y2 s1 sensory system
TRANSCRIPT
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Sensory receptors, sensory pathways &
sensory cortex
Prof. Vajira Weerasinghe
Professor of Physiology
www.slideshare.net/vajira54
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Sensory functions
• Humans do not have receptor for every possible stimuli
• There are different sensory modalities that human brain can perceive
• Arrival of information is sensation
• Awareness of a sensation is perception
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Sensory Functions
• General SensationsPhysical (touch, pressure, vibration, stretch)TemperaturePain Chemical
• Special SensationsVisionHearingTasteSmell
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Modality specificity
• Stimulation of a receptor usually produces only one sensationmodality specific
• But some receptors are stimulated by more than one sensory modality (polymodal)eg. free nerve endings
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Sensory pathway
• Once a receptor is stimulated
impulse travels through a particular pathway
known as sensory pathway or ascending pathway
up to the brain
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Receptor
Sensory modality
Sensory nerve
Central Connections
Ascending Sensory pathway
Sensory area in the brain
Touch stimulus
AFFERENT
Sensory pathway
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Receptors
• Receptor cells are specific cells that are sensitive to different forms of energy from the environment
• These cells contain membrane receptors coupled to ion channels
• They transform the stimulus into electrical signals
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Classification of receptors
• Mechanoreceptors
• Thermoreceptors
• Nociceptorspain
• Chemoreceptorstaste, smell, visceral
• Electromagnetic receptorsvisual
Guyton p.496
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Mechanoreceptors
• Mainly cutaneousTouchPressureVibration
• Crude or Fine mechanosensations
• Others: auditory, vestibular, stretch, proprioceptors
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Cutaneous mechanoreceptors
• Pacinian corpuscle
• Meissner’s corpuscle
• Krause’s corpuscle
• Ruffini’s end organ
• Merkel’s disc
• Hair end organ
• Free nerve endings
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Mechanoreceptors
• Pacinian corpuscledeep, pressure sensitive, fast adapting, large receptive field
• Meissner’s corpusclesuperficial, sensitive to touch, small receptive field
• Ruffini’s end organdeep, tension sensitive, slow adapting, large receptive field
• Merkel’s discsuperficial, touch, pressure and texture sensitive, slowly
adapting, small receptive field
• Krause’s endingsvibration sensitive
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Mechanoreceptors
• Hair end organ
• Free nerve endingsCrude mechanosensations(Pain, temperature)
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Pacinian corpuscles
looks like onion, large receptive field, rapidly adapting
Hair follicle receptor
nerve endings around root of hair in hairy skin, small receptive field, either slowly or rapidly adapting
Ruffini's ending
looks like small Pacinian, large receptive fields, slowly adapting
Merkel's diskssmall arrays of small disks which may have synapses to nerve endings, small receptive fields, slowly adapting
Meissner's corpuscles
hang under ridges of glabrous skin, small receptive fields, rapidly adapting
Krause end bulbs
look like knotted balls of string in skin in border between dry skin and mucous membrane in mouth, genitals, anus
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Pacinian Corpuscle
Capsule
Nerve fibre
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What happens inside a receptor?
• TRANSDUCTIONStimulus energy is converted to action potentials
Inside the nervous system signals are always action potentials
Language of the nervous system contains only 1 word: action potentials
• At the brain opposite happens in order to feel the sensationPERCEPTION
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Receptor potentials
• When a stimulus activate a receptor initially a “receptor potential” is generated
• This is also called “generator potential”
• This is a graded potential
• It does not follow “all-or-none law”
• Its amplitude depends on the strength of the stimulus
• When it reaches the threshold it triggers an “action potential”
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Transduction
Stimulus
Receptor potential(Generator potential)
Action potential
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Action Potentials
Threshold
RestingMembranePotential
-70
- 55
+30
StimulusReceptor potential
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Coding of sensory stimuli
• Stimulus strength is coded as the frequency of AP
• Higher the stimulus more frequent are the APs
• Amplitude of AP is constant
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Stimulus
Receptorpotentials
Action potentials
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Sensory coding
• A receptor must convey the type of information it is sending the kind of receptor activated determined the signal recognition by the brain
• It must convey the intensity of the stimulus the stronger the signals, the more frequent will be the APs
• It must send information about the location and receptive field, characteristic of the receptor
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Transduction in different receptors
• Different receptors have different ion channels
• Their opening causes receptor potential
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Receptor potential generation in the Pacinian corpuscle
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Pacinian corpuscle
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Resting
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Physical Stimulus
Physical stimulus causing mechanical deformation on the capsule
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Physical Stimulus
Mechanical deformation is transmitted to the inside
Opens up mechanosensitive Na+ channel
Causes depolarisation and thus receptor potential
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Physical Stimulus
local current
Current flow through a local circuit
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Physical Stimulus
Action Potentialsare generated
Opening of voltage gated Na+ channels causes generation of action potentials
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Adaptation
• “getting used to”
• after a period of time sensory receptors adapt partially or completely
• different typesRapidly adapting receptorsslowly adapting receptors
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Adaptation
• after a period of time sensory receptors adapt partially or completely
• different typesfast adapting receptorsslowly adapting receptors
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Paciniancorpuscle
Musclespindle
Pain
Time
Imp
uls
es p
er s
eco
nd
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Mechanism of adaptation
• In the Pacinian corpusclemechanical deformation is transmitted throughout
the capsule and pressure redistributesNa+ channels inactivates after some time
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Impulse
Stimulus
Redistribution of pressure inside the capsule
NoImpulse
Stimulus
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• Rapidly adapting receptorsphasic or rate or movement receptors
detect changes in stimulus strengtheg. Pacinian corpuscle, hair end-organ
• Slowly adapting receptorstonic receptors
detect continuous stimulus strengtheg. muscle spindles, Golgi tendon organ, baroreceptors,
Ruffini endings and Merkel’s discs, pain receptors
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Classification of receptors
• Mechanoreceptors Cutaneous (touch, pressure, vibration) eg. Pacinian, Meissner’s corpuscle, free
nerve endings Proprioceptors (joint position receptors) eg. Muscle stretch receptors, tendon
organs Baroreceptors Auditory/vestibular hair cells
• Chemoreceptors Taste buds and smell receptors Visceral chemoreceptors sensitive to Pco2, pH, osmolality etc
• Thermoreceptors Cold and hot receptors
• Nociceptors (pain receptors)
• Other receptors: Visual (rods and cones): electromagnetic
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Two ascending pathways
• Dorsal column - medial lemniscus pathwayfast pathway
• Spinothalamic pathwayslow pathway
These two pathways come together at the level of thalamus
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Dorsal rootDorsal columns
Dorsal horn
Dorsal root ganglion
Spinothalamictracts
Posterior (dorsal)
Anterior (ventral)
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Dorsal column pathwaySpinothalamic pathway
Lateral Spinothalamic tract
AnteriorSpinothalamic tract
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Dorsal column pathway Spinothalamic pathway
• touch: fine degree
• highly localised touch sensations
• vibratory sensations
• sensations signalling movement
• position sense
• pressure: fine degree
• Pain
• Thermal sensations
• Crude touch & pressure
• crude localising sensations
• tickle & itch
• sexual sensations
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Dorsal column nuclei(cuneate & gracile nucleus)
Dorsal column
Medial lemniscus
thalamus
thalamocortical tracts
sensory cortex
internal capsule
1st order neuron
2nd order neuron
3rd order neuron
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dorsal column - medial lemniscus pathway
• after entering the spinal cordlateral branch: participates in spinal cord reflexesmedial branch: turns upwards
• forms the dorsal columns
• spatial orientation: medial: lower parts of the bodylateral: upper part of the body
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dorsal column - medial lemniscus pathway
• synapse in the dorsal column nucleinucleus cuneatus & nucleus gracilus
• 2nd order neuron cross over to the opposite side and ascends upwards as medial lemniscus
• as this travels along the brain stem fibres from head and neck are joined (trigeminal)
• ends in the thalamus (ventrobasal complex) ventral posterolateral nuclei
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dorsal column - medial lemniscus pathway
• spatial orientation in the thalamusmedial: upper part of the bodylateral: lower part of the body
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Dorsal column nuclei(cuneate & gracile nucleus)
Dorsal column
Medial lemniscus
thalamus
thalamocortical tracts
sensory cortex
internal capsule
1st order neuron
2nd order neuron
3rd order neuron
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spinothalamic pathway
• after entering the spinal cordsynapse in the dorsal horn
• cross over to the opposite side
• divide in to two tractslateral spinothalamic tract:
pain and temperature
anterior spinothalamic tractcrude touch
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spinothalamic pathway
• spatial orientation medial: upper part of the bodylateral: lower part of the body
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Dorsal column pathwaySpinothalamic pathway
Lateral Spinothalamic tract
AnteriorSpinothalamic tract
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Thalamocortical tracts
• from the thalamus 3rd order neuron ascends up through the internal capsule
• up to the sensory cortex
• thalamocortical radiationtracts diverge
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Sensory cortical areas
• parietal cortex
• a distinct spatial orientation exists
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Sensory cortex
• Different areas of the body are represented in different cortical areas in the sensory cortex
• Sensory homunculussomatotopic representation not proportionate distorted mapupside down map
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Representation
•upside down•distorted
concept of homunculus
Map
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Sensory homunculus
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Brodmann areas
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Sensory cortical areas
• Primary somatosensory cortex (SI)postcentral gyrus(Brodmann areas 3a, 3b, 1, 2)
• Secondary somatosensory cortex and Somatosensory association cortex Posterior parietal areas(Brodmann areas 5, 7)
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Somatosensory cortex
•FunctionsTo localise somatic sensationsTo judge critical degree of pressureTo identify objects by their weight,
shape, form - stereognosisTo judge texture of materialsTo localise pain & temperature
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Somatosensory cortex
• Damage to the sensory cortex results in decreased sensory thresholdsinability to discriminate the properties of
tactile stimuliInability to identify objects by touch
(astereognosis)
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Secondary somatosensory cortex and Somatosensory association cortex
• Located directly posterior to the sensory cortex in the superior parietal lobes
• Consists of areas 5 and 7
• Receives synthesized connections from the primary and secondary sensory cortices
• Neurons respond to several types of inputs and are involved in complex associations
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Secondary somatosensory cortex and Somatosensory association cortex
• Damage can cause Tactile agnosia
inability to recognize objects even though the objects can be felt
Spatial neglectThis typically happens with non-dominant hemisphere
lesions Neglect can be so severe that the individual even denies
that their left side belongs to them
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Receptive fields
• The receptor area which when stimulated results in a response of a particular sensory neuron
• Receptive fields of adjacent neurons overlap
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Two-Point Discrimination
• Whether a stimulus feels like one sensation or two distinct sensations depends on the size of the receptive fields of the sensory receptors
• Different areas of the body have sensory receptors with different sized receptive fields
• Smaller receptive fields result in greater sensitivity
• Fingers are more sensitive than backs
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Lateral Inhibition
• The capacity of an excited neuron to reduce the activity of its neighbors
• When the skin is touched by an object several sensory neurons in the skin next to one another are stimulated neurons that are firing suppress the stimulation of neighbouring neurons only the neurons that are most stimulated and least inhibited will fire so the firing pattern tends to concentrate at stimulus peaks
• Lateral inhibition increases the contrast and sharpness
• Weaker signals get weaker, stronger signals get stronger
• It is preset in the retina
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Lateral inhibition improves 2-point discrimination
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Sensory abnormalities• Various types of sensory abnormalities can
occur when the sensory pathways are damaged
• Sensory loss, altered sensations or pain could occur as a result
• In addition, motor pathways could also be affected resulting in motor weakness
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Types of sensory abnormalities• Sensory loss
• Anaesthesiaabsence of sensation
• Paraesthesia (numbness or pins-needles-sensation)altered sensation
• Neuropathic pain
• HemianaesthesiaLoss of sensation of one half of the body
• Astereognosis
• Spatial neglect
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Localisation of the abnormality• Peripheral nerve
innervated area affected
• Rootsdermatomal pattern of sensory loss
• Spinal corda sensory level
• Internal capsuleone half of the body
• Cortical areasOther features
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Examples of sensory lesions or sensory disorders
• Carpal tunnel syndrome Median nerve lesion at the wristNumbness of thumb, index and middle
fingersPain in the handPain could radiate
upwards
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Examples of sensory lesions or sensory disorders
• PolyneuropathyAll sensory nerves of
both upper and lower limbs are degenerated
Numbness of hands and feet
Glove and stocking type of sensory loss
Diabetic or nutritional neuropathy
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Examples of sensory lesions or sensory disorders
• Cervical radiculopathyCervical root lesion
Compression of nerve root as it comes out through intervertebral foramina
Numbness and sensory loss of relevant dermatomes
Commonly affected are C56 dermatomes
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Examples of sensory lesions or sensory disorders
• Spinal cord lesion (cervical myelopathy)
• Damage to the spinal cord
• Sensory loss or numbness below the level of the spinal cord lesion
• eg. Sensory loss at T10
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Examples of sensory lesions or sensory disorders
• Sensory stroke Internal capsule lesion Numbness and sensory loss of one side of the body
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Examples of sensory lesions or sensory disorders
• Dorsal column disease (eg. Diabetes, tabes dorsalis)
• Dorsal column pathways are affected
• Vibration, proprioception affected early in disease process
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Examples of sensory lesions or sensory disorders
• Syringomyelia Spinal cord central canal lesion
Dissociated sensory loss
Temperature and pain sensations affected in early in disease process
Touch and dorsal column functions not affected