Lecture 11 Flashcards

1
Q

List the basic functions of the cerebellum

A

Compares actual movements with intended movements, aids cortex in planning next sequential movement, functions with spinal cord to enhance stretch reflex, with brain stem to make postural movements, and with cerebral cortex to provide accessory motor functions

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2
Q

What are the 3 lobes of the cerebellum (anterior to posterior)?

A

Anterior lobe, posterior lobe, and flocculonodular lobe (associated with vestibular system)

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3
Q

Which lobe is evolutionarily the oldest?

A

Flocculonodular lobe

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4
Q

What are the folia?

A

Transversely arranged narrow gyri

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5
Q

What and where is the vermis? With what functions is it associated?

A

It is the location for control functions for muscle movements of the axial body, neck, shoulders, and hips; located in the middle of the brain, separating the 2 hemispheres

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6
Q

What are the general functions of the intermediate and lateral zones?

A

Intermediate Zones: Concerned with controlling muscle contractions in the distal portions of the upper an lower limbs, esp. the hands, feet, fingers, and toes

Lateral Zones: Associated with cerebral cortex with planning of sequential motor movements

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7
Q

List the 4 pairs of deep cerebellar nuclei and relate lesions to their normal function

A

Dentate, emboliform, and globose nuclei: lesions in these nuclei lead to extreme ataxia

Fastigial nuclei: lesions in this nucleus lead to trunk ataxia

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8
Q

List the cells that make up the cerebellar cortex and describe their circuitry

A

Granular Cells: Axons form parallel fibers in cortex (+)

Golgi Cells: Project from parallel fibers to granular cell bodies (-)

Basket Cells: Project from parallel fibers to purkinje axon hillock (-)

Stellate Cells: Project from parallel fibers to purkinje dendrites (-)

Purkinje Cells: Project to intracerebellar nuclei (-)

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9
Q

Describe the functional unit of the cerebellum

A

Each functional unit is centered on a purkinje cell and a corresponding deep nuclear cell; 30 million of these in cerebellar cortex; output from a functional unit is from a deep nuclear cell

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10
Q

What are pendular movements? How does the cerebellum affect pendular movements?

A

Movements that swing back and forth; all pendular movements have a tendency to overshoot, but appropriate learned subconscious signals from intact cerebellum can stop movement precisely at the intended point

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11
Q

What are ballistic movements?

A

Dystonia (state of abnormal muscle tone resulting in muscular spasms and abnormal posture)

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12
Q

How does removal of the cerebellum affect movements of the body?

A

Movements are slow to develop, force developed is weak, and movements are slow to turn off

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13
Q

List the composition and functions of the vestibulocerebellum

A

Consists of flocculonodular lobes and vermis; functions in control of balance and eye movements and sends output primarily to vestibular system

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14
Q

List the composition and functions of the spinocerebellum

A

Consists mostly of vermis and intermediate zones; functions in synergy (control of rate, force, range, and direction of movement)

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15
Q

List the composition and functions of the cerebrocerebellum

A

Consists of lateral parts of hemispheres; mostly associated with premotor cortex and the primary association somatosensory areas of the cerebral cortex; also involved in coordination of skilled movement and speech

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16
Q

What is dysmetria?

A

Inability to judge distance and when to stop

17
Q

What is ataxia?

A

Uncoordinated movement

18
Q

What is adiadochokinesia?

A

Inability to perform rapid alternating movements

19
Q

What is an intention tremor?

A

Movement tremors

20
Q

What is a cerebellar lesion gait?

A

Staggering, wide based walking

21
Q

What is cerebellar hypoplasia?

A

Weak muscles

22
Q

What is ataxic dysarthria?

A

Slurred speech

23
Q

What is nystagmus?

A

Abnormal eye movements

24
Q

Which afferent tracts to the cerebellum form the mossy fibers and which tracts form the climbing fibers?

A

Mossy Fibers: Corticopontocerebellar, vestibulocerebellar, reticulocerebellar, and spinocerebellar

Climbing Fibers: Olivocerebellar

25
Q

List the efferent tracts from the cerebellum

A

Cerebelloreticular, cerebellothalamocortical, cerebellorubral, and cerebellovestibular

26
Q

What are the layers of the cerebellar cortex from innermost to outermost?

A

Granular layer, purkinje cell layer, and molecular layer

27
Q

What is vestibulocerebellar syndrome?

A

Progressive genetic disease of the flocculonodular lobe; starts with abnormal eye movement including nystagmus; vertigo and tinnitus, ataxia; eventually fine motor skills are lost