, it empties out of the arachnoid granulation) into the superior sagittal sinus.
Term
Cerebral spinal fluid reabsorption
Definition
Cerebral spinal fluid is reabsorbed by the dural venous sinuses (particularely the superior sagittal sinus) through arachnoid granulations.
Term
Papilledema
Definition
Optic swelling that is secondary (a sign of) to elevated intercranial pressure.

Edema in area of optic disc caused by compression of retinal vein as it crosses the extension of the subarachnoid space to enter the optic nerve and stasis of axoplasmic flow
Term
Hydrocephalus
Definition
An abnormal increase in the amount of cerebrospinal fluid within the ventricles of the brain. Before the sutures of the skull fuse, the head becomes enlarged (infants).

Causes an obstruction in CSF circulation (aqueductal stenosis)
Exit foramina from the ventricular system not formed. CSF cannot escape subarachnoid space.
Generalized ventricular enlargement occurs with obstruction at or below the cerebral aquaduct.

Treated using a ventriculoperitoneal shunt treatment to divert excess CSF from ventricles to abdominal cavity.
Term
Arnold Chiari phenomenon
Definition
Arnold Chiari phenomenon is related to hydrocephalus, where there is displacement of the hindbrain downward through the foramen magnum to obstruct cerebral spinal fluid flow.
Term
Foramen magnum
Definition
Large hole where your brainstem is. Flow being obstructed there can cause many problems as well.
Term
How can the cerebral spinal fluid be affected by disease states?
Definition
Can become grossly bloody or yellow from blood pigments. Protein content can be left behind after hemorrhage (subarachnoid).
Change in vascular permeability or bilirubin brought from plasma to cerebral spinal fluid.
Cloudiness is a sign of many leukocytes caused by meningitis or encephalitis.
Term
Entry of cerebral spinal fluid to the bathing the brain
Definition
Leaves through the foramen and circulates the brain.
There are large gaps in the pia matter which allows for the exit of the cerebral spinal fluid from the ventricles.
Term
Which of the following is fenestrated:
a) Dura mater
b) Pia mater
c) Arachnoid mater
d) None of the above
Definition
The answer is B

The pia mater is fenestrated.
Term
Blood-Brain Barrier
Definition
Diffusion barrier that impedes influx of most compounds from blood to brain.
Absolutely essential for maintaining a constant internal environment.

Is a key obstacle in the delivering of drugs to the brain. They overcome this by manipulating the transport mechanisms.
Term
Visceral motor system
Definition
Controls individual functions mediated by the activity of smooth muscle fibers, cardiac muscle fibers and glands in order to maintain homeostasis.

Comprised of two major systems:
Sympathetic
- Fight or flight
Parasympathetic
- Resting state
Term
Which division of the nervous system primarily releases adrenaline?
Definition
The sympathetic nervous system
Term
Which division of the nervous system primarily releases acetylcholine?
Definition
The parasympathetic division of the nervous system
Term
Gray Matter
Definition
Regions of the central nervous system rich in neuronal cell bodies and neuropil.

*in the neuropil is where everything synapses: dendrites and presynaptic terminals meet and synapse there.
Term
White matter
Definition
Refers to large axon tracts in the brain and spinal cord. Most of the axons are myelinated.
Term
Commissural fibers
Definition
White matter fiber that connects corresponding regions of the two hemispheres.
Term
Associational fibers
Definition
White matter fiber that connects various cortical regions within the same hemisphere.
Term
Projection fibers
Definition
White matter fiber that connects afferent and efferent nerve fibers passing to and from the brain stem to the entire cortex.
Term
Corpus collosum
Definition
1. The corpus callosum is a thick band of nerve fibers that divides the cerebrum into left and right hemispheres
Term
Broca's Area
Definition
Area for initiating speech.

Therefore damage to it results in:
- Difficulty with producing speech
- Comprehension, however, remains intact
Term
Wernicke's Area
Definition
Area for comprehending speech.

Therefore damage to it will result in:
- Difficulty comprehending speech
- Speech will remain, however, fluent and well structured.
Term
Acruate fasciculus
Definition
Neural pathway connecting Broca's area to Wernicke's area involved in the generation and understanding of language.
Term
How many regions are there in the cortex? How do this regions differ?
Definition
The laminar regions of the cortex are broken up into six regions.
The different neurons in the different layers carry out different functions.
Term
Neural divergence
Definition
When one neuron synapses onto many neurons
Term
Neural convergence
Definition
When several neurons come in and synapse onto one neuron.
Term
Feed forward inhibition
Definition
Type of afferent control wherein the stimulation of afferent motor neurons innervates collateral inhibitory interneurons in the spine - inhibiting the afferent neurons of the antagonist muscles.
Term
Feedback inhibition
Definition
Type of self-regulation. When one neuron fires onto another neuron at a high enough frequency, the second neuron will fire collaterally and stimulate an inhibitory interneuron which feedsback onto that same neuron (inhibiting its effects)
Term
Alpha-latrotoxin
Definition
Protein found in the venom of black widow spiders that causes the massive exocytosis of synaptic vesicles containing neurotransmitters.
Term
Curare
Definition
Neurotoxin that blocks Ach receptors, causing paralysis.
Term
Cobra alpha-neurotoxin
Definition
Causes paralysis in its victims by blocking ACh receptors
Term
Conotoxin
Definition
Toxin that comes from marine cone snails. They shoot venomous darts into its prey. Blocks calcium, acetylcholine, glutamate and sodium channels.
Term
TRPA1
Definition
Type of ion channel that acts as a cold sensor.
Term
Neuromodulator systems that have widespread diffuse projections:
Definition
Acetylcholine, dopamine, norepinephrine, serotonin.
Term
ACh brain neuromodulator system originate. Functions. Effects of blocking.
Definition
Brainstem and basal forebrain.
Generally excitatory and are thought to function in attention, memory and learning.
Blocking of ACh causes delerium and memory deficit.

*the basal forebrain is damaged in Alzheimer's disease.
Term
Dopamine brain neuromodulator system originate. Functions. Effects of blocking.
Definition
Substantia nigra and ventral tegmental area.

Wide ranged functions (cognition, pain, voluntary movement, motivation, mood, attention)

Mesostiatal - damaged in parkinsons disease
Mesolimbic - involved in the positive symptoms of schizophrenia such as hallucinations.
Mesocortical - involved in cognitive deficits and 'negative' symptoms of schizophrenia.
Term
Norepinephrine brain neuromodulator system originate. Functions. Effects of blocking.
Definition
Locus coeruleus and lateral tegmental area. Projects into entire forebrain.

Functions in attention, sleep-wake cycles, mood and sympathetic activities.

NE and 5HT are important in mood disorders such as depression and manic-depressive disorder. In anxiety disorders, including OCD.
Term
Serotonin brain neuromodulator system originate. Functions. Effects of blocking.
Definition
Rape nuclei; rostral raphe projects to entire forebrain; caudal raphe projects to cerebellum, medulla, and spinal cord.

Involved in depression, anxiety, OCD, aggressive behavior & some eating disorders.
The caudal raphe functions in pain modulation.
Term
Astrocyte types, functions.
Definition
Star shaped glial cells that hold neurons in place, getting nutrients to them and digesting parts of dead neurons.
Cannot generate action potential.
However communicate with neurons and modify the signals they send/receive.

Types: established, probable, emerging.
Term
Established astrocyte normal and pathological functions.
Definition
Normal functions:
Sequestration/redistribution of K+ during neural activity.
Removal of glutamate and GABA at synapses
Synthesis of precursor for glutamate and GABA production.

Pathological functions:
Alexander disease
Cytotoxic brain edema
Glioma formation
Failure at extracellular glutamate homeostasis
Term
Probable astrocyte normal and pathological functions.
Definition
Normal functions:
Providing energy substrate to neurons
Sharing energy substrate derived from glycogen with neurons
Brain water homeostasis
Influencing integrity of blood-brain barrier
Regulation of extracellular pH

Pathological:
Hepatic encaphalopathy
Modulation of stroke outcome
Term
Emerging astrocyte normal functions
Definition
Normal functions:
Modulation of excitatory / inhibitory synapses
Regulation of synaptogenesis
Regulation of neurogenesis in adult brain
Detoxification of brain free radical species
Term
Microglia
Definition
Mobile, immune competent cells of the central nervous system.

*when they sense trauma, they send out processes all around them in order to commune info about that trauma
*thought to contain or minimize damage of lesions (reducing small ones)
*known to be involved in mostly pathological condition (MS)
Term
Oligodendrocytes
Definition
Found in the central nervous system. Wrap around the axons of the neuron with myelin which results in an increased conduction velocity.
Term
Ependyma cells
Definition
Line the cavities of the brain and central canal of the spinal cord. Involved in the production and secretion of the cerebral spinal fluid.
Term
Olfactory system - mechanism/function
Definition
Odor molecules in mucous are grabbed by cilia, binding to a protein and initiates a transduction process. In this case The g-protein called G_olf is activated and activates the production of cAMP. The increased production of cAMP causes cAMP channels to open. Ions move in and cause depolarization. Typically chloride leaves - closing of these channels causes membrane depolarization.
Term
How are smells differentiated?
Definition
1) There are different types of odorant receptors - each receptor cell has a single receptor protein expressed for a "preferred" odor.
1. Each receptor cell is broadly tuned - allows for binding of different odors more or less readily --
2. Brain distinguishes individual odors by looking at the combination of responses.
2) Different odors will elicit different patterns of action potential firing. (different glomerular activity)
1. Temporal and spatial coding
Term
Olfactory signal transduction pathway
Definition
Olfactory sensory neurons --> olfactory bulb (@ glomerulus, synapses onto 2nd order olfactory neurons) --> olfactory tract --> brain

The second-order olfactory neurons are found in the olfactory bulb.
Term
Glomerulus
Definition
Contain microcells… Processes the information from olfactory sensory neurons synapsing on the microcells of the glomeruli (synaptic part of the glomerulus).

**there is glomerulus convergence: this means that each glomerulus receives input from only receptor cells of one type. This means that there may be a map of odorant processing (zone-to-zone projection)
Term
microcells
Definition
Secondary neurons that take information and do something with it.
Glomerulus, involving the olfactory system, have microcells.
Term
Zone-to-zone projection
Definition
Refers to the fact that similar odorant receptors tend to be localized in the same zone of the olfactory bulb. Different odors elicit different patterns of glomerular activation.

Activation is, therefore, very selective and the smell of an odor is translated into a specific map in the neural space.
**there's a spatial code in which information is conveyed by the relative positions of the activated neurons.
-------------------------------------
the receptors are homologous and concentrated in certain areas (zones). When they do this they project very orderly to the olfactory bulb. So the map that there is there gets mapped to the higher centers in 1:1 mapping.
Term
Spatial coding
Definition
A code in which information is conveyed by the relative positions of activated neurons.

Example: different odors elicit different patterns of glomerular activation
Term
Temporal coding
Definition
A code in which information is carried by the relative timing of action potentials in a population of neurons
Term
Describe the layers of cells that odorant sensation transduce through.
Definition
Mucus layer (olfactory neurons)--> primary neurons take information back to the glomerular layer. --> there they synapse onto the secondary neurons (the mitral cells) that take the information to higher centers to do something with it.

Zonal mapping occurs at the level of the glomerulus.
Term
How are mitral cells coded for different odorant types?
Definition
Mitral cells specify by the shape of the chemical molecule.
Also can be specific by para/meta/ortho structures
Term
Lateral inhibition - contrast
Definition
Lateral inhibition can be used to contrast sensory inputs. A high amount of stimulation at one point will cause the firing of interneurons at that point, which will cause an inhibition on the neurons that are located nearby - causing them to fire at a reduced rate.
Term
Granule cells
Definition
A type of inhibitory interneuron involved in olfactory transduction.
May enhance the contrast between strongly activated and faintly activated glomeruli.
Term
Anosmia
Definition
The inability to perceive odors
Term
How is olfactory sense affected by age?
Definition
There is a decrease in olfactory ability with age - both at the levels of the receptors and at the level of activity in the olfactory regions of the brain.
Term
Pheromones
Definition
Specifies-specific odorants for communication - compounds that, at concentrations below the level of consciousness, can elicit both behavioral responses and different patterns of brain activation in adult female and male human subjects.

Example: women and their menstrual cycles
Term
Describe the cells located at the retina
Definition
Photoreceptor cells, bipolar cells, horizontal cells, ganglion cells
Term
Ocular blind spot
Definition
Region located at the back of the eye where the neurons leave the eye. There are no photoreceptors located there.
Term
Nasal retina/temporal retina
Definition
Nasal retina - located nearest to the noise
Temporal retina - located near the temple.
Term
Fovea
Definition
Area of retina specialized for high visual acuity in the center of the macula; contains high density of cones.
Foveola = avascular zone where light is not refracted, but instead hits the photoreceptors directly.
Term
Cones
Definition
Responsible for our ability to see color - contains one of three different photopigments.
Term
Photoreceptor cell structure
Definition
Outsegment - where actual photo-transduction occurs
Inner segment - experiences the depolarization process
Synaptic terminals - where synaptic release occurs
Term
Cause of color blindness
Definition
Malformation or malfunctioning of color-specific cones
Term
Regional differences in retinal structure
Definition
Peripheral: low light sensitivity
- Much higher ratio rods to cones
- Higher ratio of photoreceptors to ganglion cells
â—‹ Making it so that the peripheral retina are much more sensitive to low light levels.

Central: high resolution vision
- Cones only
- Low ratio of photoreceptors to ganglion cells
Term
What gives good visual acuity?
Definition
The fovea -- there is a little divot within the fovea that is avascular.
Since there is no vasculature that the light must refract through to reach the photoreceptive cells, there is no blurring of the image.
Term
Intrinsically photoreceptive retinal ganglion cells (ipRGC's)
Definition
Cells that contain photopigment, melanopsin, and can also encode and transmit information about light directly.
Term
Phototransduction mechanism
Definition
Rhodopsin (complex protein containing opsin + retinal molecule) - when light hits it, retinal undergoes conformational change, activating g-protein Transducin, activating enzyme phosphodiesterase which cleaves the cGMP floating around into GMP. This results in a closing of sodium channels and reduced action potentials.

**causes massive hyperpolarization when light hits.
Term
This neurotransmitter is released constantly in the eye when you are in the dark.
Definition
Glutamate is constantly released in the dark. This stimulates the formation of cGMP which causes Na channels to be open.
Term
In retinal processing, which cell is the one that fires action potentials
Definition
The ganglion cells.
Term
Retinal processing pathway
Definition
Photoreceptor --> bipolar cell --> ganglion cell

**also interacts with horizontal and amacrine cells which release GABA, an inhibitory neurotransmitter - causing lateral inhibition.
Term
Classes of bipolar cells
Definition
On/off bipolar cells.

On bipolar cells:
Have g-protein coupled receptors (mGluR6).
Hyperpolarize in response glutamate released by photoreceptors.

Off bipolar cells:
Glutamate gated ion channels (AMPA; kainate)
Depolarize to the release of glut from photoreceptor
Influenced positively all the time in the dark

On bipolar cells => inhibited by glutamate
Off bipolar cells ==> activated by glutamate
Term
How does light affect on/off bipolar cells
Definition
On bipolar cells - depolarized by light
Off bipolar cells - hyperpolarized when lights are on
Term
Bipolar cell receptive fields
Definition
Receptive field: area of the retina that, when stimulated with light, changes the cell's membrane potential

Receptive field center:
Circular area of retina providing direct photoreceptor input bipolar cell

Receptive field surround:
Surrounding area of retina providing indirect photoreceptor input to bipolar cell via horizontal cells
Term
What do on/off center bipolar cells synapse onto and with what neurotransmitter.
Definition
On center bipolar cells synapse onto on-center ganglion cells
Off center bipolar cells synapse onto off center ganglion cells.

Neurotransmitter: glutamate
Term
How are on/off center ganglion stimulated or inhibited by on/off center bipolar cells
Definition
Light:
Photoreceptor cells are hyperpolarized
On-center bipolar cells are depolarized - off centers hyperoplarized.
On-center ganglion cells fire AP's
Off center ganglion cells stop firing AP's

No light:
Photoreceptor cell depolarizes
On-center bipolar cells hyperpolarize - off centers depolarize
On-center ganglion cells stop firing AP's
Off center ganglion cells fire AP's
Term
What are optical ganglion cells sensitive to what?
Definition
Are particularly sensitive to differences in illumination that occur within their receptive fields and not to changes in illumination that include both receptive field center and the receptive field surround.

Response to stimulation of the center is canceled by the response to stimulation of the surround.
Term
p-type retinal cells
Definition
Type of ganglion cell. Important for high spatial resolution vision - detailed analysis of shape, size and color of objects.
90% of ganglion population type.
Small receptive field.
Slow axon conduction velocities
Sustained firing to presence of visual stimuli
Can transmit info about color
Term
m-type retinal cells
Definition
Type of ganglion cell. Important for high temporal resolution - such as evaluating the location, speed and direction of a rapidly moving object.
5% of ganglion population type.
Transient burst of AP's to the presentation of visual stimuli.
Fast conduction
Sensitive to low contrast stimulus
Cannot transmit info about color
Term
The retinofugal projection
Definition
Optic nerve
Optic chiasm
Optic tract
Term
Where are the monocular parts of the visual field?
Definition
At the far left and far right of the visual field.
There is overlap at the center of the visual field.
Term
How does light hit your fovea?
Definition
The light hits your fovea in such a way that the image is inverted and upside down.

The higher centers of the brain then process and flip the image again.
Term
Where does the right visual field hit relative to the retina
Definition
Hits the nasal retina of the right eye and the temporal retina of the left eye.
Term
Where does the left visual field hit relative to the retina
Definition
Hits the nasal retina of the left eye and the temporal retina of the right eye.
Term
How do the fibers cross when light comes in from the right visual field.
Definition
Coming from the right visual field, light hits the right temporal retina and he left nasal retina.

The left nasal retina crosses over to the right optic tract, the right temporal retina goes down the right optic tract.
Term
How do the fibers cross when light comes in from the left visual field.
Definition
Coming from the left visual field, light would hit the left temporal retina and the right nasal retina.

The left temporal retina continues down the left optic tract, the right nasal retina crosses the optic chiasm to continue down the left optic tract.
Term
Retinal ganglion cell targets
Definition
*terminates in several different areas*

Hypothalamic region - regulation of circadian rhythms. Melanin and melanopsin photoreceptors are involved in those processes.

Pretectal (pretectum) area - reflex control of pupil and lens. (pupils dilate when it's dark and contract when it's light)

Colliculus - controlled by brainstem regions of the brain, governing reflexive eye movements of the eye-ball.

Striate cortex - located in the posterior cortical regions - this is where processing and understanding of visual scenes occurs.
Term
Reflex
Definition
Unconsciously controlled reaction to a stimuli.

Example:
Antagonistic contraction of muscles due to interneuron-involved reflex. (where interneurons connect afferent somatosensory fibers to efferent somatic fibers of antagonistic muscles within the spinal cord).
Term
The pupillary light-reflex pathway -- starting in left eye
Definition
Shine in the left eye
Information taken down the optic nerve, but not to higher processing centers.
It instead terminates in the pretectal region
It then bifurcates after the pretectal region and sends out further afferent inputs to the edinger-westphal nucleus.
From there, it is efferent motor neurons going bilaterally out the preganglionic parasympathetic (ocular motor nerve) nerve.
The preganglionic parasympathetic nerve will synapse through ciliary ganglion, leading to post ganglionic terminations at the iris muscles
The iris muscles control and cause the pupils to constrict.
Term
The direct response (ocular)
Definition
Where an eye is stimulated by a light and contracts.

There is a phenomenon called the consensual response by the other eye in a normal situation.
Term
Consensual response (ocular)
Definition
Where one eye is directly stimulated, but the other eye responds in kind to this stimulation.
Term
What does it mean if a physician shines a light in the left eye and it constricts but the consensual response does not occur. What does this indicate there is an issue with?
Definition
It indicates that there may be an issue with the visceral motor outflow, so something is damaged in either the edinger-westphal nucleus or the ocular motor nerve.
Term
What does it mean if a physician shines a light in the eyes of a patient but elicits no response in either eye.
Definition
You are not getting afferent information back to the higher centers -- there's a problem with the optic nerves.
Term
What does it mean if you shine light in one eye and get no response, but shine light in the other eye and get both consensual and direct responses.
Definition
Suggests damage to the sensory input of that eye, possibly to the retina or optic nerve.
Term
Central projections of retinal ganglion cells - what is the pathway?
Definition
Stimulation of eyes -->
Optic tract -->
Lateral geniculate nucleus of the thalamus -->
Optic radiation -->
Primary visual cortex (striate cortex)
Term
What happens if the striated visual cortex is damaged. True or false: the person will be blind.
Definition
"blindsight" occurs due to this. The person is technically blind, but could direct themselves through an obstacle course - but the individual lacks visual awareness.
Term
Striated cortex function
Definition
To make sense of what we're seeing and just saw - all the features about how it looks and how fast its moving.
If it were damaged, you couldn't see, but you would still be seeing. The individual lacks visual awareness.
Term
Superior colliculus
Definition
Structure of the retinal-ganglion pathway.
It is involved with more reflexive things. Seems to be primarily involved with where things are located.
Term
Blindsight
Definition
Caused by damage to the V1 area of the cortex (the visual area).
Blindsight is due to the preservation of the extrastriate pathways that bypass the visual cortex.
However the extrastriate areas are not able to support visual awareness.
Term
Lateral Geniculate Nucleus - cell types. Organization.
Definition
Contains 6 major cell layers
- Two ventral magnocellular layers
â—‹ m-type retinal cells found exclusively here
- Four dorsal parvocellular layers
â—‹ p-type retinal cells found exclusively here
â—‹ They receive input from both eyes, from the contralateral field. (nasal retina of one eye and temporal retina of the other)
Each layer receives projections from either the ipsilateral or contralateral retina. Individual geniculate neurons are monocular - driven by either the left or right eye but not both.

-->
Magnocellular:
Contralateral
Ipsilateral
Parvocellular:
Ipsilateral
Contralateral
Ipsilateral
Contralateral
-->
Term
The right visual field will go to which lateral geniculate nucleus?
Definition
The right visual field will go to the left lateral geniculate nucleus.
Term
Where, relative to the calcarine sulcus, is the upper visual field mapped?
Definition
The upper visual field is mapped below the calcarine sulcus.
The lower visual field is mapped above the calcarine sulcus.
Term
Calcarine sulcus
Definition
Region of the brain, above which there is the region for the termination of the lower visual field.
Below which there is the termination for the upper visual field.
Term
Scotomas
Definition
Small blind spots in the visual field
Term
Anopsias
Definition
Large visual field deficits --- large blind spots.
Term
If you were to cut the connection at the optic chiasm, what part of the visual field would not be percieved by the upper processing centers?
Definition
If you were to cut at the optic chiasm, then the information from the nasal retina will not be delivered to the upper processing areas.

However, the information from the temporal retinal regions will be.
Term
Of the layers of the visual cortex, in which do the greatest number of neurons synapse?
Definition
In layer #4.

Magnocellular lateral geniculate
Term
Where do magnocellular lateral geniculate neurons synapse?
Definition
IVC alpha
Term
Where do parvocellular lateral geniculate neurons synapse?
Definition
IV beta
Term
Ocular dominance columns
Definition
Refers to regions of neurons with similar ocular preference - either right or left eye.
There is a level of domination in the IV layer of the cortical region of the visual cortex.
Term
Location where the mixing of visual pathways occurs from both eyes
Definition
The striate cortex.
This is where the mixing of neurons begins! This creates binocular input.

At the geniculate lateral nucleus, before this, the neurons have a form of retinotropic map.
Term
What is the first step of processing conscious visual awareness.
Definition
The mixing of neurons at the level of the striate cortex.
Term
Binocularity
Definition
Signals from the two eyes are combined at the cellular level in the striate cortex.

*provides the basis for the sensation of depth (stereopsis)
Term
Stereopsis
Definition
The sensation of death
Term
Binocular disparity
Definition
Disparity between the two eyes views of objects nearer or farther than the fixation point is interpreted as depth.

(information hits slightly different parts of the retina)
Term
Cortical far cells
Definition
Retinal cell type that respond to stimuli and discharge to stimulation/disparities beyond the plane of fixation.
Term
Near cells
Definition
Retinal cell type that respond to stimuli at disparities in front of the plane of fixation.
Term
Orientation-selective neurons
Definition
The basis of how we interpret movement in our environment. There are specific neurons that are being processed in certain orientation (light/dark bars that are angled at certain orientations cause specific orientation of neurons to fire).
Term
Cortical neurons responding to optical stimulation are sensitive to what features of stimuli
Definition
Some neurons are specifically tunes to the orientation of light/dark contrasting bars
Some neurons are specifically tuned to the length of visual stimulus. **they decrease their firing rate of response when the bar exceeds a specific length.
Some neurons are specific to the direction in which an edge moved across their receptive field.

Therefore: there are
Length selective neurons
Orientation selective neurons
Direction selective neurons
Term
Orientation specific neurons are thought to be specialized for what function?
Definition
For the analysis of shape.
Term
Invarient neural representation
Definition
Different views of the same person or object evoke identical activity patterns in the striated cortex
Term
Variant neural representation
Definition
Different views of the same person or objet evoke different activity patterns in the striated cortex.
Term
How do neurons encode visual perception?
Definition
1) A broad and distributed population of neurons are relied on for schemes of representation. ***
2) Schemes based on the idea that the brain has a separate neuron to detect and represent every object. "grandmother neurons"
Term
Sound
Definition
Pressure waves generated by vibrating air molecules.

Sound pushes (compressing air) and pulling the air (rarefied air)
Term
Low density gas
Definition
Rarefied gas
Term
Loudness is measured in what units
Definition
Amplitude (Dd)
Term
Pitch is measured in what units
Definition
Frequency or cycles/second (Hz) -- Hertz
Term
What is the frequency range in which people can perceive sound?
Definition
20Hz to 20kHz
Term
Waveforms
Definition
Most sounds consist of complex wave forms.

The inner ear acts like an acoustical prism -- it decomposes the complex waveform into components and myriad of constituent tones.
Term
The different parts of the ear
Definition
Outer ear
Middle ear --> tympanic membrane, ossicles (stapes, incus and malleus)
Inner ear -->
Term
Function of the inner ear
Definition
Matching the low-impedence airborne sounds to the higher-impedance fluid of the inner ear.

**boosts the pressure measured at the tympanic membrane ~200 fold by the time it reaches the middle ear (P = F/A).
Uses the tiny foot-plate of the stapes at the oval window is much smaller than the tympanic membrane as well as the lever mechanism there to increase force output.
Term
Where do the neural aspects of the auditory system sit?
Definition
Within the organ of corti, found in the cochlea.
Term
The structures of the cochlea
Definition
Cochlea - part of the inner ear.

1) Organ of corti -
a. Where all of the neural aspects are found
2) Scala vestibuli / scala tympani
a. Perilymph - similar CSF low K+, high Na+
3) Scala media
a. Endolymph, ionic concentration similar to intracellular fluid, Low Na+, High K+
Term
What chambers are connected by the basilar membrane?
Definition
The scala vestibuli and the scala media.
Term
Helicotrema
Definition
Refers to the hole in the apex basilar membrane that connects the scala tympani and scala vestibuli, allowing them to communicate.
Term
Which part of the basilar membrane is stiffest?
a) All of it
b) The base of it
c) The apex of it
d) The middle of it
Definition
B - the base of it.
Term
Describe the shape of the basilar membrane
Definition
Widens from base to apex (base narrower than apex)
Stiffness decreases from base to apex (base is stiffer than apex)
Term
How does frequency affect the basilar membrane
Definition
Frequency determines the distance that a sound wave travels up the basilar membrane.

High frequency sound propagates little (high vibration, high dissipation of energy)
Low frequency sound propagates further (low vibration, little dissipation of energy)
Term
Describe the reaction of the basilar membrane to an auditory stimulation
Definition
Fluid movement bends basilar membrane at the base - this sets up a wave that travels towards the apex to the helicotrema.
Term
Spiral ganglion
Definition
The bipolar spiral ganglion cells where all the auditory nerves exit the ear … leads into the auditory nerve
Term
Auditory sensory receptor cells
Definition
Hair cells - (found with stereocilia facing the endolymph in the scala media)
There are two types: (1:3 proportion)
- Inner hair cells
- Outer hair cells (3x more)

There are stereo-cilia that actually move when sound gets to the basilar membrane. Bending in one direction causes depolarization, in the other direction causes hyperpolarization.

**these sensory cells synapse onto the spiral ganglia, with 10 spiral ganglion cells to one inner hair cell… and several outer hair cells to one spiral ganglion cell.

They use mechanical deformation of the hair cells to transduce sounds.
Term
Auditory receptor cells
Definition
Hair cells (inner/outer)
Term
Describe auditory sensory transduction
Definition
Sound waves are translated into mechanical waves by the middle ear. In the cochlea, facing the scala media, are the stereocilia of the hair cells responsible for tranducing the mechanical stimuli into electrical, out the spiral ganglion (auditory nerve).
The stereocilia are attached to each other by tip-links, which cause a mechanical deformation of the tips of the stereo-cilia when the fluid wave reaches the basilar membrane.
The deformation of the tips in a specific direction causes TRP-A1 channels to open and K+ to enter from the endolymph - depolarizing the cell and allowing for opening of voltage gated calcium channels.
Entrance of calcium allows for exocytosis of the synaptic vesicles containing NT's onto the spiral ganglion and optic nerve.
Term
Inner/outer hair cells
Definition
Involved in auditory transduction - outer and inner hair cells.
Outer hair cells function to amplify the signal in the basilar membrane.
Inner hair cells are key for signal transduction as 10 spiral ganglion cells attach to one inner hair cell.
Term
What is the function of the outer hair cells
Definition
To amplify the sound through the basilar membrane. "double bounce" using the protein "prestin"

They have less of a function in stimuli transduction because about 10 outer hair cells innervate 1 spiral ganglion cell whereas 10 spiral ganglion cells are innervated by 1 inner hair cell.
Term
Prestin
Definition
Motor protein found in outer hair cells that are required for the "double bounce" effect.
Term
Tinnitis
Definition
Hear constant ringing.
Due to burning out the outer hair cells. Since they don't work properly, there are symptoms such as clicking/ringing/and other obnoxious noises.
Term
What is the auditory pathway?
Definition
(PRIMARY NEURONS)
Auditory receptor cells in the cochlea --> spiral ganglia --> auditory nerve fiber --> ventral/dorsal cochlear nucleus

(SECONDARY NEURONS)
Leaving from the ventral/dorsal cochlear nucleus bilaterally, it then proceeds to the inferior/superior olive nuclei.

Superior olive nuclei --> inferior culliculus
Inferior olive nuclei --> superior culliculus

(TERTIARY NEURONS)
Inferior/superior colliculus --> MGN (thalamic relay)

(FOURTH ORDER NEURON)
MGN --> auditory cortex
Term
Where are the bipolar cells of the auditory pathway?
Definition
They are in the spiral ganglia
Term
How is loudness encoded
Definition
By number and firing rate of neurons. The louder the noise, the greater the # recruited + the faster the firing rate of neurons involved.
Term
Tonotopy
Definition
Systematic organization of characteristic frequency within an auditory structure.

Along the basilar membrane there are hair cells. Each of these hair cells are tuned to a different frequency of noise (because different points of the basilar membrane are stimulated by different frequencies).
The organization of these hair cells are maintained from the spiral ganglion back to the auditory nerve and the cochlear nucleus

Key for intermediate and high frequency sounds.
Term
How are low frequencies, intermediate frequencies and high frequencies represented?
Definition
Low frequency ; phase locking

Intermediate frequency: phase locking + tonotopy

High frequency: tonotopy only


**ionic displacement across the membrane limits phase locking capabilities
Term
Where are the nuclei controlling the mechanisms of sound localization located?
Definition
In the auditory brain-stem nuclei mediate sound localization.
Term
Mechanism of sound localization
Definition
Interaural time differences:
The medial superior olive computes the location of sound by interaural time difference <3 kHz.
Term
Medial superior olive
Definition
Computes location of a sound that are below 3Hz by interaural time differences.
Term
Lateral superior olive
Definition
Computes the location of a sound by interaural intensity differences.

Sound stimulates "lateral superior olive" of which ever side the sound is in first. (LSO)
This stimulus also inhibits the superior olive nucleus of the other ear via the medial nucleus of the trapezoid body (MNTB)

This makes it so that there is a greater net excitation going to higher processing centers from one side (the side which the noise arrived at first).
Term
True or false:
Perception of the auditory space occurs in the hindbrain circuitry.
Definition
False. Perception of auditory space is synthesized by the mid-brain circuitry.
Term
Where is the auditory space map found? What is significant about this?
Definition
Found in the colliculus.
Respond best to sounds originating from a specific region of space. Have preferred elevation/horizontal location.
Term
Medial geniculate complex
Definition
Thalamic relay for all auditory information destined for the cortex.

Neurons in the complex receive convergent inputs from spectrally/temporally separate pathways.
Term
True or false:
At the level of the brain stem, tonotopy is not maintained.
Definition
False. Tonopy is maintained at the level of the brain stem.
Term
True or false: tonopy in the cortex is by frequency
Definition
True
Term
Where is the primary auditory cortex located?
Definition
On the superior temporal gyrus in the temporal lobe and receives point-to-point input from the thalamus.

There's a secondary, more peripheral, auditory cortex which receives more diffuse stimuli.
Term
Vestibular system function
Definition
Perception of self-motion, head position, spatial orientation relative to gravity (vertical)

Also involved in stabilizing gaze, head and posture.
Term
Semicircular canals
Definition
A part of the vestibular system.
Involved in the perception of rotational accelerations of the head.
Term
Otolith organs
Definition
Utricle and saccule

Involved with linear accelerations of the head and static position relative to gravity (vertical)

Called otolith organs because they function using a gelatinous cap covering hair cells with otoconia on top of the cap. Shearing force between the otoliths and macula densa cause displacement of hair bundles.

Head tilts, gravity causes the otolith membrane to displace relative to the sensory epithelium.
Term
Ampula
Definition
Same thing as the semi-circular canal of the vestibular system
Term
The ganglion that innervates the vestibular nerve
Definition
Scarpa's ganglion
Term
Vestibular hair cells - direction of depolarization
Definition
Towards the kinocilium
Term
The sensory epithelium of the vestibular system
Definition
Ampulla
Succulus (vertical motion)
Utricle
Term
Vestibular hair cell transduction
Definition
Hair cells have stereocili/kinocili facing the endolymph.
Shearing stress on the otoconia [and therefore the gelatinous cap covering the cilia] cause the bending of the hair cells towards the kinocili cause the opening of TRPA-1 channels that are opened by the deformation @ the tip links.
Potassium comes in, depolarizes the cell and opens voltage gated calcium channels.
Calcium influx causes exocytosis of synaptic vesicles containing neurotransmitter.
If there is enough NT's released, the Scarpa's ganglion will fire, synapsing on the vestibular nerve.
Term
True or false:
The otolith organs are found in the semi-circular canals
Definition
False.
They are found in little chambers BY the semi-circular canal.
Term
True or false:
A head tilt is congruent with a transient displacement relative to the vestibular system
Definition
False.
A head tilt would be a tonic displacement, because you actually move your head.

The transient displacement refers more to acceleration or deceleration where the head doesn't actually move relative to the vertical.

Also, remember that tonic - sustained and transient - brief.
Term
How does the vestibular nerve encode afferent information?
Definition
Movements cause changes in firing rate.
There is a high basal firing rate --> tilting in one direction will cause an increase, tilting in the opposite will cause a decrease in firing rate.
Can signal either absolute head position or linear acceleration.
Term
Semicircular canal function
Definition
Part of the vestibular system
Senses head rotations and angular acceleration
Term
Describe how the semicircular canals work
Definition
They're part of the vestibular system.

The semicircular canals have structures called ampulla found near its ends.
These structures contain within them sensory epithelium called crista that contain hair cells.
The hair cells extend from the crista into another structure called the cupula..
The cupula is a gelatinous bundle containing the hair cells.

When the head turns in the plane of one of the semicirc canals, inertia of the endolymph creates a shearing stress across the cupula, distending it away from the direction of head movement + causing displacement of the hair bundles within the crista.

There is an equal and opposite movement occurring within the semicircular canals of the other ear.
Term
In which would we expect a depolarization:
1) In the vestibular hair cells of the cupula, in the direction of head rotation
2) In the vestibular hair cells of the cupula, in the opposite direction of head rotation
3) Neither
4) Both
Definition
1 - the hair cells in the direction which the head is moving will be depolarized, while those on the other side will be hyperpolarized.
Term
How does the vestibular system sense angular accelerations?
Definition
The semicircular canals of the vestibular system are responsible for the interpretation of angular movement.

At the beginning of angular movement, it is encoded by an increase in the firing rate at sarca's ganglion.

At the end of the angular movement there is a sudden hyperpolarization (and sudden decrease in firing rate)

In between it normalized (so both were above or below norm). (max depolarization = acceleration. Max inhibition = deceleration)
Term
Nystagmus
Definition
Slow eye movement that occurs opposite to head rotation.
Term
Spontaneous nystagmus
Definition
Can occur because of a lack of the spontaneous firing characterized by the vestibular system. If only one ear is damaged, there will still be spontaneous firing in the other ear and the eyes will respond to this difference in firing rate as though it were responding to angular acceleration.

Characterized by a "drifting" of the eyes.
Term
Ganglion of the vestibular system
Definition
Scarpa's ganglion
Term
Paramedian pontine reticular formation (PPRF)
Definition
A collection of local circuit neurons responsible for generating horizontal eye movements.

Horizontal gaze center.
Term
Vestibulo-ocular reflex definition:
Definition
Mechanism for producing eye movements that counter head movements, permitting the gaze to remain steady while the head turns.
Term
Vestibulo-ocular reflex - turning your head to the right
Definition
Turn head to the right:

- Positive effect on right vestibular nucleus
- Inhibitory effect on the on right-abducens nucleus and activation of the left-abducens nucleus
- Activation of the left-abducen's nucleus causes the stimulation of the left-lateral rectus muscle and the right medial rectus muscle.
- This initiates eye movement to the left.
Term
Which cortex is (are) involved with vestibular information?
Definition
There are two vestibular corticies!
1) Just posterior to the primary somatosensory cortex
2) Transition between somatic sensory cortex and the motor cortex
Term
What are the cortical areas involved with planning and executing movements?
Definition
Prefrontal cortex - area for making the decision about movement. 'planning neurons'

Supplementary motor areas (SMA) and premotor areas (PMA) - coordinate the actual movement.

M1 - the primary motor cortex --> center for initiating movement.
Term
Supplementary motor area and premotor area
Definition
Coordinate the actual movement between the prefrontal cortex and the motor cortex.
Term
Which ganglia regulate the upper motor neurons
Definition
Basal ganglia components
Term
Which ganglia or neuron is damaged in parkinsons or huntingtons disease?
Definition
Basal ganglia
Term
Components of the basal ganglia?
Definition
Substantia nigra
(very important in parkinsons disease)

Striatum: (the input of the basal ganglia)(medium spiny neurons)
Caudate nucleus (controls eye movements)
Putamen (functions other than eye movements)

Subthalamic nucleus (sorts and leads to output)

Globus pallidus

VL nucleus of the thalamus.
Term
Where are the substantia nigra compacta and substantia nigra reticulata located? What are they associated with?
Definition
They are located within the midbrain.
They are involved with the basal ganglia components.
Term
Describe the basal ganglion loop
Definition
1) begins in the cerebral cortex.
2) Caudate/putamen
3) Caudate to Substantia nigra pars compacta (cell bodies here)
4) Putamen to globus palladus internal
5) Substantia nigra pars compacta --> to --> superior colliculus
1. And back to caudate - but this is dopaminergic!
6) Globus palladus internal --> VA/VL complex (thalamus)
7) VA/VL complex (thalamus) --> frontal cortex
Term
What type of NT does the substantia nigra release?
Definition
Dopamine
Term
Where do the following synapse on a medium spiny neuron: ***

a) Cortical neurons
b) Interneurons / thalamus (local circuit neurons)
c) Substantia nigra pars compacta
Definition
A - on the dendritic spines -->

B - on the dendritic shafts, near the cell soma

C - at the base of the spine
Term
The firing of medium spiny neurons occurs when, all the time or periodically?
Definition
They are normally silent.

However, they become active when there is movement.
Term
When do putamen neurons fire
Definition
In anticipation of body movements.
Term
When do caudate neurons fire?
Definition
In anticipation of eye movements.
Term
What are medium spiny neurons involved in the initiation of?
Definition
Movement
Term
What are the medium spiny neurons and where do they synapse?
Definition
The medium spiny neurons are of the caudate/putamen nuclei.
They synapse onto either the globus pallidus internal or the substantia nigra pars reticulata.


Caudate is involved with eye movements --> the substantia nigra is involved with eye movements.

Putamen nuclei is involved with other movements --> the globus pallidus internal.
Term
Where does the globus palladus internal synapse?
Definition
The globus pallidus internal is a component of the basal ganglia component pathway.
It synapses on the VA/VL complex of the thalamus.

From there, it goes to the frontal cortex.
Term
Match the following with the rest:

a) Caudate nucleus
b) Putamen nucleus
c) Substantia nigra pars reticulata
d) Globus pallidus internal
e) VA/VL complex (thalamus)

a) GABAergic
b) Cholinergic
c) Adrenergic
d) Dopaminergic
e) Glutaminergic
Definition
A - GABA
B - GABA
C - GABA
D - GABA
E - glutaminergic
Term
True or false: the main output of the basal ganglia is inhibitory
Definition
True!

It takes inhibition of inhibition to cause an excitation response!
Term
True or false:
The substantia nigra pars reticulata and the globus pallidus internal are constantly tonically firing.
Definition
True.
They're constantly firing in order to inhibit unwanted movement.

It is disinhibition that allows movement to occur.
Term
What is the direct pathway through the basal ganglia.

What's the point of this pathway?
Definition
The direct pathway refers to the pathway from:
Cortex information --> caudate/putamen --> substantia nigra parts reticulatum / globus palladus internal

The point of this path is to release inhibition of inhibition to incite movement.
Term
What is the indirect pathway through the basal ganglia?

What's the point of this pathway?
Definition
Cortex --> caudate/putamen (GABA) --> globus pallidus external (GABA) --> subthalamic nucleus (Glut) ---> globus pallidus internal (GABA)

The point is to stimulate the inhibitory influences on the upper motor neurons.

"break" on the direct pathway.
Term
Hemiballismus
Definition
Violent, involuntary movements of the limbs, is the damage to the subthalamic nucleus - occurs on only one side of the body.
Term
Damage to the sub-thalamic nucleus can cause what condition?
Definition
Hemiballismus -- violent, involuntary movements of the limbs.
Term
Huntingtons disease
Definition
Hyperkinetic disorder.

Results from the degeneration of the medium spiny neurons (caudate and putamen) that project into external segment of the globus pallidus.

This produces a reduction in the inhibitory outflow of basal ganglia. This makes it so that upper motor neurons can be activated by inappropriate signals, producing undesired ballistic, choreic movements.
Term
D1
Definition
Part of the direct basal ganglion pathway:

Excitatory dopaminergic receptor found on the spiny cells of the substantia nigra that project into the internal segment of the globus pallidus.

Overall effect: decrease in inhibitory outflow of basal ganglia and increase the excitability of upper motor neurons.
Term
D2
Definition
Part of the indirect basal ganglion pathway:

Inhibitory input receptor found on the spiny cells of the substantia nigra that project to the external globus pallidus.
Term
Damage to what brain structure is a hallmark of parkinson's disease?
Definition
Substantia nigra is largely absent in parkinson's disease.
Term
True or false: a reduction in dopamine will result in an increase in activity because of a reduction in inhibition.
Definition
False. A reduction in dopamine will result in a decrease in movement overall.

The substantia nigra, which is typically damaged in people with parkinsons, resulting in a reduction in dopaminergic neurons.
Term
What causes the hyperkineticness of parkinsons disease
Definition
There is a destruction of the substantia nigra. This results in an abnormally high inhibitory outflow of the basal ganglia.
Term
Nociception
Definition
Sensory neural processes of encoding and processing noxious stimuli, depends on specifically dedicated receptors and pathways distinct from sensory processing of ordinary mechanical stimulation.
Term
Nocioceptors
Definition
Free nerve endings that are relatively unspecialized that initiate the sensation of pain.
Term
Which has the larger receptor field:
Mechanoceptors or nocioceptors
Definition
Nocioceptors
Term
What are the major classes of nocioceptors in the skin.
Definition
A-delta nocioceptors (mechanical)

A-delta thermal nocioceptors (>45*C or <5*C)

C-fiber polymodal nocioceptors (mechanical/chemical/thermal)

**often work together to give the perception of pain.
Term
True or false:
The major classes of nocioceptors are uni-polar neurons
Definition
True
Term
Where do the afferent nocioceptors synapse onto?
Definition
They synapse into the spinal cord onto secondary neurons.
Term
Put the following in order of fastest conducting neuron:
a-alpha
a-beta
a-delta
C
Definition
A-alpha > a-beta > a-delta > C
Term
Which neuron is pivotal in the "fast neuron pathway"
Definition
The A-delta fiber group
Term
Which neuron is pivotal in the "slow neuron pathway"
Definition
The C fiber group
Term
Which is myelinated, C or A-delta fibers?
Definition
A-delta fibers are myelinated
C fibers are not.
Term
What are each of the following fiber types involved in:
A-alpha
A-beta
A-delta
C
Definition
a-alpha
- Proprioception of skeletal muscle

a-beta
- Mechanoreceptors of the skin

a-delta
- Pain, temperature sensation

C
- Temperature, pain and itch sensation
Term
Which is faster:
Proprioception, nocioception or mechanoception
Definition
Nocioception is the slowest.

Proprioception is the fastest. Mechanoception is the next fastest.
Term
The delayed, longer lasting dull ache that you get after an injury is caused by which neuronal fibers?
Definition
The c fibers
Term
The immediate, sharp pain response is caused by what neuronal fiber
Definition
A-delta fibers
Term
True or false: pinching off the oxygen flow to C-delta fibers will cause them to be inhibited.
Definition
False! Anoxic conditions affect A-delta fibers before they do C-delta fibers.

If you want to inhibit C-delta fibers, you can use certain neurotoxins.
Term
What is the mechanism by which the nerve endings of nocioceptors are depolarized and action potentials are generated
Definition
This is not actually well known!

However, it's thought that TRPV-1 channels are involved. These are the receptors that are stimulated by capsaicin, the primary component that makes hot peppers hot.
Term
TRPV-1 receptors are stimulated by what?
Definition
Heat, capsaicin
Term
TRPV-1 is highly expressed with what other channel?
Definition
TRPA-1
Term
TRPA-1
Definition
Noxious cold receptor that is both chemo- and mechanosensitive.
Term
What makes TRPA-1 receptors mechanosensitive
Definition
The ankyrin repeats - when tissues surrounding it compress, it forces the channel open.
Term
Which TRP channels are within the noxious range?
Definition
TRPV2
TRPV1
Term
Acid sensing ion cannels (ASIC)
Definition
ASIC 1-4 nocioceptors found, ASIC 3 most common.

Selectively permeable to Na. (role in firing AP's)

Highly localized in nocioceptors innervating joints and muscles. Senses acidity changes (lactic acid)
Term
ATP receptors
Definition
P2X and P2Y - activated by ATP released by tissues - are Na and Ca permeable.

P2X - ligand gated ion channels that are highly expressed in nocioceptors

P2Y - g-protein coupled receptors that can modify a signal by interacting with other channels.
Term
Where are the cell bodies for pain fibers found?
Definition
In the dorsal root ganglia, entering into the spine.
Term
Where do the primary axons of nocioceptors exist?
Definition
In the periphery.
Term
Where do facial nocioceptors enter into the spinal cord?
Definition
Enter through the trigenital ganglion
Term
Where is the dorsal horn?
Definition
In the spinal cord - this is where primary nocioceptive neurons synapse onto secondary ones.
Term
Where do afferent nocioceptive fibers terminate in the dorsal horn?
Definition
a-delta fibers --> synapse lamina 1 and 5
C fibers --> lamina 2
A-beta fibers --> lamina 4 (mechanoreception)

*however this is just a general trend, not set in stone.

**this is where they synapse onto secondary neurons.
Term
Neural basis for referred pain
Definition
Due to a convergence of somatic and visceral nociceptive input to the substantia gelatinosa.

*a single projection neuron receives input from both regions, synapsing onto the same projection (in the dorsal horn)
Term
Referred pain
Definition
A condition in which pain from injury to a visceral structure (Ie the heart) is displaced to other areas of the body (IE the left arm)
Term
True or false:
Interactions between proprioceptors within the dorsal horn can module the transmission of nocioceptive information to higher centers.
Definition
False.

Mechanoreceptive afferents, not proprioceptive afferents, are the ones that can module that information.
Term
Why is there reduced pain while rubbing an injury
Definition
The stimulation of low-threshold mechanoreceptors causes a modulation of the nocioceptive information being transmitted to higher centers. They do this through local interactions in the dorsal horn.
Term
Nocioceptive afferents use what as neurotransmitters?
Definition
Glutamate and neuropeptides.

Glutamate = from translucent vesicles *fast EPSP
Neuropeptides = dense-core vesicles *substance P, slow EPSP
Term
Sensitization
Definition
Repeated application of noxious stimuli causes nearby nocioceptors that were previously unresponsive to become responsive to mechanical stimuli.
Especially thermal injury.
Term
Flare
Definition
The inflammation that occurs around the injury-specific.

Caused by neuropeptides that get released from the neurons. Flare is often sensitized.
Term
Peripheral sensitization
Definition
Results from the interaction of nocioceptors with the substances released when tissue is damaged.

Ex of metabolites released:
Extracellular protons, arachidonic acid/lipid metabolites, bradykinin, histamine, serotonin, prostaglandins, nucleotides, nerve growth factor (NGF)
Term
How do metabolites increase or cause sensitization
Definition
Metabolites released by tissue damages cause sensitization by interacting with receptors or ion channels of nocioceptive fibers, augmenting their response by decreasing the threshold for activation.

(prostaglandins)
Term
How do prostaglandins affect pain sensation?
Definition
Prostaglandins reduce the threshold for activation by phosphorylating sodium channels and causing them to open.
Term
The axon reflex
Definition
Refers to a nocioceptive phenomenon.

Nocioceptive stimulus goes to the spine, reflecting down other branches of the nocioceptive fiber where, at the tips, there are metabolites found and released that cause increased sensitization.
Term
Analgesics
Definition
Compounds that reduce pain intensity
Term
NSAIDs
Definition
Nonsteroidal anti-inflammatory drugs
Term
How do NSAIDs work?
Definition
Act by inhibiting COX, an enzyme key for the production of prostaglandins.
Term
Hyperalgesia
Definition
When types of noxious stimuli cause such sensitization that normal noxious stimuli, such as a small scratch, are perceived as abnormally high degree of pain or spontaneous pain.
Term
Hyperexcitation
Definition
Occurs at the synapse level where there's sensitization of the primary afferents, decreasing the threshold for activation of nocioceptor neurons.
They become hyperexcitable and cause frequent firing
Term
Central sensitization
Definition
Activity dependent increase in the excitability of neurons in the dorsal horn of the spinal cord. Occurs following high levels of activity in the afferent neurons.
Term
Allodynia
Definition
Induction of pain by what is normally an innocuous stimulus.
Term
Windup
Definition
Activity-dependent plasticity characterized by progressive increase in firing from dorsal horn neurons during train of repeated C-fiber or nocioceptor stimulation.

Occurs from summation of synaptic potentials.

Allows for removal of Mg block from NMDA channels, allowing influx of Ca and allowing the insertion of AMPA receptors into the membrane.
Term
Homosynaptic facilitation
Definition
Potentiation of a neuron that impacts itself.
Term
Heterosynaptic facilitation
Definition
Potentiation of a neuron that impacts the neurons around it, also potentiating them.
Term
Why does the phantom limb phenomenon occur?
Definition
Functional reorganization of the somatotopic maps in the primary somatosensory cortex occurs in amputees.

The sensation is displaced to a different area of the body
Term
How can you treat phantom limb?
Definition
The mirror technique - helps to reformat your somatotopic maps by tricking your brain into thinking that you're moving the hand that is missing, even though you're moving the hand that you have left in the mirror, to make it look like the other hand.
Term
Spinothalamic tract
Definition
Part of the anterolateral system. Goes from the spine to the thalamus. Part of the somatosensory pathway for pain, temperature and some touch -- the primary targets are the primary and secondary somatosensory cortex.

Within the dorsal root, primary sensory neurons synapse onto secondary neurons. Secondary neurons then cross the midline going up to the thalamus and then the primary/secondary sensory cortex.
Term
Dorsal-column-medial lemniscal pathway
Definition
Type of somatosensory tract (alongside spinothalamic) - carries information about touch, vibration, discrimination and proprioception.

Primary neuron enters into the spine, continues up the tract on the dorsal side then synapses onto a secondary neuron at the level of the medulla and crosses over the medial line before crossing over to the other side to the thalamus (VENTRAL POSTERIOR NUCLEUS) then the primary and secondary somatosensory cortex.
Term
What are the major ascending pathways for somatic sensation? (ANTEROLATERAL SYSTEM)
Definition
The dorsal-column-medial lemniscal pathway and the spinothalamic tract.
Term
Brown-sequard sydrome
Definition
Incomplete spinal cord lesion characterized by clinical presentation reflecting hemisection of the spinal cord.

Can cause you to lose different sensations of nocioception and mechanosensation to different parts of the body.
Specifically:
Nocioception: sensation below the damage is reduced contralateral to the damage.
Mechanoception: sensation below the damage, but on the same side, is reduced.
Term
Pain perception --> neural pathway
Definition
Primary nocioceptor gets activated, impulse travels up towards spinal cord, enters dorsal horn of spinal cord and synapses on secondary neuron, it crosses over and goes up the spinothalamic tract to the thalamus which then triggers mainly the primary and secondary somatosensory cortex.
Term
Projections from the anterolateral system onto the following are important for what? Where do they synapse onto?
Definition
Goes to the medial thalamic nuclei
This provides nocioceptive signals to areas in the insular cortex and the cingulate cortex.
Term
What are the additional cortical areas involved with pain perception?
Definition
Cingulate and insular cortex.
Term
What are the components of pain perception?
Definition
1) Sensory discriminative component: signals the location, intensity and quality of noxious stimuli. (somatosensory areas of cortex)
2) Affective-motivational component: signals the unpleasant quality of the experience and enables autonomic activation that follows a noxious stimuli.
(brainstem and additional cortical areas)
Term
True or false:
Hypnosis is a valid and effective way of reducing perception of pain
Definition
True!
Term
Which neurological structure is associated with the emotional aspect of pain
Definition
Cingulate cortex - it's part of the limbic system.
Term
Changes in pain intensity are accompanied by what neural changes?
Definition
Changes in pain intensity are accompanied by changes in activities in the somatosensory cortex.
Term
Changes in pain unpleasantness are accompanied by what neural changes?
Definition
A change in unpleasantness is accompanied by a change in activities in the cingulate cortex.
Term
Insular cortex
Definition
Processes information about the internal state of the body.
Term
Asymbolia for pain
Definition
Noxious stimuli produce pain but there is no appropriate emotional response that goes with it.

"false alarm theory" could explain why this happens
Term
Spinoreticular pathway
Definition
Part of the affective-motivational aspect of pain.

Mediated by projections to the reticular formation of the midbrain (parabrachial nucleus) into the hypothalamus and the amygdala.
Term
The interpretation of pain
Definition
The difference between the objective reality of a painful stimulus and the subjective response to it.
Term
True or false: opiates work by blocking the ascending tract of pain
Definition
False! They work by blocking the descending pain-modulating pathways.
Term
Periaqueductal gray of the midbrain
Definition
Part of the physiological basis for pain modulation.

Electrical stimulation at this point produces anelgesic type effects that inhibit the activity of nocioceptive projection neurons in the dorsal root of the spinal cord.
Term
True or false: opioids affect only at the site of secondary neurons
Definition
False. It affects both primary and secondary neurons.
Term
What do opioids do to the overall pain response?
Definition
It decreases the magnitude and duration of the pain response.
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