sensorypathway-感觉通路-神经解剖学课件-华西医大.ppt

Sensory pathway Ascending pathway Ascending (somatosensory) pathway carry impulses from pain, thermal, tactile, muscle and joint receptors to the brain. Some of this information finally reaches a conscious level (the cerebral cortex) while some is destined for subconscious centres (e.g. the cerebellum) Spinocerebellar pathway is destined for subconscious (unconscious) centres . The somatosensory system includes multiple types of sensation from the body - light touch, pain, pressure, temperature, fine touch and joint and muscle position sense (also called proprioception). Generally, there are three types of sensation. The first sensation is called discriminative touch (fine touch ), which includes touch, pressure, and vibration perception, and enables us to read raised letters with our fingertips, or describe the shape and texture of an object without seeing it. The second sensation is pain and temperature, which is just what it sounds like, and also includes the sensations of itch and tickle. The third sensation is called proprioception, and includes receptors for what happens below the body surface: muscle stretch, joint position, tendon tension, and so on. Ascending pathway that carry information to a conscious level share certain common characteristics: 1.there is a sequence of three neurones between the peripheral receptor and the cerebral cortex. 2.the first neurone (frist-order neurone or primary afferent neurone) enters the spinal cord through the dorsal root of a spinal nerve and its cell body lies in the dorsal root ganglion. 3.The second-order neurones has its cell body in the spinal cord or medulla oblongata. Its axon crosses over (decussates) to the opposite side of the CNS and ascends to the thalamus, where it terminates upon the third neurone. 4.The third-order neurones has its cell body in thalamus. Its axon passes to the somatosensory cortex of the parietal lobe of the cerebral hemisphere. 5. Any sensory system going to the ce