PSYCHOLOGY/PSYCHOPHYSIOLOGY
HET227 Neurophysiology
SOMATOSENSORY SYSTEM
LECTURES
BIOMEDICAL SCIENCE
PSYCHOLOGY/PSYCHOPHYSIOLOGY
HET227 Neurophysiology
CONTENTS
2010 HET227 i
INTRODUCTION TO SOMATOSENSORY SYSTEM
Our sensory responses rely on our perception (both conscious & unconscious) of sensory information.
• Afferent information below conscious awareness = (mainly) visceral information - essential for
determining the appropriate efferent output to maintain the body’s homeostasis
• Afferent information above conscious awareness = perception information:
• Somatic sensation - arising from body surface.
o “soma” = body
o “somatic” = of the body
• Special senses - including vision, hearing, taste & smell, balance.
Perception is the conscious interpretation of the external world created by the brain from a pattern of nerve
impulses delivered to it from sensory receptors.
Afferent neurons have receptors at their peripheral endings which respond to stimuli in both the internal and
external world.
• What we perceive is different to what is really there.
• Receptors detect only a limited number of existing forms.
• There are between- & within individual differences in sensory responses.
• In types of receptors & sensitivities.
• In neural processing of /stimulus/responses.
STRUCTURE OF NEURONS
Cell body:
• Relatively large, round nucleus.
• Perikaryon: the cytoplasm surrounding the nucleus
o Contains organelles to provide energy & synthesize organic materials.
Dendrites:
• Variable number, extending from cell body.
• Typically highly branched
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• Each branch with dendritic spines
o carry information from other neurons
o represent 80-90 % neuron’s total surface.
Axon:
• Long, cytoplasm process – capable of propagating electrical signals (action potentials)
• Base or initial segment of the axon is attached to the cell body at a thickened region or axon hillock.
• Telodendria: fine extensions at the end of the axon trunk which end at synaptic terminals.
THE SYNAPSE
Synapses are junctions between 2 neurons.
Axon terminal of presynaptic neuron sends the message
Dendrites or cell body of postsynaptic neuron receives the message.
• Action potentials trigger the release of neurotransmitters by the synaptic terminal.
o Neurotransmitters are packaged in the synaptic vesicles.
o Released at the presynaptic membrane
o Received by receptors in the postsynaptic membrane.
• Presynaptic cell is usually a neuron.
• Postsynaptic cell can be either a neuron or another type of cell.
o Synapse between a neuron & a neuron – can occur on a dendrite, on a cell body, or along the axon
of the receiving cell.
o Synapse between a neuron & muscle: neuromuscular junction.
o Synapse between a neuron & gland: neuroglandular junction.
Structure of the synaptic terminal varies with the type of postsynaptic cell.
• A synaptic knob occurs when the postsynaptic cell is a neuron.
Synaptic cleft - Narrow cleft between pre- & postsynaptic cells which the neurotransmitter diffuses across to bind to
postsynaptic membrane receptors.
CLASSIFICTION OF NEURONS
Neurons can be grouped by structure or by function.
Structural classification:
Classification based on of the relationship of the dendrites to the cell body and the axon.
1. Anaxonic neurons. - Small, no distinguishing features that distinguish dendrites from axons.
• Located in brain & special sense organs.
2. Bipolar neurons. - Smaller than uni- and multipolar neurons
• 2 distinct processes: dendritic process – branching extensively at its distal tip – and axonal process, with cell
body between. Rare, occur in special sense organs.
3. Unipolar neurons. - Most common sensory neurons of PNS; End at synapses in the CNS
• Dendrites and axons are continuous, with cell body lying off to one side.
o axons may be 1 m or more; longest from tips of toes to spinal cord.
4. Multipolar neurons. - ,Most common neuron in CNS
• 2 or more dendrites and single axon
Functional classification:
1. Sensory neurons or afferent neurons.
• About 10 million in the body.
• Somatic sensory neurons =- monitor outside world & our position within it.
• Exteroreceptors: eg touch, temperature, pressure sensations, & more complex senses of sight, smell,
hearing.
• Proprioceptors – monitor position & movement of muscles & joints.
• Visceral sensory neurons – monitor internal conditions & status of other organ systems.
• Interoceptors – monitor internal systems (digestive, respiratory, cardiovascular, urinary, reproductive)
and sensations of taste, deep pressure & pain.
2. Motor neurons or efferent neurons.
• About 1/2 million in the body.
• Somatic motor neurons =- innervate skeletal muscles.
• You can have conscious control over this activity.
• Visceral motor neurons = innervate all peripheral effectors other than skeletal muscles (smooth muscle,
cardiac muscle, glands, adipose tissue). Monitor internal conditions & status of other organ systems.
3. Interneurons or association neurons.
• 20 billion (most within brain & spinal cord).
• Responsible for distribution of sensory information & coordination of motor activity.
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INTRODUCTION TO NEUROGLIA
Neuroglia or glial cells make up about 90% if the cells within the CNS.
• Connective tissue of the CNS.
• They do not initiate or conduct nerve impulses.
• They physically support the interneurons, metabolically and functionally.
Major types of glial cell s in the CNS:
1. Astrocytes - Star shaped, most abundant. Important functions:
• Main “glue” of CNS – ie create a 3D framework for CNS to hold neurons together in proper spatial
relationships.
• Form scaffold to guide neurons to correct destination during fetal brain development.
• Help maintain the blood-brain barrier.
• Help repair damage neural tissues to stabilise the tissue and prevent further injury.
• Help control the interstitial environment (volume of blood flow through capillaries; transport
nutrients/ions/dissolved gases between capillaries & neurons; regulate concentration of sodium &
potassium ions & CO2)
• Enhance synaptic formation & transmission, & play a role in neurotransmitter activity (absorb &
recycle some neurotransmitters; release chemicals to enhance or suppress communication across
synaptic terminals).
2. Oligodendrocytes - Form insulative myelin sheaths around axons in CNS; Provide structural framework.
• Myelin insulation increases the nerve conduction velocity.
• Effectively tie clusters of axons together in same sheath segment (or internodes).
• Appear glossy white (lipids present)
• white matter in CNS = dominated by myelinated axons.
• grey matter = dominated by unmyelinated axons.
3. Microglia
• Immune defence cells of the CNS (“cousins” of monocytes – white blood cells).
• Smallest and least numerous.
• Capable of migrating through neural tissue – move to affected areas to remove foreign invaders or tissue debris.
• Remain stationary until activated by infection or injury.
4. Ependymal cells - Line internal cavities of the CNS.
• Contribute to formation of cerebrospinal fluid (have cilia which contribute to the flow of the fluid through the
ventricles).
• Serve as neural stem cells with the potential to form new neurons & glial cells.
Major types of glial cells in the PNS:
Cell bodies of PNS clustered in ganglia.
Neuronal cells in PNS are insulated from their surroundings by two types of neuroglia:
1. Satellite cells
• Surround the neuron cell bodies in ganglia.
• Similar to astrocytes Regulate internal environment
2. Schwann cells
• Forms a segment of myelin sheath around one segment of a single peripheral axon.
• Series of Schwann cells needed to form a sheath along entire length of axon.
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o Information processing – in its simplest form, integrates stimuli at the individual cell level.
Membrane potential = a separation of charges across the membrane or to a difference in the relative number of
cations and anions in the intra- and extra-cellular fluid. Measured in mV.
Transmembrane potential = membrane potential of a resting or undisturbed cell.
• At the resting potential, ion movement occurs through passive and active mechanisms.
• Passive forces: Uses chemical and electrical forces.
o Chemical gradients:
Potassium ions move OUT, driven by concentration gradient.
Sodium ions move IN, driven by concentration gradient.
o Electrical gradients:
Cell membrane more permeable to potassium than to sodium.
potassium leaves more rapidly than sodium enters.
results in excess of negatively charged proteins inside & greater positive charge
outside near the outer surface of the cell.
• Active forces:
o The sodium-Potassium Exchange pump.
o The cell must expend energy (ATP) to “bail out” sodium ions that leak in and to recapture
potassium ions that leak out (passive forces).
o ATP is used by an ion exchange pump – balances the passive forces of diffusion
o resting potential remains stable.
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Repolarisaiton = the process of restoring the normal resting potential after depolarisation.
Involves both ion movement through membrane channels + activities of ion pumps.
Hyperpolarisation = loss of positive ions resulting in an increase in negativity of resting potential from –70 mV to
–80 mV or more.
o Opening a gated potassium channel potassium rate of outflow increases == interior loses positive ions.
ACTION POTENTIALS
o Initiation of an action potential requires a depolarisation large enough to open voltage-gated channels.
o Opening occurs at the threshold for the axon,
o THRESHOLDS: typically between –60 mV & -55 mV
==depolarisation of 10-15 mV.
o Below threshold – eg a shift to –62 mV graded potential.
o Above threshold – eg a shift to –60 mV action potential.
o The properties of an action potential are independent of the relative strength of the depolarising stimulus, as
long as that stimulus exceeds threshold
the ALL-OR-NONE principle.
Depolarisation to threshold
Activation of sodium channels & rapid depolarisation
Inactivation of sodium & activation of potassium channels
Return to normal permeability
Refractory periods
o Absolute refractory period– (0.4-1.0 sec) the period from when an actin potential begins until the normal
resting potential has stabilised during which the membrane will not respond at all to additional depolarising
stimuli.
o The smaller the axon diameter, the longer the period.
o Relative refractory period– begins when the sodium channels regain their normal resting potential and
continues until the transmembrane potential stabilises at resting levels. –
o Will only respond if the membrane is sufficiently depolarised.
o Usually requires larger than normal stimulus.
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RECEPTORS & RECEPTIVE FIELDS
Classification system divides into four types of receptors by nature of the exciting stimulus:
Nociceptors Pain (JP TO DISCUSS LATER)
Chemoreceptors Chemical concentration (CO TO DISCUSS NEXT SEMESTER)
Thermoreceptors Temperature
Mechanoreceptors Touch, pressure, proprioception
Thermoreceptors free nerve endings located in dermis of skin, in skeletal muscles, in liver, in hypothalamus.
Cold receptors: 3 – 4 times more numerous than Warm receptors
No structural differences identified between Cold and warm receptors.
Use same pathways that carry pain sensations.
Phasic receptors: very active when temperature is changing, but quickly adapt to stable temperature.
Tactile receptors:
Free nerve endings – sensitive to touch & pressure. Situated between epidermal cells. Tonic receptors with small
receptive fields.
Root hair plexus – nerve endings of hairs, monitoring distortions and movements across the body surface. Adapt
rapidly.
Merkel’s discs – fine touch and pressure receptors. Extremely sensitive tonic receptors, with very small receptive
fields.
Meissner’s corpuscles – perceive sensations of fine touch and pressure and low-frequency vibration. Adapt to
stimulation within a second of contact. Most abundant in eyelid, lips, fingertips, nipples, external genitalia.
Pacinian corpuscle – sensitive to deep pressure. Fast-adapting, most sensitive to pulsing or high frequency
vibration.
Ruffinian corpuscles – sensitive to pressure and distortion of the skin, located in reticular (deep) dermis. Tonic,
show little adaptation.
Detection of stimuli
Receptor specificity: Each receptor has a characteristic sensitivity. Eg touch receptor sensitive to pressure but
relatively insensitive to chemical stimuli
May result form structure of receptor cell or from presence of accessory cells or structures that shield the
receptor cell from other stimuli.
Receptors may be quite localised – eg in muscle spindles and tendon organs – or may be more diffuse – eg bare
nerve endings in the skin.
Free nerve endings extend through the tissue the way plant roots extend through the soil. Can be stimulated
by different stimuli, and exhibit little receptor specificity. Eg responding to tissue damage by providing
pain sensation – may be stimulated by chemical stimuli, pressure, temperature changes or trauma.
Knowledge of the location of a stimulus is termed topognosis.
RECEPTIVE FIELD: The spatial region throughout which stimulation causes an afferent neuron to respond
That is: The area monitored by a single receptor cell.
The centre of a receptive field is generally the most sensitive to stimuli
Response decreases as the stimulus is moved outward to the periphery of the field.
With some receptors, particularly skin pain, temperature and mechanoreceptors, as stimulus intensity increases it
may then start to stimulate an adjacent receptive field producing overlap.
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Touch on tongue or fingertips – Highly localised touch. receptive fields less than a millimetre. Very acute.
Touch on general body surface – receptive field of 7 cm diameter. Less acute
Heart pain is even less acute and tends to be widespread and diffuse.
TWO-POINT DISCRIMINATION or TWO-POINT THRESHOLD is one way of determining the acuity for a given
stimulus in various parts of the skin.
Over the whole body, two-point discrimination varies from less than 10 mm to as much s 65 mm.
INTRODUCTION TO REFLEXES
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These are NOT mutually exclusive categories (different ways of describing a simple reflex).
Monosynaptic reflexes: simplest, little delay (with a latency to response onset of 15-25 msec);
• Stretch reflex – automatic regulation of skeletal muscle length. Eg ‘knee jerk’ reflex.
• Action potentials carried to & from spine along large myelinated Type A fibres;
• Complete reflex takes 20-40 msec.
• Include postural reflexes – to help maintain normal upright posture.
• Muscle spindles are the sensory receptors involved in the stretch reflex.
• When a skeletal muscle is stretched, the muscle spindles elongate muscle tone increases provides
automatic resistance reduces chance of damage due to overstretching.
Polysynaptic reflexes: more complicated responses. Can involve interneurons which control several muscle groups.
• Tendon reflex: - Monitors external tension produced during a muscular contraction, prevents tearing or breaking
of tendons.
• Separate receptors from muscle spindles & proprioceptors in tendons.
• Withdrawal reflex: - moves affected parts of the body away form a source of stimulation.
• Strongest withdrawal reflexes are triggered by pain. Eg.
• Flexor reflex – affects muscles of a limb.
o Involves reciprocal inhibition – one set of motor neurons are stimulated, those controlling
antagonistic muscles are inhibited.
• Crossed extensor reflex: - the motor response occurs ON THE OTHER SIDE OF THE BODY.
• Complements the flexor reflex – they happen simultaneously.
ALL polysynaptic reflexes share the same characteristics:
1. Involve pools of interneurons.
2. Are intersegmental in distribution (extend across spinal segments, may activate muscles in different parts
of body).
3. Involve reciprocal inhibition.
4. Have reverberating circuits to prolong the reflexive motor response.
5. Several reflexes may cooperate to produce a coordinated controlled response.
DIAGNOSTIC TESTING
Peripheral nerve fibres are classified in accordance with conduction velocities and other criteria.
Motor fibres are classified into Groups A, B, C, in descending order.
Sensory fibres classified into Types I – IV.
BUT there is some interchange in practice:
Unmyelinated sensory fibres are usually called C fibres rather than Type IV.
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EMBRYOLOGICAL DEVELOPMENT
Allantois
• Essential to placenta formation.
• Forms as a small out-pocketing at the caudal end of the yolk sac
• Structural base for constructing the umbilical cord that links the embryo to the placenta, and becomes part of the
urinary bladder.
• When fully formed, the umbilical cord contains a core of embryonic connective tissue (Wharton’s jelly), the
umbilical arteries and vein, and is covered externally by amniotic membrane.
Chorion
• helps form the placenta
• Encloses the embryonic body and all other membranes.
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• gastrointestinal tract (except oral and anal cavities) and epithelium of its glands
• urinary bladder, gallbladder and liver
• pharynx, auditory (Eustachian) tubes, tonsils, larynx, trachea, bronchi and lungs
• thyroid, parathyroid, pancreas, thymus gland
• a number of other organs including the vestibular and lesser vestibular glands, prostate, vagina
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EMBRYOLOGICAL DEVELOPMENT OF NERVOUS TISSUE
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SPINAL CORD
White matter:
• Mainly tracts of axonal processes coursing up and down the cord
GREY MATTER
• Contains the nerve cell bodies, along with many short nerve fibres, and can be the site of very extensive
synaptic exchanges.
• Has appearance of multiple horns.
• Arranged in two halves.
• Central region around the central canal.
• Two ventral (anterior) horns project from the central area.
• Location of anterior motor neurons – efferent
• Stops some distance from the perimeter.
• Two dorsal (posterior) horns project from the central area.
• Location of sensory neurons – afferent
• Project almost tot eh perimeter
• Two lateral horns - small projections of grey matter lateral to the central region in some regions of spinal cord.
Proportions of grey and white matter vary in different regions of the cord
Cord overall size varies in different regions
• largest in cervical region (lower half of the neck)
• most white matter in the upper reaches of the cord (sensory and motor pathways serving all four limbs)
• most grey in the lumbar region (lower end of the spinal cord).
Over the dorsal limit of the column is the dorso-lateral sulcus.
• Between the dorso-lateral (postero-lateral) sulcus and the small dorso (posterior) sulcus is the dorso-
intermediate sulcus (postero-intermediate sulcus).
• Dorsal (posterior) funiculus – the white matter between the dorsal column and dorso-lateral sulcus.
• Ventral (anterior) funiculus – the white matter between the ventral column and the ventral sulcus.
• Grey commissure – the grey matter between the dorsal and ventral columns.
• Substantia gelatinosa – the tip of the dorsal grey column.
• Dorsolateral tract – between the substantia gelatinosa and the perimeter of the cord.
In the thick sections of the spinal cord, the nerve cells exhibit a laminar or layered arrangement.
True lamination is confined to the posterior horn.
10 laminae of Rexed have been defined in the grey matter.
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WHITE MATTER – ASCENDING AND DESCENDING TRACTS
The white matter can also be divided into columns:
• Two dorsal (posterior) white columns lying between dorsal grey horns
• Two lateral white columns lying on each side of the cord lateral to the grey matter
• Two ventral (or anterior) white columns lying between and anterior to the ventral grey horns.
All these contain fibre tracts that run lengthwise along the cord.
• Propriospinal tracts – travel for only a few segments of the cord
• Connect separate cord segments of grey matter with one another to help in performance of cord reflexes
(“segment” is portion of cord that corresponds to a single pair of spinal nerves).
• Remainder of white matter contains:
• Ascending tracts - carry sensory information to the brain
• Descending tracts – carry motor signals from the brain to the cord.
NOTE: Text books usually illustrate ascending and descending tracts on opposite sides of the spinal cord. This is for
ease of illustration only.
In the cervical region of the cord, the grey commissure is invaded by white fibres leading to the appearance of the
reticular formation
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• long ascending fibres (from supra-spinal levels)
• long descending fibres (from supra-spinal levels)
• intra-segmental and inter-segmental fibres
• efferent fibres
In addition there are
• decussating fibres (crossing the median plane to unlike structures
• commissural fibres – crossing the median to like structures
These different fibres allow the sensory information to be integrated to allow both simple and complex processing of
stimuli:
• Simple processing of sensation - such as flutter, contact, vibration, and pressure (such sensations can be
explained by activity of primary peripheral afferent fibres)
• Complex processing of sensation – such as tactile recognition of unseen objects and the determination of
direction of movement of cutaneous stimuli.
Peripheral nerves allow the determination of the position of the stimuli and its modality.
Central integrative functions are required to create perceptions and the remainder of our somaesthetic experience.
Somatosensory signals travel in fibres in peripheral nerves whose diameters range from the smallest unmyelinated
fibres to the largest and fastest fibres.
These neurons are pseudo-unipolar cells with their cell bodies in the dorsal root ganglion.
The neurons are randomly organised within the nerves.
Each nerve collects signals from a region of skin called a dermatome:
• Dermatomes overlap so that adjacent dermatomes are innervated by more than one spinal nerve.
• Overlap is more extensive for pain and temperature than for discrimination and touch
Pathological conditions:
• Axotomy (transection) of a peripheral nerve
• Causes axonal degeneration to the cell body or degeneration of myelin sheath by Schwann cells
• regeneration may occur at up to 4 mm per day.
• Demyelination (common form of neuropathy; chronic alcoholism, diabetes, toxins)
• Can cause slowing or failure of conduction
• Ischaemias lasting longer than 7 hours
• May lead to permanent impairment.
• Acute distortion may not affect smaller fibres, only the large myelinated ones.
Afferent fibres enter the CNS by the dorsal (posterior) root ganglion of the spinal cord.
There is a loose correlation between spinal nerve locations and the dermatomes innervated by them.
Pathological conditions:
• Dorsal root lesions
• Similar effects to damage of peripheral nerves (eg herniation of intravertebral disc)
• Irritation can cause paraesthesia (tingling) or hyperaesthetic regions (heightened sensitivity).
Divergence: a single neuron may influence many other neurons through contact made via a highly branched axon
• The output from a single neuron then spreads onto many neurons.
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Convergence: the opposite, with a single neuron receiving the outputs from a large number of other neurons
• The inputs from many cells converge on one.
Smaller diameter, unmyelinated neurons aggregate into a lateral mass (mainly nociceptive and thermoceptive).
Larger diameter, myelinated neurons aggregate in a medial mass (proprioceptive and discriminative touch).
Small diameter neurons which branch and ascend or descend only 1 or 2 segments in the dorsal funiculus synapse
on secondary neurons in lamina 1 and the outer zone of lamina 2.
Larger neurons also branch with many ascending in the dorsal funiculi to terminate in the nucleus gracilis and
nucleus cuneatus of the medulla.
They may also ascend or descend only a few segments to synapse on secondary neurons in the outer portions of
lamina 2 and in laminae 3 to 5.
Usually afferent fibres entering a single dorsal root synapse over a number of spinal cord segments.
Neurons with receptors with receptive fields on the proximal limbs or the dorsal body surface tend to synapse in
laterally placed grey matter neurons.
This imposes a topographical mapping of the skin surface in a medio-lateral way in the cord axial columns.
A spinal cord neuron can be identified by its location, morphology and response to natural stimuli.
While its cell body is restricted to an individual lamina, the dendritic trees can extend over several laminae.
This means neurons can be influenced by many other inputs.
In some cases, for axons which ascend in the dorsal columns and excitatory field may be surrounded by an
inhibitory field. This surround inhibition may sharpen the spatial acuity of the somatic sensations.
Cells in any given region may be excited by one modality and then inhibited by a less noxious light stimulus to the
same site; or intense excitatory stimulus may be inhibited by activating other sites in the body. Such a
response may explain the subjective relief obtained by rubbing an injury.
EXAMPLE: Inhibition of reference response (background response at approx 25 impulses/s) to different stimuli
applied to SAME location.
• Brush depresses the response (lower than original background signal).
• Pressure has initial increase in activation and then returns to a slightly depressed response (lower than
original background signal).
• Pinch and Squeeze both have stronger initial responses and then return to enhanced levels – result of
damage to the area caused by the pinching and squeezing.
Influences from higher centres, mainly the cerebral cortex via the corticospinal tract, can cause inhibition or
excitation of many of the dorsal column neurons.
These are DESCENDING influences.
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ASCENDING PATHWAYS
The thalamus is an integral part of the relaying of ascending signals from the spinal cord to the somatosensory
regions of the cerebral cortex.
Such communications can occur over a variety of pathways, including the dorsal (posterior) column, spinothalamic,
spinocervicothalamic and spinoreticulothalamic.
The dorsal (posterior) column pathway is the most extensive (by 10 to 100 fold).
The axons ascending within the dorsal column are organised according to the region innervated.
• Axons carrying sensations from the inferior half of the body ascend within the fasciculus gracilis and synapse
in the nucleus gracilis of the medulla oblongata.
• Axons carrying sensations from the superior half of the trunk, upper limbs and neck ascend in the fasciculus
cuneatus and synapse in the nucleus cuneatus.
Axons of the second-order neurons of the nucleus gracilis and nucleus cuneatus CROSS OVER to the opposite side
of the brain stem and ascend to the ventral nuclei of the thalamus.
Decussation: the crossing of an axon from the left side to the right (or vice versa).
At the level of the cortex, the sensory modalities are arranged in a simple gross topographical map (much less well
defined than the visual map).
Some of this topographical mapping is evident in the dorsal columns with the more caudal spinal nerves represented
by more lateral positions in the dorsal columns of the lumbar region of the spinal cord.
This dorsal column topography is re-sorted in higher levels of the cord so as to allow a proper somatotopic
organisation.
In the dorsal column nuclei of the medulla – nucleus gracilis and nucleus cuneatus – the column of influence of
receptive fields can be shown to be less for more caudal parts of the body.
Nucleus gracilis – receives from the hind limb and trunk (cat)
Nucleus cuneatus – receives from forelimb (cat)
The most dorsal cell in these nuclei receives from the most distal sensory receptors.
Ventrally situated neurons receive from more proximally located receptors.
Cluster neurons: there are regions in these nuclei which receive direct dorsal column inputs providing a direct
pathway to the thalamic nuclei via the lemniscus.
• Receive signals from such receptors as the hair receptors in the cat which respond to light touch or the
displacement of only a few hairs
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• Specially involved in rapidly changing, spatial, tactile stimuli.
• May be a highly suitable way of ensuring that information about spatial pattern so rapidly changing
tactile stimuli are not retarded in any detrimental way.
Extra-cluster neurons are of mixed modality.
The characteristics of the dorsal column transmissions are that it involves the fastest propogating fibres and that it
can handle rapidly changing signals – up to at least 400 Hz in follow mode, up to 700 Hz in detection mode.
Such high frequency signals can only travel in the dorsal column. Use of a tuning fork to test dorsal column function
by neurologists is a reflection of this feature.
SPINOTHALAMIC TRACTS
There is only one relay neuron between the primary afferent fibre and thalamic cells.
Provide conscious sensations of poorly localised (crude) touch, pressure, pain and temperature.
Begins at the peripheral receptors and ends at the primary sensory cortex of the cerebral hemispheres.
Axons of first-order sensory neurons enter the spinal cord and synapse on second-order neurons within the posterior
grey horns.
Axons of these interneurons cross to the opposite side of the spinal cord and ascend within the anterior
or lateral spinothalamic tracts.
Spinocervicothalamic tract :
Originates from the dorsal column nuclei in lamina 4 (cat) and lamina 4 to 5 (monkey).
Axons from these neurons form the spinocervical tract which ascends in the ipsilateral dorsolateral column to the
lateral cervical nucleus in C1 and C2 regions of the spinal cord.
Lateral cervical neurons project axons to the thalamus by first crossing in the anterior commissure, then travelling
to the inferior olivary nucleus then to the pons and then via the medial lemniscus to the thalamus.
Spinothalamic tracts :
Anterior spinothalamic tracts: Carry crude touch and pressure sensations.
Lateral spinothalamic tracts: Carry pain and temperature sensations.
These tracts end in the third-order neurons in the ventral nucleus group of the thalamus.
Ventral posterolateral nucleus (VPL)
Posterior group of nuclei (PO)
Intralaminar nuclei (IM).
After sensations are sorted and processed, they are relayed to the primary sensory cortex.
Spinocerebellar pathway :
Sends proprioceptive information about the position of skeletal muscles, tendons and joints to the cerebellum.
This information does NOT reach our conscious awareness.
First-order neurons synapse on interneurons in the dorsal grey horn.
The axons of the second-order neurons ascend in one of the spinocerebellar tracts.
Axons that enter the R or L posterior spinocerebellar tract DO NOT CROSS OVER – they reach the cerebellar
cortex via the inferior cerebellar peduncle of that side.
Axons that DO CROSS OVER enter the L or R anterior spinocerebellar tract. And reach the cerebellar cortex via
the superior cerebellar peduncle.
LOCALISATION OF SENSATION
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DETERMINATION OF PAIN
In the dorsal column and the spinothalamic tracts, determination that a stimulus is painful (rather than hot, cold, or
vibrating) is determine by the projection of the sensation to different populations of second-order and
third-order neurons.
Any abnormality along the pathway can lead to inappropriate sensations:
• Phantom limb pain: following amputation, pain may be experienced in the missing limb, caused by activity in
the sensory neurons or interneurons along the spinothalamic pathway. The neurons involved once monitored the
intact limb.
• Referred pain: when pain is felt in an uninjured part of the body, when the pain actually originates at
another locations. Eg heart attack (pain typically in the left arm); appendicitis (generally felt in lower right
quadrant); liver and gallbladder pain felt in right shoulder.
THALAMIC NUCLEI
The thalamus is the largest nuclear mass in the entire nervous system.
The afferent and efferent connections of the 12 main nuclear groups are so diverse that the thalamus cannot be said
to have a unitary function.
Thalamic nuclei can be categorised into 3 functional groups: specific or relay nuclei; association nuclei; non-
specific nuclei.
Association or non-specific nuclei: other thalamic nuclei containing thalamic interneurons or diffuse projections to
the cortical and sub-cortical structures.
Association nuclei:
Reciprocally connected to the association areas of the cerebral cortex.
• Anterior nucleus: projects to cingulate cortex. Involved in limbic circuit; function related to memory.
• Mediodorsal nucleus: inputs form olfactory and limbic systems; reciprocally connected with prefrontal cortex.
Some functions in relation to cognition, judgement, mood.
• Lateral posterior nucleus and pulvinar: belong to a single nuclear complex. Project to entire visual association
cortex and entire parietal association cortex.
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• Shell of deep receptors
• Relays discriminative touch, pressure and joi9nt position.
• Small percentage of VPL neurons show surround inhibition where they are inhibited by stimulation of
areas just outside their excitatory receptive fields.
SOMATOSENSORY CORTEX
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• Synapse upon pyramidal cells.
3. SMOOTH STELLATE CELLS:
• Have non-spiny dendrites
• Are generally inhibitory
• Receive recurrent collateral branches from pyramidal cells
• Synapse upon other pyramidal cells.
• Inhibitory GABA-secreting neurons make up 25% of all neurons in the cerebral cortex.
• Some synapse on bases of dendritic spines, some synapse upon somas, some synapse on initial
axonal segments.
COLUMNAR ORGANISATION
Neurons arranged functionally in terms of columns 50-100 µm in diameter, extending radially through the laminae.
Within each column, all of the cells are modality-specific.
• Eg, a given column may respond to movement of a particular joint but not to stimulation of the overlying
skin.
• Somatosensory modalities are conveyed by anatomically different pathways.
• Cells making up these pathways have distinctive response properties.
• Sensory receptors and primary sensory neurons responsive to one sub-modality (such as pressure or
vibration) are connected to clusters of cells in the dorsal column nuclei and thalamus that receive inputs
only for that sub-modality.
• These relay neurons in turn project to modality-specific cells in the cortex.
Columns are also organised by receptive field.
• Receive inputs from the same local area of skin and respond to a single class of receptors.
• Receptive fields of a column share a common centre (although are not precisely congruent).
Columns therefore provide an anatomical structure that preserves the properties of location and modality.
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SECONDARY SOMATOSENSORY AREA (S-II)
At level of Sylvian Fissure under temporal lobe.
Innervated by neurons from each of the four areas of S-I.
• The projections of S-I are required for the function of S-II.
• EG. If neural connections from the hand area of S-I are removed, stimuli applied to the skin do not activate
neurons in S-II.
• Removal of parts of S-II has no effect on the response of neurons in S-I.
Projects to the insular cortex, which in turn innervates regions in the temporal lobe important for tactile memory.
Modality properties of S2 differ to those of S-1.
• Most activated by light mechanical stimulation of the hairs or of the skin surface.
Adapt rapidly to maintained stimuli.
Shows similar columnar organization and spatial distribution of receptive fields.
Cortical signals are transmitted to thalamic, medullary and cord relay centres which can control the sensitivity of the
sensory input.
• These inhibitory signals are termed corticofugal.
• If stimulus intensity becomes too high, the corticofugal signals will decrease the transmission through the
relay centres.
• Such control capacity ensures that the operating range of the somatosensory system is always appropriate
and never too low or too high.
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POSITION SENSES
DIRECT PROPRIOCEPTORS
Muscle spindle receptors - specialised stretch receptors in muscle; monitor skeletal muscle length and trigger stretch
reflexes.
Golgi tendon organs - receptors in the tendon that sense contractile force or effort exerted by a group of muscle
fibres.
• Similar in function to Ruffini corpuscles (sensitive to pressure and distortion of the skin)
• Located at junction between skeletal muscle and its tendon.
• Dendritic branches repeatedly branch and wind around densely packed collagen fibres of the tendon.
• Stimulated by tension in the tendon; they monitor the external tension developed during muscle
contraction.
Receptors located in joint capsules - sense flexion or extension of the joint.
• Joint capsules are richly innervated by free nerve endings that detect pressure, tension, and movement at
the joint.
• Sense of body position results from the integration of information from these receptors with the
information provided by muscle spindles, Golgi tendon organs and the receptors of the inner ear.
Proprioceptors do not adapt to constant stimulation
• Each receptor continuously sends information to the CNS.
Most proprioception is processed at sub-conscious level:
• A relatively small proportion of the arriving information reaches your conscious awareness over the
posterior column pathway.
PROPRIOCEPTIVE PATHWAYS
Dorsal column-lemniscus system
The dorsal column-lemniscus system is the principal pathway for perception of touch and proprioception.
• Large-diameter axons with fast conduction velocities to the dorsal horn of the spinal cord then to the brain
stem and thalamus.
The proprioception and tactile axons in this column are segregated anatomically.
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• Proprioception axons – more ventrally in the dorsal column than those of tactile receptors, which are
located dorsally.
• Proprioceptors terminate more rostrally in the gracile and cuneate nucleus.
• Proprioceptive afferents terminate in the Lamina VII, on interneurons in laminae V and VI and on motor
neurons in lamina IX.
CLINICAL CONSIDERATIONS
This situation arises through the site of a lesion or dysfunction, if it is at the primary receptor or affects the pathways
to the CNS it is usually clear that a problem is present.
If the damage is in one of the target areas of the CNS for the information, then only one level of the sense may be
destroyed, including perceptual aspects.
Any loss of somatosensory function is suggestive of damage to the post central gyral regions of the cortex
(Brodmann’s areas 3a, 3b, 1 and 2) and also the adjacent cortex (areas 5, 7 and S2).
Lesions of the somatosensory system results in a variety of deficiencies:
• Reduced capacity or loss of tactile localisation
• Reduced capacity or loss of tactile discrimination
• Reduced capacity or loss of tactile recognition of objects
• Reduced capacity or loss of limb position sense
SOMATOSENSORY LESIONS
In 1920, Henry Head proposed that lesions of the somatosensory cortex cause three mainly independent effects:
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These categories are still in use today.
Many studies on the changes to somatosensory processing have been undertaken on subjects with cortical head
wounds or who had surgery to reduce epilepsy.
SOMATOSENSORY AGNOSIAS
• Astereognosis: Loss of tactile appreciation of objects.
• Asomatognosia: Loss of knowledge about one’s own body
Astereognosis:
• Rarely demonstrated by itself in the absence of other somatosensory disorders.
• Other spatial deficiencies are not uncommon.
• Associated with damage to more posterior portions of the somatosensory cortex.
• Primary Agnosias:
Result in loss of the ability to recognise the tactile qualities of an object
Because the tactile image is incomplete or absent.
• Secondary Agnosias or asymbolia
Occur when the tactile image is preserved but is disconnected from other sensory
representations
The subject is confused about the full significance of the object.
Asomatognosis:
• Most distressing condition.
• Unaware of illness or problems caused by neglect of their body.
• Several variations of the condition:
Anosognosia: lack of awareness of illness
Anososiaphoria: indifference to illness
Autopagnosia: inability to locate or name body parts
Asymbolia for pain: absence of normal response to pain.
• May affect both sides or only one side.
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SENSORY ILLUSIONS AND HALLUCINATIONS
Sensory illusions
More likely to involve the visual sense than tactile sense
Phantom touches and tickles are experienced in normal and abnormal patients.
Sensory hallucinations
Can be considered to occur when the cortex is stimulated BUT the receptors are not
In normal conditions the frontal cortical lobes control this discrepancy.
Absence of frontal lobe control can produce a pathological state
Visual hallucinations more common than tactile.
Normal processing of sensory hallucinations is thought to be the result of the cortex resolving the
ambiguity between cortical responses and absence of any receptor signal.
Schizophrenics or people under the influence of psychogenic drugs may fail to resolve the ambiguity and
so experience the sensations as if they were actually occurring.
STIMULUS INTENSITY
Sensory quality depends on which nerve is actuated and where in the brain it leads.
But can the brain distinguish between sensory quantity or magnitude of the sensation (stimulus intensity) as well as
quality?
• Laws have been devised in an attempt to define the perception of stimulus intensity.
FOR EXAMPLE:
• In the bright midday sun you light a candle. Does anyone notice it getting brighter?
• Will you identify my voice if I call you on your mobile phone at a concert?
• You're carrying the downside of a refrigerator up a flight of stairs and someone puts a hammer on the
fridge, do you sense the difference?
Mostly, the Fechner Weber Principle or Law holds that you won't notice a difference.
WEBER’s LAW
Background: Ernst Heinrich Weber (1795-1878) was the German anatomist and physiologist who first
introduced the concept of the just-noticeable difference. Weber was a professor at the University of Leipzig from
1818 until 1871. He is known chiefly for his work on sensory response to weight, temperature, and pressure.
Weber determined that there was a threshold of sensation that must be passed before an increase in the intensity of
any stimulus could be detected; the amount of increase necessary to create sensation was the just-noticeable
difference.
He further observed that the difference was a ratio of the total intensity of sensation, rather than an absolute figure;
thus, a greater weight must be added to a 100-pound load than to a 10-pound load for a man carrying the load to
notice the change. Similar observations were made on other senses, including sight and hearing. Weber also
described a terminal threshold for all senses, the maximum stimulus beyond which no further sensation could be
registered.
• Weber’s Law found that the just noticeable difference or difference threshold is a constant ratio of the
standard stimulus:
k = ΔI / I
ΔI (delta I) represents the difference threshold, I represents the initial stimulus intensity, and k signifies the
proportion on the right side of the equation remains constant despite variations in the intensity (I).
That is: the ratio of the increment threshold to the background intensity is a constant.
Weber's Law predicts a linear relationship between the increment threshold and the background intensity.
Here is a plot of some hypothetical data showing Weber's Law. The slope of the line is the Weber fraction.
A TVI plot
Threshold Versus Intensity
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sometimes called a TVR plot for thresholds
for detecting light (threshold versus radiance).
Gustav Theodor Fechner (1801-1887) was a German physicist and philosopher and a key figure in the founding of
psychophysics. At the age of 16 he enrolled in medicine at the University of Leipzig where he studied anatomy
under Weber.
Fechner developed Weber’s theory into the Weber-Fechner law that to increase the intensity of a sensation in
arithmetical progression, it is necessary to increase the intensity of the stimulus in geometric progression
The Weber-Fechner Principle states that the gradations of stimulus strength are discriminated approximately in
proportions to the logarithm of stimulus strength.
• This means that the ratio of the change in stimulus strength for a detectable change is always about 1:30.
ϕ = k*log(φ)
Perceive signal strength = Constant * Log (STIMULUS)
• This is only true for higher level visual, auditory and cutaneous stimuli.
• Also does not hold for weak and very strong stimulus intensities.
Assumptions made:
• JND provides the basic unit of perceived magnitude
• One JND is perceptually equal to another JND
Fechner's Law holds across a wide range of situations, but there are some exceptions:
• Within limits perceived length changes precisely with actual length; and experienced pain grows more
rapidly than the pain stimulus.
• The decibel scale (logarithmic unit) marked off in equal ratios of intensity do not mark off equal steps in
perceived loudness.
• The growth of apparent loudness departed widely from the predicted logarithmic function:
• A tone of 100 decibels sounds about 40 times louder than 50 decibels.
This highlighted some of the problems associated with Fechner’s law:
• The intervals between JNDs are unequal
• Weber's law breaks down at the extremes
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Steven’s Power law was first proposed in 1957 to relate sensation magnitude to stimulus intensity, addressing
problems associated with the Fechner and Weber laws:
The Weber-Fechner concept was complemented and modified by Stevens. While maintaining a relationship between
JNDs and sensory metrics, Stevens replaced the logarithmic Weber-Fechner law by a power-law.
Steven’s Power Law states that the perceived stimulus intensity varies with the logarithm of the stimulus strength.
This law has demonstrated a better fit to the experimental data for a number of sensory channels
P = k Sn
where P is the perceived magnitude, S is the physical stimulus intensity and n is a modality-dependent exponent.
Testing of these laws has demonstrated that the brain CAN distinguish between sensory quantity or magnitude of the
sensation (stimulus intensity) as well as quality
BUT they have also served to demonstrate that in addition to different topography for sensory qualities, there are
also differences in the somatosensory system for the sensory quantitative assessment.
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