Cerebellum Flashcards

(13 cards)

1
Q

Describe the cerebellar peduncles:

A

Superior peduncle:

  • connects cerebellum to the midbrain
  • fibres originate from neurons in the deep cerebellar nuclei & communicates with the motor cortex via the midbrain and the diencephalon (thalamus)

Middle peduncles:

  • connect cerebellum to the pons and to axis of the brainstem
  • cerebellum receives information advising it of voluntary motor activities initiated by motor cortex

Inferior peduncles:

  • connect cerebellum to the medulla
  • afferents conveying sensory information from muscle proprioceptors throughout the body & from the vestibular nuclei of the brainstem (medulla oblongata)

These cerebellar peduncles carry all information in tracts to and from the cerebellum and it is important to remember that the cerebellum has no direct pathway to the lower motor neurons, but exerts its control via the cerebral cortex and the brainstem

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2
Q

What is the cerebellum ?

A

The cerebellum functions as a rapid, corrective feedback loop, smoothing and coordinating movements

Motor plan leaves the motor cortex (intended movement) and goes to the basal nuclei and cerebellum (actual movement)

The blood supply to the cerebellum is from three vessels from the vertebral basilar system; the anterior inferior cerebellar artery, the posterior inferior cerebellar artery and the superior cerebellar artery

functions:

  • the maintenance of muscle tone
  • the maintenance of upright posture with respect to ones position in space
  • an association with movements that are properly grouped for the performance of selective responses that
    require specific adjustments
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3
Q

Describe the gross anatomy of the cerebellum:

A

Cerebellum is located in the posterior cranial fossa and is separated from cerebral cortex by the tentorium cerebelli

It lies over the fourth ventricle and is connected to the brainstem by 3 cerebellar peduncles through which all tracts to and from the cerebellum run

Located dorsal to the pons and medulla

Two cerebellar hemispheres (right & left) joined medially by the vermis

Has extensive folds (folia) and each folia contains a core of white matter known as the arbor vitae

External grey matter folia – transversely arranged gyri

Each hemisphere divided into 3 lobes by the primary &
posterolateral fissures:

  • anterior
  • posterior
  • flocculonodular

Anterior and posterior lobes further divide into:

  • vermal zone occupying vermis
  • intermediate zone
  • lateral zone
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4
Q

Describe the functional anatomy of the cerebellum:

A

The cerebellum is divided into 3 major functional divisions

Vestibulocerebellum:

  • composed of the flocculonodular lobe
  • functioning as maintenance balance, control of eye movement

Spinocerebellum:

  • composed of the vermis and paravermal zone
  • functioning as regulation of muscle tone, coordination of skilled movement

Cerebrocerebellum:

  • functions are planning and initiation of voluntary movement
  • composed of the lateral zones of the cerebellar hemispheres
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5
Q

Describe the cerebellar inputs/ afferents

A

Posterior (dorsal) spinocerebellar tract:

  • enters cerebrum via inferior cerebellar peduncle
  • conveys signals mainly from muscle spindles and Golgi tendon organs in the muscles of the lower limb

Anterior (ventral) spinocerebellar tract:

  • enters cerebrum via superior cerebellar peduncle
  • the synergy of movement conveys signals from the Golgi tendon organs which detects whole limb movement

Cuneocerebellar tract:

  • enters cerebellum via inferior cerebellar peduncle
  • conveys signals mainly from muscle spindles and Golgi tendon organs in the muscles of the upper limb
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6
Q

Describe the brainstem nuclei that provide afferent fibres to the cerebellum:

A

Inferior olivary nuclei:

  • receives info from cutaneous and joint afferents and muscle spindle
  • axons pass to the contralateral cerebellar cortex via the inferior cerebellar peduncle
  • also receive axons from the sensorimotor cortex directly and indirectly via the red nucleus

Deep pontine nuclei:

  • primary route by which the cerebral cortex communicates with the cerebellum is via the basilar pons
  • fibres from the cerebral cortex synapse with deep pontine nuclei which then give rise to the transverse pontine fibres that enter the contralateral middle cerebellar peduncle and are distributed to corresponding areas of the cerebellum

Reticular formation:

  • regulates spinal reflexes
  • provides input to the cerebellum that relates to the manner in which reticular neurons regulate extensor motor tone at any given time

Tectum:

  • cerebellum also receives fibres arising from the superior and inferior colliculi of the tectum to provide visual and auditory information respectively
  • project to pontine nuclei

Red nucleus - serves as a relay from the sensorimotor cortex to the spinal cord via the rubrospinal tract

Trigeminal system - secondary proprioceptive fibres associated with muscle spindle activity of the face and jaw reach the cerebellum through the mesencephalic trigeminal nucleus

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7
Q

Describe the deep cerebellar nuclei:

A

Signals will leave the cerebellar cortex via cerebellar Purkinje Cells and travel to the deep cerebellar nuclei

The cerebellar cortex is composed of outer grey matter which is extensively folded overlying a large expanse of white matter

Separated from the cortex by the white matter are underlying, deep, cerebellar nuclei which are represented bilaterally

From lateral to medial;

Dentate nucleus:

  • project contralaterally through superior cerebellar peduncle to neurons in the contralateral thalamus &
    from thalamus to motor cortex
  • function = influence of planning and initiation of movement

Emboliform and Globose nuclei:

  • project mainly to the contralateral red nuclei & a small group is projected to the motor cortex
  • function = Red Nuclei → Rubrospinal Tract control of proximal limb muscles

Fastigial nuclei:

  • project to the vestibular nuclei & to the pontine and medullary reticular formation
  • function = vestibulopsinal and reticulospinal tracts
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8
Q

Describe the efferent connections of the cerebrocerebellum:

A

The cerebrocerebellum sends outputs mainly through the dentate nucleus.

These signals travel to:

  • The red nucleus (influences limb movements)
  • The thalamus, which then communicates back to the motor cortex

This loop helps with coordination, planning, and timing of complex voluntary movements.

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9
Q

Describe the efferent fibres in the cerebellar peduncles:

A

Inferior:

  • cerebellovestibular tract that feeds information from the flocculonodular lobe back to the vestibular nuclei
  • Cerebello-olivary tract that feed information from the vermis back to the inferior olivary nuclear complex

Superior:

  • dentatrubrothalamic tract from the dentate nucleus of the posterior lobe to the red
    nucleus than on to the thalamus

Middle - no efferent signals/fibres leave the cerebellum via the middle cerebellar peduncle

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10
Q

Describe the afferent tracts from the cerebral cortex:

A

Areas of the cerebral cortex project to the ipsilateral pontine nuclei

they cross the midline as the
transverse fibres of the pons, form the cerebrocerbellum and enter the cerebellum via the middle cerebellar
peduncle

will leave the corresponding cerebellar cortical areas and travel within the cerebellum to the dentate and interposed nuclei before leaving the cerebellum

It informs the cerebellum about planned motor activity

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11
Q

describe the afferent tracts from the vestibular nucleus:

A

The cerebellar cortex of the flocculonodular lobe is the area primarily responsible for receiving vestibular inputs

vestibular neurons that regulate extensor motor neurons via the vestibulospinal and reticulospinal tracts

The vestibulocerebellar fibres will leave the corresponding cerebellar cortical areas and travel to the fastigial nucleus before exiting the cerebellum

The vestibular nuclei send afferent (incoming) signals to the vestibulocerebellum

These signals carry information about head position and movement and balance

Helps cerebellum adjust posture and eye movements in response

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12
Q

Describe the vestibular feedback circuit in relation to Efferent connections of the vestibulo and spinocerebellum:

A

Vestibular Feedback Circuit

The vestibulocerebellum (mainly the flocculonodular lobe) sends signals to the vestibular nuclei in the brainstem

These nuclei send outputs to:
- Eye muscles (to coordinate eye movements)
- Spinal cord (to maintain balance via the vestibulospinal tract)

Function: Adjusts head & eye position via medial longitudinal fasciculus & medial vestibulospinal tract. Controls limb and axial muscle tone through the lateral vestibulospinal tract.

Fastigial Nuclei Projections

Projects to vestibular nuclei and reticular formation (pons & medulla).
Influences extensor muscle tone and postural control via these pathways.

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13
Q

Describe the reticular feedback circuit with relation to Efferent connections of the vestibulo and spinocerebellum:

A

Reticular nuclei (pons & medulla) → Anterior & posterior vermis
Vermal & paravermal regions → Fastigial nuclei
Fastigial nuclei → Reticular formation → Extensor motor neurons in the spinal cord

Vestibulo- and spinocerebellum send outputs to the reticular formation via the fastigial nucleus

The reticular formation then sends motor signals back to the spinal cord to adjust muscle tone and reflexes

It’s a feedback loop that helps maintain balance and posture during movement

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