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64 Cards in this Set

  • Front
  • Back
What are the four cerebral lobes?
Frontal, parietal, temporal, occipital
What are the main sulci and fissures?
Central Sulcus (of Rolando)

Lateral Sulcus (of Sylvius)

Parieto-occipital fissure

Calcarine fissure

Pre-occipital notch
Pre-occipital notch
Indentation that begins the separation of parietal from occipital lobe
Frontal lobe
From the tip of the brain back to central sulcus
Central Sulcus (of Rolando)
Separates the frontal lobe from parietal lobe

Natural boundary
Location of the Parietal Lobe
From central sulcus to "imaginary line" (parieto-occipital fissure) separating it from the occipital lobe
Location of the Temporal Lobe
Inferior to lateral fissure

Separated from occipital lobe by pre-occipital notch
Lateral Sulcus/Fissure (of Sylvius)
Separates the temporal lobe from the frontal and parietal lobe
Location of occipital lobe
Bounded anteriorally by parietal and temporal lobes
Parieto-occipital fissure
Separates the parietal lobe from the occipital lobe
What is the insula?
Cortical area, buried in depths of lateral sulcus

Hidden by parts of the frontal, temporal and parietal lobes
Why is the insula important?
Important in speech production

If damaged, it could cause apraxia
Operculum
If you "open up" the temporal lobe, the parts that overhang make up the roof of the insula
What are the parts of the operculum?
Frontal operculum

Temporal operculum

Parietal operculum
Where is the cingulate gyrus?
Medial location - immediately superior to corpus callosum

Connected to corpus callosum, olfactory bulb and limbic system
What is the role of the cingulate gyrus?
emotional responses

Drive-related behaviors
What are the anatomic divisions of the frontal lobe?
Precentral gyrus

Superior frontal gyrus

Middle frontal gyrus

Inferior frontal gyrus
What are the 3 areas of frontal cortex?
Pre-frontal

Pre-motor

Pre-central
Pre-frontal gyrus
Executive functions (critical thinking, self talk, self monitoring, organizing, planning)

Personality
Pre-motor gyrus
Everything in front of the pre-central gyrus

Related to voluntary motor activity
Pre-central gyrus
Fissure of Rolando

Motor strip

Initiation of conscious, voluntary motor movement - just gives the command, the rest of the brain refines the activity.

Many neurons of descending pathways originate here and go to the brainstem and spinal cord
What are the functional divisions of the frontal lobe?
Primary motor cortex, aka motor strip (pre-central gyrus)

Pre-motor area
Contralateral
Fibers originate on one side of the brain, decussate and innervate opposite side of the body
Ipsilateral
Fiber tracts originate and innervate the same side
Homunculus
Map of body in cortical areas (outer cortical layer)

The greater the fine motor movement required, the greater the area taken up for that body part (e.g. hand = larger area than leg)
Superior Frontal Gyrus
Perpendicular to pre-central gyrus

From central fissure down towards frontal pole

Area: secondary motor to articulatory speech

Medially: goes down to meet cingulate gyrus
Inferior Frontal Gyrus
Posterior portion of 3rd frontal convolution (aka gyrus)

Broca's area in left hemisphere - voluntary speech
What will damage to Broca's area cause?
Articulation formulation/language production and written language

?
What will happen if you have damage to Broca's area AND the insula is compromised?
Apraxia of speech - inability to voluntarily move the articulators to produce speech
True/False: Damage to Broca's area will cause Broca's Aphasia.
False, Broca's aphasia results from damage to Broca's area and neighboring areas
What is the difference between voluntary motor of articulation and articulation/language formulation?
Voluntary motor of articulation = being able to voluntarily move (program) the articulators

Articulation/language formulation = Has to do with language (sentence construction, syntax)
What are the results in Broca's aphasia?
Problems with comprehension, sentence construction, syntax

Only minor articulation problems
What are the functions of the frontal lobe?
Consciousness: how do we know what we are doing?

How do we initiate activity?

Judgments we make about what occurs in our daily life

Control of emotional responses, of expressive language

Assign meaning to words

Word associations

Memory for habits and motor activities
What problems might we have if we have damage in the frontal lobe?
Loss of movement - contralateral paralysis

Unable to plan sequences of events

Loss of flexibility in thinking - becomes concrete (abstractions become hard)

Changes in personality and mood

Inability to express language - Broca's Aphasia

Perseverate, distraction, concrete, emotionally labile (extreme, rapid temperament changes), fragmented behavior
What are the areas of interest in the parietal lobe?
Postcentral gyrus

Supramarginal gyrus

Angular gyrus

Arcuate fasciculus
Postcentral gyrus
Parallel to precentral gyrus but more posterior (behind central fissure)

Sensory cortex - receives sensation

Initial cortical processing of tactile proprioceptive info
Supramarginal gyrus
"Caps" the upturned end of the lateral sulcus
Angular gyrus
Posterior to supramarginal gyrus
Arcuate Fasciculus
Not visible on lateral view - must go inside to see

Not a gyrus - anatomical landmark

White mater

Links Wernicke's and Broca's areas
What is the function of the parietal lobe?
Plays important role in ability to discriminate size, shape, texture, maintaining body position in space
Parietal damage in right hemisphere
90% of people will have contralateral side neglect
Left side neglect with parietal damage in right hemisphere
Half of field of vision is "not seen" (in this case, the left side)

Can affect personal space: left side "not there"

Visual fields jumbled - not a sensory problem (glasses won't help)
Damage to postcentral gyrus
Specific losses with partial recovery

-sense of position in space
-unable to localize area being touched
-Discriminating between shapes, sizes is difficult
Parietal damage in left hemisphere
Only 33% or fewer patients with left hemisphere damage will show right side neglect

Acalculalia (reduced math skills)

Orientation problems
What are the functions of the parietal lobe?
Location for visual attention and touch perception

Manipulation of objects

Integration of different senses that allow understanding a single concept
What are some observed problems of the parietal lobe?
Unable to attend to more than one object at a time

anomia, agraphia, alexia (dyslexia) and acalculalia

difficulty drawing

one side neglect

difficulties with eye-hand coordination
What are the gyri of the temporal lobe?
Superior temporal gyrus

Middle temporal gyrus

Inferior temporal gyrus
Temporal lobe
Lateral surface is primary reception area

Superior temporal gyrus continues into lateral sulcus

Forms inside (medial) wall (temporal operculum)
Gyrus of Heschl
Termination of information started by 8th auditory nerve from cochlea

Folded into superior temporal gyrus (can't see it from the outside)

Portion that continues in middle (into lateral fissure) is primary auditory association area
Where is Wernicke's area?
In the left hemisphere, posterior 2/3rd of the superior temporal gyrus is called Wernicke's Area
Damage to Wernicke's area
Problems with language formulation and comprehension

Problems with auditory comprehension

No articulation problems but "run on speech"

Can also be emotionally labile
What are the functions of the temporal lobe?
auditory reception/hearing ability

memory and language

categorization

some visual perception
What are some observed problems of the temporal lobe?
Difficulty understanding language - Wernicke's aphasia

Difficulty recognizing faces (prosopagnosia)

Short term memory loss

Interference with long-term memory

Categorization problems
What are the parts of the occipital lobe?
Primary visual cortex

Visual association cortex

Calcarine Fissure

Medial Gyri
Where is the primary visual cortex found?
In the left and right medial surfaces of each hemisphere - not on the lateral surfaces!
What problems can damage to the occipital lobe cause?
Visual field problems, but not visual acuity
-Homonymous hemianopsia (half of the visual field on the same side of the damage)

Alexia without agraphia - can't read but can write (single modality disorder)
-damage includes neighboring areas
-visual cortex + splenium of calcarine fissure + part of supramarginal gyrus
What is the function of the occipital lobe?
Vision

Visual field problems

Identifying colors

Visual illusions - inaccurately seeing objects

Word blindness - difficulty reading and writing

Unable to recognize the movements of an object
Ventricles
Closed system of 4 communicating cavities within the brain, filled with cerebrospinal fluid
Fluid exits which ventricle to fill the subarachnoid space?
The fourth ventricle
What are the holes in the 4th ventricle called?
Foramen of Magendie
Foramina of Luschka
Where are the lateral ventricles?
One in each hemisphere

Anterior horn in the frontal lobe

Posterior portion in occipital lobe

Inferior horn extends to temporal lobe
What forms the roof of the lateral ventricles?
Corpus callosum
What forms the lining of the lateral ventricles?
pia mater
Caudate nucleus
Gray matter in middle of each hemisphere

Part of basal ganglia

Communicates with 3rd ventricle through holes (foramen of monro, aka intraventricular foramen of monro)