Oral Neurophysiology Dora Lee April 8, 1998 10-11 Hey guys! The instructor’s name for this class is Dr. Junge (pronunciation? As in Jung, the guy I learned about in AP English? I don’t know). Anyway, his room is in 63-078. As far as reading material for the class, in your handouts, you will find a list of references. Please don’t read them! If you must, he suggested Bradley’s Essentials of Oral Physiology. All questions on the exams will come from the Main Lecture Points. Let’s get started… I. How many senses? According to Aristotle, there are five senses : touch, smell, taste, sight, and hear. Our body is aware of internal and external senses. External senses are perceived by exteroceptors, receptors that feel things outside of the body. For example, proprioception feels the body’s location in space and kinesthesia feels the body’s movements. Internal senses, such as hunger and thirst, are picked up by interoceptors. Haptic perception tells us if an object has sharp edges, curves, points, the weight, if it’s rigid or elastic. II. Organization of sensory systems. Even though sensory systems are connected to motor systems, we can see this in every sensory system: central stimulus-sensory ending---(pathway)- projection------causes sensation area Sensory systems convert analog signals (stimulus) to a digital signal (nerve impulses along axon). (Digital, meaning that it either creates an action potential or it doesn’t). This then causes some neurotransmitter to be secreted in an analog fashion, and becomes an analog signal. A stimulus that is appropriate for a type of sensory system is called and adequate stimulus. That means, a form of energy needed to excite at the lowest level. If you push on your eyeball (or bash it or heat it), you will see light, b/c it is a light detector. But the form of energy needed for the visual system at the lowest level is a photon, so light is an adequate stimulus. Chemical are an adequate stimulus for the tongue, and mechanical stimulus is adequate for touch. III. Peripheral sense organs If you blow up the nerve ending : Receptor Stimulus-----transform------transduction-------------------encoding-----nerve impulses Makes internal Stimulus how sensory cells detect stimulus current how current generates AP In vision, light is focused by the lens and gets onto the retina. The internal stimulus is the focused light. In the ear, sound waves are converted into pressure waves in the cochlear fluid, so there is a transformation of air waves into fluid waves. Transduction is how the sensory cells detect the internal stimulus and make it into a current. Encoding is how current generates an AP in the sensory axons. Dr. Junge showed a slide of a generator potential in a touch-sensitive sensory cell. An electrode was put in it and the stretch receptors were stretched. It reaches a threshold and starts to fire. When stretched more, the frequency increases. When no longer stretched, it stops. This is how most sensory cells work. The frequency tells us how strong the stimulus was. In some sensory systems, (ie. Cutaneous) the sensory ending is the first-order neuron (Meissner’s corpuscle or free-ending) they project into spinal cord. But in other systems, the sensory ending is not even a neuron. For example, taste buds (sensory endings) are migrated epithelial cells hooked up to the first-order neuron and are depolarized by the activity in the sensory ending. In vision, the receptor cell (sensory cell) is a rod/cone, which are not neurons. The bipolar neurons convert into nerve activity. Sensory adaptation is when stimulus is continued but the AP frequency is lowered. He showed a slide of a receptor potential from an electrode in a rat’s taste cell. When a muscle spindle is stretched, it will fire continuously, it is slowly adapting. But in a Meissner’s corpuscle, when you press on skin, it is rapidly adapting. For a nerve fiber, it fires a little and slows down immediately, it is also rapidly adapting. IV. Neural Pathways If you put a sensory nerve in a recording chamber and shock it, you get two peaks: one and two (see handout). So, what's the difference? Peak one conducts more rapidly, two is slower. The rapidly conducting axons have a large median diameter (6.5-16) and the slower ones are smaller (2.5-4.5 ). The rule: fast is large. Dr. Junge showed a slide of a fiber diameter histogram obtained from staining the nerve. It shows that there are two populations of nerves: small and large, they are not all sizes. Small fibers have a greater susceptibility to local anesthetics. That is why C fibers are blocked before A fibers. (Pain fibers are blocked first). They have a higher surface to vol ratio, so for a given conc of local, more gets in and makes a bigger change in internal conc. For large, b/c more vol, not as much gets in and not much change. When stimulus is intense, freq of AP goes up, but amplitude does not. AP is all-or-none. Also, when intense, there is recruitment. Not only is one axon firing more, but more axons are firing. Those are two ways to incr sensory signal when stimulus incr. V. Central projections Dr. Junge showed us a slide of the brainstem just to give us an idea of the layout (see handout). The right side has sensory nuclei. They run from midbrain, past the pons, into the medulla. The main one for us is trigem. Facial signals from branches of V that cover the face go into the spinal sensory nucleus of V. Solitary tract is for taste (VII, IX, X). The left side has motor nuclei. V deals with mastication, swallowing. Facial nucleus deals with facial muscles. Nucleus ambiguous is for IX, X, and XI. (He had more slides to show us, but they mysteriously disappeared, they actually showed up in the 2nd hour. If you’re curious, check out Netter’s – they were the same). The sensory neurons come in and relay in the trigem nucl, cross over and go to thalamus. In the spinal cord, they come in @ the dorsal horn, relay, and go to thalamus. In the spinal cord, they go to the ventral posterior medial nucleus in the thalamus but the trigem nucl goes to the ventral posterior lateral. So they both go to the thalamus, but the head goes to a more lateral area. (confused?) The central projections are what happens after the thalamus. See sensory humunculus pic in handout. Most of the body is represented in the upper half from the central sulcus to the middle. The rest is the head (face and mouth). The amount of area covered depends on density of ennervation. Hand has a big representation b/c lots of nerve axons vs. the back which is not. About 90% of people are right-handed. The left brain is dominant b/c motor and sensory all cross. It also has speech, math, intellectual stuff. (right brain/left brain theory). The right brain does associations, seeing that things are correct, appropriate, familiar. A person with stroke on left side can’t talk. People with a minor lobe lesion can only recognize half of things, ie. Draw only half a daisy. Dr. Junge then went on to read an excerpt about a man with such a lesion from The Man Who Mistook His Wife for a Hat, by Oliver Sacks. This person woke up one day and did not recognize one of his legs as being his. He had hemineglect – loss of hemiplegic awareness. These people don’t shave on one side, or put pants on one side, etc. VI. Measurement of sensations In psychophysics, there is the stimulus world and the sensation world. S: S1, S2 ……S (stimulus) : 1 2……. (sensation – what we feel) To relate these quantities, there is the Weber-Fechner Law: =klogs Log fns get less at high levels, so when stimulus gets bigger, sensation doesn’t get as big. At a rock concert, although it is extremely loud, the sensation is only a little bigger. But this doesn’t work with all systems. So, @ Harvard, they came up with the Stevens-Power Law: =ksn. For diff. senses, there is a different power. For loudness, n=0.6, for brightness, n=0.3. you get a specific curve. For temp sense, n=1. For heaviness, n>1. The heavier it gets, it seems even more heavy. So, this covers more sensory systems than the Weber Law. Magnitude estimation: for a given stimulus, a number b/n 1 – 100 is picked to tell intensity. Sometimes, can be calibrated, one sound is a 10, a second, louder sound is 20, etc (like the hearing test we took for health assessment before we all came to dental school). When the perceived magnitude of sensation is plotted, we get a relation to the stimulus. If averaged with enough people, we get a power log. This is just one way to measure sensation. Visual analog scale is used when a subject is told to mark intensity on a given line from “none” to “worst imaginable”. None------------------------------worst VII. Sensory Illusions Shows how our sensory systems work. Some illusions affect the background, and thus, our perception of the illusion ( parallel lines with irregular hatched lines make the lines appear to be not parallel). Some show the effect of training. (We normally expect an image to be black and white, so that’s the first thing we look for, but in illusions, we realize that it’s the background that’s important. This refers to the oscillating images of two faces that becomes a vase). There is also something called lateral inhibition in the retina. Light around the area we’re looking at inhibits the retinal response in that area (off-center inhibition). This creates the illusion of dark areas b/n dark boxes in a white background. There is also adaptation of receptors. We stared at a green, black and yellow flag then looked at a white screen. We saw an after-image of a red, white and blue flag. So what we see is based on how the sensory system is hooked up, and also by our previous experience. Main Lecture Points: 1. touch, vision, hear, smell, taste 2. temperature, proprioception (jaw opening), pain, kinesthesia, haptic perception, vibration, 3. kinesthesia 4. haptic 5. adequate 6. transduction 7. adaptation 8. lower velocity, higher threshold (a touch becomes painful when small fibers are excited), greater susceptibility 9. density, ennervation 10. sensation, stimulus