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parts of outer ear (4)
helix, antihelix, lobule, tragus
external ear
includes auricle and external acoustic meatus
outer ear innervation
trigeminal (facial and vagus as well)
tympanic membrane separates what
outer and middle ear
middle ear
stapes
incus
malleus
inner ear
cochlea and semicircular canals
when stapes presses on inner ear, how does the fluid move?
begins at oval window, through the canal, ends at round window
the inner ear is embedded in what?
temporal bone (petrous part)
spiral organ
sensory organ within cochlea
contains the “hair cells” attached to the basilar membrane —> separates the
cochlear duct from the scala tympani
semicircular canals and cochlea are surrounded by what?
bony labyrinth
semicircular canals
3 tubes in inner ear
detect head rotation and help maintain balance
filled with endolymph
cochlea
spiral shaped, fluid filled
lined with hair cells allowing it to transduce sound into electrical impulses
perilymph location
scala tympani and scala vestibuli
endolymph location
cochlear duct
scala vestibuli and tympani
vestibuli- upper
tympani- lower
continous at helicotrema (apex)
spiral organ afferent neurons are
bipolar
what is in between the two scala in the inner ear?
cochlear nerve and spiral organ
in general cranial nerves are what?
collections of axons exiting or entering brain/brainstem
CN III-XII are similar to what?
spinal nerve
CN I and II are what?
outgrowths of the brain
CN I and II have their primary sensory neurons where?
within the sensory organs, CN I = Olfactory and CN II = optic
cranial nerves provide sensory input to the brain for what?
special senses- vision/hearing/smell
general senses- touch
Cranial nerves provide motor output how?
motor to skeletal muscles
autonomic motor to smooth muscles and glands
where are sensory CN bodies?
sensory ganglia
usually along nerve pathway a short distance from brain
where are motor CN bodies
within motor nuclei in brainstem
Pneumonic for CN names
Only One Of The Two Athletes Felt Very Good Victorious And Happy
Pneumonic for CN type (sensory, motor,both)
some say marry money but my brother says big brains matter more
which nerves have parasympathetic fibers
3,7,9,10
oculomotor, facial, glossopharyngeal, vagus
trigeminal nerve is split into what three branches
V1- opthalamic
V2- maxillary
V3- mandibular
CN V and VII both have what?
wide distribution in the head
CN V is largely
sensory
• Conveys nearly all general sensation from the skin of face
• Conveys general sensation from tongue, teeth, oral mucosa and gingiva, TMJ, palate, nasal cavity paranasal sinuses and the eyeball
Motor for chewing muscles of mastication
CN VII is complicated how?
in function and its path as to where it gets around face
Innervates: all muscles of facial expression, secretion at two of the three major salivary glands, taste of tongue
the ANS works at what level
subconscious level
ANS provides what?
involuntary control of functions that maintain body’s internal environment
ANS innervates what 3 things?
smooth muscle
cardiac muscle
glands
which are 2 neuron systems? which are 3?
2- motor, autonomic
3- sensory
the ANS synapses where?
in an autonomic ganglion
what three things help control ANS and which is most important?
cortex, brain stem, and hypothalamus
hypothalamus= most important
the hypothalamus controls visceral activity and is what?
the chief effector of the limbic system
What is the limbic system
functional system that has a big role in memory and behavior
limbic means
border
limbic neurons are found where?
deep in the brain
the limbic lobe borders what?
anterior brainstem
commissural fibers between L/R cerebral emispheres
where does the limbic system receive input from?
brainstem, prefrontal cortex, sensory association areas
4 main functions of limbic system
memory/learning
reward mechanisms
affective behavior (ex. craving food)
influence ANS
the hypothalamus has an important role in ____ and ___
self preservation and reproduction
control by the hypothalamus is mediated by what two systems?
nervous system (via ans) and circulatory system (via endocrine)
where are pre and post ganglionic neurons in autonomic system?
pre cell bodies in CNS
post cell bodies in autonomic ganglia (where synapse occurs)
2 major divisions of ANS
sympathetic
parasympathetic
sympathetic is aka
thoracolumbar
parasympathetic is aka
craniosacral
where are the preganglionic cell bodies for sympathetic and parasympathetic nerves
SYM- thoracic and upper lumbar spinal cord (lateral gray horn)
PARA- brain stem and sacral spinal cord
short preganglionic fiber, long postganglionic fiber
sympathetic
long preganglionic fiber, short postganglionic fiber
parasympathetic
paravertebral ganglia
sympathetic
peripheral ganglia
parasympathetic
duration sympathetic vs parasympathetic
SYM- diffuse, long duration
PARA- localized, short
neurotransmitters (pre and post) for sympathetic and parasympathetic
SYM: pre=acetylcholine, post=norepi and acetylcholine
PARA: pre and post are both acetylcholine
arterial baroreflex
sympathetic and parasympathetic responses to changes in blood pressure
detected by carotid and aortic baroreceptors
ascending is ___ while descending is ____
ascending= sensory
descending= motor
somatosensory includes what four things?
touch, proprioception, pain, temp
interoceptive
sensory receptors monitor internal events like BP
the primary neuron of sensory pathway is ____
unipolar with myelinated axon
primary sensory neuron cell bodies are found where?
spinal ganglion on the same side as sensation
axons of primary sensory neurons travel where?
in spinal and cranial nerves
general senses include what 5 things?
crude touch, tactile discrimination, proprioception, pain, temp
secondary sensory neuron cell bodies are found on what side of body?
same side of sensation
(location varies based on type of sensation)
pain and temp 2nd neurons are found where
dorsal horn
tactile sensation and proprioception 2nd neurons are found where?
medulla oblongata
crossover in sensory paths always involve what?
secondary neuron axon
tertiary sensory neurons are always found where?
in thalamus
contralateral to sensation
what are the two sensory pathways?
dorsal columns, lateral spinothalamic
pain and temp pathway
spinothalamic tract
the spinothalamic tract is where
on contralateral side of spinal cord
tactile discrimination and proprioception pathway
dorsal columns
dorsal columns are found where
ipsilateral (same side) as sensation
crossover in spinothalamic vs dorsal column
spinothalamic- in spinal cord
dorsal column- in medulla oblongata
tertiary fibers terminate where?
parts of postcentral gyrus associated with appropriate contralateral homonculus
postcentral gyrus has what?
primary sensory cortex, sensory cell bodies
somatosensory sensory receptive areas
postcentral gyrus (in parietal lobe)
visual sensory receptive areas
region of calcarine fissure (in occipital lob)
auditory sensory receptive areas
anterior transverse gyrus (in temporal lobe)
parietal association areas are located where?
between somatosensory and visual areas integrate info from both areas and convey signal to premotor and motor areas
prefrontal cortex space
anterior part of frontal lobe
anterior to motor and premotor regions
prefrontal cortex is attached to what
thalamus, limbic system, also to other lobes
the prefrontal cortex is highly responsive to what?
behavior importance of inputs
the prefrontal cortex is essential for what?
abstract thinking, foresight, mature judgement, tactfulness
not intelligence!
prefrontal cortex has a role with pain in what regard?
modulation
persistent pain
how was chronic pain treated in past?
lobotomies
two types of pain
fast and slow
fast pain
sharp and pricking
well localized
slow pain
dull and burning
hard to localize
results from tissue damage
fast pain and temp travels where in brain?
from the thalamus to the postcentral gyrus
there is no perception of pain associated with what?
cortical tissue damage in postcentral gyrus
slow pain terminates where?
in frontal lobe and limbic system
when slow pain terminates what does it influence?
cortical arousal and affect
interneurons act to modulate secondary __
slow pain neurons
analgesia center
in brainstem
can inhibit transmission of ascending pain impulses