AUDITORY PATHWAY


INTRODUCTION


Higher center for hearing is in temporal lobe. The fibers of auditory pathway (Vestibulocochlear Nerve, VIII Cranial Nerve) terminates in temporal lobe.


RECEPTORS


 The hair cells in organ of corti are the receptors of the auditory sensations.
Two types of hair cells outer and inner hair cells. Each hair cells are innervated by afferent and efferent nerve fibers.

FIRST ORDER NEURONS  

The bipolar cells form the spiral ganglion situated in the modiolus of cochlea represents the first order neurons.
These neurons enters the medulla oblongata. After entering the medulla oblongata, the fibers divide into two groups which end on ventral cochlear nucleus and dorsal cochlear nucleus of the same side in medulla oblongata. 

SECOND ORDER NEURONS 

The neurons of the dorsal and ventral cochlear nuclei in the medulla oblongata form the second order neurons of auditory pathway.
The axons of the second order neurons pass through a complex pathway, which runs in four different directions. 

First Group - Nerve fibers cross the midline and run to the opposite side to form trapezoid body go to the superior olivary nucleus.  

Second Group- Second group neurons terminate at the superior olivary nucleus of same side via trapezoid body of the same side.  

Third Group - It runs in the lateral lemniscus of the same side and terminate in the nucleus of lateral lemniscus of same side.  

Fourth Group - It runs into the reticular formation, cross the midline as intermediate trapezoid fibers and finally join the nucleus of lateral lemniscus of opposite side.  

THIRD ORDER NEURONS 

Third order neurons are in the superior olivary nuclei and nucleus of lateral lemniscus.
The third order order neurons end in medial geniculate body which forms subcortical auditory center.  Fibers from the medial geniculate body go to the temporal cortex, via internal capsule as auditory radiation. 


The fibers of auditory radiation are involved in reflex movement of head in response to auditory stimuli.


CORTICAL AUDITORY CENTERS

It is present in the temporal lobe of the cerebral cortex.  The auditory areas are-

  1. area 41- It is primary area situated in the superior temporal gyrus. 
  2. area 42 -It is primary area situated in the superior temporal gyrus. 
  3. wernicke’s area-  It is secondary auditory area situated posterior to area 41 and area 42. 
  4. Area 22- It is known as audito psychic area and is related with analysis and interpretation of sounds.


FUNCTIONS OF CORTICAL AUDITORY CENTERS 

  •  Perception of auditory impulses (Area 41 & Area 42).

  • Analysis of pitch and intensity of sound. (Wernicke’s area)

  • Determination of source of sound. (Wernicke’s area)

Mechanism of Hearing 


Acoustic energy, in the form of sound waves, is channeled into the ear canal by the pinna. Sound waves strike the tympanic membrane, causing it to vibrate like a drum, and changing it into mechanical energy. The malleus, which is attached to the tympanic membrane, starts the ossicles into motion. (The middle ear components mechanically amplify sound). The stapes moves in and out of the oval window of the cochlea creating a fluid motion. The fluid movement within the cochlea causes membranes in the Organ of Corti to shear against the hair cells. This creates an electrical signal which is sent via the Auditory Nerve to the brain, where sound is interpreted! 


Taste (gustatory) pathway
 

Receptors 


Taste buds on tongue, lips, palatal arch and soft palate. Each “bud” contains several cell types in microvilli (taste hairs) that project through taste pore. Gustatory receptor cells communicate with cranial nerve axon endings to transmit sensation to brain. Cranial Nerves of taste.

  • Anterior 2/3 tongue: chorda tympani→ Facial nerve 

  • Posterior 1/3 tongue: Glossopharyngeal nerve 
  • Most posterior part of the tongue: Vagus nerve 

First order neuron: 


The first order neuron in the pathway is the geniculate ganglion of the facial nerve and inferior ganglia of the glossopharyngeal and vagus nerves. 

Second order neuron: 


The second order neuron is the nucleus solitarius and its upper part enlarged and called the gustatory nucleus. The axons of the cells of the nucleus ascend to end in the posteromedial ventral nucleus of the thalamus via medial lemniscus. 

Third order neuron: 


The third order neuron is the posteromedial ventral nucleus of the thalamus. The axons of the cells pass through the sensory radiation to the gustatory area in the superior wall of the posterior ramus of the lateral sulcus. 



Visual Pathway 



The visual pathway includes the interneurons of the retina, retinal ganglion cells whose axons project via the optic nerve, chiasma, and optic tract to the lateral geniculate nucleus (LGN) and neurones within the LGN which project via the optic radiation to the primary visual cortex. 

Axons of ganglion cells of the retina → optic nerve → optic chiasm (partial decussation) → optic tract → lateral geniculate nucleus (thalamic relay nucleus for vision) → corona radiata (optic radiation) → primary visual cortex 

Receptor 

Receptors are the rod (cylindrical processes) and cons (conical processes) of the retina. 

First order neuron: 

The axons of the cells synapse with the dendrites of the bipolar cells. Bipolar cells are the first order neuron in this pathway.  The axons of bipolar cells synapse with the dendrites of ganglion cells. 

Second order neuron: 


The ganglion cells is the second order neuron in this pathway, the axons of the ganglion cells forming the optic nerve.

The retina can be divided by a horizontal line bisecting the fovea into 2 halves; temporal and nasal halves. The fibers from the nasal half cross to the opposite side. While the fibers from the temporal half pass through the optic chiasma without crossing. 

Optic Nerve 

The unmyelinated axons of ganglion cells collect at the optic disk and exit from the eye, about 3 or 4 mm to the nasal side of its center, as the optic nerve. They pierce the sclera in a region called the lamina cribrosa. Here they acquire myelin sheaths and forming the optic nerve. The optic nerve leaves the orbital cavity through the optic canal and unites with the optic nerve of the opposite side to form the optic chiasma. 

The optic chiasma 

  • The optic chiasma is a flattened bundle of nerve fibers situated at the junction of the anterior wall and floor of the third ventricle just anterior to the infundibular stalk. 
  •  The anterolateral corners of the chiasma are continuous with the optic nerves, and the posterolateral corners are continuous with the optic tracts. 
  •  All fibers from the nasal half of each retina cross to the contralateral optic tract. All fibers from the temporal half of each retina pass through the lateral portions of the chiasm without crossing and enter the ipsilateral optic tract. 

Optic Tract 

The optic tract emerges from the optic chiasma and passes posterolaterally around the cerebral peduncle.

Each optic tract contains: 

  • The fibres arising in the temporal retina of the ipsilateral eye (same side)

  • The fibres of the nasal retina of the contralateral eye (opposite side) 
Most of the fibers now terminate by synapsing with nerve cells in the lateral geniculate body. 

Lateral Geniculate Body 

The lateral geniculate body is a small, oval swelling projecting from the pulvinar of the thalamus. It forms the third order neuron.  It consists of six layers of cells, on which synapse the axons of the optic tract. The axons of the nerve cells within the geniculate body leave it to form the optic radiation. 

Optic Radiation 

The fibers of the optic radiation are the axons of the nerve cells of the lateral geniculate body that passes posteriorly through the retrolenticular part of the internal capsule and terminates in the visual cortex. 

Visual cortex 

The visual cortex (area 17) occupies the upper and lower lips of the calcarine sulcus on the medial surface of the cerebral hemisphere.

The visual association cortex (areas 18 and 19) is responsible for recognition of objects and perception of color. 

Neurons of the Visual Pathway 

Four neurons conduct visual impulses to the visual cortex:

 (1) rods and cones, which are specialized receptor neurons in the retina;
 (2) bipolar neurons, which connect the rods and cones to the ganglion cells;
 (3) ganglion cells, whose axons pass to the lateral geniculate body.
(4) neurons of the lateral geniculate body, whose axons pass to the cerebral cortex. 

Binocular Vision 

In binocular vision, the right and left fields of vision are projected on portions of both retinae. The image of an object in the right field of vision is projected on the nasal half of the right retina and the temporal half of the left retina. In the optic chiasma, the axons from these two retinal halves are combined to form the left optic tract. The lateral geniculate body neurons now project the complete right field of vision on the visual cortex of the left hemisphere and the left visual field on the visual cortex of the right hemisphere. The lower retinal quadrants (upper field of vision) project on the lower wall of the calcarine sulcus, while the upper retinal quadrants (lower field of vision) project on the upper wall of the sulcus. 

Pupillary Light Reflex 

Light directed into one eye cause both pupils to constrict. The response of the pupil of the illuminated eye is called the direct pupillary light reflex. That of the other eye is called the consensual pupillary light reflex. 

Impulse from the retina → Optic tract axons (afferent limb) → lateral root of the optic tract → lateral geniculate body → superior brachium → pretectal nucleus → Edinger-Westphal nucleus (bilaterally) → inferior division of the oculomotor nerve (as preganglionic parasympathetic fibres) → Ciliary ganglion → postganglionic parasympathetic fibres (short ciliary nerves) → Sphincter pupillae muscle 

Both pupils constrict in the consensual light reflex because the pretectal nucleus sends fibers to the parasympathetic nuclei on both sides of the midbrain.

Near Reflex (accommodation reflex) 

When visual attention is directed to a nearby object 3 things happen in a reflex manner: 

  • Convergence of eyes, so that the image of the object falls on both foveae;

  • Contraction of the ciliary muscle and a resultant thickening of the lens, so the image of the object is in focus on the retina;

  • Pupillary constriction, which improves the optical performance of the eye by reducing certain types of aberration and by increasing its depth of focus. 

Normal visual pathway → primary visual cortex → visual association cortex --> superior colliculus and/or pretectal area or (visual eye field in the medial side of the frontal lobe through the superior longitudinal bundle) → Corticobulbar fibers → Edinger-Westphal nucleus → ciliary ganglion → short ciliary nerves → sphincter pupillae muscle and ciliary muscle (contraction of the ciliary muscle increase the thickness of the lens) with convergance of both eyes by the contraction of medial rectus in both side.

Corneal Reflex 

Light touching of the cornea or conjunctiva results in blinking of the eyelids.  Afferent impulses from the cornea or conjunctiva travel through the ophthalmic division of the trigeminal nerve to the sensory nucleus of the trigeminal nerve. Internuncial neurons connect with the motor nucleus of the facial nerve on both sides through the medial longitudinal fasciculus. The facial nerve and its branches supply the orbicularis oculi muscle, which causes closure of the eyelids.

Olfactory pathways

 

Olfactory Receptors 

The olfactory receptors are embedded in mucous membrane of the upper part of the nasal cavity above the superior concha. The fine central processes of bipolar receptor nerve cells form the olfactory nerve fibers.  Bundles of these nerve fibers pass through the openings of the cribriform plate of the ethmoid bone to enter the olfactory bulb. 

Olfactory Bulb 

This ovoid structure have several types of nerve cells; the mitral cells, tufted cells and granular cells. The incoming olfactory nerve fibers synapse with the dendrites of the mitral cells and form synaptic glomeruli. The olfactory bulb, in addition, receives axons from the contralateral olfactory bulb through the olfactory tract. 

Olfactory Tract 

This narrow band of white matter runs from the posterior end of the olfactory bulb under the inferior surface of the frontal lobe of the brain. It consists of the central axons of the mitral and tufted cells of the bulb and some fibers from the opposite olfactory bulb. 

As the olfactory tract reaches the anterior perforated substance, it divides into medial and lateral olfactory striae. 

  • The lateral stria carries the axons to the olfactory area of the cerebral cortex. 

  • The medial olfactory stria carries the fibers that cross the median plane in the anterior commissure to pass to the olfactory bulb of the opposite side. 

Anterior commissure is a small commissure that connects the two halves of the olfactory system. 

Olfactory Cortex 

It includes the following regions; 

Primary olfactory cortex: 

uncus, limen insulae (apical region of the insula) and corticomedial part of the amygdaloid body. 

Secondary olfactory cortex: 

Secondary olfactory cortex is the entorhinal area (anterior part of the parahipocampalgyrus that lies behind the uncus. 

The olfactory cortex collectively called piriform lobe. Note the olfactory cortex is the one area of cortex that receives direct sensory input without an inter posed thalamic connection.