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31 Cards in this Set

  • Front
  • Back

What are the frontal lobes important for?

Supervisory Functions (including working memory, control and social interactions)


Personality


Behaviour

Who was Phineas Gage?

Had damage to the front lobe - underwent personality shift: changed his mind a lot, became rude and died from an epileptic seizure

Who was Arnold Pick?

Described man who had loss of speech and dementia. The brain was atrophied and localised shrinkage due to brain cells dying.

Neuropathology associated with Picks

Frontotemporal atrophy with knife like thinning of the gyri in frontal and temporal lobes.


Ventricles enlarged


Cells with abnormal tau protein inclusion


Different to Alzeihmer's which atrophy is generalised

What is frontotemporal dementia?

It is known as picks


Abnormal spontaneous behaviours including inappropriate jerking, echolalia, echopraxia, depression, primitive reflexes present

What happens during first two years of picks?

Abnormalities relate to frontal lobe with two pathways: Orbitofrontal and Dorsomedial

What is the orbitofrontal pathway?

Dysfunction leads to aggressive and social inappropriateness

What is the dorsomedial pathway?

Dysfunction leads to lack of concern, apathy or decreased spontaneity

What are the other symptoms of picks?

Memory impairment is less severe than Alzheimer's


Verbal output is often nonfluent e.g. naming objects


Akinesia


Plastic rigidity


Perseveration

What is frontal lobotomy

Severe connections between the lower part of the brain with the two frontal lobes

What are the side effects of frontal lobotomy?

Patients were stimulus bound


Reacted to whatever was in front of them


Gained weight


Sexually promiscuous


Could not form/sustain goals


distracted by circumstances

Who was W.R?

Suffered a seizure and had a large astrocytoma, traversing along the callosal fibres and invading prefrontal cortex


He had no regard for future but wish he was able to pull things together as he knew something was wrong


Response to death: detached, no rage and absence of concern

What are Gliomas

The are the most common brain tumour


Relatively fast growing


Arise from glial cells hence glioma

What are the frontal lobes for?

Stimulus bound utilisation behaviours


Personality


Supervisory functions: including working memory, inhibition, control and decision-making


Acquired Sociopathy

What happens when the lateral prefrontal cortex is damaged?

Intelligence and language intact


Behaviour is reflexive, becomes more stimulus driven


Cannot keep interpreting the environment based on previous knowledge

Working Memory and the Lateral Prefrontal Cortex - McCarthy study

Conducted a spatial vs. working memory task in fMRI


Spatial wm task: respond when stimulus appears in location that has been used previously


Colour task: respond when red object appears


Results: far greater activation in the lateral prefrontal cortex in the wm task than the colour task

Wisconsin Card Sorting Test

About Concept formation and :LPC


Had to sort cards by principles that you didn't know about


Results: with damage, you may get the first one right, but you will get the rest wrong as you will persist the first principle as you can't use new information to change behaviour


SO


Perservation and impaired performance

How does the card test: working memory

As the integrated information was relevant from previous trial - must manipulate information on-line

Computerised Test of Cards Test

Results showed: the prefrontal cortex active whilst doing the task, but the more dimensions given, the greater the activation

Organisation of memory experiment

Gave people cards with simple objects, had to tell you which item came first


Results: Recognition task: temporal damage did the worst


Recency Task: Frontal lobe did the worst


Wasn't able to say which of the two events came more recently

Organisation of Memory and Cooking

With Frontal Lobe Lesions


Could arrange sequence of cooking, but could not arrange actions into proper sequences


Could not generate a plan to achieve a coherent goal


Had trouble switching tasks

Goal Oriented Behaviour and Shopping

Even if given a shopping list, participants failed to pay for items and failed to buy an alternative item when favourite was not available


Unable to shift their thinking

Why is goal-orientated behaviour important?

It allows us to identify and select goals and develop appropriate subgoals


Anticipate consequences


To select subgoals need to filter irrelevant information

What is the function of the anterior cingulate cortex?

Modulate autonomic response, PLUS attentional and monitoring functions


Input: from limbic structure


Output: to prefrontal cortical areas

Anterior Cingulate Cortex (ACC) experiment and attending to features

Results:


When attending to single visual feature = passive, more enhanced activity in feature specific region


When attending to all three features = divided attention, ACC activation

ACC as emotional amplifier

Emotional signals can be interoceptive or exteroceptive and the acc is a buffer zone that amplifies their signal to areas


ACC could be involved in the experiential aspects of emotion


Superordinate role in executive control of attention and motor responses of emotion

What are the three sets of projects in the ACC

1. Project from ACC to Motor Control/Spinal Cord = involved in initiating actions and getting over inertia


2. Connect with lateral prefrontal cortex: Cognition = monitoring conflicts


3. Amplifies the afferent via ACC

What is the orbitofrontal cortex and its two sub areas

Allows us to integrate incoming information with information about goals, experience and current social situation




Ventromedial Prefrontal Cortex


Lateral-Orbital Prefrontal Cortex

Orbitofrontal Cortex and Elliot who had damage there

Had a lack of concern for social rules, decreased social awareness and empathy


Post Surgery: could not make judgements, or shift from tasks, took risky ventures

Orbitofrontal Cortex and Decision Making - Skin Conductance experiment

Looked at you anticipate getting a reward/punishment


Results: When anticipating cards: patients had a very low skin response in comparison to control


But were also low when got reward/punishment


They were not fussed about what was going on in life

J.S. and orbitofrontal trauma

Had high levels of aggression and callous disregard of others and lack of remorse


Poor judgement of moral transgression


Poor attribution of emotion


Impaired ability to generate consequences of inappropriate behaviour