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24 Cards in this Set

  • Front
  • Back
Cerebral Cortex
-pt of CNS
- thought, memory, reasoning, sensation & voluntary movement

-Frontal: personality, behavior, emotions, intellectual function
PrecentralGyrus of Frontal Lobe: voluntary movement
Parietal Lobe’s PostcentralGyrus: sensation
Occipital: vision
Temporal: auditory
Wernicke’s: language; if damaged – receptive aphasia
Broca’s area: motor speech; if damaged—expressive aphasia
Basal Ganglia
-pt of CNS

- motor system; automatic movements of body
Thalamus
pt of CNS

relay station for NS
Hypothalamus
pt of CNS

Control center for heart rate temperature, blood pressure, sleep, anterior and posterior pituitary gland regulator, and coordinates autonomic nervous system activity and emotional status
Cerebellum
pt of CNS

controls motor coordination of voluntary movements, equilibrium, and muscle tone

operates below conscious level
Brain Stem
central core of CNS

-Midbrain- contains motor tracts & neurons; merges hypo & thalamus

-Pons- ascending & descending tracs

-Medulla- connects brain to spinal cord; controlls resp, heart, GI
Spinal Cord
- main highway for tracts that connect brain to spinal nerves

-mediates relfexes
PNS
12 pairs CN, 31 pairs spinal nerves, & all their branches

Nerve: Bundle of fibers outside the CNS
Reflex Arc
mechanisms, help body maintain balance and appropriate muscle tone

-deep tendon, superficial, visceral & pathologic
ANS
Autonomic fibers innervate smooth (involuntary) muscles, cardiac muscle, and glands; Mediates unconscious activity; Overall function is to maintain homeostasis
Sensory Pathways
Sensation travels in afferent fibers in peripheral nerve through posterior (dorsal) root, into spinal cord.

Takes either spinothalamic tract or posterior columns
1) Spinothalamic Tract: sensory fibers that transmit pain, temp& crude or light touch.

2) Posterior Column: Position, vibration, and finely localized touch
Motor Pathways
Corticospinal/Pyramidal Tract: Mediate very skilled, discrete, purposeful voluntary movement

Extrapyramidal Tracts- maintains muscle control & body movements

Cerebellar System: coordinates movement, maintains equilibrium, helps maintain posture

Upper Motor Neurons- influence/modify lower motor neurons; w/in CNS

Lower Motor Neurons- in PNS; funnels neural signals & final direct contact w/ muscles
Fasciculations
Rapid continuous twitching of resting muscle or part of muscle without movement of limb; Can be seen or palpated

Fine: occurs with lower motor neuron diseases associated with atrophy and weakness

Coarse: occurs with cold or fatigue; not significant
Tic
involuntary, compulsive, repetitive twitching of a muscle group (e.g. wink, grimace, head movement, and shoulder shrug) due to neurological causes
Tremor
Involuntary contraction of opposing muscle groups

Results in rhythmic, back and forth movement of one or more joints; may occur at rest or with voluntary movement

disappear while sleeping. May be slow (3-6 per second) or rapid (10 to 20 per second)

Rest Tremor: Coarse and slow; partly/completely disappears with voluntary movement

Intention Tremor: Variable rate and worsens with voluntary movement; Occurs with cerebellar disease & MS

Essential Tremor: Type of intention tremor most common amongst older people; Benign, but causes emotional stress; Improves with administration of sedatives, propranolol, alcohol
Cerebral Ataxia
Staggering, wide-based gait; difficulty with turns, uncoordinated movement with positive Romberg Test

can be caused by alcohol or barbiturates, cerebellar tremor, and MS
Parkinsonian
Stooped posture, pitched forward trunk, hips, elbows, & knees are flexed

Steps are short and shuffling, hesitation to begin walking, and difficulty stopping suddenly

Body is rigid, walks and turns body as one fixed unit, difficulty changing directions
Scissors
Gait in which Knees are cross and in contact

Person uses short steps and walking requires effort

Can be due to paralysis of legs or MS
Steppage or Footdrop
Slapping quality; looks like they’re walking up stairs with no stairs

lift knee and foot really high and slap it down hard and flat to compensate for footdrop

Can be due to weakness of peroneal and anterior tibial muscles, lower motor neuron lesion at spinal cord
Peripheral neuropathy
Loss of sensation involving all modalities; loss is most severe distally (feet and hands); response improves as stimulus is moved proximally

Anesthesia zone gradually merges into a hypoesthesia zone, then gradually becomes normal

cam be caused by diabetes, chronic alcoholism, and nutritional deficiency
Decorticate Rigidity
Upper extremities- flexion of arm, wrist, and fingers; adduction of arm

Lower extremities – extension, internal rotation, plantar flexion

Indicates: hemispheric lesion of cerebral cortex
Decerebrate Rigidity
Upper extremities-stiffly extended, adducted, internal rotation, and palms pronated

Lower extremities-stiffly extended, plantar flexion, teeth clenched, hyperextended back

More ominous than decorticate rigidity; indicated lesion in brain stem at midbrain or upper pons
Flaccid Quadriplegia
Complete loss of muscle tone and paralysis of all four extremities indicating completely nonfunctional brain stem
Opisthotonos
Prolong arching of back with head and heels bent backward; indicates meningeal irritation