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NS10 – SOMATOSENSORY PATHWAY

                                   NS10 – SOMATOSENSORY PATHWAY
                                   (corrections/clarifications are in blue)
I. OVERVIEW
A. Function of the somatosensory pathway:
   1. To collect sensory information from sensory receptors in the skin, viscera, joints and muscles
   2. To transmit sensory information to the brain for evaluation and integration.


B. Classification based on the source of sensory information
   1. Proprioreception – information about the relative position and movement of body segments to each other
   and in space – muscle tension, muscle length, muscle velocity
   2. Exteroreception – information about the external environment
       a. Mechanoreception: discriminative touch - form, texture, vibration, stretch
       b. Nociception: pain - sharp pain, burning pain
       c. Thermoreception: temperature - warmth, cold
   3. Interoreception – information from the internal organs


C. Components of the somatosensory pathway
   1. Sensory receptors: mechanoreceptors, nociceptors, thermoreceptors, proprioreceptors
   2. Sensory nerve fibers
       a. first order neurons – primary sensory afferents – unipolar neurons (dorsal root ganglion cells)
       b. second order sensory neurons
       c. third order sensory neurons (thalamus)
       d. fourth order sensory neurons (somatosensory cortex)
   3. Higher centers – cerebral cortex, cerebellum, periaqueductal gray


D. Organization of the somatosensory pathways
   1. Dorsal spinal cord pathways
       a. dorsal column/ medial leminiscal pathway (body; discriminative touch)
       b. trigeminal pathway (face; depends on final target can be for touch, pain or proprioception)
       c. spinocerebellar pathway (body; proprioception)
   2. Ventral spinal cord pathways
       a. spinothalamic pathway (body; pain & temperature)
       b. spinoreticular pathway body; attentional, arousal)
       c. spinomesencephalic pathway (body; emotional response)


E. Transmission and interpretation of somatosensory information
   1. Receptor perception of stimuli
   2. Receptive field
   3. Sensory modality: an aspect of a stimulus; coding of information (e.g. mechanoreception, nociception0
   4. Types of sensory afferents
   5. Adaptation: ability of receptor to change its response to constant stimuli.
   6. Dermatome: an area of skin innervated by a pair of dorsal root nerve. The body can be divided into


                                                        1
NS10 – SOMATOSENSORY PATHWAY

   regions (dermatomal map) that are supplied by a single nerve and this map can be used to identify sites of
   nerve damage
E. Transmission and interpretation of somatosensory information
   7. Modality segregation – sensory neurons are organized according to the type of information that they
   transmit and become part of different ascending spinal tracts.
   7. Somatosensory map - a complete map of the body exists in the somatosensory cortex.


II. SOMATOSENSORY RECEPTORS
A. MECHANORECEPTORS
TABLE 1: Comparison of cutaneous mechanoreceptors

                                                   RECEPTIVE        GROSS VS.     DETECTION          AXON
                   STIMULI       ADAPTATION
                                                     FIELD            FINE        OF STIMULI         TYPE

                                                     large, >20     gross
  Pacinian       unlocaliized                                                     beginning &
                                      rapid             mm          (70-
                  vibratiion                                                      end
 corpuscle
                                                        deep        1000Hz)

                                                    small, 3-4
 Meissner’s                                                         fine          beginning &
                  skin stretch        rapid            mm
                                                                    (10-200 Hz)   end
 corpuscle
                                                    superficial
                                                                                                   myelinated
                                                                                                   type Aβ
                                                    small, 3-4
  Merkel’s                                                          fine
                skin curvature        slow             mm                         sustained
                                                                    (30 Hz)
   disc
                                                    superficial

                                                     large, >10
  Ruffini’s        directional                                      gross
                                      slow              mm                        sustained
                  skin stretch                                      (15 Hz)
  ending
                                                        deep




                                                       2
NS10 – SOMATOSENSORY PATHWAY

B. THERMORECEPTORS & NOCICEPTORS
TABLE 2: COMPARISON OF THERMO AND NOCICEPTORS

                  NERVE ENDING             AXON TYPE           DETECTION OF         RECEPTIVE FIELD
                                                                  STIMULI
                                       THERMORECEPTORS

                        free              unmyelinated             30-45oC              1 -5 mm
 Warm receptors
                                            type C

                        free             lightly myelinated       10 - 35 oC            1-5 mm
 Cold receptors
                                               type Aδ
                                          NOCICEPTORS

                                         lightly myelinated     strong pressure
                        free                                                            2-3 mm
   Mechanical
                                               type Aδ        from sharp objects
   nociceptor
                                         lightly myelinated     burning heat or
                        free                                                            2-3 mm
    Thermal
                                               type Aδ           extreme cold
   nociceptor
                                         lightly myelinated     extreme in pH,
                        free                                                            2-3 mm
    Chemical
                                               type Aδ              irritants
   nociceptor

                                                                 combination of
   Polymodal                              unmyelinated        mechanical, thermal
                        free
                                            type C             (heat & cold) and
   nociceptor
                                                                chemical stimuli




C. PROPRIORECEPTORS
TABLE 3: COMPARISON OF PROPRIOCEPTORS

                    RECEPTOR               FUNCTION                STIUMLI            AXON TYPE


                   Ruffini’s ending
                                            prevent
                                          hyperflexion,             stretch
JOINT RECEPTOR
                    Panciniform
                                         hyperextension
                    corpuscles


                    encapsulated
                                                                                       myelinated
                    ending with a             stretch          change in muscle
                                                                                        type Aα
MUSCLE SPINDLE
                     primary and            tendon tap              length
                  secondary ending


                   terminals within
GOLGI TENDON                                                   change in muscle
                  collagen fibers of
                                                                   tension
ORGAN                                         stretch
                       tendon




                                                 3
NS10 – SOMATOSENSORY PATHWAY

Table 4. Comparison of dorsal spinal cord pathways (pathways that are part of the learning objectives
are in red)

 DORSAL SPINAL        Dorsal column/ medial                 trigeminal                   Spinocerebellar
     CORD                   lemniscal
   PATHWAYS


                    body                            face                          body
     REGION

                    conscious perception of         touch, pain/temperature,      subconsious proprioceptive
    SENSORY
                    touch                           proprioception                posture, balance,
  INFORMATION
                                                                                  coordination of skilled
                                                                                  movement


                    mechanorecpetors of skin,       mechanoreceptors,             muscle and joint receptors
   RECEPTORS
                    joints, muscle                  nociceptors,                  from lower body
                                                    thermoreceptors,
                                                    proprioceptors


                    dorsal root ganglia:            cranial nerve ganglia         dorsal root ganglia
  FIRST ORDER
                    - fasciculus gracilis (T7 and
    NEURONS
                    below; legs and trunk)

                    - fasciculus cuneatus
                    (above T7; arms and trunk)


                    brain stem or                   trigeminal nuclei             synapse on neuron in
SECOND ORDER
                    caudal medulla:                                               Clarke’s Nucleus
  NEURONS
                    - gracilis nucleus
                                                    project through               projects ipsilaterally via
                    - cuneate nucleus               tigeminothalamic tract        posterior spinocerebellar
                                                                                  tract
                    axons run ventrally =           decussate
                    internal arcuate fibers; then
                    decussate to become
                    medial lemniscus


                    VPL (ventral posterior          VPMN (ventral
  THIRD ORDER
                    lateral) nucleus of the         posteromedial) nucleus of
    NEURONS
                    thalamus                        thalamus

                                                    pass through posterior limp
                                                    of internal capsule


                    somatosensory cortex            somatosensory cortex          cerebellum
HIGHER CENTER




                                                      4
NS10 – SOMATOSENSORY PATHWAY

  Table 5. Comparison of ventral spinal cord pathways



VENTRAL SPINAL             anterolateral           spinoreticular tract        spinomesencephalic
CORD PATHWAYS            (spinothalamic)                                             tract


                  body                          body                         body
   REGION

                  pain & temperature            attentional mechanism &      emotional response;
   SENSORY
                                                arousal; noxious stimuli     noxious stimuli
 INFORMATION


                  mechanoreceptors              nocieptors                   nocieptors
  RECEPTORS
                  (touch = anterior stt)

                  nociceptors
                  thermoreceptors
                  (pain & temp = lateral stt)


                  dorsal root ganglia           dorsal root ganglia          dorsal root ganglia
 FIRST ORDER
   NEURONS


                  dorsal horn                   dorsal horn                  dorsal horn
SECOND ORDER
  NEURONS
                  decussate in spinal cord      ascend as ipsilateral        ascend as ipsilateral
                                                spinoreticular tract         spinoreticular tract
                  ascend in either anteror or
                  lateral spinothalamic tract

                  anterior and lateral tracts
                  run together as spinal
                  lemniscus in medulla

                  pass through pons and
                  midbrain


                  VPL (ventral posterior
 THIRD ORDER
                  lateral) nucleus of the
   NEURONS
                  thalamus


                  somatosensory cortex          medullary,                   periaqueductal gray (PAG)
HIGHER CENTER
                                                pontine, and                 in midbrain
                                                mesencephalic reticular
                                                formation                    mediates endogenous
                                                                             analgesia & control of
                                                                             aversive behaviour




                                                  5

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Ns10 Sensory Receptors Corrected

  • 1. NS10 – SOMATOSENSORY PATHWAY NS10 – SOMATOSENSORY PATHWAY (corrections/clarifications are in blue) I. OVERVIEW A. Function of the somatosensory pathway: 1. To collect sensory information from sensory receptors in the skin, viscera, joints and muscles 2. To transmit sensory information to the brain for evaluation and integration. B. Classification based on the source of sensory information 1. Proprioreception – information about the relative position and movement of body segments to each other and in space – muscle tension, muscle length, muscle velocity 2. Exteroreception – information about the external environment a. Mechanoreception: discriminative touch - form, texture, vibration, stretch b. Nociception: pain - sharp pain, burning pain c. Thermoreception: temperature - warmth, cold 3. Interoreception – information from the internal organs C. Components of the somatosensory pathway 1. Sensory receptors: mechanoreceptors, nociceptors, thermoreceptors, proprioreceptors 2. Sensory nerve fibers a. first order neurons – primary sensory afferents – unipolar neurons (dorsal root ganglion cells) b. second order sensory neurons c. third order sensory neurons (thalamus) d. fourth order sensory neurons (somatosensory cortex) 3. Higher centers – cerebral cortex, cerebellum, periaqueductal gray D. Organization of the somatosensory pathways 1. Dorsal spinal cord pathways a. dorsal column/ medial leminiscal pathway (body; discriminative touch) b. trigeminal pathway (face; depends on final target can be for touch, pain or proprioception) c. spinocerebellar pathway (body; proprioception) 2. Ventral spinal cord pathways a. spinothalamic pathway (body; pain & temperature) b. spinoreticular pathway body; attentional, arousal) c. spinomesencephalic pathway (body; emotional response) E. Transmission and interpretation of somatosensory information 1. Receptor perception of stimuli 2. Receptive field 3. Sensory modality: an aspect of a stimulus; coding of information (e.g. mechanoreception, nociception0 4. Types of sensory afferents 5. Adaptation: ability of receptor to change its response to constant stimuli. 6. Dermatome: an area of skin innervated by a pair of dorsal root nerve. The body can be divided into 1
  • 2. NS10 – SOMATOSENSORY PATHWAY regions (dermatomal map) that are supplied by a single nerve and this map can be used to identify sites of nerve damage E. Transmission and interpretation of somatosensory information 7. Modality segregation – sensory neurons are organized according to the type of information that they transmit and become part of different ascending spinal tracts. 7. Somatosensory map - a complete map of the body exists in the somatosensory cortex. II. SOMATOSENSORY RECEPTORS A. MECHANORECEPTORS TABLE 1: Comparison of cutaneous mechanoreceptors RECEPTIVE GROSS VS. DETECTION AXON STIMULI ADAPTATION FIELD FINE OF STIMULI TYPE large, >20 gross Pacinian unlocaliized beginning & rapid mm (70- vibratiion end corpuscle deep 1000Hz) small, 3-4 Meissner’s fine beginning & skin stretch rapid mm (10-200 Hz) end corpuscle superficial myelinated type Aβ small, 3-4 Merkel’s fine skin curvature slow mm sustained (30 Hz) disc superficial large, >10 Ruffini’s directional gross slow mm sustained skin stretch (15 Hz) ending deep 2
  • 3. NS10 – SOMATOSENSORY PATHWAY B. THERMORECEPTORS & NOCICEPTORS TABLE 2: COMPARISON OF THERMO AND NOCICEPTORS NERVE ENDING AXON TYPE DETECTION OF RECEPTIVE FIELD STIMULI THERMORECEPTORS free unmyelinated 30-45oC 1 -5 mm Warm receptors type C free lightly myelinated 10 - 35 oC 1-5 mm Cold receptors type Aδ NOCICEPTORS lightly myelinated strong pressure free 2-3 mm Mechanical type Aδ from sharp objects nociceptor lightly myelinated burning heat or free 2-3 mm Thermal type Aδ extreme cold nociceptor lightly myelinated extreme in pH, free 2-3 mm Chemical type Aδ irritants nociceptor combination of Polymodal unmyelinated mechanical, thermal free type C (heat & cold) and nociceptor chemical stimuli C. PROPRIORECEPTORS TABLE 3: COMPARISON OF PROPRIOCEPTORS RECEPTOR FUNCTION STIUMLI AXON TYPE Ruffini’s ending prevent hyperflexion, stretch JOINT RECEPTOR Panciniform hyperextension corpuscles encapsulated myelinated ending with a stretch change in muscle type Aα MUSCLE SPINDLE primary and tendon tap length secondary ending terminals within GOLGI TENDON change in muscle collagen fibers of tension ORGAN stretch tendon 3
  • 4. NS10 – SOMATOSENSORY PATHWAY Table 4. Comparison of dorsal spinal cord pathways (pathways that are part of the learning objectives are in red) DORSAL SPINAL Dorsal column/ medial trigeminal Spinocerebellar CORD lemniscal PATHWAYS body face body REGION conscious perception of touch, pain/temperature, subconsious proprioceptive SENSORY touch proprioception posture, balance, INFORMATION coordination of skilled movement mechanorecpetors of skin, mechanoreceptors, muscle and joint receptors RECEPTORS joints, muscle nociceptors, from lower body thermoreceptors, proprioceptors dorsal root ganglia: cranial nerve ganglia dorsal root ganglia FIRST ORDER - fasciculus gracilis (T7 and NEURONS below; legs and trunk) - fasciculus cuneatus (above T7; arms and trunk) brain stem or trigeminal nuclei synapse on neuron in SECOND ORDER caudal medulla: Clarke’s Nucleus NEURONS - gracilis nucleus project through projects ipsilaterally via - cuneate nucleus tigeminothalamic tract posterior spinocerebellar tract axons run ventrally = decussate internal arcuate fibers; then decussate to become medial lemniscus VPL (ventral posterior VPMN (ventral THIRD ORDER lateral) nucleus of the posteromedial) nucleus of NEURONS thalamus thalamus pass through posterior limp of internal capsule somatosensory cortex somatosensory cortex cerebellum HIGHER CENTER 4
  • 5. NS10 – SOMATOSENSORY PATHWAY Table 5. Comparison of ventral spinal cord pathways VENTRAL SPINAL anterolateral spinoreticular tract spinomesencephalic CORD PATHWAYS (spinothalamic) tract body body body REGION pain & temperature attentional mechanism & emotional response; SENSORY arousal; noxious stimuli noxious stimuli INFORMATION mechanoreceptors nocieptors nocieptors RECEPTORS (touch = anterior stt) nociceptors thermoreceptors (pain & temp = lateral stt) dorsal root ganglia dorsal root ganglia dorsal root ganglia FIRST ORDER NEURONS dorsal horn dorsal horn dorsal horn SECOND ORDER NEURONS decussate in spinal cord ascend as ipsilateral ascend as ipsilateral spinoreticular tract spinoreticular tract ascend in either anteror or lateral spinothalamic tract anterior and lateral tracts run together as spinal lemniscus in medulla pass through pons and midbrain VPL (ventral posterior THIRD ORDER lateral) nucleus of the NEURONS thalamus somatosensory cortex medullary, periaqueductal gray (PAG) HIGHER CENTER pontine, and in midbrain mesencephalic reticular formation mediates endogenous analgesia & control of aversive behaviour 5