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Neurology · Topical Diagnosis in Neurology

Reflex arc

Arcus reflexus

The anatomical pathway of a nerve impulse ensures the body's rapid response to stimuli. Understanding this structure relies on receptor properties, neuron types, and the features of nervous system development.

Main cellsNeurons and abundant neuroglia
EmbryogenesisDevelopment from the neural tube
PlasticityLifelong synaptogenesis and adaptation
Cell deathPhysiological apoptosis in ontogenesis
4 min readFor medical studentsUpdated Sep 25, 2026
Material prepared by WhiteCoat Pro editorial team based on platform study guidesReviewed by medical editor: Aulov A. A., general practitioner · 09/24/2026

Receptors and Signal Transmission

Membrane structures transform external signals using various ionic mechanisms. Two main groups are distinguished:

  • Ligand-gated ion channels: Inhibitory GABA and glycine receptors let in chlorine, causing hyperpolarization of the postsynaptic neuron. This group also includes nicotinic acetylcholine and serotonin receptors.
  • G protein-coupled receptors: Provide a longer response through a cascade of intracellular signals. Examples include muscarinic acetylcholine and metabotropic glutamate receptors.

To enhance or weaken transmitter action in medicine, their analogues and blockers are used.

Architecture of Neuronal Systems

Neurons are classified by their released neurotransmitters and the nature of their connections:

  1. Glutamatergic system: Has direct projection connections, where one neuron connects to a single target cell.
  2. Dopaminergic system: Characterized by extensive connections of a single neuron with multiple targets.
  3. GABAergic system: Forms highly specialized contacts. For example, basket cells envelop the soma of the postsynaptic neuron, and axo-axonic synapses can be located on the axon hillock.
Test your knowledge on this topicTasks from the Neurology course bank — immediate answers and explanations.

Role of Glial Cells

Glia outnumber neurons and support their vitality. In the central nervous system, the following are distinguished:

  • Astrocytes: Support ionic homeostasis, isolate synapses with their processes, and form scar tissue (gliosis) upon injury.
  • Oligodendrocytes: Create the myelin sheath.
  • Microglial cells: Perform phagocytic functions and are activated during inflammation or degeneration.

Embryogenesis and Brain Development

The nervous system forms from the longitudinal neural tube. At an early stage, three primary brain vesicles arise: the hindbrain (rhombencephalon), midbrain (mesencephalon), and forebrain (prosencephalon).

Subsequently, the forebrain divides into the diencephalon and telencephalon. Rapid growth of the telencephalon leads to its rotation, giving a semicircular shape to the caudate nucleus, hippocampus, fornix, and lateral ventricles. The central cavities form the ventricular system, and the cerebral aqueduct is preserved in the midbrain.

Formation of Neural Networks

Nervous system development includes successive stages of cellular migration and differentiation:

  • Proliferation: Neuroblast division occurs in the subependymal zone near the central cavity.
  • Migration: New cells move toward the cortical plate along radial glial fibers.
  • Axon guidance: Growing processes find their way to targets thanks to chemical factors, matrix proteins, and ligand-receptor systems.
  • Synaptogenesis and apoptosis: Synapse formation depends on activity and continues throughout life, ensuring learning and memory. Mass programmed cell death (apoptosis) is necessary for the precise construction of neural networks.

Briefly: answers to topical questions

What anatomical links make up a simple somatic reflex arc?

A simple somatic reflex arc consists of afferent and efferent limbs. Information is transmitted within it directly:

  • Afferent limb — the receptor apparatus that perceives the stimulus.
  • Efferent limb — the motor pathway along which impulses are directed to the effector.

The bodies of efferent neurons lie in the anterior horns of the spinal cord, and the pathway to the muscle is direct, without peripheral ganglia.

Where are the cell bodies of sensory neurons of the spinal reflex arc located?

The cell bodies of sensory neurons of the spinal reflex arc are located in the spinal ganglia, or dorsal root ganglia. They localize the first sensory neuron of the afferent limb. The central processes of these neurons enter the spinal cord via the dorsal roots.

How does the efferent limb of the autonomic reflex arc differ from the somatic one?

The efferent limb of the autonomic reflex arc differs from the somatic one in the localization of neuron cell bodies and the presence of a peripheral ganglion.

CharacteristicSomatic arcAutonomic arc
Localization of neuron cell bodiesLie in the anterior hornsLie in the lateral horns
Pathway to effectorDirect pathway to the muscleInterrupted in an autonomic ganglion
Pathway featuresWithout peripheral gangliaTwo-neuron efferent pathway

Where are the closing centers of monosynaptic tendon reflexes located?

The closing centers of monosynaptic tendon reflexes are located at the spinal level. Afferent fibers form direct synapses with the bodies of large alpha motor neurons located in the anterior horns of the spinal cord. It is here that monosynaptic excitation of motor neurons occurs, leading to reflex muscle contraction to counteract its stretch.

How to memorize

Glial peacekeepers: Astrocytes insulate synapses and patch wounds (gliosis), oligodendrocytes dress axons in myelin, and microgliocytes clean up debris via phagocytosis.

Class and exam questions

What are the main types of glial cells distinguished in the CNS?

In the central nervous system, astrocytes (support homeostasis and form gliosis), oligodendrocytes (form myelin), and microglial cells (perform phagocytic functions) are distinguished.

What are the consequences of telencephalon rotation during ontogenesis?

Rotation of the telencephalon causes the lateral ventricles, hippocampus, caudate nucleus, and fornix to acquire a semicircular shape.

What is the difference between GABAergic and glutamatergic connections?

The glutamatergic system uses direct "one-to-one" projections, whereas the GABAergic system is distinguished by highly specialized contacts, including basket cells and axo-axonic synapses.

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What else to study on this topic

  • Molecular mechanisms of neuroblast proliferation control
  • Factors in growing axon guidance
  • Functional dependence of synaptogenesis in adulthood
  • Regulation of the balance between neuronal survival and apoptosis
  • Structure and Anatomy of the Cerebral Ventricular System

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