Physiology of the sensory system

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Presentation transcript:

Physiology of the sensory system

Two-point discrimination Number receptors / area (receptive field of the receptor )

Text Fig. 17-3 Smaller the receptive fields, greater the density of receptors. This relationship allows for greater discrimination in sensory inputs.

Two-point discrimination Number receptors / area Pathway arrangement

The Spinal Nerve Text Fig. 9-6, Anatomical Orientation

Sensations modalities Fast Slow 2-point discrimination Vibration Prorioception Crud touch (itch & rub) Temperature Pain Posterior Column-Medial lemniscus Pathway (PCML)

Sensations modalities Fast Slow 2-point discrimination Vibration Prorioception Temperature Crud touch (itch & rub) Pain Antero-lateral system (ALS) Other name: Spinothalamic pathway

Sensations modalities Fast Slow 2-point discrimination Vibration Prorioception Temperature Crud touch (itch & rub) Pain Posterior Column-Medial lemniscus Pathway (PCML) Antero-lateral system (ALS) Other name: Spinothalamic pathway Pressure ??????

Posterior Column-Medial lemniscus Pathway (PCML)

Ascending and Descending Tracts of the Spinal Cord Cervical Extremity (UE) Thoracic Lumbar Extremity (LE)

PCML Pathway

PCML Pathway

PCML Pathway

Lumbar Levels

Thoracic Levels

Cervical Levels

MRI of PCML

MRI of PCML

Somatotopic organization of (PCML)

PCML Function 2-point discrimination Vibration Prorioception

PCML Function STEREOGNOSIS 2-point discrimination Vibration Prorioception STEREOGNOSIS

PCML Function STEREOGNOSIS GRAPHESTHESIA 2-point discrimination Vibration Prorioception STEREOGNOSIS GRAPHESTHESIA

PCML Function STEREOGNOSIS GRAPHESTHESIA 2-point discrimination Vibration Prorioception STEREOGNOSIS GRAPHESTHESIA Help in movement and Wight recognition

PCML lesion associated symptoms Loss of 2-point discrimination sensation loss of Vibration sensation Loss Prorioception sensation

PCML lesion associated symptoms Loss of 2-point discrimination sensation loss of Vibration sensation Loss Prorioception sensation ASTEREOGNOSIS / STEREOGNOSIA

PCML lesion associated symptoms Loss of 2-point discrimination sensation loss of Vibration sensation Loss Prorioception sensation ASTEREOGNOSIS / STEREOGNOSIA AGRAPHESTHESIA ABAROGNOSIS SENSORY ATAXIA

PCML lesion associated symptoms Loss of 2-point discrimination sensation loss of Vibration sensation Loss Prorioception sensation ASTEREOGNOSIS / STEREOGNOSIA AGRAPHESTHESIA ABAROGNOSIS SENSORY ATAXIA

PCML lesion associated symptoms Loss of 2-point discrimination sensation loss of Vibration sensation Loss Prorioception sensation ASTEREOGNOSIS / STEREOGNOSIA AGRAPHESTHESIA ABAROGNOSIS SENSORY ATAXIA

Case Study

Case Study

Antero-lateral system (ALS)

Sensations modalities Fast Slow 2-point discrimination Vibration Prorioception Temperature Crud touch (itch & rub) Pain Antero-lateral system (ALS) Other name: Spinothalamic pathway

Text Fig. 18-9

Syringomyelia and the ALS Spinal cord Hemisection and the ALS

The ALS in the Spinal Cord, Medulla and Pons Atlas Fig. 8-7A

Text Fig. 18-11

The ALS in the Midbrain, Thalamus and Cerebral Hemisphere Atlas Fig. 8-7A

Dermatomes

Dermatomes

Dermatomes

Dermatomes

Dermatomes

Dermatomes Shoulder (C5-C6) Hand (C6-C8): 6= thumb the, 7= index finger, 8= small finger Nipple (T4), Umbilicus (T10), Inguinal region (T12-L1), Along the pelvic rim L1 knee (L3, L4), The big toe (L4-L5) The genitalia and anus (S4 and S5)

Visceral sensory & referred pain

Visceral sensory & referred pain

Visceral sensory & referred pain

Visceral sensory & referred pain

Referred pain right Left liver

Visceral sensory & referred pain

Visceral sensory & referred pain