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24 Cards in this Set

  • Front
  • Back

Thalamus

-major part of the diencephalon


-important cell station that receives sensory tracts (except the olfactory pathway) mainly from contralateral side.

Lesions of thalamus

-may result from thrombosis or hemorrhage of one of the arteries that supplies it




-lead to contralateral impairment of all sensations such as touch, tactile localization and discrimination, and loss of appreciation of joint movements.

Subthalamus

-has the cranial ends of the red nucleus & the substantia nigra




-it is involved in the control of muscle activity through its connection to corpus striatum




-important tracts such as parts of medial, spinal and trigeminal lemnisci are also found here



Lesions of the subthalamus

results in sudden, forceful involuntary movements in a contralateral extremity


-the movement may be jerky (choreiform) or violent (ballistic)

Epithalamus

consists of habernular nucles and their connections, and the pineal gland

Habernular nucleus

is a center for integration of olfactory, visceral, and somatic afferent pathways

Pineal gland (body)

-two types of cells (pinealocytes & glial cells)


-contains no nerve cells, but some sympathetic fibers and blood vessels


-calcification within the gland occurs by age, called brain sand.

Functions of the Pineal gland

-it is an endocrine gland that influences the activity of pituitary gland, islets of langherns of the pancreas, the parathyroid, the adrenals and the gonads



Pineal secretions are made by

-pinealocytes and reach their targets via blood or CSF

-they inhibit hormone production directly or by inhibiting the release factors of hypthalamus

When is the pineal gland mostly active?

Most active during darkness and the probable pathway runs from retina to the suprachiasmatic nucleus of the hypothalamus to the pineal gland to stimulate its secretions

Tumors of pineal gland

cause changes in regulation of the reproductive function

Hypothalamus functions

-controls emotional states, and assists in the regulation of fat, carbohydrates and water metabolism.


-it influences body temperature, genital functions, sleep and food intake


-it also controls pituitary hormone release



Syndromes of the hypothalamus

-tumors such as craniopharyngioma or chromophobe adenoma of the pituitary & pineal tumors interfere with the function of the hypothalamus

Common abnormalities of syndromes of the hypothalamus

genital hypoplasia or atrophy, diabetes insipidus, obesity, disturbances of sleep, irregular pyrexia and emaciation

Patients with lesions involving insula have difficulty

in pronouncing phonemes in their proper order and usually produce sounds that are close to the target word but are not exactly correct.

Function of corpus striatum

is involved in muscular movement, by controlling the cerebral cortex

Tumors of the caudate or lentiform nuclei may cause

severe motor or sensory symptoms on the opposite side of the body, due to involving the internal capsule

Nerve fibers from white matter of the cerebral hemispheres are classified into 3 groups:

1. commissural fibers


2. association fibers


3. projection fibers

Commissural fibers

-these fibers basically connect corresponding regions of the two hemispheres


-corpus callosum


-the ant. commissure


-te post. commissure


-the fornix


-the habenular commissure

Association fibers

these fibers essentially connect various cortical regions within the same hemispheres and is divided into short and long groups


-Uncinate fasciculus


-Cingulum

Uncinate fasciculus

connecting the motor speech with the temporal lobe

Cingulum

in the cingulate gyrus, connects the frontal and parietal lobes with parahippocampal gyrus

Projection fibers

afferent and efferent fibers passing to and from the brainstem to the entire cerebral cortex


-Internal capsule is an example

Alzheimer's disease

-some forms of familial alzheimer's might be due to mutations in several genes such as APP, Presenilin 1 and Presenilin 2




-degeneration of the cholinergic fibers


-loss of ascending projection fibers


-senile plaques