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51 Cards in this Set

  • Front
  • Back

General functions of the brain:

- acquiring knowledge (from perception)


- storing information (from memory)


>> controlling motor behaviour)




1. element movements: e.g. respiration, heart rate


2. complex voluntary/willed actions: e.g. grasping




>> main acheivement: language and communication

Gross brain structure:

Gross brain structure:



- Brain = very delicatge


- protected by tough connective tissue membrane = dura matter




Right and left hemispheres: bilaterally symmetrical


> Each with 3 major divisions:


1. cerebrum (largest)


2. Cerebellum


3. Brainstem (smallest)

The cerebrum: 2 main components with subdivisions

1. telencephalon


a) cerebral cortex: conscious sensation.perception, voluntary movements/higher cognitive (language) functions


b) Basal Ganglia: movement planning & control




2. Diecephalon


a) Thalamus: various nuclei (related to cerebral cortex)


b) Hypothalamus: various nuclei for regulating appetites + endocrine functions (via pituitary glands)


c) Epithalamus: Pineal gland, regulates circadian rhythms

What is the brain made of?


1. Gray matter

What is the brain made of?




1. Gray matter

- contains cell bodies + dendrites & synaptic inputs from terminal axon (= site of information transfer & processing)




> Neuron cell bodies may be arranged in:


- layers/sheets e.g. cerebral cortex


- groups/clusters: e.g. in thalamus + basal ganglia

What is the brain made of?
 
2. white matter

What is the brain made of?



2. white matter

- contains axons + their myelin sheaths formed by oligodendrocytes



- provides routes for direct long-range connections between neurons in different gray matter regions e.g.



> corpus callosum: carries axons between neuron cell bodies in right/left cortical hemispheres


> internal capsule: carries axons between neuron cell bodies in different thalamic nuclei to different parts of the cortex


Sex differences in brain structure


Cerebral cortex

Cerebral cortex

- the largest + most evolved human brain region




> Anatomically the right + left hemispheres are:


- bilaterally symmetrically + deeply folded


- different regions specialised for different functions




> special senses (vision/hearing)


> motor control (voluntary movement)


> cognitive (language memory)

Cortical folding:  General knowledge 

Cortical folding: General knowledge

outer cerebral cortex is deeply folded, to pack 1250 cm2 surface area into skull




Folds consist of: ridges and furrows




>> deepest sulci divide the cortex into 4 lobes w/ different functions

Cortical sulci, lobes and functions 

Cortical sulci, lobes and functions

1. central sulcus divides 2 lobes


- frontal lobe = motor/movement


- parietal lobe = somatic sensation, touch, temp, pain




2. lateral sulcus divides these from


- temporal lobe: auditory/hearing




3. Pre-occipital notch: demarcates


- occipital lobe = vision

Lobes of the brain

Functional localisation

The Cortical Grey Matter contains different Neurontypes organized into distinct layers:




>> Pyramidal & Granule/Stellate neurons


>> Layers 1-6, from pial surface to white matter




(there are subtle differences in the sizes/density of these neurons + layer thickness from one region of the cortex to the other)

Broddman's cellular architecture: 6 major layers

Broddman's cellular architecture: 6 major layers

I = mainly dendrites + synapses of cortical cells




IV = small granule (stellate) cell bodies




II III V VI =Pyramidal cell bodies




(extra blue areas have more neural bodies- high concentration + no neural cell bodies in I)

Brodmann's areas: CYTOarchitecture

- 52 discrete areas based on differences in layer thickness, cell size distribution



Broddman's area 44/45 = Broca's area for speech production (left hemisphere inferior frontal lobe)



Broddman's area 22 = wernicke's area for speech comprehension (left superior temporal lobe)

Functional brain imaging: for identifying regions of increased brain activity

1. PET however is intrusive




2. Functional magnetic resonance imaging (fMRI)


- non invasive: looks at blood flow in brain


+ activations can be mapped onto anatomical brain image



Primary cortical areas

Primary cortical areas

- bilaterally symmetrical (one in each hemisphere)


- basic sensory or motor functions


- are related to opposite side of the body


- organised as MAPS



1. there is one primary motor area: for the initiation of all voluntary movement



2. there are several primary sensory areas: one each for somatic sensation/hearing/vision

primary cortical areas: motor cortex (M1)

primary cortical areas: motor cortex (M1)

- frontal lobe, pre-central gyrus


- BA = 4: the largest layer


- 5 pyramidal cells


- MAP: MotorHomonculus (inverted + distorted)




> Micro stimulation = movements on opposite side of body


> unilateral damage = hemi-plegia (paralysis on osob)



 Primary cortical areas: somatosensory cortex (S1)

Primary cortical areas: somatosensory cortex (S1)

- parietal lobe, post-central gyrus


- BA = 1. 2. 3.


- Map: Sensory Homonculus (inverted + ditorted)




> unilateral damage = hemi-anaesthesia (loss of tactile, thermal, pain and joint sensation on osob)



Primary cortical areas: auditory cortex (C1)

Primary cortical areas: auditory cortex (A1)

- temporal lobe, heschl's transverse gyri on superior temporal gyrus in the lateral sulcus


- BA = 41 / 42



> unilateral damage = reduced sensitivity or sounds in opposite ear & contralateral auditory hemifield



> projects directly to 2o Auditory Areas involved in speech comprehension

Primary cortical areas: Visual cortex (V1)

Primary cortical areas: Visual cortex (V1)

- occipital lobe, upper + lower banks of calcarine sulcus


- BA 17 thickest layer 4 + sub layers + band of myelin



> unilateral damage = hemi-anopsia (blind in opposite half of visual field)



> Retinotopic: Inverted& distorted (large regions for fovea & central vision, small for peripheryea

Cranial nerve 1: Olfactory nerve (cerebrum)
Cranial nerve 1: Olfactory nerve (cerebrum)

- Pure sensory




- function: relates to sense of smell




- foramen: enters cribiform plate of ethmoid bone


- region supplied: terminates on neurones in olfactory bulb, to higher brain centers




- lesions: causes loss of sense of smell (anosmia)



Cranial nerve 2: optic nerve (cerebrum)

- Pure sensory




- Function: Vision




- Foramen: optical canal at back of orbit





cranial nerve 3: Oculomotor nerve (Brainstem)

- Motor




- Function: controls eye movement/pupil changes




- innervates: 4 extraocular muscles (EOMs)


1. medial rectus


2. inferior rectus


3. superior rectus


3. inferior oblique




foramen: superior orbital fissure, back of orbit

cranial nerve 4: trochlear nerve (brainstem)

- Motor




-function controls eye movement




- innervates: superior oblique




- foramen: superior orbital fissure, back of orbit

Cranial nerve 5: Trigeminal nerve (brainstem)

Cranial nerve 5: Trigeminal nerve (brainstem)

- mixed: sensory and motor


>> main sensory nerve for head


>> motor innervates muscles of mastication + tensor tympani




- foramen (3): superior orbital fissure, formen rotundum, foramen ovale

Cranial nerve 6: abducens nerve (brainstem)

- motor



- function: controls eye movement


- innervates: lateral rectus



- foramen: superior orbital fissure, back of orbit

cranial nerve 7: facial nerve (Brainstem)

cranial nerve 7: facial nerve (Brainstem)



- Motor, senory + autonomic




Function:


- M: innervates muscles of face/ear




- S: innervates taste buds 2/3 of tongue to solitary nucleus




- A: supplies lacrimal gland + submandibular/sublingual salivary glands




- foramen: internal auditory/acoustic meatus




- lesion: leads to ball's palsy

Cranial nerve 8: vestibulo-cochlear nerve (brainstem)

- Pure sensory




1. cochlear nerve: carries auditory info (hearing)


2. vestibular nerve: carries info regarding position/movement of head




- foramen: internal auditory/acoustic meatus




•Cochlearnerve ends in cochlear nuclei in medulla/pons junction


•Vestibularnerve end in vestibular nuclei in medulla/pons junction

Cranial nerve 9: glossopharyngeal nerve (Brainstem)

Cranial nerve 9: glossopharyngeal nerve (Brainstem)

- mixed sensor, motor + autonomic




- function


M: elevates larynx for swallowing


S: bitter taste posterior 3rd + somatic sensation in pharynx


Parasympathetic: salivary glands




Formen: jugular formen

cranial nerve 10: vagus nerve (brainsteam)

- sensory, motor, autonomic




Function:


M: controls muscles of pharynx, soft palate + larynx, controlling speech/swallowing


S: somatic sensations for above + abdominal organs


Parasympathetic: resting/digesting

cranial nerve 11: accessory nerve (brainstem)

- Pure motor




- Function: innervates muscles that rotate head, lift shoulders




- lesions: cause difficulty in above tasks

cranial nerve 12: hypoglossal nerve (brainstem)

cranial nerve 12: hypoglossal nerve (brainstem)

- pure motor




- Function: innervates intrinsic and extrinsic muscles of the tongue for movement and speech prod




- lesions: spasms on the same affected side of tongue

Sensory and motor pathways in the brain are not continuous nerves but consist of...





1. separate nuclei in the gray matter
- operate as relay stations 
- process information before passing it on via...

2. Long range axons in white matter: 
- carry info to neurones at next relay 

1. separate nuclei in the gray matter


- operate as relay stations


- process information before passing it on via...




2. Long range axons in white matter:


- carry info to neurones at next relay

what are sensory and motor pathways?

sensory pathways = ascending 

Motor pathways = descending 

sensory pathways = ascending




Motor pathways = descending

Brainstem divisions

1. separate nuclei in the gray matter


- operate as relay stations


- process information before passing it on via...




2. Long range axons in white matter:


- carry info to neurones at next relay

The Auditory Pathway

The Auditory Pathway

>> there are multiple reylays from inner ear toA1 cortex




1. Hair cells in inner ear = receptors (on basilar membrane of cochlea)




2. contain tonotopic map of sound freq




3. innervated by cochlea ganglion cell axons (8th cranial nerve)




4. goes to cochlear nuclei in medulla (same side)




5. to inferior colliculus in midbrain (most axons cross midline)




6. to medial geniculate nucleus in thalamus




7. to A1 cortex, Heschl's gyri, superior temporal lobe

key nuclei in the medulla

Motor:


- nucleus ambiguous


- hypoglossal nucleus




Sensory:


- nucleus solitarius


- vestibular and cochlear nuclei




- dorsal nucleus of vagus nerve


- inferior salivatory nucleus

The cortical Language pathway

>> 4 seperate relay stations




1. primary cortex A1




2. Wernicke's secondary area for speech comprhension




>> via huge axon pathway: arcuate fasciculus




3. Broca's secondary area for speech production




4. + cooperation with vocalization region of M1 cortex





inter-cortical pathways

damage to Arcuate fasciculus = Conduction aphasia 

- understands speech but problems finding the right word 
-skips/repeats but otherwise fluent 

damage to Arcuate fasciculus = Conduction aphasia




- understands speech but problems finding the right word


-skips/repeats but otherwise fluent

Descending pathways from upper motor neurons

- send instructions to lower motor neurons in spindal cord/ brainstem that innervate skeletal muscles




>> initiate voluntary movements:


- cortico-spinal tract = fine control of body e.g. hand grasping




- cortico-bulbar tract- to medulla = fine control of vocal apparatus /tongue e.g. speech production




(most axons in descending pathways cross the midline)

two descending motor pathways 

two descending motor pathways

1. motor cranial nerve fibres (vocal apparatus)




2. motor spinal nerve fibres (limbs)

Cerebellum: control of voluntary movement

1. Planning:


- PMA of frontal cortex


- contains stored motor programs


- generate complex movement sequences (e.g. in speech




2. Initiation:


- M1 activates the intended motor program




3. Execution:


- cerebellum monitors feed back from movement


- co-ordinates it to enhance smoothness, speed, accuracy

sensory aspects of motor control

1.intention: Motor program monitors current sensory aspects



2. Action: Execution of movement - gives sensory feedback of changes



3. Cerebellum:


Receives above & looks for mismatch between intention + action


- coordinates, corrects errors


- updates plan

cerebellar functions

Involved in sensori-motor coordination:


•Regulates Proper force & sequences of muscle contraction (timing)


•Accurate movement sizes oramplitudes (space)




cerebella lesions = ataxia -clumsy/misdirected movements




1. intention tremor + decomposition: mistiming of muscles forces/ contraction sequences


2. Dysmetria: inaccurate movement amplitudes (over/undershooting)

cerebellar ataxia

cerebellar ataxia

gross anatomy of the cerebellum:

1. outer cortex: 

gross anatomy of the cerebellum:



1. outer cortex:


receives motor plans + different sensory inputs



midline: vermis + floccular-nofular lobe = receives vestibular info





lateral: 2 left/right hemispheres >>




-anterior lobe: proprioceptive (knowing where body parts are in space)


- posterior lobe: proprioceptive, visual auditory


Gross anatomy of the cerebellum

2. paired deep nuclei

Gross anatomy of the cerebellum




2. paired deep nuclei

receive input from one cortical region & sends outputs involved in motor coordination



- fastigial nuclei (at midline, from midline cortex)


- interposed nuclei (from anterior lobe)


- dentate nuclei (from posterior lobe

cerebellar outputs

1. spinal cord: cordinates balance, posture/gait




2. red nucleus: coordinates fine (hand, vocal) movements




3. updates motor plan via thalamus to M1



cerebellar connections

1. Midline: F-N lobes + vermis


- input: receives vestibular info


- nucleus: Fastigal


- output: vestibular nuclei - spinal cord




2. Anterior lobe:


- input: receives info from brainstem/spinal cord


- nucleus: interposed


- output: brainstem nuclei-spinal cord




3. Posterior lobe:


- input: receives info from sensory motor cortex


- nucleus: dentate


- output: red nucleus

higher cognitive functions of the cerebellum

- posterior lobes of cerebellar cortex




1. motor learning: acquisition of new motor skills




2. verbal working memory


- temporary rehearsal during speech prep (inner speech)


- sequencing syllable strings at normal speech rate



speech regions involved in articulation

planning the movements: Broca's area - left inferior frontal cortex




intonation: mirror image area, right inferior frontal cortex




initiating movements: M1




smooth movement coordination: superior cerebellar cortex

lateralization

how some function tend to be more dominant in one hemisphere compared to the other




Pre-articulated speech areas:


- broca's area + cerebellum activated


- M1 is not