aud pathways Flashcards

(39 cards)

1
Q

Where does CN VIII divide into acending and descending branches?

A

pontomedullary junction

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2
Q

ascending branch of CN VIII synapses where?

A

anterior ventral cochlear nucleus

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3
Q

descendng branch of CN VIII synapses where?

A

posterior ventral cochlear nucleus

dorsal cochlear nucleus

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4
Q

where is monaural information routed to?

A

contralateral side

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5
Q

what is the pathway of monaural tracts?

A
dorsal cochear nucleus
to
contralateral via doral acoustic stria
to
up the lateral lemniscus (nuclei of lateral lemniscus) to inferior colliculus 
to
brachium of inferior colliculus to medial geniculate nucleus
(synapse here)
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6
Q

where do cell bodies in medial geniculate nucleus synapse?

A

Layer IV of primary auditory cortex

Heschl’s gyrus

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7
Q

describe the pathway of binaural pathway

A
from ventral cochlear nuclei
to
trapezoid body
to superior olivary complex (lateral and medial)
to
up the lateral lemniscus (nuclei) to inferior colliculus
to
up brachium of inferior colliculus
to 
medial geniculate nucleus
to
layer IV primary auditory cortex
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8
Q

what is conduction deafness?

A

deficiy related to obstructed,altered sound through tempanic membrane or ossicle chao

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9
Q

what is sensorineural deafness?

A

damage to cochlea,cochlear VIII to cochlear nucei

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10
Q

what is central deafness?

A

damage to central pathways

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11
Q

where supplies blood to auditory nuclei of pons and medulla, cochea?

A

basilar a

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12
Q

what supplie blood to inner ear and cochlea?

A

labyrynthine from AICA

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13
Q

what happens if AICA is occluded?

A

monaural hearing loss

can also damage facial nerve, ipsilateral facial paralysis, inability to look to side of lesion

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14
Q

what supplies blood to superior olivary complex and lateral lemniscus?

A

short circumferental branches of basilar

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15
Q

what supplies blood to inferior colliculus?

A

superior cerebellar and quadrigeminal arteries?

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16
Q

what supplies blood to medial geniculate bodies?

A

thalamogeniculate arteries

17
Q

what supplies blood to primary auditory and association cortices?

A

M2 branch of middle cerebral artery

18
Q

what is the dominant hemisphere in most afults for language?

19
Q

what is wernicke’s area for?

A

comprehension of spoken language

20
Q

what is brocas area for?

A

instruction for language output

planning movements to make speech

providing grammatical function for words

21
Q

what is the right hemisphere area that is like wernickes, used for?

A

interpreting nonverbal signals from other people

22
Q

what is the right hemisphere area that is like brocas, used for?

A

instructions for making nonverbal communication including emotional gestures and intonation of speech

23
Q

what is the pathway for language comprehension?

A
primary auditory cortex
to
auditory association cortex
to
wernickes area
to
subcortical connections
to
brocas area
to
oral and throat region of sensorimotor cortex
24
Q

what does the primary auditory cortex do?

A

auditory discrimination

25
what does auditory association cortex do?
classification of sounds
26
what do the subcortical connections do?
link wernices and brocas area
27
what does oral and throat region of sensorimotor cortex do?
cortical output to speech muscles
28
what does arcuate fasciculus do?
word repetition
29
what is auditory agnosia?
inabilit to identify an object, even hough you can hear it
30
what causes auditory agnosia?
lesion is in temporal lobe unimodal sensory association cortex bilaterally
31
what happens if your wernickes area is not working?
cant comprehend language cant understand what is said to you cant read cant write comprehensibly paraphasic speech
32
what happens if brocas area is lesioned?
cant speak fluently cant understand spoken and written language mutism if its severe enough if its less severe, limited speech (Slow speaking, nonessential words omitted)
33
what is a global lesion, what happens?
lesion of lateral sulcus receptive and expressive deficits cant read or write
34
what is a transcortical lesion?
sensory or motor, can repeat
35
what is conduction aphasia?
lesion of supramarginal gyrus and arcuate fasciculus cant repeat, but intact fluency can comprehend language word finding difficulties intact readng, cant write
36
what is special about transcortical motor lesion?
are nonfluent, everything else is pretty much ok ACA-MCA border infarc
37
what is special about transcortical sensory lesion?
cant comprehend or name, everything else is ok MCA-PCA border infarc
38
what happens if you have sensorineural damage to eat?
ipsilateral deafness
39
what happens if you have central deafness?
not deaf because of crossing over, but hard to localize sound