Shared Flashcard Set

Details

cerebellum
cerebellum
59
Medical
Graduate
10/24/2011

Additional Medical Flashcards

 


 

Cards

Term
cerebellum general fucntion
Definition
involvedi nrpogamming of movemetns ,and the nmonitoring of those movements. MAkes ure tehse movemnts are smooth.
Term
cerebellum general inputs and ouputs
Definition
receives feedbacks from msuclesa nd joints via spinocerebelalr tracts, also gets visual and auditory input in adidtion to toehr senosry sysmptoms. THen crebellum sends outputs to crebral cortex adn influencs descending pathways.
Term
cerebellu mfucnitosn in motor contorl
Definition
limbs, turnk and eyes. Invovledi n planning/pgrogrammign (motor learning ,planning and programming corodianting movements). and execution at the limb trunks and eyes (postural conrol , smoothingo f ovemetnss ,ctornollign mvoement amplitude, corecitng movemetn, comparotor function to control ongoing movements).
Term
sample problems related cerebellar lesions
Definition
Appendicular ataxia, gate ataxia- due to lack of coordiatnionbetween oitns and muscles. Intention tremor- makign movements and the termeor occurs in endpoirnts (as opsopted to resting tremor of basal ganglia).

aididochkniesa- rpolem oganizing rapidly atleratnaing movemnets.
Term
slide 6: comparator function of cerebellum
Definition
Cerebral cortex sends ifnormaitn down to mtoor systems- and sensd efference opy of that same plan to the cerebral cortex. Muslces end feedback to the cerebellum- Cerebellum compares both teh muscle copy adn the cortex copy of hte movement, and sends aprpopriate adjsutmetns up to cortex and brainstem nulcei, in this way adjsuting our movements as we need.
Term
inferior olviary nucls lesion
Definition
acts like cerebelalr lesion, with contralateral problems. WHen rquires a change in movemetn i.e.e whe nprimism glass es are put on cant adjust to the new chagne, and wehn taken off throwign is back to normal
Term
appendicualr ataxia
Definition
endpoitn tremor , caluse of cerebellar disorder
Term
truncal ataxi
Definition
gait ataxia- troublewalkign and balance.
Term
adiadokienisa
Definition
problem with rapidly atlernating mvoemetns. sign of cerebelalr dysfunciton
Term
cerebellar lesion side
Definition
always ipsilateral symtpoms on body
Term
slide 8: vermis
Definition
vermis is th most midline part of the cerebellum out in front
Term
paravermal lide 8
Definition
just lateral to vermis, is more anterior to the lateral hemisphere. also known as itnermediate cerebellar hemisphere
Term
lateral hemisphere
Definition
lateral to vermis an d posterior to itnermediate hemisphere
Term
flocculonodular obe slide 8
Definition
foudn on the bakc fo the cerebellum, vermis is aprt of teh floculornodular loe
Term
slide 8 the deep cerebellar nuclei
Definition
most lateral is dentate nlcues, followed y itnerposedn ulcues, followed by fastigial nuclus
Term
lateral hemispher of cerebellum function
Definition
communicationt o cortedx for motor planning goes through lateral corticospinal tract (planning programming)
Term
itnermdiate lobe fucntion
Definition
distal limbcorodiantion , acts via lateral corticospina ltract nad rubrospina ltract. (execution)
Term
vermiss adn floculonodular lobe fucntion
Definition
proxmial libm and trunk coordiantion. as well as vestibuloccular reflexes . acts via all the braisntem pathewaasy (reticulospinal ,tectospinal vestibulospinal ,atnerior coritcospinal, as well as MLF).
Term
vestibulocerebellum
Definition
vermis and follculnodaulr lobe
Term
spinocerebellum
Definition
intermediate lobe of cerebellum
Term
cereberocerebellum
Definition
lateral hemispher of crebellum
Term
inferior cerebellar peduncel function
Definition
restiform body: mostly inputs medulla and psian lcord. also outputs to vestibulospinal tract and reticular nulcei.
Term
middle cerebellar peduncle
Definition
entier inputs from contralteral pontine ibers ( which had received ther inputs from cortex)
Term
superior cerebelalr pedunclce
Definition
geos to superior colliculus of midbrain and Vl nucleus of thalamus to premotor and motor cortex. also inputs from the spina lcord and medulla
Term
pontine fibers projectiosn (slide 14) to cerebellum
Definition
projections to MCP, prontien fibers get their inputs form cortex,
Term
spinalcord fiber proejctiosnt to cerebellum
Definition
come via teh spinocerebelalr pathways and inferior volciary nulceus (which receives ifno from various areas), and goesi tno ICP.
Term
vestibular projecitosn to cerebellum
Definition
come either straight form the ganaglia, or from teh vestibular nulcei and go into juxtarestiform body (which is just emdial to the ICP, and lateral to the fourth ventricle).
Term
cortexprojections itno the cerebellum
Definition
coem downto the pontine nulceli, crosso veri n itno the mCP and contbirute to alteral hemispheres (specifically teh contralteral dentate nucleus)
Term
cerebral crus what is in it
Definition
lcoation of the coritcopontine fibers.
Term
inferior olivary nucelus proejctiosn to cerebellum ( slide 15).
Definition
projects to contralateral ICP and up the entire cerebellar cortex. known as climbing fibers .
Term
cuneocerebellar tract ifnormaiton
Definition
analgoous to dorsal sinpscerebellar, only it carriesi fnormationform the upper extremity rather than lwoer extremity. Particularly proprioceptive inormation. is anipsialteral pathway.
comes in from arms and goes up via cuneate fasicle, synapses with external cuneate nulceus and forms cuneocerebellar tract

Projectst o intermediate hemispehre adn vermis
Term
ventral spincoerebellar tracti nformation
Definition
starts in the ventral horn in the interemdiate zone and spinal border cells of hte spinal cord, jsut ventral to teh dorsal nuclus of clarke, croses atvetnral commisure, asenced andg eos throughtheseurpeiro cerebelalr peuncle, wehre it crosses at teh SCP dcusation and ends up ipsilateral corsses twice and ends up ipsilateral . also rpoejctst to intermediate hemisphere and vermis.

carrisinformation about the elvel of activation f those motor nuclei
Term
rostral spinocerebellar tract
Definition
analoue for ventra spiniocerebellar tract fo the upepr extremity
Term
arrangement of spinocerebelalr inputs in vermis and itneremdiate lobe
Definition
they are somatopicaly arranged. In the anterior lboey ou will see trukn and lower extremity
Term
dentate nulceus function andlocation slide 26
Definition
most lateral , bringi nfrom from lateral hemisphere
Term
interposed nulceus
Definition
eboloform and globose are itneremdiate and brign ouptus from the itnermediate lobe
Term
fastigial nucleus
Definition
medialmost nulceus of the cerebellum, sends outputs from the vermis and flocculonodular lobe
Term
ascending ouput from cerebelum pathway
Definition
laterla ventricle to detnate nulceus crosses as ascends in superior cerebelalr pedunclce and goe sto vl and up to cortex
Term
descendign output form teh corteox to teh cerebellum
Definition
goes dow nto ipsilateral pontine. Corticopontine fibers then elave from pontine, cross adn go to contralateral lateral hemisphere via teh mCP
Term
slide 30 central tegmental tract
Definition
dentate nucleus projects to contralater redn uleus which sensd proejctison down to ipsilateral ifnerior olivary nucleus which then sends projections to contralateral cerebellum
Term
slide 31 lesions of inferior olivary nucus
Definition
similiar deficit producitn to contralalter cerebellum.
Term
sldie 32interposedn uclei otuputs
Definition
get input from the spinal cord which coemsi n through the ICP and goes into interposed nucli- these interposed nuclei then send out proejctions via superior cerebellar peduncel which either cross in teh SCP and go to vl of thalamus and then cortex to effect motor systems taht way, or synapse in red nucleus, and coem down to ipsilateral rubrospinal tract annd coritcospinal tract
Term
slide 34 pathways fo the flooculonodular and vermis
Definition
can send outputs via the interposedn ulcei which will cross contralletery in SCP and then to VL and then to COrtex.

Also has descneidng pathways- has ipsilateral proejctions to reticular foromation and vestibular nuclei. Can also cross in teh uncinate proces and innervate contralteral vestiularn uclei.

The ineferior ermis and flocculonodular lobe, als o hahve hte ability to direclty send projectison to ipsialteral vestiublar nuclei
Term
the three layers of the cerebellar cortex slide 36
Definition
top to bototm: molecualr, purkinje, and granule cel lalyer
Term
purkinje layer of cerebral cortex
Definition
mdidle layer of the cerebellar cortex- contains purkinje cell bodies . They send dendritic projections into the moelcualr layter
Term
molecular layer of cerebellar cortex
Definition
there are dendritic trees from teh purkinje cells in this top layer. Gets projections form granule cells in bototm laeyr (granule cell layer) - these parallel fibers form granule cells will synapse iwth prukinje cell and be weakly excitatory. Meanwwhile climbign fibers project upf rom the inferior olivary nuclus and syanspe to the with the purkinje cells dendrites and are very excitatory- main stimulsu for purkinje cells. These wil influence the sending of proejcitosn to deep cerebellarn nuclei 9which are inhbitiory)
Term
inhibitory outputs within the cerebral cortex
Definition
stellate, basket and golgi cells
Term
mossy fibers slide 37
Definition
projections from the spinocerebellar tract and pontine tracts coems through via the mossy fibers which then project to granule cells
Term
inputs itno the deep cerebellar nuclear cell
Definition
Mossy fibers ( comign from contralateral inerior olviaary nulceus), and purkinje cell. Aside from Purkkinje cell, they are all excitatory
Term
purkinje cell activity during movement
Definition
at rest expect it to be active, but when perofmrign rapidly alternating movements see thati ti s tightly modulated, with deep nuclear cell reacting acocrdingly as well
Term
eyea bnormaliteis with the cerebellum
Definition
may produce occular dysmetria- eye not able toget to the appropraite point.

May also produce defective saccades,

may also rpoduce nystagmus
Term
error modification by cerebellum moa
Definition
occurs via the deep excitatory loop, from lower areas, in this way we can correct for erros in visione etc. These then travel to purkije cells which inhibit when active, purkinje cells are ablet o lognterm potentiate as well as longterm depress themselves based on stimuli. Climbing fibersare strongest activators of this motor learning.
Term
VOR and cornela blink reflex
Definition
mediated by purkinje cels. Prukinje cells able to rese the gain if somethign modifeis the VOR reflex.
Term
lateral hemisphere sydnrome
Definition
deficis in motor planning/programming: ipsilateral to lesion.

ataaxia (loss of movemetn coordiantion). : dysmetria-undershooting or overhsooting objects. Dysdiadochokinesia- difficulty with rapidly alternating movements

Hyporeflexia

Scanning speech

Abnormal eye movements.
Term
tests for cerebro cerebellum
Definition
rapidly alternating movements, finger to notse heel to shin, f inger to toe, Rebound check reflex (resposne to perturation), speech
Term
EMdial hemisphere damage anterior lboe syndrome
Definition
legs are primarily affected due to somatotopic arrangement. Broadbased , staggering gait. may be caused by chronic alochol use
Term
flocculonodular lobe-ifnerior cermis sydrome
Definition
ipsilateral.

Truncal ataxia. tituations (tremors of trunk). Poor balance , nystagmus and abnormal eye movements.

meduloblastomas typically afefct this portion
Term
testing for vestibulocerebellu mand sinpocerebellum
Definition
have person stand still with eyes open (station), walking, tandem gait.
Term
cerebellar blood supply slide 55 and 56
Definition
superior cerebellar artery, anterior inferior cerebellar artery, posterior ifnerior cerebellar artery .


superior cerebellar artery is doing the superior cerebellum, Pica doing the inferior cerebellum, and AICA doing mostly the middle anterior portion fo cwerebellum.

remebmer pica also innervates the medulla
Supporting users have an ad free experience!