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Neuroanatomy
Neuroanatomy flashcards, particularly concerning motor systems
121
Science
Undergraduate 3
11/07/2010

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Cards

Term
Damage to Wernicke's Area leads to...
Definition
Receptive Aphasia
Term
Damage to Broca's Area leads to...
Definition
Expressive Aphasia
Term
The right hemisphere equivalents of Broca and Wernicke's areas concern...
Definition
The intonational aspect of language
Term
Damage to Wernike's Right leads to...
Definition
Aprosodia
Term
Damage to Broca's right leads to...
Definition
Expressive Aprosodia
Term
What are 2 visual association areas connected to the Primary Visual Cortex?
Definition

1.Inferior Parietal Lobule

2. Prefrontal cortex

3. Paralimbic Cortex

Term
What constitutes the paralimbic cortex?
Definition
The cingulate gyrus and the parahippocampal gyrus
Term
What are symptoms of damage to the inferior parietal lobule?
Definition

1. Alexia: problems reading

2. Agraphia: problems writing

3. Acalculia: simple arithmetic difficulties

Term
What occurs following damage to the prefrontal cortex?
Definition
Disillusion of purpose, lack of foresight, loss of inhibition, problems with working memory
Term
What occurs following damage to the paralimbic cortex?
Definition
Changes in emotional response and motivation
Term
The tract that connects Wernicke's and Broca's areas?
Definition
The arcuate fasciculus
Term
Muscles with finer control have neurons who innervate a couple/a lot of fibers.
Definition
A couple
Term
What neuronal aspects increase muscle contraction?
Definition
Increased frequency of action potentials, and more neurons firing
Term
What is considered "the final common path" in motor systems?
Definition
The motor neuron
Term
In which lamina are somatic motor neurons present?
Definition
IX
Term
How are medial and axial motor neurons connected?
Definition
Via an interneuron with a recurrent collateral
Term
Axons from motor cortices synapse on __________ and the ______
Definition
Somatic motor cranial nuclei and the ventral horn of the spinal cord
Term
Lower motor neuron is just another way of saying...
Definition
Somatic motor neuron
Term
List 4 consequences of lower motor neuron lesions.
Definition

1. Muscle paralysis

2. Areflexia

3. Flaccid muscles due to the loss of electrical activity and trophic factors

4. Fibrillations (subtle contractions) due to the hypersensitivity of muscle receptors to low levels of acetylcholine in the synpase

Term
Where does the tectospinal tract originate?
Definition
The superior colliculus
Term
What lasting deficit occurs in monkeys if their corticospinal tract is lesioned?
Definition
The inability to inact fine finger movements
Term

What occurs when the rubrospinal tract is lesioned on top of the corticospinal tract?

 

Definition
The large part of the input to the appindicular muscles is destroyed but axial musculature stays intact
Term
What occurs when medially descending fibers are lesioned?
Definition
Severe postural problems
Term
Does the corticospinal tract primarily distribute contralaterally or laterally?
Definition
Contralaterally
Term
Which cranial nerve nuclei are involved with the eye?
Definition
III, IV, VI
Term
Cranial nerve nucleus V is involved in...
Definition
Mastication
Term
Cranial never VII is the ______ nucleus.
Definition
Facial
Term
Innervation from the facial nucleus to the face is contralateral/ipsilateral?
Definition
Ipsilateral
Term
Bell's Palsy is due to...
Definition
Damage in the PNS involving part of the facial nerve that innervates the lower face
Term
The corticobulbar tract is mainly finished by...
Definition
The pyramids of the medulla
Term
In the corticospinal tract, arm fibers are more medial/lateral, and leg fibers are more medial/lateral
Definition
Medial, lateral
Term
Do the fibers concerning the leg or the arm decussate more caudally in the corticospinal tract?
Definition
The leg
Term
What most commonly leads to upper motor neuron lesions?
Definition
Strokes involving the internal capsule, although the stroke could also occur in the motor cortex
Term
What are transient defecits of strokes that occur in the internal capsule?
Definition
Flaccid paralysis, hemoplegia, areflexia
Term
What are long-term defecits following a stroke in the internal capsule?
Definition
Hyper-reflexia (usually explained as a loss of inhibitory reflexes), spasticity with a clasp-knife character, increase in flexor muscle tone, and some reflexes diminished
Term
What reflexes are diminished due to a stroke in the internal capsule?
Definition
Plantar reflex, abdominal reflex, cremasteric reflex
Term
What are the 3 parts of the internal capsule?
Definition
The anterior, the genu, and the posterior parts
Term
Lesions in the internal capsule also effect the cortex. Why is this significant to motor pathways?
Definition
The red nucleus, the superior colliculus, the pontine reticular formation and the medial reticular formation all recieve cortical input. This input is disrupted upon lesioning of the internal capsule.
Term
Most lower motor neurons in the brainstem recieve bilateral/lateral input?
Definition
Bilateral
Term
Which lower motor neurons do not recieve bilateral input?
Definition

1.The facial nucleus innervating the lower face only receives input from the motor cortex on the contralateral side.

2.The hypoglossal nucleus also only recieves contralateral innervation.

Term
List 4 key structures of the basal ganglia
Definition

1. Striatum: aka caudoputamen. Includes the caudate and the putamen.

2. Pallidum: globus pallidus and pars reticulata

3. Subthalamic nucleus: located ventrally to the thalamus

4. Pars compacta (dopamine aspect of the substantia nigra)

Term
Where in the spinal chord is the phrenic nucleus? What does it innervate?
Definition

C5, C6 

The diaphragm 

Term
Appindicular muscles are innervated by neurons that are more _____ in the spinal chord, as opposed to axial muscles which are innervated by nerves that are more ____ in the spinal chord. 
Definition
Lateral/medial
Term
Where is Onuf's nucleus present?
Definition
In the same location as the phrenic nucleus, except for in S1 and S2
Term
What is the function of Onuf's nucleus?
Definition
It innervates the muscles of the rectum and urethral sphincter 
Term
List the 4 ventromedial pathways in the spinal cord
Definition
The tectospinal tract, the vestibulospinal tract, the pontine reticulospinal tract, and the medullary reticulospinal tract
Term
List the two laterally descending pathways
Definition
Corticospinal tract and Rubrospinal tract
Term
Where does the rubrospinal tract originate?
Definition
The red nucleus
Term
The forehead receives information from the (Dorsal/ventral) side of the facial nucleus?
Definition
Dorsal
Term
The dorsal end of the facial nucleus recieves what type of innervation?
Definition
Bilateral
Term
The ventral end of the facial nucleus receives  what type of innervation?
Definition
Contralateral 
Term
In Parkinson's, patients have a less than normal population in what structure?
Definition
The substantia nigra pars compacta
Term

How many neurons are lost in the substantia nigra pars compacta before one becomes symptomatic of Parkinson's?

 

Definition
70-80%
Term
What are symptoms of Parkinson's?
Definition
Tremor at rest, cog wheel rigidity, Akinesia 
Term
What is one form of treatment for Parkinson's involving a DA precursor?
Definition
L-DOPA, which can cross the blood brain barrier, is administered. A side effect is involuntary movement. 
Term
Another form of treatment for Parkinson's involves transplanting the _____ ______ on to the striatum. Other transplants involve the...
Definition

Adrenal medulla. Also eventually leads to involuntary movement. 

Fetal substantia nigra. 

Term
What is deep brain stimulation?
Definition
A large electrode is inserted bilaterally, usually targeting the subthalamic nucleus or the internal portion of the globus pallidus 
Term
What is the largest nucleus of the cerebellum?
Definition
Dentate nucleus
Term
The ________ nucleus projects to the vestibular nuclei and the reticular formation
Definition
Fastigial
Term
The Dentate nucleus projects to the _____
Definition
VL nucleus of the thalamus
Term
The Embosiform nucleus and the Globose nucleus project to the _______
Definition
Red nucleus
Term
Describe the pathway from the dentate nucleus of the cerebellum to the ventral horn of the spinal chord.
Definition
The dentate nucleus projects to the contralateral VL nucleus of the thalamus, which projects to the premotor cortex, which projects to the primary motor cortex.  From the primary motor cortex, the corticospinal tract descends and decussates in the medullary pyramids.  Therefore, a double crossing of the system occurs and the information ends on the same side that it began
Term
The 3 lobes of the cerebellum are the:
Definition
1. Anterior lobe 2. posterior lobe 3. Flocculonodular lobe
Term
Cranial nerve VI
Definition
Abduscens. Innervates the lateral rectus muscle of the eye.
Term
What kind of innervation does the nucleus ambiguous recieve?
Definition
Contralateral
Term
The Hypoglossal nerve effects the tongue on the ______ side.
Definition
Contralateral
Term
Where does the tectospinal tract decussate?
Definition
The midbrain
Term
Where does the corticospinal tract decussate?
Definition
At the cross-section of the medulla and the spinal chord
Term
Does the medial reticulospinal tract decussate?
Definition
NO, it descends ipsilaterally
Term
Which tract descending in the spinal cord is not under cortical control? Where does this tract recieve input?
Definition
The vestibulospinal tract. The tract begins in the vestibular nuclei, which recieve input from the inner ear and the fastigial nucleus of the cerebellum
Term
Which structure of the basal ganglia usually fires at a very high rate at rest? What are the consequences of this?
Definition
The pallidum (the globus pallidus and the substantia nigra pars reticulata) fires at a high rate at rest.  It inhibits the VA nucleus of the thalamus, which inhibits the excitation of the pre-motor cortex.
Term
What occurs after increased activity in the striatum?
Definition
The striatum inhibits the pallidum, so increased activity of the striatium (from the cortex) leads to decreased activity of the pallidum. This disinhibits the thalamus, allowing it to excite the pre-motor cortex.
Term
Where does the striatum recieve it's input?
Definition
The substantia nigra pars compacta and the cortex
Term

What is the origins of Huntingtons?

 

Definition
It is genetic due to an autsomal dominant gene
Term
What does Huntington's cause on a cellular level?
Definition
The loss of GABA cells that have D2 receptors in the striatum
Term
The folds of the cerebellum are called...
Definition
Folia
Term
Damage to the cerebellum is ipsilateral/contralateral to the defecit?
Definition
Ipsilateral
Term
The projection from the cortex to the red nucleus is...
Definition
Ipsilateral
Term
Where does the rubrospinal tract decussate?
Definition
Just ventral to the red nucleus
Term
The red nucleus recieves input from the ______ and the _______.
Definition
Motor cortex/cerebellum
Term
What is a motor unit?
Definition
All of the muscle fibers innervated by a single motoneuron plus that motoneuron
Term
The _______ the motor unit, the finer the control of muscle contraction
Definition
Smaller
Term
At what levels of the spinal cord are the the appindicular neurons?
Definition
The cervical and lumbar enlargements (C5-T1 and L4-S2)
Term
How does a single interneuron innervate multiple motor neurons?
Definition
Through its collateral branches
Term
The rubrospinal tract mainly concerns which region of the spinal chord?
Definition
The cervical region
Term
In which layer of the cortex do the axons of the corticospinal tract arise?
Definition
Layer V
Term
What are the 4 types of afferents to the cerebellum?
Definition

1. Vestibular input

2. Spinal input

3. Potine input

4. Inputs from the inferior olivary nucleus 

Term
Describe the vestibular inputs to the cerebellum. 
Definition
The cerebellum gets input from the 8th cranial nerve, which extends from the vestibular nuclei. Some vestibular ganglia (originating in the inner ear) skip the nuclei and go straight to the cerebellum. The input from the vestibular system projects to the flocculonodular lobe of the cerebellum.  
Term
What are the spinal inputs to the cerebellum?
Definition

1. Ventral spinal cerebellar tract (brings info from the lower limbs)

2. Doral spinal cerebellar tract (brings info from the lower limbs) 

3. Cuneo-cerebellar tract (brings info from the arms) 

4. Trigeminal cerebellar tracts- mostly originating the descending nucleus of V

Term
Where do the spinal inputs to the cerebellum project?
Definition
To the anterior and posterior lobe 
Term
Where do ponto-cerebellar projections enter the cerebellum?
Definition
Through the middle cerebellar peduncle 
Term
Which part of the cerebellum receives input from the inferior olivary nucleus?
Definition
Every part of the cerebellum 
Term
Which nucleus sends out "climbing fibers" to the cerebellum?
Definition
The inferior olivary nucleus 
Term
List 4 inputs that the inferior olivary nucleus recieves
Definition
1. Spinal cord 2. Dorsal column nuclei 3. Vestibular nuclei 4. Cerebral cortex
Term
What are the two types of fibers present within the cerebellum?
Definition
Mossy fibers and climbing fibers
Term
Where do mossy fibers originate?
Definition
From all of the inputs to the cerebellum excluding the inferior olivary nucleus 
Term
What is the most superficial layer of the cerebellum?
Definition
The molecular layer
Term
What occupies the molecular layer of the cerebellum?
Definition
Mainly axons and dendrites from the cell bodies of deeper layers
Term
The purkinje cell layer is the ____ layer of the cerebellum
Definition
2nd
Term
What is the 3rd layer of the cerebellum called? What occurs with their axons?
Definition
The granule cell layer. The axons turn vertically into the molecular layer, bifurcate, and form parallel fibers 
Term
Which axons synapse on granule cells?
Definition
Golgi cell axons
Term
What are basket cells?
Definition
Cells in the molecular layer that wrap their axons around the soma of purkinje cell's in such a way that resembles a basket 
Term
In which layer of the cerebellar cortex are stellate cells present?
Definition
Layer I 
Term
What cells do parallel fibers excite?
Definition
The dendrites of any stellate, basket, golgi, and purkinje cells
Term

On what do climbing fibers synapse? Is this excitatory or inhibitory?

 

Definition

The dendrites of Purkinje cells. 

Very excitatory. 

Term
Climbing fibers have an axon collateral that synapses on the deep nuclei of the cerebellum. Is this an excitatory or inhibitory connection?
Definition
Excitatory 
Term
Do the axons of Purkinje cell's have an excitatory or inhibitory synapse on the deep nuclei of the cerebellum?
Definition
Inhibitory
Term
Mossy fibers similarly have a collateral that branches onto the deep nuclei. Is this an excitatory or inhibitory connection?
Definition
Excitatory 
Term
Mossy fibers have an ______ (excitatory/inhibitory) connection on granule cells. 
Definition
Excitatory
Term
Where are the deep nuclei of the cerebellum found?
Definition
Within the deep white of the cerebellum 
Term
Parallel fibers synapse on golgi cells. These, in turn, ______ (inhibit/excite) granule cells. 
Definition
Inhibit 
Term
Stellate and basket cells _______ (inhibit/excite) Purkinje cells. 
Definition
Inhibit
Term
Through which structures does the cerebellum influence the rest of the body?
Definition
The deep nuclei 
Term
Where does the fastigial nucleus receive it's input?
Definition
The purkinje cells in the Vermis
Term
Through what structure do the globus and embosiform nuclei leave the cerebellum?
Definition
The brachium conjuctivum, to synapse on the red nucleus
Term
Where do efferents from the fastigial nucleus exit?
Definition
The inferior cerebellar peduncle 
Term
An intention tremor is due to 
Definition
Damage of the dentate nucleus 
Term
Define dysmetria
Definition
Usually calculated measurements are off a bit. A result of damage to the cerebellum. 
Term
What is trunkal ataxia?
Definition
The body being off balance due to leaning
Term
What is decomposition of movement?
Definition
A lack of fluidity in movement, you jerkily complete the movements
Term
Neurons in the cerebellum account for ___ of the total amount of neurons in the brain 
Definition
50%
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