Cerebellum (Function) Flashcards

1
Q

Describe the course of the spinocerebellar tract (dorsal and ventral spinocerebellar tracts)

A
  • first order neuron transmits sensation along the spinal nerve and travels via dorsal root in the spinal cord
  • Dorsal (posterior) spinocerebellar tract: is wholly ipsilateral. Second order neuron stays on same side and enters cerebellum at inferior cerebellar peduncle on same side
  • Ventral (anterior) spinocerebellar tract: is contralateral: Second order neuron crosses over, ascends and enters cerebellum where it crosses back over (terminate in the ipsilateral cerebellum.The fibres decussate twice – and so terminate in the ipsilateral cerebellum.
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2
Q

Which of the following is the anterior / ventral spinocerebellar tract

A
B
C
D
E
F

A

Which of the following is the anterior / ventral spinocerebellar tract

A
B
C
D
E
F

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3
Q

Which of the following is the posterior / dorsal spinocerebellar tract

A
B
C
D
E
F

A

Which of the following is the posterior / dorsal spinocerebellar tract

A
B
C
D
E
F

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4
Q

Name the 4 deep cerebellar nuclei [4]
What is their overall collective function? [1]

A

“Don’t Eat Greasy Food”

Dentate
Emboliform
Globos
Fastigial

Overall: Relay nuclei which information to the cerebellum passes through

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5
Q

Which part of the cerebellum is highlighted in green? [1]

Which part of the cerebellum does this structure connect to? [1

How does this part of the cerebellum differ in role to the deep cerebellar nuclei? 1[]

A

Flocculonodular lobe (anterior view)

Connects to the lateral vestibular nuclei of the pons

same function for the flocculonodular lobe as the deep nuclei do for the other cerebellar zones, but the difference is the deep relay nuclei for this lobe isn’t actually in the cerebellum.

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6
Q

Cerebellum function

State and describe the location of the three functional zones of the cerebellum

Also state which cerebellar nuclei related to each zone [4]

A
  1. Vestibulocerebellum comprises the flocculonodular lobe and its connections to the lateral vestibular nucleus of the pons
  2. Spinocerebellum comprises the anterior lobe and vermis, connected to the fastigial, globose and emboliform nuclei
  3. Cerebrocerebellum is comprised of the posterior lobe (cerebellar hemispheres) controlled by the dentate nucleus
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7
Q

Cerebellum function

Label A-C of the functional zones of the cerebellum

A

A. Spinocerebellum comprises the anterior lobe and vermis, connected to the fastigial, globose and emboliform nuclei

B. Cerebrocerebellum is comprised of the posterior lobe (cerebellar hemispheres) controlled by the dentate nucleus

C. Vestibulocerebellum comprises the flocculonodular lobe and its connections to the lateral vestibular nucleus of the pons

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8
Q

State the function of the spinocerebellum [1]

Via which tract are motor commands from the spinocerebellum sent down? [1]

A

The spinocerebellum (anterior lobe and vermis) controls locomotion and limb coordination, and balancing your body the ground

It sends motor commands down the reticulospinal tracts to coordinate postural and locomotor movements: i.e. when you run, walk, lean over to grab something, you don’t lose balance and fall over.

(This is a more dynamic balance when compared to the vestibulocerebellum which is more of a static balance)

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9
Q

State the function of the cerebrocerebellum [1]

From where do the inputs for the cerebrocerebellum come from in the brain [1] & the cerebellum? [1]
From where do the outputs for the cerebrocerebellum go to in the brain [1] & the cerebellum? [1]

Which deep nuclei is involved with the cerebrocerebellum? [1]

A

Cerebrocerebellum: coordinates movements initiated by the motor cortex. This includes speech, voluntary movements of hands, arms, and hand-eye coordination. It is also involved in speech coordination

Input = from cerebral cortex via middle cerebellar peduncle
Output: To motor thalamus via superior cerebellar peduncle
Deep nuclei involved = dentate

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10
Q

The vestibulocerebellum operates via the [] lobe

A

Vestibulocerebellum operates via the flocculo-nodular lobe

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11
Q

What is the function of the vestibulocerebellum? [2]

A
  • coordinates head and eye movements to ensure the stability of gaze.
  • It controls balance of the head on the body via the medial vestibulospinal tract and helps balance of the body on the ground via the lateral vestibulospinal tract
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12
Q

What is the most common type of CNS tumour in children? [1]

A

Medulloblastoma: tumours arising from cerebellum

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13
Q

Cerebellar pathologies:

Why do tumours from ependymal cells specifically compress the cerebellum? [1]

What is the name for these types of tumours? [1]

A

Medulloblastoma:

Tumours which grow from the ependymal cells grows in the 4th ventricle, and it tends to grow in the midline so very specifically compresses the nodulus of the cerebellum.

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14
Q

Medulloblastoma is a common cause of [] syndrome

A

Medulloblastoma is a common cause of flocculonodular syndrome

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15
Q

What are the symptoms of flocculonodular syndrome? [3]

A

little control of axial muscles, wide based ataxic gait with reeling and swaying

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16
Q

Anterior lobe syndrome is correlated to damage of the [].

A

correlated to damage of the spinocerebellum.

17
Q

Why do alcoholics often suffer from anterior lobe syndrome? [1]

A

brain needs B12 for myelin generation and the cerebellum has a higher turnover than most parts of the brain meaning it needs more, so if depleted in alcoholics it causes problems

18
Q

What are the characteristics of anterior lobe syndrome? [4]

A
  • incoordinaion of the limbs (especially legs)
  • ataxic gait (walks in a wide platform so they don’t fall over, this overlaps with flocculonodular syndrome).
  • hypotonia
  • reflexes appear depressed or pendular (UMN lesion)
19
Q

Neocerebellar syndrome occurs due to damage to which functional part of the cerebellum? [1]

What are characterisitic features of neocerebellar syndrome? [5]

A

Damage to the cerebrocerebellum

Characterisitc features:
* Loss of hand-eye coordination.
* Dysmetria (inaccurate reaching with intention tremor)
* Dysdiadochokinesis (the irregular performance of rapid alternating movements of the hands)
* Intention tremors occur on an attempt to touch an object
* Loss of good speech articulation/slurred speech which is due to a loss of coordination of muscles involved in speech production

20
Q

Name 6 characteristics of cerebellar stroke

A
  1. . Headache, vertigo, nausea, vomiting
  2. . Eye changes (nystagmus, ptosis)
  3. . Dysarthria and dysphagia (Dysarthria is a motor disorder of speech weakening the muscles of the mouth, face and respiratory system)
  4. . Ataxia
  5. . Arm weakness and incoordination
21
Q

What is the difference in symptoms between a lesion in Broca’s area to Cerebrocerebellum? [1]

A

Broca’s lesions to do with forming words in the right sequence and getting the right grammar

Cerebrocerebellum can speak fine but they slur due to improper movement ( basics of moving the mouth and lips to make the right sounds)

22
Q

add final notes on Vestibulocerebellum

A
23
Q

Label A & B

A

A: inferior cerebellar peduncle
B: Vestibular nuclei

24
Q

Label A-C

A

A: Pontine nuclei
B: MCP
C: ICP

25
Q

interposed nuclei comprise the [] nucleus and the [] nucleus

A

interposed nuclei comprise the emboliform nucleus and the globose nucleus

26
Q

Which functional zone of the cerebellum is the dentate nucleus connected to? [1]

Which areas of the brain does this tract connected to the dentate nucleus send to after connecting to the dentate nucleus? [2]

A

Dentate nucleus:

  • Connected to cerebrocerebellum
  • Sends information to the contralateral red nucleus and the ventrolateral (VL) thalamic nucleus.
27
Q

The vestibulocerebellum:

Controls balance of the head on the body via the [] tract
Helps balance of the body on the ground via the [] tract

A

coordinates head and eye movements to ensure the stability of gaze.

It controls balance of the head on the body via the medial vestibulospinal tract
Helps balance of the body on the ground via the lateral vestibulospinal tract

28
Q

Purkinje cells are []

A

Purkinje cells are GABAergic