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Neurology Exam 2
Flash cards for exam 2 covering brainstem through basal ganglia.
591
Physiology
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04/01/2013

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Term
Spinal trigeminal nucleus blends in with what spinal cord nuclei (3)
Definition
1) Posteromarginal, 2) substantia gelatinosa, 3) nucleus proprius
Term
Lissauer's tract becomes the ___ tract in the medulla
Definition
Spinal trigeminal tract
Term
Aδ & C fibers from trigeminal ganglion to which tract
Definition
Spinal trigeminal tract
Term
Pain & temperature from face (except ___) to what nucleus
Definition
Except teeth; spinal nucleus of trigeminal nerve
Term
Spinal accessory nucleus is continuous with what
Definition
Visceral efferent
Term
Which tract forms the inferior cerebellar peduncle
Definition
Dorsal [and only dorsal] spinocerebellar tract
Term
Cell body of neuron 1 of spinal trigeminal tract is found where
Definition
Sensory ganglia
Term
Cell body of neuron 2 of spinal trigeminal tract is found where
Definition
Spnal trigeminal nucleus
Term
Cell body of neuron 3 of spinal trigeminal tract is found where
Definition
Thalamus
Term
What is the somatotopographic arrangement of the trigeminal spinal nucleus
Definition
Onion-skin
Term
Nucleus ambiguus innervates what muscles and via what CN's
Definition
Pharynx, larynx, soft palate & upper esophagus via CN IX & X
Term
Source of PSNS for CN X
Definition
Dorsal motor nucleus of the vagus (DMX)
Term
General influence of nucleus ambiguus on the heart
Definition
Conservative i.e. bradycardia, decreased inotropy
Term
Taste afferents terminate in the ___ [rostral or caudaul] part of the ___ [nucleus]
Definition
Rostral NTS
Term
Which is more caudal in the NTS: stomach or soft palate
Definition
Stomach
Term
Carotid sinus & aortic arch: caudal or rostral NTS
Definition
Caudal
Term
Baroreceptor reflex pathway (4)
Definition
CN IX/X → NTS → ventrolateral medulla → CN X/SNS outflow
Term
Which respiratory group is sensitive to CO2
Definition
Ventral respiratory group
Term
Where is swallowing found in the medulla
Definition
Between the NTS & nucleus ambiguus
Term
Dysphagia almost always accompanies lesions of the
Definition
Medulla
Term
Gag reflex pathway (4)
Definition
CN IX → NTS → CN X → levator palatini/pharyngeal constrictors/larynx
Term
Vertigo, trunk ataxia, & nausea result from damage to (2)
Definition
1) Semicircular canals & static labyrinth, 2) vesibular & cochlear nuclei
Term
Lesions of the central tegmental tract can lead to
Definition
Horner's syndrome
Term
Blood supply to nucleus gracilis & cuneatus
Definition
Posterior spinal a.
Term
Blood supply to the spinal trigeminal nucleus
Definition
Vertebral a.
Term
Blood supply to the pyramids
Definition
Anterior spinal a.
Term
Medial medullary syndrome: motor
Definition
Contralateral UMN signs that spares the face [facial nucleus in pons]
Term
Medial medullary syndrome: tongue
Definition
Ipsilateral LMN signs: protruded tongue toward affected side
Term
Medial medullary syndrome: 2-point discrimination, vibration, kinesthesia
Definition
Contralateral loss
Term
Lateral medullary syndrome: nucleus ambiguus
Definition
Dysphagia, displaced uvula, flaccid vocal fold
Term
Lateral medullary syndrome: CN V
Definition
Ipsilateral loss of pain, temp on face
Term
Lateral medullary syndrome: spinothalamic tract
Definition
Contralateral loss of pain, temp over body
Term
Lateral medullary syndrome: descending SNS tract
Definition
Horner's syndrome
Term
Lateral medullary syndrome: inferior cerebellar peduncle
Definition
Ipsilateral ataxia
Term
Lateral medullary syndrome: vestibular nuclei
Definition
Vertigo & nausea
Term
Lateral medullary syndrome: reticular formation
Definition
Hiccups
Term
Horner's syndrome: medial or lateral medullary syndrome
Definition
Lateral
Term
Asymmetric tongue: medial or lateral medullary syndrome
Definition
Medial
Term
Hiccups: medial or lateral medullary syndrome
Definition
Lateral
Term
Contralateral UMN signs: medial or lateral medullary syndrome
Definition
Medial
Term
Contralateral loss of pain, temp on face: medial or lateral medullary syndrome
Definition
Lateral
Term
Vertigo & nausea: medial or lateral medullary syndrome
Definition
Lateral
Term
Alternating signs: medial or lateral medullary syndrome
Definition
Lateral
Term
Baroreceptor reflex pathway to vasculature
Definition
Carotid sinus → PG → NTS → RVLM → IML → SNS ganglion → vasculature
Term
Baroreceptor afferents use which neurotransmitter
Definition
Glutamate
Term
Activation of baroreceptors leads to ___ [increase or decrease] of SNS
Definition
Decrease
Term
Increased BP leads to activation of baroreceptors so what "flips" this around to be inhibitory of SNS
Definition
GABA from CVLM to RVLM
Term
If NTS is inhibited chemically, then what is the expected BP result
Definition
Neurogenic hypertension [loss of CVLM stimulation leads to loss of inhibition of RVLM and increased SNS activity]
Term
Does MAP vary with activity: yes or no
Definition
Yes
Term
How does a sympathectomy affect MAP vs. activity
Definition
Loss of variability of MAP between different activities
Term
Interruption of baroreceptors leads to __ [diminished or exaggerated] cardiovascular responses
Definition
Exaggerated
Term
Unescapable cardiac stresses can lead to
Definition
Sudden cardiac death
Term
Contraction band necrosis
Definition
Myocardial damage during contraction from calcium entry and free radical release
Term
Can NTS lesions lead to necrosis of cardiac myocytes: yes or no
Definition
Yes
Term
PSNS activation may have a ___ [harmful or protective] effect on brain ischemia
Definition
Protective
Term
Parts of the pons (2)
Definition
1) Pontine tegmentum, 2) basis pontis
Term
Which is found dorsally: pontine tegmentum or basis pontis
Definition
Pontine tegmentum
Term
Medulla resembles which: pontine tegmentum or basis pontis
Definition
Pontine tegmentum
Term
Lesions to abducens nucleus often damages ___ fibers
Definition
CN VII fibers
Term
Facial nucleus contains ___ [GSA, etc.] neurons for which muscles (4)
Definition
SVE for 1) facial expression, 2) stylohyoid, 3) posterior digastric, 4) stapedius
Term
Motor nucleus of V contains neurons for which muscles (5)
Definition
1) Mastication, 2) tensor tympani, 3) tensor veli palatini, 4) mylohyoid, 5) anterior digastric
Term
PSNS for CN VII found in ___ nucleus
Definition
Superior salivatory nucleus
Term
PSNS for CN IX found in ___ nucleus
Definition
Inferior salivatory nucleus
Term
PSNS for CN __ found in superior salivatory nucleus
Definition
CN VII
Term
PSNS for CN __ found in inferior salivatory nucleus
Definition
CN IX
Term
Taste is found in the ___ nucleus
Definition
Solitary nucleus aka NTS
Term
Ventral trigeminothalamic tract ascends in which structure
Definition
Trigeminal lemniscus
Term
Spinal trigeminal nucleus receives: simple touch or 2-point discrimination
Definition
Simple touch
Term
Main sensory nucleus of V receives: simple touch or 2-point discrimination
Definition
2-point discrimination
Term
Simple touch of CN V goes to which nucleus
Definition
Spinal trigeminal nucleus
Term
2-point discrimination of CN V goes to which nucleus
Definition
Main sensory nucleus of V
Term
Dorsal trigeminothalamic tract ascends in which structure
Definition
Trigeminal lemniscus
Term
Trigeminal lemniscus contains which tracts (2)
Definition
Ventral & dorsal trigeminothalamic tracts
Term
Which contains contralateral sensation: ventral or dorsal trigeminothalamic tract
Definition
Ventral trigeminothalamic tract
Term
Which contains ipsilateral sensation: ventral or dorsal trigeminothalamic tract
Definition
Dorsal trigeminothalamic tract
Term
Which carries proprioception: ventral or dorsal trigeminothalamic tract
Definition
Neither
Term
MLF contains what in the medulla
Definition
Medial vestibulospinal tract
Term
MLF contains what in the pons (2)
Definition
1) Vestibular-to-abducens/trochlear/oculomotor nuclei, 2) abducens-to-oculomotor for lateral conjugate gaze [neither of these tracts are named in the notes]
Term
Facial nucleus: pontine tegmentum or basis pontis
Definition
Pontine tegmentum
Term
Abducens nucleus: pontine tegmentum or basis pontis
Definition
Pontine tegmentum
Term
Motor nucleus of V: pontine tegmentum or basis pontis
Definition
Pontine tegmentum
Term
Salivatory nuclei: pontine tegmentum or basis pontis
Definition
Pontine tegmentum
Term
Trigeminal nuclei: pontine tegmentum or basis pontis
Definition
Pontine tegmentum
Term
Vestibular nuclei: pontine tegmentum or basis pontis
Definition
Pontine tegmentum
Term
Pontine nuclei: pontine tegmentum or basis pontis
Definition
Basis pontis
Term
Medial lemniscus: pontine tegmentum or basis pontis
Definition
Pontine tegmentum
Term
Lateral lemniscus: pontine tegmentum or basis pontis
Definition
Pontine tegmentum
Term
MLF: pontine tegmentum or basis pontis
Definition
Pontine tegmentum
Term
Pontocerebellar fibers: pontine tegmentum or basis pontis
Definition
Basis pontis
Term
Corticofugal fibers: pontine tegmentum or basis pontis
Definition
Basis pontis
Term
CST/CBT: pontine tegmentum or basis pontis
Definition
Basis pontis
Term
Corneal blink reflex pathway
Definition
Aδ nociception → V1 → spinal trigeminal → facial nucleus → orbicularis oculi m.
Term
Pneumotaxic center ___ [inhibits or drives] inspiration
Definition
Inhibits apneustic center ∴ inhibits inspiration
Term
Apneustic center ___ [inhibits or drives] inspiration
Definition
Drives inspiration
Term
Pontine micturition center is __ [inhibited or activated] on a full bladder
Definition
Activated
Term
Lesion to pontine micturition center leads to urine ___ [retention or incontinence]
Definition
Urinary retention
Term
Pontine storage center ___ [inhibits or activates] destrusor m.
Definition
Inhibits
Term
Pontine storage center ___ [inhibits or activates] Onuf's nucleus
Definition
Disinhibits → activates
Term
Blood supply to pons (3; medial to lateral)
Definition
Paramedian → short circumferential → long circumferential
Term
Lesion to CN VI is what palsy
Definition
Lateral rectus palsy on ipsilateral side
Term
Lesion to abducens nucleus is what palsy
Definition
Lateral gaze palsy on ipsilateral side [the direction unable to gaze toward]
Term
Lesion to pons MLF is what palsy
Definition
Internuclear ophthalmoplegia: failed adduction on ipsilateral side & abducting nystagmus on contralateral side
Term
Upper-face LMN of the facial nucleus receives __ [unilateral or bilateral] input from UMN
Definition
Bilateral
Term
Lower-face LMN of the facial nucleus receives __ [unilateral or bilateral] input from UMN
Definition
Unilateral and is contralateral
Term
Facial nucleus lesions can affect facial muscles but can also have
Definition
Hyperacusis from loss of stapedius m.
Term
Pseudobulbar palsy
Definition
UMN defect in CN V, VII, IX, XII with inappropriate laughter & crying
Term
Basal pontine syndromes
Definition
Ipsilateral CN signs with contralateral UMN body signs
Term
Millard-Grubber syndrome
Definition
Caudal basal pontine lesion → CN VI & VII + CST damage → crossed hemiplegia + ipsilateral LMN signs in head + contralateral LMN signs in body
Term
Millard-Grubber syndrome is an example of ___ syndromes
Definition
Basal pontine syndromes
Term
Tegmental pontine syndromes
Definition
Ipsilateral CN signs with contralateral sensory body signs
Term
Raymond-Cestan syndrome
Definition
CN VI & conjugate gaze palsies, dysarthria, contralateral hemianesthesia+hemiplegia
Term
Raymond-Cestan is an exmaple of ___ syndromes
Definition
Tegmental pontine syndromes
Term
Lesion to basal pons affects CST & CBT bilaterally
Definition
Locked-in syndrome
Term
Rostral tegmental lesions would affect what structures (4)
Definition
1) MLF, 2) medial lemniscus, 3) superior cerebellar peduncle, 4) spinal lemniscus
Term
Caudal tegmental lesions would affect what structures (2)
Definition
1) CN VII palsy, 2) conjugate gaze palsy
Term
Rostral basis pontis lesions would affect what structures (4)
Definition
1) CST, 2) CBT, 3) CN VI, 4) CN VII
Term
Caudal basis pontis lesions would affect what structures (2)
Definition
1) Ipsilateral facial LMN hemiplegia, 2) contralateral UMN hemiplegia
Term
What separates the basis pedunculi from the tegmentum
Definition
Substantia nigra
Term
Inferior colliculus relays what information
Definition
Auditory
Term
Trochlear nerve lesion
Definition
Ipsilateral SO m. paralysis; tilts head toward non-lesioned side
Term
Superior peducle carries efferents to where
Definition
VL of thalamus (as dentato-rubro-thalamic tract) & red nucleus
Term
What's special about the synapses of the mesencephalic nucleus
Definition
Electrical, not chemical (i.e., neurotransmitter)
Term
Jaw-jerk reflex pathway
Definition
Afferents → mesencephalic nucleus → motor nucleus of V → mm. of mastication (masseter?)
Term
Periaqueductal gray functions (2)
Definition
1) Analgesia, 2) adaptive behaviors
Term
Ascending reticular activating system (ARAS) does what
Definition
Forced attention & consciousness
Term
Majority of telencephalon serotinin comes from the
Definition
Midbrain dorsal raphe
Term
Fibers of the crus cerebri (3)
Definition
1) Coritcopontine, 2) corticobulbar, 3) corticospinal
Term
GSE of CN III innervates
Definition
All eye muscles except SO & LR
Term
GVE of CN III is what nucleus
Definition
Edinger-Westphal
Term
GVE of CN III innervates
Definition
Constrictor pupillae m.
Term
Down and out syndrome aka
Definition
CN III nucleus or nerve lesion
Term
Effects of CN III nucleus or nerve lesion (4)
Definition
1) Ipsilateral strabismus, 2) ipsilateral ptosis, 3) ipsilateral mydriasis, 4) ipsilateral loss of light reflexes
Term
What is this syndrome
Definition
CN III nucleus or nerve lesion
Term
Where is the vertical gaze center
Definition
Rostral midbrain
Term
Pineal cyst can lead to
Definition
Vertical gaze paralysis
Term
Pretectal neurons innervate the contralateral Edinger-Westphal nucleus by decussating where
Definition
Posterior commissure
Term
Know the lesions of the optic nerve, tract, & chiasm: see HOS notes
Definition
Know the lesions of the optic nerve, tract, & chiasm: see HOS notes
Term
Superior colliculus relays what information
Definition
Movement of eyes & head in response to visual, auditory, & somatic stimuli
Term
Organization of the superior peduncle (5; 2 superficial, 3 deep)
Definition
1-2) Retina & cerebral cortex, 3-5) input from inferior colliculus, spinal nucleus of V, spinal cord
Term
Outputs of the superior peduncle (2)
Definition
1) Tectospinal tract, 2) tectobulbar tract
Term
Major output of the red nucleus
Definition
Inferior olive via rubro-olivary tract
Term
Weber's syndrome
Definition
CN III palsy & contralateral UMN paralysis (CST & CBT)
Term
Benedikt's syndrome
Definition
CN III palsy + contralateral coarse tremors (CT fibers, substantia nigra) + contralateral hemianesthesia (ML, SL, VTTT)
Term
Weber's syndrome etiology
Definition
Lesion to basal midbrain
Term
Benedikt's syndrome etiology
Definition
Lesion of the midbrain tegmentum
Term
Which syndrome is more ventral (left circle)
Definition
Weber's syndrome
Term
Which syndrome is more dorsal (right circle)
Definition
Benedikt's syndrome
Term
Muscle that attaches to the malleus
Definition
Tensor tympani m.
Term
Muscle that attaches to the stapes
Definition
Stapedius m.
Term
Innervation to tensor tympani m.
Definition
CN V3
Term
Innervation to stapedius m.
Definition
CN VII
Term
How would a lesion to CN VII affect hearing
Definition
Loss of stapedius → hyperacusis
Term
Ménière's disease
Definition
Excess endolymph
Term
NOTE: review HOS material for a lot of the anatomy
Definition
NOTE: review HOS material for a lot of the anatomy
Term
Which hair cells can be damaged by excessively loud sounds & drugs
Definition
Outer hair cells
Term
Conductive or sensorineural hearing loss: otitis media
Definition
Conductive
Term
Conductive or sensorineural hearing loss: otosclerosis
Definition
Conductive
Term
Conductive or sensorineural hearing loss: loud sound
Definition
Sensorineural
Term
Conductive or sensorineural hearing loss: aminoglycoside antibiotics
Definition
Sensorineural
Term
Conductive or sensorineural hearing loss: congenital cochlear deformation
Definition
Sensorineural
Term
Cochlear root neurons involved with what
Definition
Cochlear startle reflex
Term
Cochlear startle reflex
Definition
Move limbs in response to sound
Term
What supplies the efferents to the hair cells
Definition
Olivocochlear bundle
Term
Auditory information ascends the brainstem via the
Definition
Lateral lemniscus
Term
Cochlear neurons synapse in the (2)
Definition
Dorsal & ventral cochlear nuclei
Term
Auditory fibers in the lateral leminiscus arise from which nuclei (2)
Definition
1) Dorsal cochlear, 2) superior olivary complex
Term
Auditory fibers that ascend the lateral lemniscus synapse where
Definition
Inferior colliculus
Term
Auditory nuclei pathway starting with the cochlear neurons (6)
Definition
Inner hair cell → DCN/VCN → superior olivary complex → inferior colliclus → medial geniculate body/nucleus → primary auditory cortex
Term
Lesion to the lateral lemniscus: ipsilateral or contralateral hearing loss
Definition
Contralateral [although some stay ipsilateral, but contralateral dominance]
Term
Localization of sound starts where
Definition
Pons
Term
Medial superior olive: time of arrival or intensity discrimination
Definition
Time of arrival
Term
Lateral superior olive: time of arrival or intensity discrimination
Definition
Intensity
Term
Most important auditory output of the inferior colliculus
Definition
Inferior quadregeminal brachium to medial geniculate body
Term
Where is the primary auditory cortex
Definition
Transverse temporal gyrus in lateral fissure
Term
Why doesn't damage to primary auditory cortex necessarily lose reflexes
Definition
Reflex processing is not in cerebral cortex
Term
Where is the belt auditory cortex
Definition
Surrounds primary auditory cortex
Term
Key feature of the belt auditory cortex
Definition
Some projections to Wernicke's area
Term
Where are most disturbances in hearing
Definition
Middle & inner ear
Term
Is bilateral stroke to temporal lobe necessary — or unilateral sufficient — to profoundly affect speech interpretation
Definition
Bilateral necessary
Term
Signs of temporal lobe seizures (3)
Definition
1) Tinnitus, 2) auditory "hallucinations", 3) vertigo
Term
Static labyrinth detects: linear or angular acceleration
Definition
Linear [I don't recall these two terms from HOS]
Term
Kinetic labyrinth detects: linear or angular acceleration
Definition
Angular [I don't recall these two terms from HOS]
Term
Vestibulo-spinal reflexes (VSR)
Definition
Response to tripping
Term
Vestibulo-collic reflexes (VCR)
Definition
Stabilize head
Term
Vestibulo-ocular reflexes (VOR)
Definition
Stable vision during head motion
Term
Damage to spinocerebellum and flocculonodular lobe looks like damage to what system
Definition
Vestibular system
Term
Lateral vestibulospinal tract starts in which nucleus/nuclei
Definition
Lateral & inferior vestibular nuclei
Term
Medial vestibulospinal tract starts in which nucleus/nuclei
Definition
Medial vestibular nucleus
Term
Contains ipsi- and contralateral fibers: medial or lateral vestibulospinal tract
Definition
Medial vestibulospinal tract
Term
Contains ipsilateral fibers: medial or lateral vestibulospinal tract
Definition
Lateral vestibulospinal tract
Term
Medial vestibulospinal tract descend in which structure
Definition
MLF
Term
Which stabilizes posture: medial or lateral vestibulospinal tract
Definition
Lateral vestibulospinal tract
Term
Which stabilizes head/eyes/neck to posture changes: medial or lateral vestibulospinal tract
Definition
Medial vestibulospinal tract
Term
Which descends the entire length of spinal cord: medial or lateral vestibulospinal tract
Definition
Lateral vestibulospinal tract
Term
Vestibulo-ocular reflex: nuclei involved (4)
Definition
1-2) S. & M. vestibular nuclei, 3) abducens, 4) oculomotor
Term
Vestibulo-ocular reflex: inhibitory from S. or M. vestibular nucleus
Definition
Superior vestibulospinal nucleus
Term
Vestibulo-ocular reflex: excitatory from S. or M. vestibular nucleus
Definition
Medial vestibulospinal nucleus
Term
Smooth pursuit mediated by what structure
Definition
Flocculus of the cerebellum
Term
Doll's head maneuver useful for testing VOR in what patients
Definition
Comatose
Term
Clinical signs of vestibular damage: V=, A=, N=, N=
Definition
Vertigo, ataxia, nystagmus, nausea/vomitting
Term
What sensory goes through the thalamus
Definition
All but olfactory & emotion aspects of pain
Term
What motor goes through the thalamus
Definition
All motor & movement-related information that involves the cortex
Term
Devastating damage to the thalamus could lead to what condition
Definition
Persistent vegetative state
Term
Main site in which anesthetics have unconscious effect
Definition
Thalamus
Term
Bridge between halves of the thalamus
Definition
Massa intermedia / interthalamic adhesion
Term
VPM: sensory, motor, association, limbic, or non-specific
Definition
Sensory
Term
VPMpc: sensory, motor, association, limbic, or non-specific
Definition
Sensory
Term
VPL: sensory, motor, association, limbic, or non-specific
Definition
Sensory
Term
VPI: sensory, motor, association, limbic, or non-specific
Definition
Sensory
Term
LGN: sensory, motor, association, limbic, or non-specific
Definition
Sensory
Term
MGN: sensory, motor, association, limbic, or non-specific
Definition
Sensory
Term
VA: sensory, motor, association, limbic, or non-specific
Definition
Motor
Term
VL: sensory, motor, association, limbic, or non-specific
Definition
Motor
Term
MD: sensory, motor, association, limbic, or non-specific
Definition
Association
Term
Pulvinar: sensory, motor, association, limbic, or non-specific
Definition
Association
Term
Anterior group: sensory, motor, association, limbic, or non-specific
Definition
Limbic
Term
LD: sensory, motor, association, limbic, or non-specific
Definition
Limbic
Term
Midline: sensory, motor, association, limbic, or non-specific
Definition
Non-specific
Term
Intralaminar: sensory, motor, association, limbic, or non-specific
Definition
Non-specific
Term
Sensory nuclei of the thalamus (6)
Definition
VPM, VPMpc, VPL, VPI, LGN, MGN [all of the 3-letter ventral nuclei plus geniculates]
Term
Motor nuclei of the thalamus (2)
Definition
VA, VL [all of the 2-letter ventral nuclei]
Term
Association nuclei of the thalamus (2)
Definition
MD, pulvinar
Term
Limbic nuclei of the thalamus (2)
Definition
Anterior group, LD
Term
Non-specific nuclei of the thalamus (2)
Definition
Midline, intralaminar [both are midline nuclei]
Term
Trigeminal lemniscus to which thalamic nucleus
Definition
VPM
Term
Taste from solitary tract to which thalamic nucleus
Definition
VPMpc
Term
Spinothalamic tract to which thalamic nucleus
Definition
VPL
Term
DCML to which thalamic nucleus
Definition
VPL
Term
VPM connects to which part of the cortex
Definition
Face area of post-central gyrus
Term
VPMpc connects to which part of the cortex
Definition
Anterior part of insula (primary gustatory area)
Term
VPL connects to which part of the cortex
Definition
Non-face parts of the post-central gyrus
Term
Which thalamic nuclei connect to the post-central gyrus
Definition
VPM & VPL
Term
VPI connects to which part of the cortex
Definition
Inferior parietal lobule
Term
LGN connects to which part of the cortex
Definition
Primary visual areas on the banks of the calcarine fissure
Term
Describe the layering & connections of the LGN
Definition
Nasal retina to layers 1, 4, 6 & temporal to 2, 3, 5 [pretty sure notes are wrong]
Term
MGN connects to which part of the cortex
Definition
Auditory cortex in Heschl's gyrus
Term
MGN connects to which non-cortex structure
Definition
Inferior colliculus
Term
VA connects to which parts of the cortex (2)
Definition
Medial=substantia nigra; lateral=trunk & limb regions of the premotor cortex
Term
VL connects to which part of the cortex
Definition
Motor cortex (area 4) in pre-central gyrus
Term
Dentato-rubro-thalamic pathways connects to which thalamic nucleus
Definition
VL
Term
VA connects to which non-cortex structure
Definition
Basal ganglia [lot's of A's in "basal ganglia"]
Term
VL connects to which non-cortex structure
Definition
Cerebellum [lots of L's in "cerebellum"]
Term
Lesions to basal ganglia will have __ [contralateral or ipsilateral] effects on motor function
Definition
Contralateral [I don't get how CST decussation is involved here….]
Term
Lesions to cerebelum will have __ [contralateral or ipsilateral] effects on motor function
Definition
Ipsilateral [I don't get how CST decussation is involved here….]
Term
MD connects to which parts of the cortex (2)
Definition
Frontal & orbital cortices
Term
Lesions of MD result in (3)
Definition
1) Apathy, 2) memory changes, 3) perseveration [difficulty task switching]
Term
Pulvinar connects to which parts of the cortex
Definition
Um, all of them: multimodal areas in parietal, temporal & occipital lobes; cingulate & frontal cortices
Term
Anterior group connects to what (2)
Definition
1) Parahippocampal region to fornix & mammillary bodies via mammillothalamic tract; 2) cingulate gyrus
Term
Mammillothalamic tract connects
Definition
Anterior group to mammillary bodies
Term
LD connects to what (2)
Definition
1) Parahippocampal region to fornix, 2) retrosplenial cortex
Term
Korsakoff's syndrome affects what areas
Definition
Anterior group, LD, mammillary bodies, fornix, MTT, cingulate & retrosplenial cortices
Term
Midline connects to what
Definition
Diffusely to cortex & striatum
Term
Midline receives what information
Definition
Pain from periaqueductal gray
Term
What connects to midline (3)
Definition
1) Locus ceruleus, 2) midbrain raphe, 3) ARAS
Term
What neurotransmitter: locus ceruleus → midline of thalamus
Definition
NE
Term
What neurotransmitter: ARAS → midline of thalamus
Definition
ACh
Term
What neurotransmitter: midbraine raphe → midline of thalamus
Definition
Serotonin
Term
Midline has what general fnction
Definition
General cortical arousal
Term
Intralaminar connects to
Definition
Striatal portions of the basal ganglia
Term
Intralaminar has what general function
Definition
Attention [yes, this card took me 15 minutes to write since I had to vacuum quickly…hmm…]
Term
Global consciousness caused by
Definition
Synchronous spread of ctivity across the cortex & thalamus
Term
Types of thalocortical neurons (2)
Definition
1) To restricted area of cortex, 2) widespread area of cortex
Term
What wraps the entire thalamus
Definition
Thalamic reticular nucleus (TRN)
Term
TRN is largely: inhibitory or excitatory
Definition
Inhibitory
Term
Functional importance of thalamus being wrapped by the TRN
Definition
All cortical fibers must pass through the TRN
Term
Neurotransmitter of the TRN
Definition
GABA
Term
Modes of thalamocortical neurons (2)
Definition
1) Burst, 2) tonic
Term
During sleep, thalamocortical neurons are in: burst or tonic mode
Definition
Burst
Term
During wakefulness, thalamocortical neurons are in: burst or tonic mode
Definition
Both and TRN selectively puts neurons in tonic mode
Term
Arterial supply of thalamus (4)
Definition
1) Posterior chorodal, 2) paramedian, 3) tuberothalamic, 4) inferolateral
Term
Hemianesthesia: affects which thalamic nuclei (2)
Definition
VPM, VPL
Term
Hemihypoacusis: affects which thalamic nucleus
Definition
MGN
Term
Contralateral hemianopsia/quadrantopsia
Definition
LGN
Term
Memory impairment: affects which thalamic nuclei
Definition
Anterior group, MD
Term
Apasia: affects which thalamic nucleus
Definition
Pulvinar
Term
Hemiparesis w/ abnormal movements: affects which thalamic nuclei
Definition
VA, VL, intraluminar
Term
Dejerine-Roussy syndrome
Definition
Hemianesthesia, dysesthesia, hyperpathia
Term
Hypothalamic controls are akin to what
Definition
Thermostat
Term
Hypothalamus surround which ventricle
Definition
Third ventricle
Term
Marker of anterior limit of the developing brain & the thalamus
Definition
Lamina terminalis
Term
How many nuclei in the hypothalamus
Definition
15-ish
Term
Paraventricular nucleus
Definition
Direct interface to endocrine & autonomic systems
Term
Supraoptic nucleus
Definition
Vasopressin/ADH
Term
Suprachiasmatic nucleus
Definition
Circadian rhythms
Term
Sexually dimorphic nuclei
Definition
Vary between sexes and may be involved in sexual orientation
Term
Arcuate nucleus
Definition
Appetite & consumption
Term
Preoptic nuclei
Definition
Thermoregulation, salt water intake, & sleep
Term
Hypothalamic nucleus involved in endocrine & autonomic systems
Definition
Paraventricular
Term
Hypothalamic nucleus involved in vasopressin/ADH
Definition
Supraoptic
Term
Hypothalamic nucleus involved in circadian rhythms
Definition
Suprachiasmatic
Term
Major bundles of white matter (4)
Definition
1) Fornix, 2) medial forebrain bundle, 3) mammillothalamic tract [& mammillotegmental tract], 4) tuberofundibular tract
Term
Fornix connects __ with __
Definition
Mammillary bodies with hippocampal formation
Term
Medial forebrain bundle location
Definition
Through lateral hypothalamus
Term
Damage to fornix in __ syndrome
Definition
Korsakoff's
Term
Medial forebrain bundle connects __ with __
Definition
Amygdala & basal forebrain with midbrain
Term
Damage to medial forebrain bundle leads to
Definition
Appetite effects
Term
Possible result of head trauma that damages the supraoptic nucleus
Definition
Diabetes insipidus
Term
Possible vision change due to pituitary tumors
Definition
Bitemporal hemianopsia ["tunnel vision"]
Term
Neural inputs to the hypothalamus (5)
Definition
1) Retina, 2) olfactory, 3) sensory via STT [spinohypothalamic specifically], 4) visceral afferents, 5) other stuff
Term
Chemosensory inputs to the hypothalamus (3)
Definition
1) Hypothalamus, 2) hormone/steroid receptors, 3) circumventricular organs
Term
Important circumventricular organs (3)
Definition
1) Subfornical organ (SFO) [CSF angiotensin II], 2) organum vasculosum of the lamina terminalis (OVLT) [serum osmolality], 3) median eminence (ME) [he added #3 in lecture]
Term
Which circumventricular organ is sensitive to CSF angiotensin II
Definition
SFO
Term
Which circumventricular organ is sensitive to serum osmolality
Definition
OVLT
Term
Hypothalamic outputs (3)
Definition
1-2) A. & P. pituitary, 3) pre-ganglionic autonomics
Term
Nuclei that release controlling hormones of the anterior pituitary (3)
Definition
1) Paraventricular, 2-3) medial & ventral hypothalamus
Term
Median eminence
Definition
Lacks blood-brain barrier and is where hormones are released
Term
Magnocellular neurons make what (2)
Definition
1) Vasopressin, 2) oxytocin
Term
Where are magnocellular neurons found in which nuclei (2)
Definition
1) Paraventricular, 2) suprooptic
Term
Tuberoinfundibular tract contains what axons
Definition
Axons to the posterior pituitary
Term
Hypothalamic PSNS to which nuclei (5)
Definition
1) E-W, 2-3) S. & I. salivatory nuclei, 4) nucleus ambiguus, 5) dorsal vagal [also S2-4]
Term
Hypothalamic SNS to where
Definition
T1-L2 including adrenals (T5-T11)
Term
SNS from vertebral levels __ to __ to adrenals
Definition
T5-T11
Term
Hypothalamospinal pathway in which tract
Definition
Central tegmental tract
Term
Main hypothalamic regions connected with autonomic areas (3)
Definition
1) Paraventricular nucleus, 2) arcuate nucleus, 3) ventromedial nuclei, 4) lateral hypothalamus
Term
Temperature-responsive neurons in the hypothalamus (2)
Definition
1) Medial preoptic region of the anterior hypothalamus, 2) medullary thermogenic center
Term
Controls endocrine in response to temperature
Definition
Medial preoptic region of the anterior hypothalamus
Term
Controls CV, skin, adrenal function in response to temperature
Definition
Medullary thermogenic center
Term
Nucleus that directly controls thermogensis
Definition
Raphe pallidus
Term
Which circumventricular organ is the site in which paraventricular neurons release their releasing hormones
Definition
ME
Term
Lesions to lateral & posterior hypothalamus may result in changes to
Definition
Behavior
Term
DMH __ [inhibits or activates] the raphe pallidus to __ [increase or decrease] heat production
Definition
Activates to increase thermogenesis
Term
Medial preoptic __ [inhibits or activates] the raphe pallidus to __ [increase or decrease] heat production
Definition
Inhibits to decrease thermogensis
Term
Does DMH inhibit medial preoptic area or vice-versa
Definition
Vice-versa: medial preoptic inhibits DMH
Term
MPOA uses what neurotransmitter
Definition
GABA
Term
Effects of activating raphe pallidus (4)
Definition
1) Skin vasoconstriction, 2) shivering, 3) piloerection, 4) increased metabolism
Term
Effects of inhibiting raphe pallidus (3)
Definition
1) Skin vasodilation, 2) sweating, 3) decreased metabolism
Term
Which is activated when cold: MPOA or DMH
Definition
DMH
Term
Which is activated when warm: MPOA or DMH
Definition
MPOA
Term
Anterior hypothalamus lesions lead to __ [hypo- or hyperthermia] due to loss of __ [MPOA or DMH]
Definition
Hyperthermia due to loss of MPOA
Term
Posterior hypothalamus lesions lead to __ [hypo- or hyperthermia] due to loss of __ [MPOA or DMH]
Definition
Hypothermia due to loss of DMH
Term
Pyrogens __ [inhibit or activate] the __ [MPOA or DMH] through __ [which chemicals]
Definition
Pyrogens inhibit MPOA through prostaglandins (PGE2) on the EP3 receptor
Term
Anti-pyretics work by __ [inhibiting or activating] the __ [PMOA or DMH]
Definition
Inhibt PMOA [by reducing prostaglandin production]
Term
What is the functional relationship between suprachiasmatic nucleus & melatonin
Definition
Suprachiasmatic sets circadian rhythm and connects to the pineal gland via pre-ganglionic SNS to release melatonin
Term
Melatonin is secreted during: day or night
Definition
Night
Term
Melatonin __ [inhibits or activates] insulin release
Definition
Inhibits
Term
Jet lag, sleep, and seasonal affective disorders (SAD) are due in part to
Definition
Disruption of melatonin cycle
Term
Insomnia can result from damage to __ [anterior or posterior] hypothalamus
Definition
Anterior
Term
Profound state of sleepiness can result from damage to __ [anterior or posterior] hypothalamus
Definition
Posterior
Term
Which sleep-related nuclei are connected diffusely to the cerebral cortex
Definition
Tuberomammillary nucleus (TMN)
Term
VLPO is __ [active or inactive] during sleep
Definition
Active
Term
Lesions to VLPO results in: insomnia or profound state of sleepiness
Definition
Insomnia
Term
LH/PF is __ [active or inactive] during sleep
Definition
Inactive
Term
LH/PF neurons use which neurotransmitter
Definition
Orexin
Term
What is absent in patients with narcolepsy
Definition
Orexin
Term
Key nucleus in food intake behavior
Definition
Arcuate nucleus
Term
Neuropeptide Y is: orexigenic or anorexigenic
Definition
Orexigenic
Term
POMC is: orexigenic or anorexigenic
Definition
Anorexigenic
Term
Ghrelin: short- or long-term signal
Definition
Short-term signal
Term
Leptin: short- or long-term signal
Definition
Long-term signal
Term
Ghrelin acts on which arcuate nucleus neurons
Definition
NPY
Term
Leptin acts on which arcuate nucleus neurons
Definition
POMC [inhibits NPY neurons too]
Term
NE: increases or decreases feeding
Definition
Increases
Term
Serotonin: increases or decreases feeding
Definition
Decreases
Term
Lateral hypothalamic lesions lead to: aphagia or hyperphagia
Definition
Aphagia
Term
Medial hypothalamic lesions lead to: aphagia or hyperphagia
Definition
Hyperphagia
Term
Angiotensin II affects what region of the brain
Definition
Subfornical region [for ADH release]
Term
Volumetric thirst enters MPOA via the
Definition
SFO
Term
Osmotic thirst enters MPOA via the
Definition
OVLT
Term
Decreased osmolality actives what region of the brain
Definition
OVLT
Term
Hypersexuality from lesion to __ [medial or lateral] hypothalamus
Definition
Medial
Term
Summary of medial hypothalamic lesion (4)
Definition
1) Obese, 2) rage, 3) hypersexual, 4) hyperphagic
Term
Frohlich's syndrome
Definition
Obesity, under-devleoped genitalia, small stature, polydipsia
Term
Kleine-Levin syndrome
Definition
Hyperphagia, hypersexuality, amnesia, hypersomnolence, episodic paranoia
Term
Kallmann's syndrome
Definition
Anosmia, hypogonadism, delayed puberty
Term
α-motor neurons: intrafusal or extrafusal fibers
Definition
Extrafusal
Term
γ-motor neurons: intrafusal or extrafusal fibers
Definition
Intrafusal
Term
Descending motor pathways activate which: α or γ motor neurons
Definition
Both: co-activation
Term
Do muscle spindle afferents innermate γ motor neurons: yes or no
Definition
No, only α-motor neurons
Term
In the ventral horn, flexors are found where: dorsal, ventral, medial, or lateral
Definition
Dorsal
Term
In the ventral horn, extensors are found where: dorsal, ventral, medial, or lateral
Definition
Ventral
Term
In the ventral horn, axial/trunk are found where: dorsal, ventral, medial, or lateral
Definition
Medial
Term
In the ventral horn, distal appendages are found where: dorsal, ventral, medial, or lateral
Definition
Lateral
Term
Central pattern generators: well-defined nuclei or diffuse
Definition
Diffuse/reticular
Term
Non-CST and non-CBT motor pathways, do they invoke specific muscle or what
Definition
No, they send commands like "walk" or "run" or "swallow" and CPG's control individual muscles
Term
Eye movements: CBT or reticular CPG's
Definition
Reticular CPG's [CBT does not innervate eye motor nuclei]
Term
Types of movements (3)
Definition
1) Voluntary, 2) sterotypic, 3) postural
Term
Voluntary movement involves what kind of movements
Definition
Willed, purposeful & factionated
Term
Stereotypic movement involves what kind of movements
Definition
Hard-wired that are present at birth
Term
Postural movement involves what kind of movements
Definition
Upright posture, mainly extensors
Term
Which type of movement is present at birth
Definition
Stereotypic
Term
Which type of movement is purposeful
Definition
Voluntary
Term
Which type of movement is fractionated
Definition
Voluntary
Term
Which type of movement is coordination of eyes, head, nceck, saccades
Definition
Postural
Term
Which type of movement is dominated by vestibular system
Definition
Postural
Term
Which type of movement may control mostly gamma motorneurons
Definition
Postural [to increase tone]
Term
Most important motor tracts (3)
Definition
1) CST, 2) reticulospinal, 3) vestibulospinal)
Term
Which motor pathway at the arrow
Definition
Lateral CST
Term
Which motor pathway at the arrow
Definition
Anterior CST
Term
Which motor pathway at the arrow
Definition
Rubrospinal
Term
Which motor pathway at the arrow
Definition
Lateral reticulospinal
Term
Which motor pathway at the arrow
Definition
Medial reticulospinal
Term
Which motor pathway at the arrow
Definition
Olivospinal
Term
Which motor pathway at the arrow
Definition
Vestibulospinal
Term
Lateral CST innervates what motor neurons (2)
Definition
1) Interneurons [80% ?], 2) α-motor neurons (20%)
Term
Lateral CST strongest influence on which muscles
Definition
Flexors and distal appendages
Term
Anterior CST strongest influence on which muscles
Definition
Extensors and axially [controls posture]
Term
We finally know why loss of CST leads to hyperreflexia because
Definition
Loss of inhibition of interneurons
Term
Majority of CBT are what kind of fibers
Definition
Corticopontine
Term
CN nuclei innervated by CBT
Definition
CN V, VII, XII [not eyes]
Term
Rubrospinal pathway starts in which nucleus and part of the brain
Definition
Red nucleus of midbrain [ruber is Latin for red, lest you forget the signs of inflammation]
Term
Rubrospinal pathway ends where
Definition
Upper cervical cord
Term
Rubrospinal pathway function
Definition
Neck & upper limb flexors
Term
Medial reticulospinal system starts where
Definition
Pontine tegmentum
Term
Lateral reticulospinal system starts where
Definition
Central & lateral medulla
Term
Reticulospinal system functions
Definition
1) Maintenance of posture, 2) compound limb movement, 3) stereotypic limb movements
Term
What innervates the reticulospinal system neurons
Definition
Cerebellum: cortico-reticular fibers & fastigial nucleus
Term
Which is excititatory: medial or lateral reticulospinal system
Definition
Medial
Term
Which is inhibitory: medial or lateral reticulospinal system
Definition
Lateral
Term
Reticulospinal system monoaminergic pathways do what
Definition
Command systems for complex stereotypic movements
Term
Medial reticulospinal system has what additional function
Definition
Respiratory via phrenic n.
Term
Tectospinal pathway starts where
Definition
Superior colliculus
Term
Tectospinal pathway ends where
Definition
Cervical spinal levels
Term
Tectospinal pathway innervates which motor neurons
Definition
α-motor neurons on contralateral side
Term
Tectospinal pathway function
Definition
Turns head away from stimulated side [reflexes?]
Term
Lateral vestibulospinal pathway ends where
Definition
Medial ventral horn [yes, medial]
Term
Lateral & medial vestibulospinal pathway are so named L & M because
Definition
Of the nucleus they originate in: lateral or medial vestibular nucleus [not by where they go or end up]
Term
Uncal herniation: decerebrate or decorticate regidity
Definition
Decerebrate
Term
Decerebrate rigidity due to
Definition
No antagonism to the LVST
Term
Decorticate rigidity due to
Definition
Dis-inhibited rubrospinal fibers causes the flexion; damage to cortex excluding motor causes the extension
Term
Medial vestibulospinal pathway ends where
Definition
Mid-thoracic levels
Term
Premotor cortex does what
Definition
Plans movement; includes mirror neurons
Term
Alien hand syndrome from damage to
Definition
Premotor cortex
Term
Huntington's disease: loss of direct or indirect pathway
Definition
Indirect [can't not move]
Term
Parkinson's disease: loss of direct or indirect pathway
Definition
Direct [can't move very well]
Term
Cerebellum's function
Definition
Continuous feedback about body & limb position
Term
Cerebellar deficits (2)
Definition
Degradation of 1) fine movements, 2) posture
Term
Orign of cerebellum
Definition
Rhombic lip
Term
How is the cerebellum more vulnerable to development disorders
Definition
Develops from 3 weeks gestation to 20 weeks postnatal
Term
Usual thing about granule cells
Definition
Migrate transversally then dive then medially
Term
Cerebellum, has unfolded surface area __% of cerebral cortex
Definition
40%
Term
Anatomic lobes (6; 3 sagittal + 3 transverse
Definition
1-3) Anterior, posterior, flocculonodular; 4-6) vermis, paravermis, lateral hemispheres
Term
Which sagittal lobe is the dotted area
Definition
Anterior
Term
Which sagittal lobe is the square-hatched area
Definition
Flocculonodular
Term
Which sagittal lobe is the line-hatched area
Definition
Posterior
Term
Which lobe runs midline
Definition
Vermis
Term
Archi-cerebellum consists of which lobe(s)
Definition
Flocculonodular
Term
Paleo-cerebellum consists of which lobe(s)
Definition
Vermis & paravermis
Term
Neo-cerebellum consists of which lobe(s)
Definition
Lateral hemispheres
Term
Put these in order newest-to-oldest: archi-, neo-, paleo-cerebellum
Definition
Neo → paleo → archi
Term
Flocculonodular has what function
Definition
Vestibulo-cerebellum: eye movement & body equilibrium
Term
Vermis has what function
Definition
Muscle tone & posture [spino-cerebellum]
Term
Paravermis has what function
Definition
Execution of trunk & limb movements [spino-cerebellum]
Term
Lateral hemispheres have what function
Definition
Planning, initiation, & timing of movements [cerebro-cerebellum]
Term
Somatotopy of the cerebellum is unique how
Definition
Each body part is represented multiple times
Term
Vermis: trunk or extremities
Definition
Trunk
Term
Paravermis: trunk or extremities
Definition
Exremities
Term
Truncal ataxia from a lesion to: vermis or paravermis
Definition
Vermis
Term
Extremity ataxia from a lesion to: vermis or paravermis
Definition
Paravermis
Term
Primary output nuclei of the cerebellum (4)
Definition
Deep cell nuclei: fastigi, globose, emboliform, dentate [in order medial to lateral: Fat Guys Eat Donuts]
Term
Layers of the cerebellar cortex (3; deep to superficial)
Definition
Granule → Purkinje → molecular
Term
Cells in granule layer (2)
Definition
Granule, Golgi
Term
Which are smaller: granule or Golgi cells
Definition
Granule cells
Term
Golgi cells: inhibitory or excitatory
Definition
Inhibitory
Term
Deep cell integration
Definition
Excitatory from climbing & mossy fibers with inhibitory from Purkinje
Term
Dorsal SCT: how does it enter the cerebellum
Definition
Inferior peduncle
Term
Ventral SCT: how does it enter the cerebellum
Definition
Superior peduncle
Term
Cuneo SCT: how does it enter the cerebellum
Definition
Inferior peduncle
Term
Vestibular system: how does it enter the cerebellum
Definition
Juxtarestiform body
Term
Cerebral cortex: how does it enter the cerebellum
Definition
Pontine nuclei & inferior olive
Term
Origin of dorsal SCT
Definition
Dorsal nucleus of Clarke
Term
Origin of cuneo SCT
Definition
Accessory cuneate nucleus
Term
Vestibular inputs to cerebellum (2)
Definition
1) End organs themselves, 2) vestibular nuclei
Term
Purkinje cells project to (2)
Definition
1) Deep cerebellar nulcei ["large majorty"], 2) vestibular nuclei
Term
Deep cerebellar nuclei outputs to (4)
Definition
1) Vestibular nuclei, 2) brainstem reticular, 3) red nucleus, 4) thalamus
Term
Which deep cerebellar nuclei to brainsteam reticular
Definition
Fastigial
Term
Which deep cerebellar nuclei to red nucleus
Definition
Interposed, dentate
Term
Which deep cerebellar nuclei to thalamus
Definition
Interposed, dentate
Term
Non-motor functions of the cerebellum (3)
Definition
1) Autonomic, 2) behavior/mood, 3) cognition/memory
Term
Flocculonodular lobe function
Definition
Balance & eye movement
Term
Anterior lobe function
Definition
Motor control
Term
Posterior lobe function
Definition
Motor & non-motor [so….everything?]
Term
Anterior lobe blood supply
Definition
SCA & AICA (ventral)
Term
Posterior lobe blood supply
Definition
PICA & AICA (ventral)
Term
Flocculonodular lobe blood supply
Definition
AICA
Term
Midline cerebellar syndrome (aka archicerebellar syndrome)
Definition
Truncal ataxia & nystagmus [medulloblastoma on vermis]
Term
Types of neurons in cerebellar cortex (5)
Definition
1) Purkinje, 2-5) interneurons: granule, Golgi, basket, stellate
Term
Parkinson's prevalence
Definition
200 in 100,000
Term
Parkinson's is usually: symmetric or asymmetric
Definition
Asymmetric
Term
Clinical features of Parkinson's (5)
Definition
1) Resting tremor, 2) bradykinesia, 3) rigidity, 4) loss of postural reflexes, 5) non-motor symptoms
Term
Parkinson's pathology: loss of __ (4)
Definition
1) Dopaminergic in substantia nigra, 2) cholinergic in cortex, 3) cholinergic in brainstem, 4) serotonergic in brainstem
Term
Why L-DOPA instead of just dopamine
Definition
Dopamine does not cross blood-brain barrier
Term
Most of L-DOPA is decarboxylated peripherally: solution
Definition
Increase dose [this is why first use of L-DOPA was ineffective: too low of a dose]
Term
Newer treatments for Parkinson's (2)
Definition
1) COMT inhibitors, 2) GAD gene therapy
Term
Parkinson's etiology
Definition
Environmental & genetic (autosomal dominant or recessive forms)
Term
Which affects proximal extermities: ballism or chorea
Definition
Ballism
Term
Ballism cause
Definition
Lesion of sub-thalamic nucleus
Term
Huntington's inheritance
Definition
Autosomal dominant of trinucleotide repeat
Term
Huntington's pathology
Definition
Degeneration of medium spiny striatal neurons that project to external globus pallidus
Term
Clinical features of Huntington's (3)
Definition
1) Onset post-child-bearing years, 2) chorea, 3) dementia
Term
Dystonia etiology
Definition
Lesions at various sites; putamen is most common
Term
Idiopathic torsion dystonia inheritance
Definition
Autosomal dominant
Term
Initially idiopathic torsion dystonia was thought to be recessive, why
Definition
Incomplete penetrance
Term
Leading research treatment for idiopathic torsion dystonia
Definition
RNA interference to silence gene
Term
Dopamine-blocking agents can lead to (2)
Definition
1) Tardiva dyskinesia, 2) akathisia
Term
Tardive dyskinesia
Definition
Involuntary movement of mouth & tongue
Term
Akathisia
Definition
Non-stop fidgeting, etc.
Term
Of the types of neurons in the cerebellar cortex, which is/are excitatory
Definition
Granule
Term
Of the types of neurons in the cerebellar cortex, which is/are inhibitory
Definition
All but granule: Purkine, Golgi, basket, stellate
Term
Climbing fibers from the inferior olive are __ [ipsi- or contralateral] to where they go in the cerebellum
Definition
Contralateral
Term
Which cells excite the deep cerebellar nuclei (2)
Definition
1) Mossy fibers, 2) climbing fibers
Term
Which cells inhibit the deep cerebellar nuclei
Definition
Purkinje
Term
Which cells inhibit granule cells
Definition
Golgic ells
Term
Which cells inhibit Purkinje cell bodies
Definition
Basket cells
Term
Which cells inhibit Purkinje dendrites
Definition
Stellate cells
Term
Which cells excite Purkine cells (2)
Definition
1) Granule cells, 2) climbing fibers
Term
Thalamic outputs of the cerebellum end in which nuclei (2)
Definition
VL, VA
Term
Thalamic outputs of the cerebellum exit which peduncle
Definition
Superior cerebellar peduncle
Term
Red nucleus outputs of the cerebellum exit which peduncle
Definition
Superior cerebellar peduncle
Term
Vestibular outputs of the cerebellum exit which peduncle
Definition
Inferior cerebellar peduncle
Term
Brainstem reticular outputs of the cerebellum exit which peduncle
Definition
Inferior cerebellar peduncle
Term
Cerebellar syndromes exhibit __ [ipsi- or contralateral] signs
Definition
Ipsilateral
Term
Cerebellum hemisphere syndrome features (8)
Definition
1) Limb ataxis, 2) dysmetria, 3) dyssynergia, 4) adiadochokinesis, 5) volitional tremor, 6) hypotonia, 7) dysarthria, 8) nystagmus
Term
Dandy Walker malformation of the
Definition
Vermis with cyst in 4th ventricle
Term
Chiari malformation
Definition
Cerebellum vermis herniates through foramen magnum; asymptomatic
Term
Autism?
Definition
Maybe a connection with the cerebellum
Term
Functions of the basal ganglia
Definition
Learning/retention of complex motor tasks
Term
What's wrong with "basal ganglia"
Definition
Ganglia is a poor word choice because it's in the CNS
Term
Gray matter of the basal ganglia (5)
Definition
1) Caudate nucleus, 2) putamen, 3) globus pallidus, 4) nucleus accumbens, 5) olfactory tubercle
Term
Corpus striatum parts (3)
Definition
1) Caudate, 2) putamen, 3) globus pallidus
Term
Lentiform nucleus parts (2)
Definition
1) Putamen, 2) globus pallidus
Term
Dorsal striatum parts (2)
Definition
1) Caudate, 2) putamen
Term
Ventral straitum parts (4)
Definition
1) Nucleus accumbens, 2) olfactory tubercle, 3-4) ventral parts of the caudate & putamen
Term
Other structures related to the basal ganglia (2)
Definition
1) Substantia nigra, 2) subthalamic nucleus
Term
Striatum refers to which one
Definition
Dorsal striatum
Term
Types of neurons found in the straitum (2)
Definition
1) Medium spiny, 2) small interneurons
Term
Which neurons make up 95% of the striatum
Definition
Medium spiny
Term
Where is information stored in the striatum
Definition
Dendritic spines of the medium spiny neurons
Term
Neurotransmitter of medium spiny neurons
Definition
GABA
Term
Subtypes of medium spiny neurons: what co-transmitters they use and what receptor (2)
Definition
1) Enkephalin on D2 receptors, 2) dynorphin & substance P on D1 receptors
Term
Medium spiny neurons of the striatum are normally: quiet or active
Definition
Quiet
Term
Neurotransmitter of globus pallidus large spiny neurons
Definition
GABA
Term
Divisions of the globus pallidus (2)
Definition
GP internal/medial = GPi; GP external/lateral = GPe
Term
Large spiny neurons of the GP are normally: quiet or active
Definition
Active
Term
Neurotransmitter of the subthalamic nucleus
Definition
Glutamate [excitatory]
Term
SNR aka
Definition
Substantia Nigra: pars Reticulata
Term
SNC aka
Definition
Substantia Nigra: pars Compacta
Term
Output structures of the basal ganglia (2)
Definition
GPi, SNR
Term
Neurotransmitter of most cells of the SNR
Definition
GABA
Term
Large spiny neurons of the SNC are normally: quiet or active
Definition
Active
Term
What supplies the dopaminergic innervation of the striatum
Definition
SNC
Term
Pathway name between SNC & striatum
Definition
Nigrostriatal pathway
Term
Nigrostriatal pathway ends on which neurons (2)
Definition
Medium spiny, interneurons
Term
Which degenerates in Parkinson's: SNR or SNC
Definition
SNC
Term
Open loop circuit structures (3)
Definition
1) Visual, 2) auditory, 3) frontal cortex
Term
Closed loop circuit structures (2)
Definition
1) SMA/PMC, 2) [my guess=] pretty much everything???
Term
Corticostrial system consists of branches of what (2)
Definition
CST & CBT
Term
Which lobe of the cortex maps to the yellow arrow [ignore black arrows]
Definition
Pre- and postcentral gyri [to the putamen]
Term
Which lobe of the cortex maps to the yellow arrow [ignore black arrows]
Definition
Frontal lobe [to head of caudate]
Term
Which lobe of the cortex maps to the yellow arrow [ignore black arrows]
Definition
Parietal lobe [to body of caudate]
Term
Which lobe of the cortex maps to the yellow arrow [ignore black arrows]
Definition
Temporal & occipital lobes [to tail of caudate]
Term
Amygdala is inputted into the ___ of the basal ganglia
Definition
Striatum
Term
Outputs of the basal ganglia (5)
Definition
1) VA, 2) MD, 3) posterior intralaminar, 4) superior colliculus, 5) midbrain tegmentum
Term
Pathways of the BG circuits (2)
Definition
Direct, indirect
Term
Which facilitates movement: direct or indirect
Definition
Direct
Term
Which inhibits movement: direct or indirect
Definition
Indirect
Term
Thalamus __ [facilitates or inhibits] movement of the __
Definition
Facilitates movement of the premotor cortex
Term
GPI __ [activates or inhibits] the activity of the __ nucleus of the __
Definition
Inhibits VA of the thalamus
Term
STN __ [activates or inhibits] the activity of the __
Definition
Activates GPi
Term
GPe __ [activates or inhibits] the activity of the __
Definition
Inhibits STN
Term
Enkephalin MSN's __ [activates or inhibits] the activity of the __
Definition
Inhibits GPe
Term
Dynorphin/substance P MSN's __ [activates or inhibits] the activity of the __
Definition
Inhibits GPi
Term
Direct pathway (4)
Definition
MSN → GPi/SNR → VA → PMCTX
Term
Indirect pathway (6)
Definition
MSN → GPe → STN → GPi/SNR → VA → PMCTX
Term
Of both pathways, which connections are excitatory (2)
Definition
1) VA → PMCTX, 2) STN → GPi/SNR
Term
Of both pathways, which connections are inhibitory (4)
Definition
1) MSN → GPi/SNR, 2) GPi/SNR → VA, 3) MSN → GPe, 4) GPe → STN
Term
Activation of D1 receptors would be __ [facilitative or inhibitive] of movement
Definition
Facilitive
Term
Activation of D2 receptors would be __ [facilitative or inhibitive] of movement
Definition
Inhibitive
Term
Activation of PMCTX: facilitates or inhibits movement
Definition
Facilitates
Term
Activation of VA: facilitates or inhibits movement
Definition
Facilitates
Term
Activation of GPi/SNR: facilitates or inhibits movement
Definition
Inhibits
Term
Activation of D1 receptors: facilitates or inhibits movement
Definition
Facilitates
Term
Activation of dynorphin MSN: facilitates or inhibits movement
Definition
Facilitates
Term
Activation of STN: facilitates or inhibits movement
Definition
Inhibits
Term
Activation of GPe: facilitates or inhibits movement
Definition
Facilitates
Term
Activation of D2 receptors: facilitates or inhibits movement
Definition
Inhibits
Term
Activation of enkephalin: facilitates or inhibits movement
Definition
Inhibits
Term
Where do dopaminergic neurons originate
Definition
SNC
Term
Which comes first: dopamine or movement
Definition
Dopamine
Term
Main activating pathway of the SNC
Definition
Striosomal pathway
Term
Components of the striata (2)
Definition
1) Matrix, 2) patch/striasomes
Term
Parkinson's: hypokinetic or hyperkinetic
Definition
Hypokinetic
Term
Huntington's: hypokinetic or hyperkinetic
Definition
Hyperkinetic
Term
Parkinson's clinical features (3)
Definition
1) Bradykinesia, 2) hypertonia, 3) aboulia
Term
Parkinson's has a loss of __ [inhibition or excitation] of the direct pathway
Definition
Excitation
Term
Parkinson's has a loss of __ [inhibition or excitation] of the indirect pathway
Definition
Inhibition
Term
Huntington's has a loss of __ [inhibition or excitation] of the direct pathway
Definition
Inhibition
Term
Huntington's has a loss of __ [inhibition or excitation] of the indirect pathway
Definition
Excitation
Term
Loss of inhibition of direct pathway: Parkinson's or Huntington's
Definition
Huntington's
Term
Loss of excitation of direct pathway: Parkinson's or Huntington's
Definition
Parkinson's
Term
Loss of inhibition of indirect pathway: Parkinson's or Huntington's
Definition
Parkinson's
Term
Loss of excitation of indirect pathway: Parkinson's or Huntington's
Definition
Huntington's
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