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196 Cards in this Set

  • Front
  • Back
Describe the Allocortex
3 layers
pyramidal cells present pyramidal layer & polymorphic layer
Where can Allocortex be found?
Palecortex: olfactory cortex
Archiocortex: Hippocampus
Describe the Neocortex
6 layers
unique to mammals
majority of principle projection neurons in layers 2,3,5 (pyramidal cells)
Describe the Mesocortex
transitional cortex found between the allo- and neocortex
Where is Mesocortex found?
Limbic areas
Parahippocampal gyrus, cingulate gyrus, insula
How are the neurons of the cortex grouped?
Grouped according to function
what are the different groupings of neurons found in the cortex?
1. Pyramidal cells: excitatory principle neurons that project to other cortical areas, basal ganglia, thalamus, brainstem, and spinal cord
2. Stellate cells: excitatory interneurons in layer 4 receive input from thalamus
3. Inhibitory interneurons: GABAnergic cells with axons that project within columns or over short distances between columns
What are the layers of the NEOCORTEX?
I. Molecular
II. Small Pyramidal
III. Medium Pyramidal
IV. Granular
V. Large Pyramidal
VI. Multiform (polymorphic)
Describe the Molecular Layer of the Neocortex
Layer I
layer closest to pia surface with interneurons and apical dendrites of pyramidal cells
diffuse modulatory NT system have heaviest projections to Layer I
Association & commissural afferents
what is found in Layer II of the neocortex
small pyramidal layer
Small pyramidal cells and inhibitory interneurons
what is found in layer III of the neocortex?
Medium pyramidal cell layer
medium pyramidal cells and intercortical association and commissural fibers
Describe the Granular layer of the Neocortex
Layer IV
Stellate cells: excitatory interneurons
Primary targets of thalamocortical projections
dense bands of myelinated fibers is prominent in sensory areas (Stria of Genari BA 17)
What layer is the large pyramidal layer?
Layer V of Neocortex
Describe Layer V of Neocortex
Large pyramidal layer
Medium to large pyramidal cells
Primary source of subcortical efferents from cortex to brainstem and spinal cord
What type of cells are found in Layer VI of the Neocortex?
Multiform (polymorphic) layer
Fusiform, pyramidal, and stellate cells
Both afferent and efferent fibers
what layer of the cortex is the diffuse modulatory input the greatest?
Layer I (molecular layer)
what layer of the cortex receives the greatest projection from the thalamus?
Layer IV of the neocortex
where do the main efferents of Layer IV project to?
Thalamus
Where do the main efferents of Layer V project to?
Subcortical structures such as brainstem, spinal cord, striatum, superior colliculus, etc.
Layer III has an ________ projection.
Layer III has intercortical projections to the other hemisphere & cortical areas as association cortices
what two layers have interneurons present in them that project to other cortical areas?
Layer I and II
Commisural fibers connect corresponding areas of each hemisphere. What are the exceptions?
hand motor areas & striate cortex are exceptions
this allows for fine independent motor control dextarity of the hands
What are excitatory connections between columns of the cortex the basis for?
Excitatory connections between columns are the basis for:
1. psychophysical phenomena . completion of images
2. experience dependent reorganization
3. Recovery of function after brain damage
what is the Brodmann area classification based on?
Variation fo cytoarchitecture
Describe the Homotypica cortex
6 distinct layers
comparable in thickness of each layer
Association areas
Describe the heterotypical cortex
6 less distinct layers with layers varying in thickness according to function
What are some characteristics of the Granular (Koniocortex) Heterotypical cortex? where can it be found?
Primary sensory areas (primary somatosensory cortex, visual cortex, auditory cortex)
THICK LAYER 4
many stellate cells receiving thalamic input
what are some characteristics of the Agranular Cortex? Where can it be found?
Prmary motor (4) & Premotor (6) cortex
Motor areas with prominent Layer V (output) and narrow layer IV
Pyramidal cells (projections/output) numerous
Layer III & V
Narrow Layer IV reflecting the less thalamic input
What occurs in Disconnection syndrome?
lesion in white matter affects communication between areas
can get information in but cannot get it to the proper place
What are some features seen with damage to association cortices?
changes in personality
cognitive deficits
Agnosia
Anasognosia
Aphasia
Apraxia
Agnosia
loss of ability to recognize familiar objects
may affect a single sense
Prosopagnosia
inability to recognize faces
Anasognosia
lack of awareness of functional deficits
patient will deny anything wrong with them
Aphasia
disorder of speech
may have varying degrees
Anomia
naming
Alexia
problems with reading
agraphia
problems with writing
dysarthria
motor problem with speech
Apraxia
loss of ability to correctly perform motor response in the absence of damage to language, primary motor, cerebellar pathways
Rasmussen's syndrome
encephalitis, progressive neurodegenerative autoimmune disorder affecting the L hemisphere of the brain
what hemisphere is mainly dominant hemisphere in humans?
Left
which hemisphere is language found in?
Dominant
so mostly the left
what hemisphere is responsible for attention and spatial awareness
Right
NON-dominant
At what age does lateralization develop
Age 3
Is there a physical asymmetry seen because of dominance?
YES
Platnum temporale is larger on the left, language
Parietal lobe is larger on the Right
what is the function of the asymmetry of the brain?
90% of people are right handed
Gross motor skills are controlled by contralateral hemisphere for both hands
Complex motor task primarily controlled by the Dominant hemisphere which is usually the L hemisphere
How can hemisphere dominance be demonstrated in preparation for neurosurgery?
Wada's procedure
sodium amytal injection into internal carotid on oen side produces complete loss of sensation and paralysis on opposite side of body
NO SPEECH if anesthetized hemisphere is dominant
examiner determines which hemisphere is dominant by asking questions
What are the functional specializations of the L hemisphere?
analysis of R visual field
Gross motor control of R side of body
Complex motor task for BOTH hands
language, including reading and writing
Music production
Analytical skills: arithmetic
What are the functional specialization fo the R hemisphere?
analysis of L visual field
Gross motor control of the L side of the body
Complex visual spatial skills
Emotional expression of language and rudimentary speech
music appreciation
spatial attention: body image and coordination of body in space
What is the pericallosal artery a branch of? what does it supply?
branch of ACA
found above corpus callosum
supplies medial surface of cerebral hemisphere (cingulate gyrus) and corpus callosum
what is the callosomarginal artery a branch of? what does it supply?
branch of ACA
lies in cingulate sulcus and marginal artery
supplies medial surface of cerebral hemisphere
what does the superior division of MCA supply
lateral frontal cortex
what does the inferior division of MCA supply
lateral temporal and part of parietal cortex
what does PCA supply?
inferior and medial temporal cortex
occipital cortex
what does anterior choridal artery supply ?
branch of Internal carotid
supplies globus pallidus, putamen, thalamus, inferior portions of PLIC
what does the Recurrent artery of Huebner supply?
Medial striate artery branch of ACA
supplies head of caudate, anterior putamen, GP, inferior portions of ALIC
what are the important penetrating arteries that supply large portions of basal ganglia and internal capsule?
Lenticulostriate arteries branch of MCA
what branch of PCA supplies much of the thalamus and posterior portions of PLIC
Thalamogeniculate and Thalamoperforater arteries
What part of the brain is considered to the prefrontal cortex?
PFC is the region of the frontal lobe anterior to motor, premotor, and limbic areas
What is the heteromodal association cortex?
reciprocal connections with unimodal association cortices (both motor and sensory) as well as hetermodal cortex of parietal, temporal, and occipital lobes
TQ
What connects the PFC with the amygdala and the temporal lobes as well as the hippocampus?
Prefrontal cortex connection to the amygdala and temporal lobes via the uncinate fasiculus and hippocampal formation via the cingulate gyrus
what is the primary thalamic input to the PFC?
Mediodorsal nucleus of thalamus
contributions from pulvinar and intralaminar nuclei
What part of the basal ganglia does PFC project to?
head of caudate
From parietal and pre-motor cortex
Executive and cognitive functions
What are the subcortical projection of PFC?
hypothalamus
septal nuclei
cerebellum
midbrain
True or False
The PFC receives projections from the diffuse modulatory system
True
What are the functionally distinct areas of the PFC?
Dorsolateral PFC
Orbitomedial PFC
What is the function of the Dorsolateral PFC?
planning
strategy formation
organize motor response
what is the function of the orbitomedial PFC?
involved in emotional aspects of behaviors
What are the functions of the PFC?
enable to interact in a socially appropriate and effective way with others and our environments
1. Goal oriented behaviors
2. Working memory
3. Social emotional decision making
4. Restraint
5. Personality
6. Abstract reasoning
describe how working memory occurs in the PFC.
Everything concsiously aware of at a given moment
external sensory recall of memories relevant to task
mediated by on-going activity in networks with motor and sensory association areas and parietal temproal heteromodal cortex
what is involved in social emotional decision making?
processing, evaluating, and filtering social and emotional information
what is involved in restraint?
judgement, delayed gratification, inhibition of inappropriate responses
Descrive the characteristics associated with Dorsolateral Prefrontal Cortex syndromes?
Abulic: lack of initiative/will
unable to make decisions independently
1. diminished sponteneity
2. Diminshed verbal output (mutism)
3. Diminished motor behavior (akinesia)
4. Lack of ability to plan/sequence
5. Working memory deficits
describe the characteristics of PFC Orbitomedial syndromes
Disinhibited
1. impulsivity
2. stimulus driven behavior
3. diminished social insight
4. inappropriate humor
5. confabulation
6. emotional lability
what are some symptoms associated with PFC damage?
perservation or impersistance
Incontinence w/ a lack of concern
impaired attentional capacity
ansomia: lack of functioning olfaction
How do you assess frontal lobe damage?
1. behavioral
2. Mental status exam
3. Perservation and set shifting ability
4. Suppression of inappropriate responses
5. Judgement
Describe how behavior is assessed in frontal lobe function
1. frontal release signs
2. motor impersistence
3. confabulation
When examining a patient for mental status what are you checking is intact?
oriented to person, time, and place
What are some test that you would have your patient do in order to assess Perservation and set shifting ability?
1. Luria sequencing tasks
2. Wisonsin card sorting task: ability to modify what you are looking for: must figure out correct pattern
How do you test for suppression of inappropriate response?
Stroop Test
What colors are the written words?
How do you assess a patient for judgement?
Damasios Gambling Test
-If PFC damage will choose from riskier deck continuously
What can cause frontal lobe disorders?
Trauma
Tumors
Vascular
Describe the signs seen with a L ACA infarct?
Right leg weakness of UMN
Right leg sensory loss of corttical type
R grasp reflex, frontal lobe behavior abnormalities
Large left infarct > Right hemiplegia
Transcortical aphasia
describe the signs seen with a R ACA infarct?
L leg weakness of UMN type
L leg cortical sensory loss
L grasp reflex
Frontal lobe behavioral abnormalities
L hemineglect
large infarct may cause L hemiplegia
What is a degenerative disorder that affects the PFC?
Huntington's disease
involves all channels of basal ganglia
Prefrontal channel: deteroriation of cognitive and executive functions
Limbic channel: impaired impulse control & socially inappropriate behavior
What causes psychiatric disorders?
imbalance of diffuse modulatory NT
What is the imbalance causing Schizophrenia.
imbalance of DA transmission in mesocortical pathway
DA antagonist are used to treat schizophrenia
what part of the PFC is affected in depression?
Dorsolateral portions of PFC
describe what depression does to the PFC.
affects the dorsolateral PFC
inablility to handle stress > weakens PFC functions
over activation of LIMBIC circuits
how do you treat depression ?
restore balance with drugs acting in serotonergic and NE systems
what is occurring in the PFC in patients who have ADHD?
non-optimal level of activity of PFC
who does ADHD affect?
3-5% of school aged children
5X more common in males
> suggest X linkage
describe characteristics of ADHD
hyperactivity, impaired attention, and impulsivity
where is the reduced activity in the PFC in association with ADHD?
Reduced activity in prefrontal cortex and basal ganglia
anterior cingulate
dorsolateral PFC
what does the genetic linkage associated with ADHD suggest?
abnormality in DA receptors/transporters/enzymes
what may occur in utero that can cause your child to increase the incidence of ADHD?
exposed to alcohol or tobacco
How do you treat a child with ADHD?
treat with stimulants @ low doses that increase DA and NE levels in PFC
this increases the input from VTA to PFC
what do genetic mutations cause in stage development?
Genetic mutations affect specific proteins involved in contolling brain development
what are some extrinsic factors in utero that affect brain development?
Extrinsic factors:
Maternal nutrition
Alcohol: fetal alcohol syndrome
tobacco
Drugs/toxicity/heavy metal exposure
what in the postnatal environment affects stage development of the brain?
Drugs/toxicity/heavy metal exposure
sensory stimulation and social interaction critical for normal brain development
True or False
It is possible to genetically determine the trillions of specific synaptic connection.
FALSE
it is NOT possible to genetically determine the trillions of specific synaptic connections
How many synapses are added per second as the brain develops?
1.8 million synapses added per second
The Cerebral cortex triples in thickness in 1st year of life
What are the final stages of brain development dependent on?
Experience dependent
Sensory stimulation and social interaction are necessary for development
What are the stages of Neuronal development?
1. Cell proliferation
2. Migration
3. Differentiation
4. Development of Axonal connections
5. Synapse formation
6. Restriction of synaptic connections
7. Synaptic rearrangement
Where does cell proliferation occur in cerebral cortex development?
occurs in the ventricular zone of developing brain
What can a stem cell produce in the cerebral cortex?
common stem cells can produce both neurons and glia
What is cell fate determined by in the development of the cortex?
Cell fate specified by environment, which changes as gestation proceeds
What can result in microcephaly or macrocephaly?
Due to genetic dysfunction
Disregulation of neuronal cell proliferation can result in microcephaly vera or macrocephaly
when are neurons in the Neocortex born?
Neurons in human neocortex are born from the 5th week to the 5th month of gestation
where are neurons generated in adult life?
some neurons are developed in adult life
hippocampus is on place for generation of new neurons
what is important for guidance of other neurons?
Cajal-retcius neurons
What does proper neuronal migration in the cerebral cortex result in?
proper migration results in laminar organization of cortex
What provides scaffolding in the cortex?
Radial glial cells provide scaffolding of the cerebral cortex
What is in the molecular cell layer controlling migration?
Reelin in the molecular layer is one signaling controlling migration
How do neurons migrate throughout the cortex?
Neuroblast (immature neurons) migrate along fibers that extend from the ventricular zone to pial surface.
Reelin in molecular layer is one signal controlling migration
What layers are developed first in the cortex?
Inside out: first migration is to layer VI, then V, etc.
What is implicated in lissencephaly?
Genetic defects are implicated in lissencephaly affects migration
> smooth brain
what do mutations in microtubule related proteins cause?
mutations in LISI gene on chromosome 17 affect cell movement
What results in neurons not knowing they have reached the appropriated layer in the cortex during migration ?
Mutation in proteins such as Reelin
When does differentiation occur in neurons in the cortex?
Differentiation occurs as soon as neurons reach "place" in the cortex
Neurons in layer VI are differentiated before the neurons in upper layers have migrated
How is a neuron differentiated?
Neurites sprout and develop as dendrites or axons
What is the morphology of a cell in specific layers dependent upon?
Morphology of cells is dependent on stage of development, growth factors, and cell-cell interactions
What type of cells are found in Layer V of the neocortex?
Pyramidal cells
what type of cells are found in Layer IV of the neocortex?
stellate cells
describe the development of axonal connections
Tip of axon forms growth cone
Navigates by interaction with extracellular matrix and diffusible guidance molecules
Give an example development of axonal connections.
Path of ALS commissural axons is dependent on both attractant and repellant factors secreted from midline of developing spinal cord, while non-commisural axons are repelled
Fasiculation (relevant to neuronal cell migration)
one neuron making path that other neurons will join
Retinotopy:
Describe the mechanism involved in specification of connections from the retina to the LGN and from LGN to striate cortex.
1. Gradient of cell surface markers on retinal ganglion cells that changes from nasal to temporal retina
2. Attactant and repellant mechanisms in extension of the axon and guidance to correct area of LGN:
Temporal retina axons are repelled at the optic chiasm by radial glial cells expressing ephrin while nasal axons cross because they do NOT express ephrin receptors and are attacted to CD44+ neurons at the chiasm
what keeps the temporal retinal axons from crossing at the optic chaism?
chemorepellant signal keeps them from crossing
What would occur if CD44+ was blocked at the optic chiasm?
there will be no crossing of fibers
During pathway selection what keeps neighboring axons together in their migration via interaction with cell-adhesion molecules?
Fasciculation
How is innervation of a structure determined?
Innervation of structure is determined by chemo affinity, as well as, diffusible factors
Once appropriate layer is reached, inhibitory factors stop axon growth
what occurs to the growth cone once a cell has reached its destination?
once target has been reached, the growth cone collapses and pre-synaptic terminal begins to develop
how do the receptors and proteins get into the post synaptic density & presynaptic terminal?
Receptors and other proteins essential for synaptic transmission cluster in post synaptic density and in pre-synaptic terminal
What are Neurexins and Neuroligins examples of ?
Synaptic cell adhesion molecules
what is the function of Neurexins and Neuroligins?
Synaptic cell adhesion molecules that connect pre- and post-synaptic specializations and regulate synaptic function
What may be disrupted in autism & schizophrenia?
Synaptic cell adhesion molecules that connect pre- and post-synaptic specializations and regulates function may be disrupted in autism and schizophrenia
what is a disorder of synapse formation and stabilization?
Autism
Schizophrenia
What restricts a synaptic connection?
1. Cell death
2. Synapse Elimination
describe how cell death restricts synaptic connections
cell death: neurons that DO NOT successfully compete for trophic factors undergo apoptosis
How many neurons are estimated to die that originally generate?
estimate that half of neurons originally generated die
How are synapses eliminated?
synaptic capacity high during early development and declines in maturation
-50% loss of synapses in cerebral cortex at puberty
What is the estimate of loss of synapses during puberty?
Cerebral cortex: estimate of 50% loss of synapses at puberty
What is the term for activity dependent fine tuning of connections?
Synaptic rearrangement
What is the critical period?
Critical period: normal development of neuronal circuitry that underlies certain behaviors requires exposure to appropriate environment stimuli within a specific time window
(language is one example)
How is ocular dominance developed?
1. initially inputs from both eyes onto common targets
2. Activity dependent process: correlated activation of inputs from one eye that are out of phase with inputs from opposite eyes
Critical period is early in development and relatively brief
What is the Hebbian synaptic modification?
synapses that are active at same time as post synaptic target neurons are strengthened while others are eliminated
what occurs with monocular deprivation during critical periods?
monocular deprivation during critical period (1st six weeks postnatal to macaques) results in reduced representation of deprived eye in primary visual cortex that CANNOT be restored
This is why cataracts in infants must be treated early
How is binocular vision developed?
-dependent on visual experience during infancy and early childhood
-produced by correlated pattern of activity in inputs from two eyes converging on "binocular neurons" outside layer IV of striate cortex
where do binocular cells develop?
binocular cells develop in upper regions of BA 17
When does the greatest plasticity for development of stereopsis occur?
greatest plasticity in development in steropsis from 4-6 months
Stereopsis
depth perception
Even though the greatest plasticity for development of stereopsis is 4-6 months, what period might strabismus be treated and corrected?
Greatest plasticity in development of stereopsis from 4-6 months but with some possibility for effective intervention to treat strabsimus at up to 24 months
why is there a prolonged critical period of fine tuning in vision?
continued growth of head and eyes ending at age 10
Stabismus
eyes not properly aligned to each other
when is the most critical phase for development of connections in visual cortex?
1st 6months of life are very important for development of connections in visual cortex
Amblyopia:
poor vision caused by abnormal experience dependent development of visual system
what does cataracts during infancy cause?
Cataracts during infancy results in monocular deprivation, reduced cortical representation for deprived eye that CANNOT be restored with surgery after critical period
when is the ideal time to treat cataracts in an infant?
catarcts in infants must be treated early, ideally within 6 weeks
Stabismus
misalignment due to abnormality in eye muscles or their control
-occurs in 5% of children
-results in failure to develop binocular vision and Lazy eye
what does strabismus result in if not corrected?
failure to develop binocular vision and lazy eye
when should strabismus be corrected for the best outcome?
Should be corrected before 10 months of age
where does activity dependent changes in synaptic strength during development occur at ?
activity dependent changes in synaptic strength during development occurs at glutamate synapses
describe the activity dependent changes in synaptic strength during development at the glutamate synapses
Glutamate receptors have 2 major types of receptors: AMPA & NMDA
AMPA receptors provide major excitatory signal
NMDA receptors detect coincident pre- and post synpatic activity because it is both ligand and voltage fated
Describe the molecular basis of Hebbian modification
1. NMDA channel is blocked by magnesium ions at membrane potentials near resting value but block is relieved by membrane depolarizing
2. membrane depolarization provided by release of glutamate (pre-synaptic activity) opening AMPA receptors
3. this relief of Mg++ block by depolarization and the presence of glutamate activates NMDA receptors producing CALCIUM influx
4. intracellular effects of increasing CALCIUM lead to the changes in synaptic efficiency
what is the most important 2nd messenger in the body?
Calcium
What relieves the block of NMDA receptor?
depolarization provided by glutamte opening AMPA receptors
what does the relief of Mg from NMDA receptors cause?
activates the NMDA receptor producing calcium > intracellular effects of increasing calcium concentration lead to changes in synaptic efficiency
what is synaptic strength proportional to?
Synaptic strength is proportional to AMPA receptors
what do changes in synaptic strength involve?
altered synaptic proteins
what does LTP cause?
LTP, increased synaptic strength, mediated by insertion of AMPA receptors
> increases level of response
what does LTD cause?
LTD, decreases synaptic strength mediated by removal of AMPA receptors
how is an NMDA receptor silent?
there are NO AMPA receptors
what is the purpose of having silent NMDA receptors?
can be modified
RECOVERY OF FUNCTION
Why do critical periods end?
1. Capacity for outgrowth of axons is lost
2. Reduced synaptic excitatory synapses
3. mechanism that dampen cortical activation
Describe how the capacity for outgrowth of axons is lost.
reduced trophic signaling, alterations in extracellular matrix, and myelination
-once axons are myelinated >limites the response
how many of our synapses are lost at puberty?
50% of synapses lost at puberty
what occurs in the maturation of excitatory synapses?
1. altered properties of glutamate receptors
2. stabilization of synaptic proteins
3. altered intracellular response to receptor activation
what are some mechanisms that dampen cortical activation?
1. development of inhibitory circuitry can limit/control effects of excitatory input on NMDA receptors
2. changes in modulatory NT or its effects
True or FAlse
Genetic evidence links development and other disorders to defects in brain development
TRUE
what is one of the most heritable neuropsychiatric disorders?
Autism spectrum of disorders
do males or females have a higher incidence of Autism?
males have 4X higher incidence suggesting some variants may have X-link
what do family linkage studies about autism suggest?
family linkage studies implicate genes important for neural development (Neuroligins & neurexins)
what is evidence of abnormal structure/function related to Autism disorders?
-brain overgrowth early in development may interfere with development of connections between areas
-But possible growth arrest later because many autistic adults have reduced volume in specific cortical areas
-Pyramidal cells reduces in size and dendritic branching
what is associated with mental retardation?
pyramidal cells reduced in size and dendritic branching
What have genetic studies identified in dyslexia?
Family studies have identified polymorphisms in genes important for neuronal migration presumably affecting connections between visual and language centers
ROBO1
important for development of commissural connections
DCDC2
expressed at high levels in language areas
What do subtel abnormalities in dyslexics inidicate?
expression levels or pattern of expression affected but mutation is NOT complete
anything you know about Schizophrenia.
incidence 1%
believed to be polygenic, neural development disorder with late onset
30% incidence in people with deletion in chromosome 22
Mutations in DISC J which controls axon guidance and outgrowth
Mutations in Neuregulin, a member of EGF family of proteins important at several stages in brain development
what mutations are present in schizophrenia?
1. DISC J: disrupted in schizophrenia which controls axon guidance and outgrowth
2. Neuregulin: member of EGF family of proteins important at several stages in brain development
what single genes are associated with mental retardation
Several single gene mutations
Fragile X
Rett
Noonan syndrome
what causes DOWN'S SYNDROME?
extra copy of chromosome 21 with over expression of DSCAM, cell adhesion molecule promoting neuronal differentiation and axonal outgrowth
what occurs in FRAGILE-X mental retardation
triplet repeat in an RNA binding protein FMR1 associated with immature dendritic morphology
-cannot have many synapses
Rett Syndrome
X-linked dominant with developmental regression in early childhood
Mutations in MECP2 gene which encodes for transcriptional repressor that silences methylated genes
Lissencephaly
one cause of loss of function of reelin which guides neuronal migration