Cerebellum and Brainstem Deep Structures Flashcards

1
Q

What exactly does the Cerebellum do?

A

Modulates movement, aids in coordination and balance. Compensates for error by comparing intention with performance.

  • Also contributes some to non-motor functions such as cognition, emotion and affective processing
  • Appears to play a role in sequencing incoming sensory patterns and detecting temporal changes in the sequence of sensory events
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2
Q

Where are the Vermis and paravermian areas of the cerebellum located>

A

In the midline

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3
Q

What do the vermis and paravermian areas of the cerebellum control?

A

Axial musculature and trunk

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4
Q

What do the lateral hemispheres of the cerebellum control?

A

arms and legs

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5
Q

The floculonodular node is heavily involved in maintaining….

A

balance

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6
Q

Deep nuclei of the Cerebellum from lateral to medial

A

Dentate, Emboliform, GLobose, Fastigial

Don’t Eat Greasy Foods

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7
Q

What the hell are these nuclei?

A

Relay points for efferent fibers travelling from the cerebellar cortex to other brain regions

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8
Q

The dentate nuclei serve what hemispheres?

A

The lateral ones

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9
Q

The Emboliform nuclei serve what part of the cerebellum

A

Paravermal zone

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10
Q

The Globose nuclei serve what part of the cerebellum?

A

Paravermal zone

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11
Q

The Fastigial nuclei serve what part of the cerebellum?

A

The Vermis

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12
Q

Know Cerebellar Afferents and Efferents bundles

A

ok

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13
Q

3 layers of the cerebellar cortex (gray matter) are?

A
  • Molecular layer
  • Middle Layer
  • Granular Layer
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14
Q

What neuron types are found in the molecular layer?

A

Basket and Stellate Cells

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15
Q

What Neuron types are found in the middle layer?

A

Purkinje cells

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16
Q

What Neuron types are found in the Granular layer

A

Golgi and Granule cells

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17
Q

Only output neurons of the cerebellar cortex are?

A

Purkinje cells

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18
Q

The only direct input to the purkinje fibers from outside the cerebellum is?

A

Climbing fibers from the olivary nuclei

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19
Q

What effect do the stellate and basket cells have on the purkinje fibers

A

inhibitory

20
Q

Input from mossy fibers into the cerebellar cortex first passes through what?

A

Cerebellar glomerulus…These mossy fibers then synapse with the granule and golgi cell dendrites and then with Golgi axon terminals. The Granule cell then passes this modified information along to the purkinje cell

21
Q

Three functional divisions of the Cerebellum

A

Vestibulocerebellum, Spinocerebellum, Cerebrocerebellum

22
Q

Function of the Vestibulocerebellum

A
  • made up by vestibular nuclei, flocconodular node, fastigial nuclei, inferior paravermis
    coordinate eye, head, neck movements and maitain balance
23
Q

Function of the spinocerebellum

A
  • made up of vermis, superior paravermian layers, anterior lobe
    coordinate trunk and proximal limb movement
24
Q

Function of the Cerebrocerebellum

A
  • made up of lateral parts of posterior lobe

coordinate fine motor planning of limbs and anticipate sensory consequences of movements

Right cerebellar hemisphere controls right arm, body and leg

Left controls left

25
Clinical signs of cerebellar dysfunction
unstable gait, tendency to fall (sailor's gait) - jerky, unsmooth movements accompanied by a tremor (uncoordinated movements) - Ataxia (dis-coordination) - Eye movement disorders - Speech disorders
26
Superior Colliculus function
control of reflex movements that orient the eyes, head, neck in response to visual, auditory, and somatic stimuli
27
Periaqueductal gray matter
functions in the processing of autonomic and limbic activities
28
Aqueduct
connects 3rd and 4th ventricles
29
Edinger Westphal nucleus
parasympathetic innervation of the eye to constrict the iris and alter lens shape for accomodation
30
Cranial nerve III
Motor control of eyes
31
Spinothalamic tract
Fiber pathway to thalamus for pain/temperature from the periphery
32
Medial lemnisucs
Sensory pathway for proprioception connecting the nucleus gracilis and cuneatus with the thalamus
33
Medial geniculate
Thalamic relay nuclei for auditory information
34
Lateral Geniculate
Thalamic relay nuclei for visual information
35
Cerebral peduncle
fiber bundles of the corticospinal tract connecting the cerebral cortex to the brainstem
36
Optic tract
optic fibers from the optic chiasm to lateral geniculate
37
Substantia nigra
one of the nuclei involved in smooth motor control; degenerates in parkinsons
38
Red nucleus
Relay nuclei between cerebellum to the thalamus
39
Draw out brainstem structures from midbrain, pons, and upper medulla
ok
40
Know whether CN nuclei lie in the midbrain, pons, medulla, or transition points in between
ok, FA p434
41
A lesion at the base of the midbrain would cause what?
- Ipsilateral Occulomotor nerve paresis - Contralateral hemiparesis (weakness on one side of body) -
42
A lesion at the tegmentum (area of midbrain spanning from substantia nigra to cerebral aqueduct
- Ipsilateral occulomotor nerve paresis - Contralateral tremor - Contralateral ataxia
43
Midbrain base and tegmentum
Ipsilateral 3rd nerve paresis Contralateral hemiparesis Contralateral tremor contralateral ataxia
44
Medial pons
contralateral hemiparesis ipsilateral LMN Facial paresis
45
Medial medulla
contralateral arm and leg weakness contralateral decreasin in position/vibration Ipsilateral tongue weak
46
Lateral medulla---fairly common
Ipsilateral ataxia, vertigo, nausea, ipsilateral decrease in face pain sensation, ipsilateral horner's Dysphagia