Special senses and their neural pathways

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Special Senses and their Neural Pathways


There are five types of special senses, viz. (a) sense of smell, (b) sense of vision, (c) sense of sound/ hearing, (d) sense of balance, and (e) sense of taste. The special senses have highly specialized receptors which provide specific information about the environment, i.e. they respond to only one type of stimulus. These receptors are located close to the brain and are well protected within the skull. Their responses are more complex but well coordinated within the brain. The special senses: (a) of smell and taste depend on chemoreceptors, (b) of vision on photoreceptors, and (c) of sound and balance on mechanoceptors.



Olfactory System


In lower vertebrates and many mammals such as dog the sense of smell is highly developed and they are called macrosmatic. In humans the sense of smell is less developed, hence they are called microsmatic.


The olfactory system transmits sense of smell from olfactory epithelium of nasal mucosa to the olfactory cortex of the brain. The following structures are included in the olfactory system:




Olfactory Epithelium and Olfactory Nerves


The olfactory epithelium is a specialised nasal epithelium which lines the superior one-third of the nasal cavity including the roof (Fig. 18.1). It consists of three types of cells: (a) olfactory receptor cells, (b) supporting cells, and (c) progenitor/basal cells (Fig. 18.2).




The olfactory receptor cells are, in fact, the modified bipolar neurons and lie vertically between the supporting cells. Their dendrites extend as naked processes towards the free surface of the epithelium, where they end by forming bulbous enlargements called olfactory vesicles. These vesicles possess cilia—olfactory hairs which lie in a thin mucous film covering the epithelial surface. The supporting cells present many microvilli towards the free surface of the epithelium. The mucous film covering the olfactory epithelium is secreted by the olfactory glands (of Bowman) and the microvilli of the supporting cells.


The air-borne molecules enter the nasal cavity and are dissolved in this mucous film. The odour producing molecules thus released, bound to the receptor cells. The olfactory cilia react by depolarizing and initiating action potentials in the receptor cells.


As mentioned above, the olfactory receptors of olfactory epithelium are actually neurons. This is the only site in the body where neurons are exposed to the surface of the body.


The receptor cells continuously degenerate and are renewed by the progenitor cells. The ability to regenerate primary sensory neurons is unique to mammalian nervous system.


The axons of receptor cells are fine unmyelinated fibres. They ascend and collect to form about 20 bundles called olfactory nerves. The olfactory nerves pass through the foramina of cribriform plate of ethmoid bone to enter the anterior cranial fossa where they terminate in the olfactory bulb.



Olfactory Bulb, Tract and Striae (Figs 18.318.5)


The olfactory bulb is a flattened oval mass of grey matter lying just above the cribriform plate. It consists of an outer cortical zone and an inner medullary zone.





The cortical zone contains olfactory glomeruli and nerve cells which form most of the prominent cellular component of the olfactory bulb. The nerve cells of the olfactory bulb comprise (Fig. 18.2):



The medullary zone consists of nerve fibres of the olfactory tract. A small group of nerve cells situated at the transitional zone between the olfactory bulb and olfactory tract constitute the anterior olfactory nucleus.


Olfactory bulb continues posteriorly as olfactory tract (Figs. 18.3 and 18.4). When traced posteriorly the olfactory tract divides into medial and lateral olfactory striae. The point of bifurcation is expanded and forms the olfactory trigone. The medial and lateral olfactory striae are intimately related to the anterior perforated substance and form its anteromedial and anterolateral boundaries respectively. An intermediate stria is sometimes present. It extends from the centre of trigone to anterior perforated substance where it sinks into the base of olfactory tubercle, which is a small elevation of anterior perforated substance immediately caudal to the olfactory trigone.


Posterolaterally the anterior perforated substance is related to the uncus while posteromedially it is bounded by a small bundle of fibres called diagonal band of Broca.




Neural Pathways for Sense of Olfaction (Fig. 18.5)


The axons of the olfactory receptor cells carrying olfactory sensations from olfactory epithelium (first order sensory neurons) collect to form small bundles (olfactory nerves) which pass through the cribriform plate of the ethmoid bone, to enter the olfactory bulb where they terminate in the olfactory glomeruli. The glomeruli are formed by the axons of receptor cells and dendrites of mitral and tufted cells (these cells form the second order sensory neurons in the olfactory pathway).


Each glomerulus receives impulses from about 26,000 receptor cells and passes this information to the olfactory cortical areas through mitral and tufted cells.


The most of the axons of mitral cells form the lateral olfactory stria and run to the primary olfactory cortex on the same side which is located between the anterior perforated substance and the uncus on the inferomedial surface of the temporal lobe. The details are shown in Figure 18.4. The others run via intermediate olfactory stria to connect with the olfactory tubercle, and hence with the limbic system.


The axons of the tufted cells run in the medial olfactory stria and cross the midline in the anterior commissure to form synapses with the granule cells in the opposite olfactory bulb.


It should be noted that in contrast to all other sensory pathways, the fibres of second order sensory neurons reach the primary olfactory cortex directly without relay in one of the thalamic nuclei or its equivalent nucleus like lateral geniculate body.


The entorhinal area (Brodmann’s area 28) receives few or no tract fibres directly but receives fibres profusely from primary olfactory cortex, hence it is sometimes called secondary olfactory cortex.




Unique features of the olfactory pathway








Visual System


The vision (sight) is the most important special sense in humans. The visual system transmits sense of vision (sight) from retina of eyeball to the visual cortex. The following structures are included in the visual system:




Retina


The retina forms the inner photosensitive coat of the eyeball. It consists of two layers, an inner neural layer and an outer layer of pigment epithelium (Fig. 18.6).




Neural layer


The neural layer contains three basic layers of cells:



The other cells are association neurons and neuroglial cells.



Rod and cone cells

The rods and cones (around 150 million in number) are modified neurons and serve as photoreceptors. Both consist of an outer and inner portion, the former being light sensitive and contains photopigments, rhodopsin in case of rods and iodopsin in case of cones which convert the stimulus of light into a nerve impulse. The outer portion is rod-shaped in case of rods and cone-shaped in case of cones, hence the names rods and cones. The inner portions of rods and cones are slender and are termed rod and cone fibres respectively. The cones respond better to the bright light and are responsible for visual acuity and colour vision. They are most numerous in the central region of the retina. Rods on the other hand, predominate in the peripheral part of the retina. They respond to poor light and are important for peripheral vision.




Ganglion cells

Ganglion cells are large multipolar neurons forming the last retinal link in the visual pathway. The axons of ganglion cells form a layer of nerve fibres adjacent to the vitreous humour. These fibres converge towards the rounded area (optic disc) from all directions where they pierce the choroid and sclera, about 3 or 4 mm to the nasal side of the posterior pole of the eyeball and constitute the optic nerve.


The optic disc, about 1.5 mm in diameter, is slightly (3 mm) medial to the posterior pole. It is insensitive to light as it has no sensory receptors (blind spot). It represents the point of exit of the optic nerve fibres. Its central part is pierced by central artery of retina and tributaries of central vein of retina. The optic disc may be regarded as a window to the brain and its examination is an important step in the diagnosis and prognosis of diseases with vascular and neurological implications.


The macula lutea is a yellowish oval area of 6 mm in diameter near the centre of the posterior part of the retina. It is in line with the visual axis. The name macula lutea or yellow spot is derived from the presence of yellow pigment (xanthophyll) among the nerve cells in this region.


A small depression in the centre of the macula lutea is called fovea centralis. The fovea is about 1.5 mm in diameter and is separated from the edge of optic disc by a distance of 3 mm. The visual acuity is maximum at the fovea (i.e. clearest vision). The fovea is believed to contain only cone receptors.





Pigment epithelium


Pigment epithelium consists of a single layer of cells containing melanin pigment. Pigment epithelium reinforces the light absorbing proportion of the choroid to reduce the scattering of light within the eye.





The visual field and retinal quadrants

When one looks straight ahead with eyes fixed, that part of external world which can be seen with each eye is called visual field of that eye. Thus it is the area within which an object can be seen while the eye fixes on a spot of light or object. Laterally it extends up to 104 degree and on nasal side 65 degree. In front there is a cone-shaped area in which the visual fields of two eyes overlap. Therefore, area seen by one eye and that seen by both the eyes is more or less same except a small area that can be seen only by the eye of that side (Fig. 18.7).



For the sake of convenience of description, the visual field is conventionally divided into right and left halves. Each half is further divided into an upper and a lower half, so that visual field is described to consist of four quadrants (Fig. 18.8).



In a similar manner the retina is also divided into four quadrants (Fig. 18.8). First each retina is divided into nasal and temporal halves by a vertical line passing through the fovea centralis. Then a horizontal line also passing through the fovea, divides each half of retina into upper and lower quadrants. The macular area (responsible for most acute vision) is represented separately from the peripheral parts of the retina. Light rays can enter the eye only through the pupil and since they travel in straight lines, it is obvious that objects of temporal field of vision are perceived by the nasal half of the retina whereas those in the nasal half are perceived by the temporal half of the retina.

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Jan 2, 2017 | Posted by in NEUROLOGY | Comments Off on Special senses and their neural pathways

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