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125 Cards in this Set

  • Front
  • Back
Presbycusis
Loss of high frequency perception
Happens in everyone in old age
Conductive Hearing Loss
blockage of sound path from source to cochlea
Often middle ear infection
Reversible
Sensorineural Hearing Loss
Damage to inner ear or central auditory pathway
Incurable and permanent
Order of middle ear bones
tympanic membrane - malleus - incus - stapes - oval window
Scala Media
Space into which hair cells and tectorial membrane project
Endolymph at +80mV
Hair cells in cochlea
3 rows of outer hair cells - carry efferent information, are contractile
1 row of inner hair cells - carry afferent information
Tonotopic organization of the Cochlea
High frequencies at the stiff base
Low frequencies at the floppy apex
Coding Pitch
labeled line on basilar membrane
Coding sound intensity
coded by number of APs and number of responding neurons
Superior Olive
Left and Right sound info converges, sound localization
Pupillary light reflex
CN II -> pretectal nuclei -> Edinger Westphal nucleus -> ciliary ganglion -> pupillary constrictor
Horner's Syndromes
1st order: spine block
2nd order: brachial plexus/lung apex block
3rd order: carotid dissection
Environmental causes of Dilated Pupil
Nightshade
Transderm scop (motion sickness med)
Adie's Tonic Pupil
Large pupil, unresponsive to light
Follows ciliary ganglion injury (viral)
Tonic (slow) to near response
hypersensitive to pilocarpine
Absent reflexes
Argyll Robertson Pupil
Tertiary syphilis
Responds poorly to light, but quickly to near
Usually bilateral
Aqueous Humor
clear fluid produced by ciliary body
in anterior compartment
Cataract
Opacification of lens
Eye circulations
Ciliary arteries - nourish uveal tract
Retinal arteries - nourish retina
Conjugate Eye movements
same direction
-smooth pursuit
-optokinetic (motion of world)
-vestibular
-saccades
Disjunctive Eye Movements
eyes move in opposite direction
vergence
Pulse + Step actions
pulse - moves eye, generated by PPRF
step - keeps eye in position, generated by integrator
MLF
tract that allows for conjugal eye movements
Sacculus and Utricle
Detect head tilt, angular, and linear acceleration
Semicircular Canal signals
Signal proportional to head velocity
Vestibulo-ocular reflex
Provides stability of gaze in spite of head movements
Left-beating nystagmus
Turning head to left, eyes move right. Mediated by semicircular canals
Caloric nystagmus
fast beats of eye movement
Cold Opposite, Warm Same
Gain of Vestibulo-ocular reflex
G = eye angle/head angle
normally G = -1, but can adapt due to flocculonodular lobe
Lens focus
near = spherical, ciliary muscles contract
far = flat, ciliary muscles relax
Myopia
Eyeball too long
Hyperopia
Eyeball too short
Fovea
Area of greatest visual acuity
Absence of upper layers and blood vessels
Entirely cone receptors
Phototransduction
cis -> trans-rhodopsin -> PDE -> less cGMP -> Na channels close -> hyperpolarization
Bipolar cells
Receive input from 1 photoreceptor
ON: glutamate is exitatory, depolarize in dark
OFF: glutamate is inhibitory, depolarize in light
Horizontal Cell
pools input and antagonizes bipolar cell to its own cone. creates center-surround receptive field
Midget Cells
80% of ganglion cells. Aka P-cells. Detect color
Parasol Cells
10% of ganglion cells that detect motion. Aka M-cells
Projections of the optic nerve
superior colliculus
pretectal complex
accessory optic nuclei
suprachiasmatic nucleus
lateral geniculate nucleus
LGN organization
eyes are kept separate
M and P cells kept separate
M cell pathway
Mcells -> LGN -> layer IVc alpha ->layer IVB processing
Orientation selectivity
processing of multiple receptor fields in layer IVB
P Cell pathway
Pcells -> LGN -> layer IVc beta -> layers II and III
Visual Cortex modularity
Orientation selectivity (pinwheels)
Direction Selectivity
Ocular Dominance
Color (CO blobs)
extrastriate cortex
all visual cortex beyond the primary visual cortex
Inferotemporal cortex vs. posterior parietal cortex
IFT: needed for object discrimination (what)
PPC: needed for landmark discrimination (where)
Ventral Visual Processing
The "what" pathway
involves V4
Dorsal Visual Processing
The "where" pathway
involves V5
V5
Detects motion from the input of M cells.
Direction (but not orientation) selective
Akinotopsia
Inability to perceive motion. Due to lesion of V5
Achromotopsia
Inability to perceive color, even with functioning cone receptors.
Due to lesion of V4
Color Constancy
V4 uses relative spectrum levels to determine color
Posterior Parietal Lesion
Contralateral neglect
Inferotemporal Cortex Lesion
Agnosia and prosopagnosia
Retinal Arterial Occlusion
Infarcts the retina. Can cause inferior or superior hemifield vision loss in one eye
Optic Nerve Tumor
Blocks vision in one eye
Pituitary Adenoma
Bitemporal Hemianopia
Compresses nasal fibers which causes loss of temporal fields
Left Homonymous Hemianopia
Loss of left visual field in both eyes. Caused by lesion behind the optic chiasm
Homonymous Quadrantanopsia
Bilateral loss of a quadrant of vision. Caused by Meyer's loop or parietal lesion
Macular Sparing
Occurs when the posterior visual cortex is spared (dual blood supply?)
Alexia without Agraphia
Can write but not read
Usually a right homonymous hemianopia -- left occipital lobe and left splenium
Prosopagnosia
Lesion in the Occipito-temporal region (often bilateral)
Cerebral Hemi-achromatopsia
Lack of color vision in a homonymous hemifield.
Localized to fusiform gyri (V4).
Can occur with quadrantanopia
Balint's syndrome
Simultanagnosia
Ocular apraxia
Optic Ataxia
Lesion/degeneration in bilateral parieto-occipital region
Classical Conditioning
Learning the relationship between two stimuli
Operant Conditioning
Learning the relationship between a stimulus and a response
Habituation
Weakening response after repeated stimuli
Sensitization
Interneuron release of 5-HT
Long term = change in gene transcription
Hippocampal neurotransmitter
glutamate
Long-term potentiation
Tetanic stimulation leads to increased synaptic strength in the hippocampus
Properties of LTP
Rapid onset
Long lasting
Synapse specificity
Associativity
NMDA Receptor
Coincidence detector
requires depolarization and glutamate
allows Na and Ca influx
Speech Lateralization
R Handers: left hemisphere
L Handers: mostly left hemisphere too
Types of Aphasia
Broca's
Global
Wernicke's
Conduction
Categories of aphasia
Fluency
Comprehension
Repetition
Naming
Broca's Aphasia
poor fluency
good comprehension
poor repetition
poor naming
often due to embolism
Global Aphasia
Poor fluency, comprehension, repetition, and naming
due to widespread infarction
Comprehension
understanding word meaning
"Point to the pencil"
Naming
being able to name an object when requested
Wernicke's Aphasia
Good fluency
Poor comprehension
Poor repetition
Poor naming
often due to occlusion
Conduction Aphasia
Poor repetition
Loss of arcuate fasciculus connecting broca's and wernicke's
Right hemisphere language disorders
impaired prosody, loss of metaphor, humor, and discourse
tangential comments
Subcortical language disorders
striatal and thalamic
Frontotemporal Degeneration
Causes progressive nonfluent aphasia and personality change
difficulty with grammar
Semantic Dementia
Fluent, empty speech with comprehension and naming difficulty
Anterior/ventral temporal lobe degeneration
Alexia
Peripheral: have trouble interpreting individual letters
Central: trouble pronouncing sight vocabulary or novel words
Patient HM
Bilateral medial temporal lobe resection
unable to form new memories
procedural memory intact
Episodic Memory
Memory for prior experiences or events
Tightly linked to time and space
Episodic Memory Processing
Encoding
Storage/consolidation
Retrieval
Medial Temporal Lobe components
Hippocampus
Entorhinal cortex - input to hippo
Paraphippocampus- where input
Perirhinal cortex- what input
Fregoli Syndrome
Stranger thought to be inhabited by someone you know
-hyperfamiliarity for strangers
Capgras Syndrome
Belief that familiar people replaced by imposeters
-hypofamiliarity
Papez circuit
fornix -> mamillary bodies -> anterior thalamic nucleus -> cingulate gyrus -> cingulum -> fornix
Wernicke-Korsakoff Syndrome
due to thiamin deficiency (often from alcholism)
mammillary body damage and amnesia
Causes of Temporal-Limbic Amnesia
Alzheimer's
PCA stroke
Herpes encephalitis
Wernicke-Korsakoff
Semantic Memory
memory of facts
Frontal Lobes and Memory
Associative memory affected the most
Frontal vs. Temporal-Limbic Amnesia
Immediate memory
MT: normal
Frontal: impaired
Frontal vs. Temporal-Limbic Amnesia
Recognition memory
MT: impaired
Frontal: normal
Frontal vs. Temporal-Limbic Amnesia
Item memory
MT: impaired
Frontal: normal
Amyloid Plaques
extracellular accumulation of amyloid
Neurofibrillary Tangles
Intracelluar accumulation of hyperphosphorylated tau
Correlate with disease severity and neuronal death
Working Memory
short-term
frontal lobe localized
R side: visuospatial
L side: auditory
Consolidation
Process by which memories are solidified into long-term stores
hippocampus -> neocortex
Classical Conditioning
Cerebellum in charge
Emotional Conditioning
requires Amygdala
Kluver-Bucy Syndrome
Amygdala lesion
Blunted emotions
lack of fear response
visual agnosia
Operant Conditioning
Nucleus accumbens - reward center
Procedural Learning
Supplementary motor area, basal ganglia, and cerebellum
Unconscious
Priming
benefit in the ability to detect or identify words or objects after recent experience with them
Left hemisphere lateralization
Language
Praxis
Right hemisphere lateralization
Prosody
Spatial Representation
Field attention
Praxis
knowledge of how to use body to interact with world
how to use tools
Grips
Power
Precision
Hook
Scissor
Affordance
knowledge of what grip to deploy in unfamiliar situations
Praxis anatomy
Left inferior parietal lobule
bilateral premotor cortices
Receptive apraxia
left parietal lesion
bilateral apraxia
unable to discriminate movements
Expressive apraxia
premotor lesion
contralateral apraxia
able to discriminate movements
Right Parietal number skills
Subitizing - rapid apprehension of small quantities
Estimating
Left Parietal number skills
Counting
Arithmetic
Gerstmann's syndrome
Left parietal lesion
Agraphia
Acalculia
finger agnosia
R/L confusion
Causes of Neglect
Right middle cerebral artery stroke
Anosognosia
unilateral unawareness or denial of defects on one side of body
Somatophrenia
claims that contralateral limbs don't belong to patient
Extinction
Phenomenon in neglect
Can consciously observe left-field stimuli when not in competition with right-field stimuli
Balint's syndrome
bilateral parietal lesions
Optic ataxia (can't reach for visual targets)
Ocular apraxia
Simultagnosia