Slide 1

Dorsal Column-Medial Lemniscal System
•Mediates mechanical sensations
-touch, limb position sense, vibration sense
•Well established; clinical & experimental

Anterolateral System
•Mediates protective sensations
-Pain
-Temperature (cold & warmth)
-Itch
•Not as definitively established as is the DC-ML system for touch

Perspective:
Peripheral somatic sensory receptors are sensitive to different stimulus qualities
Mechanical
Thermal (warm, cold)
Noxious (mechanical, thermal, polymodal)
Different receptor classes provide input to
different somatic sensory pathways
Differential thalamic and cortical localization

Dorsal column-medial lemniscal system: Mechanical sensations

Anterolateral system:
Pain, Thermal, Itch

Nociceptors, thermoreceptors, & itch receptors are
bare nerve endings

Mechano-
receptor
receptive
fields

Fiber Histogram: Sensory axon innervating the skin

Dermatomes

Dermatomes
overlap

Spinal cords

Slide 13

Slide 14

Spinal Hemisection

Syringomyelia

Somatotopy of spinal paths

Anterolateral
system

1° Somatic Sensory Cortex Output Systems

Cortical Pain Representations

Summary
Early morphological specialization of DRG neurons sets stage for separate mechanosensory and pain/temp/itch systems