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224 Cards in this Set

  • Front
  • Back

CNS

Brain + Spinal Cord

Peripheral Nervous System

Outside skull + Spine



Brings info (sensory) to CNS and carries out CNS signals

Somatic Nervous System

Controls organs under voluntary control



Ex. skeletal muscles

Afferent Nerves

Sensory

Efferent Nerves

Motor

Autonomic Nervous System

non-voluntary system



Sympathetic and parasympathetic nerves

Sympathetic Nervous System

Thoracic + Lumbar



"Fight or Flight"



Second Stage neurons far from the targt organ

Parasympathetic NS

Cranial and Sacral



"Rest and Restore"



2nd stage neurons near target organ

Connects the 2 cerebral Hemispheres

Corpus Callosum

Gyri

Elevated ridges 'winding' around the brain

Sulci + Central Sulcus

Small grooves dividing the gyri



Divides the frontal lobe and parietal lobe

Fissures



Longitudinal Fissure



Transverse Fissure



Sylvian/Lateral Fissure

Deep grooves divinding large areas of the brain



Divides the 2 cerebral hemispheres



Seperates the cerebrum from the cerebelum



Divides the Temporal Lobes from the Frontal +Parietal Lobes

Frontal Lobe

Memory Formation



Emotions



Decision Making/Reasoning



Personality

Primary Motor Cortex (Precentral Gyrus)

Cortical site that controls the movements of the body

Broca's Area

Controls facial neurons, speech and LANQUAGE COMPREHENSION



LEFT of Frontal lobe

Orbitofrontal Cortex

Site of the frontal lobotomies

Olfactory Bulb

Cranial Nerve I, Smell

Parietal Lobe

Sense and integrates sensations



Spatial awareness and perception



Proprioception - Awareness of body/body part in space and in relation each other

Primary Somatosensory Cortex (Postcentral Gyrus)

Site processing tactile and prorioceptive information

Somatosensory Association Cortex

Assist integration and interpretation of sensations relative to body position and orientation in space



May assist visuo-motor co-ordination

Primary Gustatory Cortex

Primary site for the interpretation of Taste

Occipital Lobe

Vision + visual stimuli

Primary Visual Cortex

Sight-recognition of size, light, motion, dimensions, etc

Visual Association Area

Interprets info aquired through the primary visual cortex

Temporal Lobe

Hearing,



organizations/comprehension of lanquage



Info retrieval (memory and memory formation)

Primary Olfactory Cortex

Interprets sense of smell once it reaches via olfactory bulbs

Wernicke's Area

Lanquage Comprehension



Left of Temporal Lobe

Wernicke's Aphasia

Lanquage comprehension inhibited



Words + sentences not clearly understood and sentence formation may be inhibited or non-sensical

Brainstem

Controls basic life ft'n (breathing HR)



Most cranial nerves



damage = fatal

Cerebellum

Central Vermis


2 Cerebellar Hemisphere


3 cerebellar peduncles



Control balance + coordination

Diencephalon

Thalamus



Hypothalamus

Thalamus

Primary Sensory Relay station of brain



Processes signals before they are sent to the cerebral cortex

Hypothalamus

Hormones + homeostasis



HR, BP, Digestion, Water balance, endocrine ftn

Hypophysis/Pituitary Gland

work w hypothalamus to control endocrine ftn

Telencephalon - Cerebral Cortex

Concultions serve to increase surface area



Corpus Callosum - Largest hemisphere connecting tract

Telencephalon - Subcortical Structures

Limbic System - regulation and motivated behaviours



mammillary bodies, amygdala, fornix, cingulate cortex, septum



Basal Ganglia Motor System


Stratium, globus pallidus

Lymbic System - Role + Major Structures

Emotion + memory



Amygdala, hippocampus, cingulate, cortex, fornix, septum and mammillary body

Basal Ganglia

Control movement, thought and emotion



damage contributes to parkinsons



Structures - Caudate Nucleus, Puamen, Globus Pallidus

Cranial Nerves

Olfactory


Optic


Oculomotor


Trochlear


Trigeminal


Abducens


Facial


Vestibulocochlear


Glossopharyngeal


Vagus


Accessory


Hypoglossal

Olfactory Nerve

Smell



Smell something aromatic


Optic

Vision



Periph visual + visual activity

Oculomotor

Eye movements, open eyelid, constriction of pupil, focuis, proprioception



Pupil size + response to light

Trochlear

Eye movements and proprioception



Ability to rotate eye inferolaterally



Damage - double vision

Trigenimal Cranial Nerve

Sensory Nerve of face



Corneal reflex, sense touch/pain/temo, clench teeth, move mandable

Abducens Cranial Nerve

Eye Movement



Lateral Eye movement



Inability to rotate eyes laterally,eyes rotate medially at rest

Facial

Facial expression, taste



Motor ft'n -> close eye, whistle, frown, raise eyebrown



Inab control facial muscles, distorted sense of taste

Vestibulocochlear Cranial Nerve

Hearing + Equilibrium



Test hearing, balance, ability walk straight line



Deafness, dizziness, nasea, loss balance

Glossopharyngeal Cranial Nerve

Swallowing, salivation, gagging, sensation of tongue/pharynx/outer factor



Gag reflex, swallow, coughing



diff swallowing

Vagus Nerve

Swallowing, taste, speech, CV + GI reg, sensation hunger, fullness etc.

Accesory Nerve

Swallowing; head, neck and shoulder movements



Rotate head + shoulders



Impaired movement

Hypoglossal Nerve

Tongue movements, speech,food manipulation, swallowing



Toungue ft'n



Diff speech/swallowing, atrophy toungue

Gray Matter

Inner component, primary cell bodies

White Matter

Outer area, mainly myelinted

Dorsal area of spinal chords

Afferent + sensory nerves

Ventral

efferent + motor nerves

Spinal Chord segments

31



8 cervical



12 thoracic



5 Lumbar



5 Sacral



1 coccygeal segment

Blood - Brain Barrier

20th weeks gestation -> WHY careful about alcohol + other chems



prev passage harmful substances from blood to brain



formed tight junctions between capilary cells

3 Layers of the Meninges

3 Layers



Pia Matter - tought + flexible, outermost


Arachnoid - spiderlike


Dura Matter - thin + delecate

Meningitis

Infection of the meninges



Can cause CNS damage



stiff neck + severe headache

Circle of Willis

Ring arteries @ base pf brain



Anterior cerebral, middle cerebral, posterior cerebral

Anterior Cerebral Arteries

Anterior + inferior portion frontal lobes



Parietal Lobes

Middle Cerebral Arteries

Lateral aspect of frontal, parietal and temporal lobes



diencephalon (thalamus + hypothalamus)

Posterior Cerebral Arteries

Occipital Lobe



Thalamus



Midbrain

Ventricular System + CSF

Brain 4 ventricles that house CFS



CSF transport nutirents + ions + hormones to neurons, removes waste and acts as a cushion



3rd + 4th ventricle connected by cerebral aqueduct

Major Internal Features NEuron

ER, Cytoplasm, Ribosomes, golgi complex, nucleus, mitochondria, microtubules



Synaptic Vesicles + Neurotransmitters

Glial Cells

Support Neurons



10:1



4 Classes

Oligodendrocytes

Glial Cell



Extensions rich in myelin create myelin sheathes in CNS

Schwann Cells

Sim ft'n to oligodendrocytes but in PNS



Can guide axonal regeneration

Astrocytes

Largest glia, star shaped



ensheathe synaptic connection tween' neurons and required for synapse formation and maintenence

Microglia

Involved in injury + disease response

Executive Functions

Thinking, Planning, Organizing

Membrane Resting Potential



Threshold for Action Potential

-70mV



-55mV

Duration of Stimulus from Neurotransmitter limited by

Breakdown of Chems in the synaptic cleft



Reuptake of neurons by the neurotransmitter

Milestone Prenatal Dev

D 1: Conception - Sperm + Ovum = zygote



D 10 -14: Implimentation = Zygote burrows into uteran lining. Placenta, umbilical chord and embryo precursors already formed



wk 3 - 8: Oranogenesis - All organs form



wk 9 - 38 Growth and organ refinement


2.5cm 7g -> 51cm + 3.2 kg



Most neurons by wk 28

The Embryo

wk 3 - 8



Formation ectoderm, endoderm and mesoderm



ectoderm -> neural plate (stage 8 D 17-19) -> neural tube -> brain

Period Fetus

9 - 22 wk



tremendous brain dev


synaptogeneis + myelination

Stages NS Dev

Neural Plate -> Neural Groove -> Neural Tube -> Neual Crest



Neural Tube forms brain and spinal chord



Neural Crest -> autonomic and sensory ganglia as well as adrenal medulla

Neural Tube Defects

1-10/1000 births



Anencephaly and spina bifida occur in equal frequencies

Anencephaly

Incomplete closure cranial end of neural tube



Forebrain fails to dev -> lack folic acid potent



Failure close at stage 11 (day 23 - 26)

Spina Bifida

Imcomplete closure of caudal end of the neural tube



Paralysis, loss bladder, lack lower extremities

Primary Neurulation

Formation neural Structures into a tube, forming brain and spinal cord

Secondary Neurulation

Formation of the lower spinal chord, which gives rise to lumbar and sacral elements

Disruption Stage 8-10

cause craniorachischisis, most severe neural defect

Neural Crest Cells

Migrate through body



form ANS, Somatosensory neurons + receptors and adrenal medulla

Critical Periods

Periods in dev where a large # of synapses are formed, disrupting these times can lead to functional deficits

Nutritional Deficency Issues


Folic Acid



Iodine



Iron



Zinc

Neural Tube defects



Most prev cause mental deficits



Inc risk premi



Low birth weight and small head circumference

Fetal Alcohol syndrome

Distinct facial feature, growth retardation, CNS impairment, brain abnormalities

Fetal Alcohol Effect

Milder form FAS wo. facial features of FAS

Facial Features FAS

Short palpebral (eyelid) Fissure



Indistinct Philtrum



Thin Upper Lip



Microcephaly: small size of head comp to rest of body



Microphthalmia: Abnormal smallness of eyeball

Pathophysiology FAS: Effects of time of alcohol

When sperm + egg meets: either dies or lives



day 7-8 craniofacial dev abnormalities



wk 4-8 specific organ defects, most commonly neurological system

Infections

Cytomegalovirus



Syphilis



Rubella



Toxoplasmosis

Cytomegalovirus

Primary (2-4% severely malformed) + recurrent (<%1 infected)



30% moratlity affected -> mental retardation, hearing loss, cerebral calcifications



Temp sympts - Liver + spleen issues, jaundice, small birht size, seizures



Perm disab. -> Hearing loss, vision loss, mental disability, small head, lack co-ordination, death

Rubella

1st trimester infect -> Congenital Rubella - Deafness, cataracts, retardation



no treatment -> vaccine



inner ear + occular defects, microcphaly, mental + motor retardation, CP

Toxoplasmosis

3rd trimester infection (can be 1st/2nd but much lower chance)



via transmission



Hydrocephaly , microcephaly, jaundice, fever, seizers, chorioretinitis

Cerebral Palsy

Disabling symptoms resulting from damage to motor control areas of brain



Palsy = Disordered movement or posture



Most common cause of childhood phys disab



dev delay, abnorm muscle tone, bad posture

Apgar Test

1st test given to baby immed after birth



Scale 0 - 2 5 factors


Appearence (Skin colour)


Pulse (HR)


Grimace Response (reflexes)


Activity (msucle tone)


Respiration (breathing rate and effort)

Dolphin Palsy

CP child put in tank w dolphin

Space Suit

Treatment CS - modeled after Russian astronaut uni that helped keeps muscle tone in space

Video Games therapy

CS ex. wii



cheaper than other treatments

Attention Defincit Hyperactivity Disorder

Lack inhibition, lack attentivemess, hyperactivity



1st discovered in classroom -> most common behaviour disorder childhood



Same sympt as those w. prefrontal cortex damage



6-10%, M > W

ADHD Pathophysiology

Genetic factor (.80 -.85) heritability



Dysfunction prefrontal lobes



Genes involved dopamine regulaation


Dopamine transporter (DAT1)


Repeat dopamine receptor gene (DRD4)



abnormality frontostriatal circuitry (prefrontal cortex, basal ganglia, cerebellum) -> assoc w executive ftning (spatial working memory, response inhibition)

ADHD + Neurotransmitter

dif levels


Dopamine - Approach + pleasure seeking behaviours


Norepinephrine - emotional behaviour + regulation


Epinephrine


Serotonin

ADHD Treatments

Methylphenidate - Ritalin, Concerta and metadate



Adderall



Blocks reuptake of norepinephrine (NOR) and dopamine (DOP), facilitating release


Tourette's Syndrome/Gilles de la Tourette Syndrome

motor + vocal ticks



Inherited - 6 - 10 years



Severity highest puberty then stabalize adulthood



M > F

Tics

Sudden, rapid, recurent, involuntary actions or vacalizations

Motor Tics

Involuntary, rapid, sudden movement (gen muscles)



Both simple + complex

Vocal Tics

Invol, rapid, sudden vocalization



inv. larynx, throat, sinuses or mouth

Simple Tics

Gen involve muscle group, look like spasm



eye blink, head sway, foot tap



Grunt, snort, cough, sniff

Complex Tics

1 + Muscle group, long and intricate



pulling at cloths, punching kicking



Barking, whistling, coprolalia (invol swearing), echolalia (rep ambient sounds or something said by another), palilalia (invol rep syll, words or phrases)

TS etiology

Genetic component



Hypersensitvity DA neurotransmission and dysfunction opioid system

Dyspraxia

Difficulty org of movement



early sympt. - Delayed lanquage, highly emotional



Both Devepmental Dyspraxia (Co-ordination disorder), Verbal Dyspraxia (dev apraxia of speech)



M > F

Symptoms Dyspraxia

high level excitability + motor activity



Moves awkwardly



Poor fine motor skills



Isolated in peer group



Lack imaginative play



Limited

Treatment Dyspraxia

Rehabilitation



*Gen component abscense paternal copy FOXP2

Autism

Social - Nonverbal behaviour, relationships, seeking interaction



Communication - Repetitive



Behaviours - Obsessive, inflexible, repetitive

Autism Factors

Sex



Family History - Gen component



Exposure exogenous agent


- immune activation, toxicant exposure

Diagnostic and Statistical Manual of Mental


Disorders (DSM-IV)

List of mental disorders



General serious functional which interferes with or limits one or more major life activities

12 month prevalence of disease in US adults

25%



50% lifetime

DALYs

Disability-adjusted life years



Total # of years lost to illness, disab or premature death in a population



Leading cause Neuropsychiatric Disorders (more than cardiovascular diseases)

Schizophrenia

Chronic, severe and disabling brain disorder



1% Americans



Schizophrenia Symptoms

Positive Symptoms (extra stim) - Delsusions, hallucinations, thought disorders (more responsive to medications)



Negative Symptoms - amotivation, social withdrawal, flat affect (Dev w. progress illness)



Congnitive - Distractibility, impaired working mem + executive ftn (occur in assoc w neg sympt)



Mood - Mania and depression

Schizophrenia gene

5HT



Low baseline DA and stimulated release

Anxiety Disorder

EXCESSIVE anxiety (which is a normal stress reaction)



Most common mental disorders Americans (18.1% pop)



W > M

Pathophysiology General Anxiety Disorder

5-HT Neurons



GABAergic Neurons



Overactivity NA neurons from locus coeruleus

Mood Disorders

Underlying prob prim. affects mood



Major Depressive Disorder



Dysthymia



Minor Depression (Psychotic/postpartum/Seasonal Affective disorder)



Bipolar Disorder



W > M by 50% (10% pop, 45^% severe)

Mood Disorder - Chidlren + adolscents

14% 13 - 16



Rates increase as age increases

Major Depressive Disorder

Feelings of sadness interferes with daily life



Symptoms must be present for 2 weeks:


Depressed mood


Lack of pleasure (anhedonia)



also: weight gain/loss, overwhelmin sad/fear, disturbed sleep, thought death, suicide attempt, fatique (5 sympt must be present)



W > M (70%)

Major Depressive Disorder rates

Adult 16.5% life, 2% 12 month



Adolescent 11% life, 3.3% severe

r Depressive Disorder theories

5-HT, NE and DA (Monoamine) imbalance



Stress endocrine system



Immune activities

genesis

Subventricular lining of the lateral entricles



Subganular zone part of the dentate gyrus of the hippocampus

Addiction + 5 commonly abused drugs

Actions drug abuse vulnerable brain -> gen repeat exposure



Tobacco (nicotene - 70% experimenters become addicted) Alcohol (55% heritability, tolerance devs) MJ (THC cannabis sativa, int short-term memory and multi step tasks) Cocain + stimulants (inc neural and behavioural activity. Crack = cheap smokable coke)



Long term trends - Decreasing

piates: Heroin + Morphine

from poppies - med uses



High risk addiciton

Emerging Adult

18 - 25

Puberty + Hormones

begins sig hypothalamus -> pituitary gland -> adrenal gland + gonads



Testosterone and estradiol released



inf mood and though

Estradiol ->

Primary Female Sex Hormone

Risk and Adolescence

Inc risk drugs + alcohol


Addiction


Mental Illness


Risk Taking



Impulse control + emothions not yet mature



Large increase in frontal lobe size and executive functioning

Neurodevelopent + Risk youths

Inc risk taking - specif group setting



Low effort - high excitement activities



Reward Sensitivity - more bang for buck



Interest novel stimuli



Decreased self-regulation

Dev brain + Nicotene

Increase in nicotine Receptors

Estimated Cost substance abuse problems

Drug $181 billion



Alcohol - $185 billion



Tobacco - $193 billion



$559 Billion/year

Dev brain + drug

Decreased brain metabolism

Prevalence Drugs

Alcohol Use - Ever 203m


Cocain use ever 35m


Alcoholism 18.8m


Herion use ever - 3.7m


Cocaine Addiction 2-3 m


Heroin addiction 1 m



Opiates (illicit use) 33.5m


dependence opiate - 1.6m

Law of Effect

E = SIC



Substance x Context x Enviro

Drug Abuse

activate reward system of the limbic area of the brain - pleasure



activate primal, survival limbic structures - override frontal cortex

Reward Sensitivity

more noelty + higher level of stimulation



changes limbic system, endocrinology and immature self-regulatory system



Nucleus Accumbens (NAc) involved in drug rewards

Brain Structures + addiction

Inititial DDrug Taking - Mesocorticolimbic pathway (Nucleus acumbens), prefrontal lobes, amygdala



Craving + Compulsive Drug Use - Dorsal striatum and hypothalamic stress circuits



Relapse - Priming doses (prefrontal cortex), drug associated cues (amygdala) and stress (hypothalamic circuits)

Cognitive Cortex

Centered in the frontal lobe



intelligence, judgment and behaviour



Inhibition innapropriate responses and dangerous impulses

Input to 'cognitive cortex'

Somatosensory Cortex



Auditory Association Cortex



Visual Association Cortex



Thalamus - ill input integrated into cognitive Cortex

Emotional Cortex

Cognition + Behaviour



connected sensory regions



affect physiological response via ANS



Commun w cognitive cortex -> emotions to be considered in decisions

Declarative Memory

Mem that can be described in world -> phone #, dates

Non-Declarative

Motor Skills, emotional reesponses



ex. bike, driving car

4 Stages of Declarative Learning

Aquisition



Consolidation



Storage



Retrieval

Short term memory/'working memory'

'working memory' - seconds to minutes



True short term memory - minutes to days



Strengthen synapses


More pre + postsynapses + synaptic vesicles + NT molecules

3 Classes of cognitive disorders

Delirium - temp confusion + disorientation



Dementia - broad degenerative cognitive deterioration



Amnestic Disorders - Memory dysfunctions caused by disease, drugs or toxins

Delirium

Cloudy counscieous - memory + ability to be in the moment affected



dev rapidly over hours/days



10-30% of those in acute care facilities



older adults, AIDs, med patients



full recovery win. several weeks

Symptoms Delirium

Perceptual disturbances



Speech/motor problems



Hyper/hypoactivity

Delirium + med condition

drug intoxication or withdrawal



head/brain trauma, infections



stress, sleep deprivation

DSM-IV subtypes of delirium

due to med condition



substance induce



due to multiple etiologies



delirium not otherwise specified

Dementia

Gradual deterioration brain



mem impair, agnosia - inab to name objects.


, facial agnosia, delirium, depression, apathy



Late Stages - functioning deteriorates, almost total support required



death from inactivity and other illnesses

7 A's of Dementia

Anosognosia - cant rec something changed and something wrong



Agnosia - cant rec things through sense



Aphasia - lose lanquage incl speech, understanding, reading and writing



Apraxia - lose ability purposeful movement



Altered Perception - misinterpret info around you



Amnesia - loss of memory



Apathy - not take initiative

Dementia prev

1% 65 - 73



47% 85 +

Classes of Dementia

AZ type



Vascular Dementia



Due to other med condition



Substance induced



Multiple etiologies



D not otherwise specified

AZ Progression rate + av survival time

Slow during early and later stages, rapid @ middle




8 years

AZ Pathophysiology

Cortex shrivels up - damage thinking, planning and remembering areas



Shrinking severe hippocampus



ventricles grow



Plaques form (abnormal cluster protein fragments) dead + dying nerve cells contain tangles which are made up of twisted strands of another protein


Beta-amyloid

Accumulates extracellular to from plaques

Tau Protein

accumulate intracellularly to from neurofibrillary tangles

AZ treatment

Production NT acetylcholine



Cholinesterase inhibiters mild form AZ


- Aricept, Reminyl ER, Exelon



Ebixa/NMDA receptor agonist for severe AZ

Normal Situation

Glutamate transmits signal via NMDA receptor


recycling glutamate in glia cell



B-Amyloid inhibits glutmate recycling


excess glutamate masks signal transmission


(AZ)



(AXURA TREATMENT)


Axura blocks effect excess glutamate


Restoration physiological signal transmission

AZ Costs

70% AZ receive home care from unpaid caregivers

Vascular Dementia

Progressive Brain Disorder Caused by blockage or damage to blood vessels



sudden onset



2nd leading cause

Causes of Dementia

Head trauma



Parkinson's disease - degen brain disorder



Huntingtons disease - inherited degen brain disorder



Substance-Induced Persisting Dementia - drug combo w poor diet


may prod perm damageq

Amnestic Disorder

unable to recall prev learned information


- loss memory and inab transfer info to long-term memory



DSM criteria


- inab learn new info


-inab recall prev learned info


-memory disturbance cause sig impairment in ft'n

Retrograde Amnesia

Inab to recall past info/memory

Anterograde Amnesia

-inab to learn and recall new info



severe form - immed forget new people

DSM - IV categories amnestic disorders

amnesia due to med treatment


-may be chronic or transient


- med traum/lack oxygen



Substance induced persisting amnestic disorder


- drugs, enviro toxins (lead, mercury, industrial solvents)

Causes of Cognitive Disorder

Biological Perspective - lack flow blood/o2 to brain


-substance intox/withdrawal, high fever, vit defic



Genetic Perspective


- ex. dementia + other cognitive disorder



Other Factors


- head injury + trauma, surgery, substance intox

Brain Imaging

Ultrasound - easy, nonradioactive, noninvasive


- limited resolution, not pass through bone



CT - wide field of view, detect subtle dif body tissues


- radiation, cost, tissue non-specifity



PET - biochem and physiological phenom


- radiation, lower res MRI, most expensive

MRI

- Higher resolution, can show anatomizing details, no ionizing radiation



= expensive, cant be used for those w. med devices

Sensory Systems

Vision



Hearing



Balance



Touch



Taste and Smell



Perception

Primary Sensory System

Input from thalamic relay nuclie

Secondary Sensory System

Input from primary and secondary cortext win. sensory system

Association Sensory System

Input from more than 1 sensory system, usually secondary sensory cortex

Sensation

Detection of the stimulus

Perception

understanding the stimulus

Functional Segregation

Distinct functional areas win a level

Parallel Processing

Simult anal. of signals along diff pathways

Hierarchial Organization of Sensory Systems

Association Cortex



Secondary Sensory Cortex



Primary Sensory Cortex



Thalamic Relay Nuclei



Receptors

Transduction

Conversion of one form of energy to anotherV

Visual Transduction

Conversion of light to neural signals by visual receptors



Pigments absorb light

Absorption Sprectrum

Sprectral Sensitivity

Flow of visual information

Thalamic Relay neurons -> 1o visualcortex (Striate) ->2o visual cortex (prestriate) -> visual association cortex



Higher in the hierarchy receptive feilds -> larger & more complex and specific stimuli

Vision Prosopagnosia

inab to disting faces (oft not limited to just faces)



Damage ventral stream tween occipital and temporal lobes



dif skin conductance response to farmiliar faces comp to infarmiliar faces despite not recognizing



Akinetopsia

Defincency to see movement in a smoot fashion



induce high dose antidepressants



Assoc w damage middle temporal (MT) area of cortex

Amplitude

Loudness

Frequency

Pitch

Complexicity

Timbre

Two stream auditory cortex

Anterior auditory pathway - more involved ident sounds



Posterior Autitory Pathway locating sounds - where

Lesions of Auditory Cortex

permanents hearing defects

Deafness + Types & Damage

Conductive Deafness - damage to ossicles



Nerve Deafness - damage to cochlea



Partial cochlear deafness - loss hearing @ particular frequencies

Somatosensory Systems

Exteroceptive - External Stimuli



Proprioceptive - body positions



Interoceptive - Body conditions (ex. temp + BP)

Dorsal-Column Medial-Lemniscus System

Mainly touch + proprioception



1st synapse in dorsal column nuclei of the medulla

Anterolateral System

Mainly pain and temp



Synapse upon entering the spinal chord



3 tracts - spinothalamic


spinoreticular


spinotectal

Primary Somatosensory Cortex (SI)

Postcentral gyrus



Somatotopic organization (somatosensory homunculus) - more senitive, more cortex



input largely contralateralS

SII

Input SI



somatotopic - both sides of the body

Somatosensory Agnosias

Astereognosia - inab to rec onjects by touch


pure cases rare



Asomatognosia - failure to recognize parts ones own body

Pheromones

chems that influence members of the same species



change olfactory sensation tied to mestrual cycle



synchronization menstrual cycle



sex ident by smell

Anosmia

inab to smell



blow to head that damages olfactory sense

Ageusia

Inab to taste



rare due to mult pathways


Hypogeusia



Dysgeusia

Partial loss taste



distort of taste

Synthesia

Joined sensation



percept condition



idiosyncratic yet stable (same colour for same letter)



1 - 4 % (strong W bias - self-report bias)



strength - memory


weakness - calculations

Common Types Synthesia

Coloured letter/word shading



Tasted words



Coloured Hearing



Personification - graphemes carry human attributes



Spatial Sequence - overlearned sequenced

Verification Synthesia

nueroimaging



The synesthesia - tests grapheme


Letter -> match to colour



check for internal conistency

Theories Synesthesia

More Connections


Insufficent pruning



Increased arborization - outgrowth of neurons despite reg pruning



Less Inhibition


non-synthesthetic brain - exitatation balanced by inhibition


synesthetic brains - inhibition diminished



aquired - LSD (neural targets more easily activated by abnormal outputs)



Reduced Plasticity - Pairings stick instead of modief w each new sighting



genes -Chromosone 16


Arborization

Outgrowth neurons despite reg pruning

Synesthesia + Autism

hyperactivity of neurons



autism - too big focus small



dispoport more common w autistic

Reaserch Utilization

Practical application for original research

Evidence-Based Practices

Basing clinical decision on best possible evidence

Instrumental Utilization

Direct utilization

Conceptial Utilization

Indirect utilization

Stages Adoption of Innovation

Awareness



Persausion



Occasional Use



Regular Use

Archie Cochrane

led to dev cochrane center and Cochrane collaboraion



purposed evidence hierarchy

David Sackett

EBP pioneer at mac med school

Research Related Barriers

Design flaw



NO perfect Study



Timely

Practice Related Barriers

based personal experiences

Barriers HC professionals

Resources



Attitudes



Need willing and open

Time Delay research to practice

As much as 17 years