Somatosensory System and Pain Prof. Marshall Devor, Ph.D. Dept. of Cell & Animal Biology and Center for research on Pain Institute of Life Sciences Hebrew.

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Somatosensory System and Pain Prof. Marshall Devor, Ph.D. Dept. of Cell & Animal Biology and Center for research on Pain Institute of Life Sciences Hebrew University of Jerusalem lecture 6: Ascending pathways 08-9 פיסיולוגיה מורחב

primary sensory neurons perception vs. regulation

Spinal white matter pathways antero- lateral column dorsal column

dorsal column – medial lemniscus system hand foot A  LTM afferents

dorsal column nuclei thalamus (ventro-basal nucleus) VPL, VPM somatosensory cortex (S1) dorsal column – medial lemniscus system light touch and vibration sense

anterolateral column system (spino-bulbo-thalamic system) all types of afferents hand foot

thalamus (ventro-basal nucleus) VPL, VPM somatosensory cortex (S1) spino-bulbo- thalamic system which sense ? brainstem nuclei "bulbo-"

spino-bulbo- thalamic system

dorsal column – medial lemniscus system light touch and vibration spino-bulbo-thalamic system which sense ?? tabes dorsalis

anterolateral column system (spino-bulbo-thalamic system) all types of afferents hand foot

dorsal column – medial lemniscus system light touch and vibration spino-bulbo-thalamic system all somato-visceral senses

primary sensory neurons “medial pain pathway” lamina I (nociceptive)  parabrachial n. (pons)  amygdala + hypothalamus

succinyl dehydrogenase barrel field (van der Loos)

homunculus

functional magnetic resonance imaging fMRI

saggital human brain anterior cingulate gyrus

CCoghill et al constant stimulus, variable sensory response among subjects

propriospinal system propriospinal tract

Somatosensory System and Pain Prof. Marshall Devor, Ph.D. Dept. of Cell & Animal Biology and Center for research on Pain Institute of Life Sciences Hebrew University of Jerusalem lecture 6: Ascending pathways פיסיולוגיה מורחב

primary sensory neurons

heterogeneity of primary afferents (  labeled line theory) heterogeneity of primary afferents (  labeled line theory) divergence + convergence  different heterogeneity of second divergence + convergence  different heterogeneity of second order projection neurons order projection neurons (2x specific, WDR, multireceptive) (2x specific, WDR, multireceptive) dynamic (RF size & response properties, central sensitization ) dynamic (RF size & response properties, central sensitization ) multiple ascending pathways multiple ascending pathways multiple terminal areas multiple terminal areas descending control (feedback, feedforward, anticipation) descending control (feedback, feedforward, anticipation) A Q P A Q P for every unique stimulus, a unique constellation of neural population activity Population activity theory "Population activity theory" “bottom-up” vs. “top-down”