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Neuro
Kaplan6 - Cerebellum
13
Accounting
Pre-School
04/08/2013

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Term
What is the cerebellum derived from?
Definition
-Metencephalon
Term
Give control of and input for;
-Vermis
-Intermediate hemisphere
-Lateral hemisphere
-Flocculonodular lobe
Definition
-Vermis; axial and proximal musculature (via spinal chord)

-Intermediate/paravermal hemisphere; distal musculature (spinal chord)

-Lateral hemisphere; motor planning (cerebral cortex for what the planned action is, and inferior olivary nucleus which is the "error detector" augmenting future movement)

-Flocculonodular lobe; balance and eye movements (Vestibular nuclei; VIII)
Term
How does info go into and out of the cerebellum? What uses the MCP?
Definition
-Inf. & middle cerebellar peduncles (ICP & MCP); input
-Sup. cerebellar peduncle (SCP); output

-Two ways in, one way out

-MCP is used mainly by the *pontocerebellar tract with input from cerebral cortex (rest pretty much uses the ICP)
Term
What are the layers and cells of cerebellum? What do the cells do?
Definition
1. Molecular layer; parallel fibers (from granule cells), stellate cells, and basket cells (PSB)
2. Purkinje layer; **purkinje cells (only ones exiting) (P)
3. Granule cell layer; granule cells (only ones excitatory), & golgi cells

PS Brain Parts Get Gooey

-See slide 419 and try to get the flow of the cells (stellate and basket inhibit purkinje, golgi inhibits granule, granule excites everything)
Term
What are the fibers projecting into the cerebellum and tracts that make them up? What do they stimulate?
Definition
-All are excitatory and use glutamate as signal
-Both send collaterals to deep cerebellar nuclei also

1. Climbing fibers;
-From *olivocerebellar tract
-Powerful direct stimulation of *purkinje cells

2. Mossy fibers;
-From everywhere else (vestibulocerebellar, spinocerebellar, and pontocerebellar tracts)
-Stimulate *granule cells, which in turn indirectly stimulate the purkinje cells and most other cells (which are inhibitory and cause the more diffuse activation)
Term
What are the neurotransmitters used in the cerebellum?
Definition
-*GABA; inhibitory, all but *granule cells
-Glutamate; excitatory, granule cells only (also two incoming fibers)
Term
Where do the Purkinje cells project? Where are they coming from in the cerebellum cortex? What is their action?
Definition
To the deep cerebellar nuclei;
-Vermal & Flocculonodular-->*Fastigial nucleus
-Paravermal-->*Interposed nuclei (Emboliform + Globus)
-Lateral-->**Dentate nucleus
(Nuclei given med to lat); FID
Term
What all can excite the Purkinje cells?
Definition
-Climbing fibers and parallel fibers from granule cells
Term
***Give the paths overall for all four areas of the cerebellum (to and from)?***
Definition
-Axial skeletal muscles-->Vermis-->Fastigial N.-->Vestibular N.

-Vestibular nuclei-->Flocculonodular Lobe-->Fastigial N.-->Vestibular N. (similar, both for positional changes)

-Distal musculature-->Paravermal Hem.-->Interpositus N.-->Red N.-->Rubrospinal tract

-**Cerebral cortex & ION-->Lateral Hem.-->Dentate N.-->Thalamus (VA & VL)-->Motor Cortex (influences upper motoneurons in corticospinal tract)**

-Also, see *illustration and table on page 421
Term
What do we see with a cerebellar dysfunction?
Definition
-**Tremor with intended movement (no fine tuning)
-Without weakness or paralysis
-On **ipsilateral side (will fall towards the lesioned side)
Term
What do we see with vermus dysfunction? What do we need to differentiate this from?
Definition
-Messed up posture and ataxic gait
-Will present the same as a dorsal column lesion (input to vermis) but will not give a ***Romberg sign

-Romberg sign is when they only sway/fall with eyes closed (sensory problem, but cerebellum is okay because it can use the visual info)
Term
What are the typical causes of vermal damage? What part? Difference in symptoms?
Definition
-Anterior vermis; from alcohol abuse-->gait ataxia

-Post vermis; from tumors (meduloblastomas & ependymomas)-->truncal ataxia
Term
What will we see with a lesion of the hemisphere region (many symptoms)?
Definition
-More distal ataxia with **intention tremors (like when trying to touch target)
-*Dysmetria; can't stop movement at right place (literally, can't measure)
-Dysdiadochokinesia; can't do alternating movements (***trouble jerking off haha***)
-Speech problems; divide words into syllables
-Gaze problems; cerebellum help in tracking
-Hypotonia; lower reflexes (but no weakness)
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