Methodic Materials Sensation
Medical Academy named after S.I. Georgievsky of Vernadsky CFU Department of Neurology and Neurosurgery Class 1. Anatomy and Physiology of Sensation. Elements of the Nervous System. Anatomy, physiology, morphology of the Nervous System. Somatosensory System. Pathways. Aids to the examination of the Somatosensory System. Somatosensory Deficits due to Lesions at Specific Sites along the Somatosensory Pathways. Key poin ts: 1. Elements o f the Nervous System. 2. Peripheral Components of the Somatosensory System 3. Posterior Columns. 4. Spinothalamic Tracts. 5. Central Components o f the Somatosensory System 7. Testing for somatosensory deficits. 8. Somatosensory Deficits due to Lesions at Specific Sites along the Somatosensory Pathways Questions for students: Define the following terms: neuron, Nissl substance, axonal transport, Wallerian degeneration, chromatolysis, regeneration of nerve cells, glial cells, pigments and inclusions, nerve fibers, receptor, peripheral nerve, nerve plexus, posterior root, dorsal root ganglion, superficial sensation, deep sensation, posterior columns, spinothalamic pathway, dermatome, conscious proprioception, stereognosis, graphesthesia, 2-point discrimination, anesthesia, hypoesthesia, hyperpathia, allodynia, hyperesthesia, dysesthesia, paresthesia. 1. What are the steps involved in the sensory exam? 2. How is it possible to lose some types of sensations and not others? 3. What sensations are conveyed by the small-diameter sensory nerve fibers in a peripheral nerve? 4. What sensations are conveyed by large-diameter sensory nerve fibers in a peripheral nerve? 5. What sensations are conveyed by the dorsal columns? 6. What sensations are conveyed by the spinothalamic tract? 7. What is tested by double simultaneous stimulation? 8. Where would the lesion be if the patient was able to detect all modalities of sensation but could not recognize an object placed in the right hand? 9.
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