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Auditory and Vestibular Systems Objective • to Learn the Functional
Auditory and Vestibular Systems Objective • To learn the functional organization of the auditory and vestibular systems • To understand how one can use changes in auditory function following injury to localize the site of a lesion • To begin to learn the vestibular pathways, as a prelude to studying motor pathways controlling balance in a later lab. Ch 7 Key Figs: 7-1; 7-2; 7-4; 7-5 Clinical Case #2 Hearing loss and dizziness; CC4-1 Self evaluation • Be able to identify all structures listed in key terms and describe briefly their principal functions • Use neuroanatomy on the web to test your understanding ************************************************************************************** List of media F-5 Vestibular efferent connections The first order neurons of the vestibular system are bipolar cells whose cell bodies are located in the vestibular ganglion in the internal ear (NTA Fig. 7-3). The distal processes of these cells contact the receptor hair cells located within the ampulae of the semicircular canals and the utricle and saccule. The central processes of the bipolar cells constitute the vestibular portion of the vestibulocochlear (VIIIth cranial) nerve. Most of these primary vestibular afferents enter the ipsilateral brain stem inferior to the inferior cerebellar peduncle to terminate in the vestibular nuclear complex, which is located in the medulla and caudal pons. The vestibular nuclear complex (NTA Figs, 7-2, 7-3), which lies in the floor of the fourth ventricle, contains four nuclei: 1) the superior vestibular nucleus; 2) the inferior vestibular nucleus; 3) the lateral vestibular nucleus; and 4) the medial vestibular nucleus. Vestibular nuclei give rise to secondary fibers that project to the cerebellum, certain motor cranial nerve nuclei, the reticular formation, all spinal levels, and the thalamus. -
Lecture 12 Notes
Somatic regions Limbic regions These functionally distinct regions continue rostrally into the ‘tweenbrain. Fig 11-4 Courtesy of MIT Press. Used with permission. Schneider, G. E. Brain structure and its Origins: In the Development and in Evolution of Behavior and the Mind. MIT Press, 2014. ISBN: 9780262026734. 1 Chapter 11, questions about the somatic regions: 4) There are motor neurons located in the midbrain. What movements do those motor neurons control? (These direct outputs of the midbrain are not a subject of much discussion in the chapter.) 5) At the base of the midbrain (ventral side) one finds a fiber bundle that shows great differences in relative size in different species. Give examples. What are the fibers called and where do they originate? 8) A decussating group of axons called the brachium conjunctivum also varies greatly in size in different species. It is largest in species with the largest neocortex but does not come from the neocortex. From which structure does it come? Where does it terminate? (Try to guess before you look it up.) 2 Motor neurons of the midbrain that control somatic muscles: the oculomotor nuclei of cranial nerves III and IV. At this level, the oculomotor nucleus of nerve III is present. Fibers from retina to Superior Colliculus Brachium of Inferior Colliculus (auditory pathway to thalamus, also to SC) Oculomotor nucleus Spinothalamic tract (somatosensory; some fibers terminate in SC) Medial lemniscus Cerebral peduncle: contains Red corticospinal + corticopontine fibers, + cortex to hindbrain fibers nucleus (n. ruber) Tectospinal tract Rubrospinal tract Courtesy of MIT Press. Used with permission. Schneider, G. -
Brainstem and Its Associated Cranial Nerves
Brainstem and its Associated Cranial Nerves Anatomical and Physiological Review By Sara Alenezy With appreciation to Noura AlTawil’s significant efforts Midbrain (Mesencephalon) External Anatomy of Midbrain 1. Crus Cerebri (Also known as Basis Pedunculi or Cerebral Peduncles): Large column of descending “Upper Motor Neuron” fibers that is responsible for movement coordination, which are: a. Frontopontine fibers b. Corticospinal fibers Ventral Surface c. Corticobulbar fibers d. Temporo-pontine fibers 2. Interpeduncular Fossa: Separates the Crus Cerebri from the middle. 3. Nerve: 3rd Cranial Nerve (Oculomotor) emerges from the Interpeduncular fossa. 1. Superior Colliculus: Involved with visual reflexes. Dorsal Surface 2. Inferior Colliculus: Involved with auditory reflexes. 3. Nerve: 4th Cranial Nerve (Trochlear) emerges caudally to the Inferior Colliculus after decussating in the superior medullary velum. Internal Anatomy of Midbrain 1. Superior Colliculus: Nucleus of grey matter that is associated with the Tectospinal Tract (descending) and the Spinotectal Tract (ascending). a. Tectospinal Pathway: turning the head, neck and eyeballs in response to a visual stimuli.1 Level of b. Spinotectal Pathway: turning the head, neck and eyeballs in response to a cutaneous stimuli.2 Superior 2. Oculomotor Nucleus: Situated in the periaqueductal grey matter. Colliculus 3. Red Nucleus: Red mass3 of grey matter situated centrally in the Tegmentum. Involved in motor control (Rubrospinal Tract). 1. Inferior Colliculus: Nucleus of grey matter that is associated with the Tectospinal Tract (descending) and the Spinotectal Tract (ascending). Tectospinal Pathway: turning the head, neck and eyeballs in response to a auditory stimuli. 2. Trochlear Nucleus: Situated in the periaqueductal grey matter. Level of Inferior 3. -
Medial Lemniscal and Spinal Projections to the Macaque Thalamus
The Journal of Neuroscience, May 1994, 14(5): 2485-2502 Medial Lemniscal and Spinal Projections to the Macaque Thalamus: An Electron Microscopic Study of Differing GABAergic Circuitry Serving Thalamic Somatosensory Mechanisms Henry J. Ralston III and Diane Daly Ralston Department of Anatomy, W. M. Keck Foundation Center for Integrative Neuroscience, University of California, San Francisco, California, 94143-0452 The synaptic relationships formed by medial lemniscal (ML) jority of these spinal afferents suggests that the transmis- or spinothalamic tract (STT) axon terminals with neurons of sion of noxious information is probably not subject to GA- the somatosensory ventroposterolateral thalamic nucleus of BAergic modulation by thalamic interneurons, in contrast to the macaque monkey have been examined quantitatively by the GABAergic processing of non-noxious information car- electron microscopy. ML and STT axons were labeled by the ried by the ML afferents. The differences in the GABAergic anterograde axon transport of WGA-HRP following injection circuits of the thalamus that mediate ML and STT afferent of the tracer into the contralateral dorsal column nuclei, or information are believed to underlie differential somatosen- the dorsal horn of the spinal cord, respectively. Thalamic sory processing in the forebrain. We suggest that changes tissue was histochemically reacted for the presence of HRP. in thalamic GABAergic dendritic appendages and GABA re- Serial thin sections were stained with a gold-labeled anti- ceptors following CNS injury may play a role in the genesis body to GABA, to determine which neuronal elements ex- of some central pain states. hibited GABA immunoreactivity (GABA-ir). Serially sec- [Key words: thalamus, somatosensory, monkey, GABA, tioned thalamic structures were recorded in electron medial lemniscus, spinothalamic tract, inhibition, interneu- micrographs and reconstructed in three dimensions by com- ron, pain] puter. -
05 Trigeminal System 2013.Pdf
Dental Neuroanatomy Thursday February 7th, 2013 David A. Morton, Ph.D. 5. THE TRIGEMINAL SYSTEM Somatic Sensation of the Face and Head Objectives 1. Outline the two pathways for facial sensation from the head. 2. Contrast facial sensation from the head and somatic sensation from the body. In what ways are they similar? Different? Try drawing this on the Haines atlas diagram at the end of the lecture. 3. Diagram the corneal reflex: the afferent and efferent limbs as well as nuclei involved in the brainstem. 4. If a person does not blink, how would you determine if the problem were in the sensory (afferent) limb, motor (efferent) limb, or brainstem interconnections for the corneal reflex? 5. Explain how a single, small medullary vascular lesion could abolish pain and temperature from the face on the right side and pain and temperature from the body on the left side. What vessel is most likely occluded? Introduction – The trigeminal system for the face and oral cavity is organized in a manner similar to the spinal cord. It has the equivalent of both the DCML pathway and the ALS pathway. The two trigeminal pathways will converge in the thalamus. The most confusing thing is that one of them descends before crossing and the other crosses immediately. Peripheral Receptors and Sensation Structures served by trigeminal system. 1. Cornea 2. Mucocutaneous tissues around mouth and nostrils. 3. Oral and nasal mucosae 4. Paranasal sinuses 5. Tongue (anterior two thirds) 6. Teeth and gums 7. Dura of anterior and middle cranial fossae 8. Skin of face to the vertex except angle of jaw 9. -
Role of P2y Receptors in the Spinal-Trigeminal System in Vivo and in Vitro
UNIVERSITÀ DEGLI STUDI DI MILANO Facoltà di Farmacia Dipartimento di Scienze Farmacologiche Corso di Dottorato di Ricerca in Scienze Farmacotossicologiche, Farmacognostiche e Biotecnologie Farmacologiche (XXIII CICLO) Graduate School in Pharmacological Sciences / Scuola di Dottorato in Scienze farmacologiche TESI DI DOTTORATO DI RICERCA PURINERGIC TRANSMISSION IN MIGRAINE: ROLE OF P2Y RECEPTORS IN THE SPINAL-TRIGEMINAL SYSTEM IN VIVO AND IN VITRO BIO/14 Tesi di dottorato di: GIOVANNI VILLA MATRICOLA: R07517 TUTOR: Chiar.ma Prof.ssa Maria Pia ABBRACCHIO CORRELATORE: Dr.ssa Stefania CERUTI COORDINATORE: Chiar.mo Prof. Guido FRANCESCHINI ANNO ACCADEMICO 2009/2010 Index INDEX 1. INTRODUCTION _______________________________ 1 1.1 PAIN AND NOCICEPTION 2 1.1.1 Molecular basis of nociception 3 1.1.2 The trigeminal nerve and the spinal-trigeminal system 4 1.1.3 Role of non-neuronal cells in pain transmission 9 1.2 MIGRAINE 12 1.2.1 Description of the migraine attack 14 1.2.2 How and where does the migraine attack originate? 15 1.2.3 Familial hemiplegic migraine 21 1.2.4 Current and future pharmacological treatment of migraine 24 1.3 THE PURINERGIC SYSTEM 29 1.3.1 Purinergic signalling 30 1.3.2 P2X receptors 32 1.3.3 P2Y receptors 33 1.3.4 Pathophysiological roles of extracellular nucleotides in the nervous system 36 1.4 PURINES AND PAIN 41 1.4.1 Role of P2X receptors in pain transmission 42 1.4.2 Role of P2Y receptors in pain transmission: sensory ganglia 46 1.4.3 Role of P2Y receptors in pain transmission: CNS 48 2. -
The Human Cortical Dental Pain Matrix : Neural Activation Patterns of Tooth Pain Investigated with Fmri
Zurich Open Repository and Archive University of Zurich Main Library Strickhofstrasse 39 CH-8057 Zurich www.zora.uzh.ch Year: 2011 The human cortical dental pain matrix : neural activation patterns of tooth pain investigated with fMRI Brügger, Michael Posted at the Zurich Open Repository and Archive, University of Zurich ZORA URL: https://doi.org/10.5167/uzh-164035 Dissertation Published Version Originally published at: Brügger, Michael. The human cortical dental pain matrix : neural activation patterns of tooth pain investigated with fMRI. 2011, University of Zurich, Faculty of Arts. The Human Cortical Dental Pain Matrix Neural Activation Patterns of Tooth Pain investigated with fMRI Thesis presented to the Faculty of Arts of the University of Zurich for the degree of Doctor of Philosophy by Michael Brügger of Marbach SG Accepted in the spring semester 2009 on the recommendation of Prof. Dr. rer. nat. Lutz Jäncke and Prof. Dr. med. dent. Sandro Palla Zurich, 2011 …the authors "art‐like" interpretation of a human brain under tooth pain… CONTENTS SUMMARY .................................................................................................................................. 6 ZUSAMMENFASSUNG ................................................................................................................ 7 PREFACE ..................................................................................................................................... 9 1. INTRODUCTION .................................................................................................... -
A. Diencephalon B. Telencephalon C. Metencephalon D
SAMPLE TEST QUESTIONS Select the one best answer. l. The olfactory nerve is attached to the: A. Diencephalon B. Telencephalon C. Metencephalon D. Mesencephalon E. Myelencephalon 2. Following complete transection of a peripheral nerve, all the following may occur except: A. Chromatoloysis in the cell body. B. Degeneration of peripheral myelin distal to the site of injury. C. Degeneration of the axon distal to the site of injury. D. Immediate restoration of normal function following prompt surgical repair. E. Outgrowth of axonal sprouting from the proximal nerve stump .. 3. A lesion of the left hypoglossal nerve causes: A. Loss of taste sensation on the left side of the tongue. B. Deviation of the tongue to the right side, upon protrusion. C. Total inability to protrude the tongue. D. Deviation of the tongue to the left, upon protrusion. E. Hoarseness. 4. In the brain stem, the principle sensory decussation f0r general sensation ca~ried in the posterior columns of the spinal cord forms the: A. Medial lemniscus. B. Lateral lemniscus. C. Central tegmental fasciculus D. Medial longitudinal fasciculus E. Spinal lemniscus. 5. All are true of the lateral spinothalamic tract except: A. It caries sensations of pain and thermal sense. B. Fibers from sacral origin are located in the ventro-medial portion of the tract. C. Decussation occurs within one or two spinal segments of its origin. D. Fibers of cervical origin are located in the ventro-medial portion of the tract. E. It forms part of the brain stem lemniscal systems. 81 6. A unilateral lesion of the internal capsule involving the genu and the posterior limb, would cause: A. -
Tractography-Guided Deep Brain Stimulation in Neuropathic Pain
Acta Neurochir DOI 10.1007/s00701-015-2356-1 LETTER TO THE EDITOR - FUNCTIONAL Diffusion tensor magnetic resonance imaging (DTI) tractography-guided deep brain stimulation in neuropathic pain Volker A. Coenen & Kristin Kieselbach & Irina Mader & Peter C. Reinacher Received: 14 December 2014 /Accepted: 12 January 2015 # The Author(s) 2015. This article is published with open access at Springerlink.com Dear Editor, Deformation correction of the EPI sequence according to Chronic pain syndromes pose a challenge for interdisciplinary Zaitsev et al. [1]. DTI tractography: StealthViz-DTI system teams of pain specialists. We report a patient who presented (Medtronic Navigation, Louisville, USA); FA level, 0.2; min- with a neuropathic trigeminal pain syndrome after repeated imal fibre length, 10 mm; seed density, 5.0; maximal fibre cut- resection of an epidermoid tumour involving the trigeminal off angle, 50°. Tractography as shown here used the MCP ganglion. Multiple therapeutic approaches—including chron- coordinates of the previous (removed) and newly implanted ic motor cortex stimulation, intrathecal drug application and electrodes. Three-dimensional visualisation and rendering of deep brain stimulation (DBS) to the periventricular/ tracked fibres were performed with Amira (Konrad Zuse periaqueductal grey and sensory thalamus—did not lead to a Zemtrum, Berlin, Germany and Visualization Sciences sustained relief of pain with a persistent rating of 7-9 on the Group, SAS Bordeaux, France); electric stimulation as previ- visual analogue scale (VAS). A magnetic resonance imaging ously described [2]. (MRI) scan was suspicious for a malposition of the previously At the day after imaging, two DBS electrodes were im- implanted clinically non-functional DBS electrodes. -
White Matter Anatomy: What the Radiologist Needs to Know
White Matter Anatomy What the Radiologist Needs to Know Victor Wycoco, MBBS, FRANZCRa, Manohar Shroff, MD, DABR, FRCPCa,*, Sniya Sudhakar, MBBS, DNB, MDb, Wayne Lee, MSca KEYWORDS Diffusion tensor imaging (DTI) White matter tracts Projection fibers Association Fibers Commissural fibers KEY POINTS Diffusion tensor imaging (DTI) has emerged as an excellent tool for in vivo demonstration of white matter microstructure and has revolutionized our understanding of the same. Information on normal connectivity and relations of different white matter networks and their role in different disease conditions is still evolving. Evidence is mounting on causal relations of abnormal white matter microstructure and connectivity in a wide range of pediatric neurocognitive and white matter diseases. Hence there is a pressing need for every neuroradiologist to acquire a strong basic knowledge of white matter anatomy and to make an effort to apply this knowledge in routine reporting. INTRODUCTION (Fig. 1). However, the use of specific DTI sequences provides far more detailed and clini- DTI has allowed in vivo demonstration of axonal cally useful information. architecture and connectivity. This technique has set the stage for numerous studies on normal and abnormal connectivity and their role in devel- DIFFUSION TENSOR IMAGING: THE BASICS opmental and acquired disorders. Referencing established white matter anatomy, DTI atlases, Using appropriate magnetic field gradients, and neuroanatomical descriptions, this article diffusion-weighted sequences can be used to summarizes the major white matter anatomy and detect the motion of the water molecules to and related structures relevant to the clinical neurora- from cells. This free movement of the water mole- diologist in daily practice. -
The Dorsal Column Nuclei Neuroanatomy Reveals a Complex Sensorimotor Integration and Distribution Hub
Preprints (www.preprints.org) | NOT PEER-REVIEWED | Posted: 8 November 2019 doi:10.20944/preprints201911.0084.v1 The Dorsal Column Nuclei Neuroanatomy Reveals A Complex Sensorimotor Integration and Distribution Hub Alastair J Loutit1,2, Richard M Vickery1, and Jason R Potas1,2 * 1School of Medical Sciences, UNSW Sydney, Sydney, New South Wales, 2052, Australia 2The Eccles Institute of Neuroscience, John Curtin School of Medical Research, Australian National University, Canberra, Australian Capital Territory, 2601, Australia * Correspondence: Dr Jason R Potas [email protected] Number of words (excluding references, abstract and abbreviations): 14,490 Number of figures: 6 Number of Tables: 1 Number of supplementary figures: 0 Keywords: brainstem sensory nuclei; somatosensation; secondary afferents; posterior column Abstract The dorsal column nuclei (DCN) are organised by both somatotopy and modality, and have a diverse range of afferent inputs and projection targets. The functional organisation and connectivity of the DCN implicate them in a variety of sensorimotor functions, beyond their commonly accepted role in processing and transmitting somatosensory information to the thalamus, yet this is largely underappreciated in the literature. In this review, we examine the morphology, organisation, and connectivity of the DCN and their associated nuclei, to improve understanding of their sensorimotor functions. First, we briefly discuss the receptors, afferent fibres, and pathways involved in conveying tactile and proprioceptive information to the DCN. Next, we review the modality and somatotopic arrangements of the constituents of the dorsal column nuclei complex (DCN-complex), which includes the gracile, cuneate, external cuneate, X, and Z nuclei, and Bischoff’s nucleus. Finally, we examine and discuss the functional implications of the myriad of DCN-complex projection targets throughout the midbrain, and hindbrain, in addition to their modulatory inputs from the cortex. -
Pain-Relieving Mechanisms in Neuromodulation 10
Pain-Relieving Mechanisms in Neuromodulation 10 Vikram Sengupta, Sascha Qian, Ned Urbiztondo, and Nameer Haider Introduction painful disease state being treated. Although clinical evi- dence will be provided, more exhaustive summaries of the Since its inception more than 50 years ago, the forms and clinical data will be reserved for later chapters in Part VI, applications of modern neuromodulation have undergone each of which is dedicated to the clinical aspects of a particu- tremendous expansion. The International Neuromodulation lar form of neuromodulation. Society defines neuromodulation as “the alteration of nerve activity through targeted delivery of a stimulus, such as elec- trical stimulation or chemical agents, to specific neurological Background and Historical Perspective sites in the body,” most commonly to reduce pain or improve neurologic function. All forms of neuromodulation are The earliest documented use of electrical current for the reversible. Neurostimulation is the most common form of treatment of pain was around 63 AD, when the Mesopotamian neuromodulation technology used today, and it refers to the physician, Scribonius Largus, discovered that shocks deliv- use of electrical or electromagnetic stimuli upon target tis- ered by the electrical torpedo fish could relieve bodily aches sues to elicit a therapeutic response. Although the focus of and pains. In the eleventh century, the Islamic philosopher this chapter will be on neurostimulation, other non-electrical Avicenna used cranial shocks delivered by the electric catfish therapies, such as intrathecal drug delivery systems, may fall to treat epilepsy. In the 1600s, the natural philosopher, into the category of neuromodulation. William Gilbert, reported using the magnetic lodestone to On August 10, 2017, the CDC recommended that the opi- treat headaches and psychiatric illness.