Post Central Gyrus
of Parietal Lobe, just posterior to Central Sulcus that separates Parietal/ Frontal Lobes
Penfield Map
Penfield Map
Topological maps of body surface: Feet, legs, body, arms, hands, face
(“homunculus”,“little man”)
Magnification Facter
Any area with small Receptive Field and a high density of high acuity (1:1) receptors takes up a disproportionately large area of the cortical map (i.e. that body area is magnified in cortex – like Fovea of retina)
Gate Theory
nociceptors release….
of endogenous Analgesia (pain reduction) via negative feedback from brain or body
Periaqueductal Gret Area (PAG in Midbrain)
inhibits?
stimulate?
releases inhibitory Endorphins (“endogenous morphine”)
=> Inhibits Inhibitory cells in Raphe System in hindbrain, allowing Raphe to send Excitatory NT to Spinal Cord
=> Stimulate inhibitory inter-neurons in Grey Matter of Cord, prevent T Cells from reacting to Substance P (“Close Gate”)
Touch Receptors
near source of pain are stimulated (e.g. scratch around mosquito bite!)
- Collateral that synapses in Spinal Cord stimulates inhibitory inter-neurons, prevent T Cells from reacting to Substance P
Within brain
some cells that release Substance P have NT receptor sites on their Terminals that respond to inhibiting Endorphins
Endorphins directly inhibit Presynaptic release of Substance P in brain
Acupuncture
Naloxone?
may work by stimulating PAG Endorphin release, by directly stimulating inhibitory inter-neurons in cord, or both