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Neurology - Physiology and Anatomy (Nerve conduction (*Action Potentials…
Neurology - Physiology and Anatomy
Nerve conduction
*Myelin
COPS for myelin synthesis
Myelin Physiology
Myelin TIME constant
Myelin LENGTH constant
NOTES
:
think of myelin in terms of 2 properties for veolcity
v = d/t
increase in d = increase length constant per AP
--> myelin increases the distance an AP travels by increased ratio of cytoplasm ion movement / trasnmembrane ion movement (insulation)
DECREASE in time constant
--> time constant refers to time for Na+ channels to open and the resistance in the membrane to ion leakage
myelin increases Velociity 2 fold
--> higher distance constant
--> lower time constant for Na+ channels
Clinical Cases
Clinical Case
Notes
:
note that
Clinical Case
myelinated vs Unmyelinated Nerve Fibres
Case presentation:
Notes
:
note that postganglionic nerve fibres are actually unmyelinated
Pacinian corpuscles are myelinarted, where I thought thy weren't
unmyelinated nerve fibres are also called =
C group fibres
A B C Nerve *Fibres:
first 3 Fibres = MYELINATED:
A - Alpha , Beta , Gamma = Large fibres which are largely Myelinated.
Final 3 fibres = UNmyelinated:
A - Delta , B , C = Small fibres which are not Myelinated as much.
KEY point
= more complex (evolution) sensations and movements of body --> myelinated
think of nerve fibres in terms of evolution, the more basic sensations / actions of life
--> dull pain = c fibres and
--> temperature = a delta fibres (think of delta being the D fibre --> lower with B and C)
--> bladder and autonomic = b fibres
are unmyelinated and are the same in many animals
the more advanced fibres are A - alpha, beta, gamma
MYELINATED Fibres = A fibres (alpha, beta, gamma, NOT delta = D)
UNmyelinated Fibres = B, C, A-delta
*Action Potentials
*Membrane Permeability of Ions
K+ permeability highest in the middle of the decline
*Membrane Potentials of different ions
Clinical Cases
Clinical Case
Clinical Case
Notes
:
note that
*Dopaminergic Pathways
4 pathways
Notes
:
note that most Doapmine producing neurons are in the midbrain = meso, rest are in the hypothal = tubero
midbrain = meso DA neurons
--> VTA and substantia nigra
hypothal DA neurons = tubero
-->
Brain *Anatomy
Fetal =
"PRO MES RHOMB"
--->
"PROMISE ROB..."
"TEL / DI, MES MET / MY"
TEL = Forebrain
cerebral hemispheres
PRO = Prosencephalon
TEL DI
TEL = Forebrain
cerebral hemispheres
TEL = Forebrain
cerebral hemispheres
MES = Midbrain
RHOMB = Rhombencephalon
MET MY
MET = metencephalon
PONS and Cerebellum
MY = Myencephalon
Medulla
*CTZ = Chemoreceptor Trigger Zone
the CTZ is central brain PYLORIC SPHINCTER of the 4th ventricle STOMACH
--> the 4th ventricle looks like a stomach with the CTZ as the pyloric sphinctre
--> vomitting centre
area postemia = right at the end of the 4th ventricle of the medulla
fenestration area where there is NO Blood BB
chemicals --> alcohol, chemo treatment, etc. can trigger emesis
*Wallerian Axonal Degeneration and Regrowth
axons degenerate DISTALLY from damage in axons
note in PNS the Schwan cells don't undergoe apoptosis and help regenerate the axon after injury
in CNS the oligodendros do undergo APOPTOSIS and sednn out large amounts of cytokines, etc. to recruit
--> first eosinophils, then PMN neutrophils and then macrophages and finally astrocyte glial cels
--> CNS have Blood BB so there is myelin debris for months after stroke