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Tuesday, March 1, 2022

General somatic afferent : lecture notes

 General somatic afferent 

General somatic afferent

General somatic afferent fibers convey impulses for exteroreceptors of the skin (cutaneous sensation of pain, temperature, touch, vibration, or pressure) & from proprioreceptors localized in the muscles, joints, ligaments, or in the periosteum of bones via spinal nerves and some cranial nerves.

Nerves contain general somatic afferent fibres

1. All the spinal nerves, except occasionally the first cervical, and conduct impulses of paintouch and temperature from the surface of the body through the dorsal roots to the spinal cord and impulses of muscle sense, tendon sense and joint sense from the deeper structures

2. Trigeminal nerve:

Ophthalmic nerve:   general somatic afferents fibre of this nerve supply  to the upper face, skull, and eye:

·         Face: Upper eyelid and associated conjunctiva. Eyebrow, forehead, scalp all the way to the lambdoid suture.

·          

·         Skull: Roof of orbit, frontal, ethmoid, and possibly sphenoid sinuses.

·         Eye: The eye itself (all the intraocular structures such as cornea) and the lacrimal gland and sac.

 

·         Maxillary nerve : general somatic afferents fibres of this nerve supply to the mid-face and skull:

·         Face: Lower eyelid and associated conjunctiva. Cheek, upper lip.

·         Skull: Orbital floor, maxillary sinus, upper teeth, nasal cavity, and palate, cheekbone.

 

 Mandibular nerve : The sensory fibres associated with the mandibular branch of CN V provide innervation to:

·         The facial skin in the lower third of the face, including the chin and lower lip

·         Inferior row of teeth and gingiva

·         The anterior two thirds of the tongue

3. Facial  nerve : The facial nerve carries axons of type GSA, general somatic afferent, to skin of the posterior ear

4. Glossopharyngeal nerve: the glossopharyngeal nerve transmits general sensory information from inside of the tympanic membrane, skin of the external ear, upper portion of the pharynx and general sensation from the posterior one-third of the tongue.

5. Vagus nerve GSA axons carry pain, temperature, and touch sensations from the posterior cranial fossa, posterior ear, external auditory meatuspharynx, and posterior, and the external surface of the tympanic membrane

General somatic afferent (sensory) nuclei

General somatic afferent (sensory) nuclei related with spinal nerve

  • Marginal zone (MZ, posterior marginalis) – located at the tip of the dorsal horn, and is important for relaying pain and temperature sensation to the brain.
  • Substantia gelatinosa (SG) – located at the top of the dorsal horn, the SG is important for relaying pain, temperature and light touch sensation to the brain.
  • Nucleus proprius (NP) – located in the ‘neck’ of the dorsal horn, the NP relays mechanical and temperature sensation to the brain.

General somatic afferent (sensory) nuclei related with trigeminal, facial, glossopharyngeal & vagus nerve

 

·         The main or principal sensory nucleus of the trigeminal nerve: This nucleus lies in the upper part of the pons, in the lateral part of the reticular formation. It lies lateral to the motor nucleus of the trigeminal. The superior sensory nucleus is mainly concerned in mediation of proprioceptive impulses, touch and pressure.

·         The spinal nucleus of the trigeminal nerve: The spinal nucleus is another sensory cranial nerve nucleus which extends from the main nucleus (superior sensory nucleus) in the pons down into the medulla, &  into the upper two segments of the spinal cord. The lower end of the spinal nucleus is continuous with the substantia gelatinosa of the spinal cord. The spinal nucleus receives general somatic sensations carried by the facial, glossopharyngeal and vagus nerves. Functions of the spinal nucleus includes mediation of pain and thermal sensibility. The spinal nucleus is divisible (cranio-caudally) into three sub-nuclei, the oralisinterpolaris, and caudalis.

·         The mesencephalic nucleus of the trigeminal nerve: This is also called the mesencephalic nucleus of the trigeminal nerve. It extends cranially from the upper end of the main sensory nucleus in the pons into the midbrain. In the midbrain, the mesencephalic nucleus lies in the central grey matter lateral to the aqueduct. Functionally, this nucleus appears to be similar to sensory ganglia of the cranial nerves, and to the spinal ganglia, rather than to afferent nuclei. The processes (dendrites) of the neurons of this nucleus are believed to carry proprioceptive impulses from muscles of mastication, and possibly also from muscles of the eyeballs, face, tongue and teeth. The mesencephalic nucleus is the centre for jaw jerk.

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