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”