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Neuro1: Peripheral Nervous System
Neuro1: Peripheral Nervous System
26
Medical
Graduate
05/02/2012

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Term
Transition from CNS to PNS
Definition
Segements of afferent and efferent nerve fibers are located in both. The boundary between the CNS and PNS is defined as the location where the nerve fibers exit the spinal cord/brain stem and where glia cells of the CNS (oligodendrocytes) give way to those of the PNS (Schwann cells).
Term
Mixed nerve
Definition
Merging of spinal nerves after emerging from dorsal and ventral roots. Most peripheral nerves are mixed nerves.
Term
Where are the cell bodies for afferent neurons?
Definition
Outside CNS in the DRG or Cranial Ganglia.
Term
Where are the cell bodies of the efferent neurons?
Definition
In the ventral and medial horn of the spinal cord.
Term
Epineurium is contiguous with?
Definition
Dura mater of spinal cord.
Term
Which layer of a nerve sheath forms the blood-nerve barrier?
Definition
Perineurium. Tight junctions of perineurium contribute to this.
Term
Extrinsic Circulation
Intrinsic?
Definition
Extrinsic: Epineurial space - Outside fascicles. Vessels controlled by sympathetics.
Intrinsic: Run within the endoneurial space (penetrate perineurium). Vessels not controlled by sympathetics.
Term
Proportion of myelinated vs unmyelinated.
Definition
1:4 - but myelinated do make up most area.
Term
Remak Bundle
Definition
5-20 unmyelinated axons ensheathed by a single Schwann cell (ensheathed does not mean myelinated).
Term
Small diameter (.2-2um are unmyelinated). Small diameter+lack of sheath makes these sloooow.

The larger the diameter of an axon, the thicker the myelin sheath
Definition
Term
What is myelin?
Definition
A compact lipid membrane
Term
What percent of axons in a peripheral nerve are myelinated?
Definition
25%
Term
Can Schwann cells myelinate more than one axon? Long distance between Nodes of Ranvier does what to axons?
Definition
No. Increases rapid saltatory conduction.
Term
Compound Action Potential
Definition
Summation of all the action potentials of an entire nerve. Therefore they are graded (different nerve fibers in a nerve will have different stimulus intensity).
Term
Which has a lower threshold for extracellular stimulation, large or small fibers?
Definition
Large fibers (larger x-sectional area and lower resistance).
Term
Which is first recruited, large or small fibers?
Definition
Large rapidly conducting (Aalpha, Bbeta). Further increasing the stimulis recruits small diameter Adelta and C fibers.
Term
Which has larger membrane resistances, small or large cells?
Definition
Small - mostly due to differences in surface area. Therefore with direct INTRACELLULAR stimulation, the small fibers are actually recruited first.
Term
Classification of Peripheral Nerve Fibers
Definition
The letter system A, B, and C are based on conduction velocity (in order of CV)
Roman Numerals - Fibers grouped according to size (I>II>III>IV).
Term
Letter system of peripheral nerves:
Definition
A - myelinated sensory and motor nerve fibers (Aalpha, Abeta, Agamma, and Adelta).
B - myelinated visceral fibers (preganglionic efferents)
C - unmyelinated fibers (nociceptors, thermal, touch, postganlgionic)
Term
Roman Numeral System
Definition
I>II>III>IV. I,II,III represent myelinated axons. Group Ia - muscle spindle. Group Ib - Golgi tendon
Group IV are unmyelinated axons.
Term
What would the following be classified as (letter system used for MYELINATED EFFERENT FIBERS):
Skeletal muscle extrafusal fibers
Intrafusal muscle fibers
Autonomic preganglionic fibers
Definition
Aalpha
Agamma
B
Term
Roman Numerals Used for MYELINATED AFFERENTS:
Muscle afferents (Spindle, GTO)
Secondary muscle spindles, mechanoreceptors of skin and joints.
Free endings, mechanoreceptors, thermoreceptors, noiciceptors
Definition
I (Ia and Ib)
II - Abeta
III - Adelta
Term
Unmyelinated fibers - Group C or IV
Definition
Free endings, thermoreceptors, mechanoreceptors, postganglionic fibers.
Term
Mononeuropathy
Definition
Damage to a single peripheral nerve. Carpal tunnel. Accidents fall common.
Term
Polyneuropathy
Definition
Disorder of more than one nerve. Accounts for greatest number of peripheral neuropathy cases. One of the most common forms of chronic polyneuropathy is DIABETIC neuropathy
Term
Inherited Neuropathy
Definition
CMT is most common. Progressive loss of axons from peripheral nerve. Longest are first to be affected (so feet, legs, and hands). Caused by Connexin mutation (component of gap junction of Schwann cells).
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