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פיסיולוגיה מורחב 08-9 Somatosensory System and Pain lecture 4: Afferent input to the spinal cord Prof. Marshall Devor, Ph.D. Dept. of Cell & Animal Biology and Center for Research on Pain Institute of Life Sciences Hebrew University of Jerusalem flexor reflex • flexor reflex afferents • nociceptors • multisegmental response Collateral branching flexion extension nociceptive afferent flexor reflex segmental reflex primary sensory neurons D V somatotopic mapping rostral (note overlapping RFs) rostral cranial cervical thoracic lumbar sacral coccygeal caudal caudal substantia gelatinosa A Aδ C Rexed laminae dorsal horn ventral horn SP substance P – neurotransmitter/ neuromodulator NK1 neurokinin 1 (NK1) SP receptor • somatotopic mapping • Rexed’s laminae • divergence • convergence somatotopic map dermatome T11 T10 dermatome L1 T10-T11 overlap L4 L6 opthalmic division maxillary division mandibular division trigeminal system V1,V2,V3 V = 5th cranial nerve caudal trigeminal nucleus = dorsal horn of V rostral fore distal rostro-caudal proximo-distal proximal proximal hind Lat. somatotopic map distal Med. caudal Lat. somatosensory mapping succinyl dehydrogenase • somatotopic mapping • Rexed’s laminae • divergence • convergence Rexed’s laminae some SG neurons are "nociceptive specific" low threshold specific WDR multireceptive X BT+ P+ P- synaptic input into the dorsal horn divergence Divergence SA1 Convergence Convergence divergence convergence פיסיולוגיה מורחב Somatosensory System and Pain lecture 4: Afferent input to the spinal cord Prof. Marshall Devor, Ph.D. Dept. of Cell & Animal Biology and Center for Research on Pain Institute of Life Sciences Hebrew University of Jerusalem simple behavior Muscle spindle afferent (DRG) Muscle spindle כישור שריר Polysynaptic antagonist muscle (inhibitory interneuron) Monosynaptic agonist muscle myotactic (stretch) reflex …demo