Exam #2: Motor Systems I Flashcards Preview

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Flashcards in Exam #2: Motor Systems I Deck (44):
1

What are the different parts of the nervous system that orchestrate motor function?

Motor cortex
Thalamus
Basal Ganglia
Cerebellum
Brain stem
Spinal Cord

2

Outline the general pathway that controls voluntary movement.

1) Association cortex-- desire
2) Premotor cortical areas--plan
3) Primary motor cortex--execution

3

What is the function of the motor cortex?

Planning & executing complex voluntary movement

4

What are the cortical areas involved in motor activity?

1) Primary motor cortex
2) Premotor cortical areas (previously called secondary motor cortex)

5

What are the two main tracts that are involved in pathways of conscious, voluntary motor control?

1) Corticonuclear tract
2) Corticospinal tract

6

Where does the corticonuclear tract terminate?

Most cranial nerve motor nuclei

7

Where does the corticospinal tract terminate?

All spinal levels

8

What side of the body does the corticospinal tract control?

Contralateral

9

What cortical areas involved in the production of movement are located in the frontal lobe? What areas are located in the parietal lobe?

Frontal Lobe
- Primary Motor Cortex
- Premotor Cortical Areas

Parietal Lobe
- Posterior Parietal Cortex

10

What is the general function of the premotor cortical areas? Where are the premotor cortical areas located?

- Frontal lobe
- Planning of movement

11

What is the function of the primary motor cortex? Where is the primary motor cortex located?

- Frontal lobe (pre-central gyrus)
- Receives the plan from the premotor cortical areas and executes the movement

*Note that this area is also referred to as Brodmann's area 4

12

What is the supplementary motor area (SMA)?What is the premotor cortex (PMC)? What is their function?

These are BOTH part of the premotor cortical areas that plan movement
- Specifically, they orient the trunk & proximal limb musculature in the direction of intended movement

13

What Brodmann area does the SMA & PMC correspond to?

Brodmann 6

14

What is the Frontal Eye Field (FEF)?

Contains neurons that send axons down to the cranial motor nerve nuclei in the brainstem that are involved in eye movement

Brodmann 8

15

What is the Posterior Parietal Cortex (PMA)? What is the function?

This is a region in the posterior parietal cortex that is involved in visual guidance of movement

16

How does the orientation of the motor homunculus compare to the sensory homunculus?

Same medial to lateral organization
- Lower leg & foot medial
- Hand & face distal

17

What parts of the body have the most cortex dedicated to it?

Face & hand

18

What area does the Precentral gyrus correspond to? What bout the Postcentral gyrus?

- Precentral gyrus (primary motor cortex)= Bordmann 4
- Postcentral gyrus (primary sensory cortex) = Brodmann 3, 1, & 2

19

What are the areas of the brain that influence movement?

Somatosensory cortex

20

Where does the postcentral gyrus synapse to influence movement?

Neurons of the sensory pathways

21

What layer of the cortex are the upper motor neurons located in?

Layer V

*These are pyramidal cells

22

What is the difference between an upper and lower motor neuron?

Lower= nerve that innervates a skeletal muscle
Upper= nerves that synapse prior to the nerve that projects to skeletal muscle

23

Outline the corticospinal tract.

1) Cortex Layer 5
2) Corona Radiata
3) Internal capsule
4) Midbrain--Crus Cerebri
5) Basal pons
6) Medulla--Pyramid
7) Spinal cord

24

Where does crossing over of the corticospinal tract occur?

Caudal Medulla

*****Note, ~85% of the nerves decussate to form the lateral corticospinal tract; those that don't become the anterior corticospinal tract

25

Where do the anteror corticospinal tract axons cross-over?

At the level of their innervation in the spine

26

What do most of the UMN in the spinal cord syapse with?

Interneurons that then synapse with LMN

*Some synapse directly with LMN

27

What are the crossing fibers called in the medulla?

Motor decussation (in the caudal medulla)

28

Where does the anterior corticospinal tract decussate? What else decussates here?

Anterior white commissure

*****Note that the spinothalamic tract also decussates here

29

What is the difference between the Anterior & lateral corticospinal tracts?

Lateral= all level
Anterior= C1- T6 only

30

Where do ALL corticospinal tract neurons synapse?

Contralateral voluntary movement

31

What muscles does the anterior corticospinal tract control?

Axial muscles of the shoulder and trunk

32

What does the lateral corticospinal tract control?

Upper limb and lower limb muscles

33

Review how the morphology of the spinal cord changes with ascending & descending tracts.

Ascending= get thicker as you go up

Descending= get smaller as you go down

34

What are the signs of an upper motor neuron lesion?

1) Spastic paralysis
2) Hyperreflexia
3) Mild muscle atrophy
4) Babinski's Sign

35

Describe the progression of spastic paralysis.

- Temporary paresis, flaccid paralysis, hypotonia, & hyporeflexia
- Regain proximal function after roughly 2x weeks
- Hypotonia converts to Hypertonicity

****Inhibitor reflexes from basal ganglia are blocked, causing hypertonia (uninhibited gamma fibers)

36

What is the Babinski Reflex?

Fanning & dorsiflexion of the great toe is caused by:

Called the extensor plantar response
- Normal in the newborn b/c descending motor axons are NOT myelinated

37

What are the signs of lower motor neuron lesion?

1) Decrease in muscle strength
2) Hypotonia
3) Hyporeflexia
4) Flaccid paralysis
5) Severe muscle atrophy
6) Fibrillations (1 fiber)
7) Fasiculations (gross muscle twitch)

38

What will a lesion of the ACA cause?

Sensory & motor deficits of the contralateral leg/foot

39

What will a lesion of the MCA cause?

Sensory & motor deficits in the contralateral trunk/UL/ face

40

What will occlusion of the lenticulostriate arteries effect?

Lenticulostriate= deep branches of the MCA to the internal capsule that will effect:
- DC-ML (VPL thalamus)
- Spinothalamic (Intralaminar)
- Corticospinal tract

****Lesion will cause contralateral motor & sensory deficits

41

What part of the brain is supplied by the PCA?

Midbrain, specifically in the basis pedunculi/ crus cerebri

42

What artery supplies the corticospinal tract in the pons?

Basilar/pontine arteries

43

What does the anterior spinal artery supply

- Anterior corticospinal tract
- Lateral corticospinal tract
- Spinothalamic tracts

44

What does the posterior spinal artery supply?

DC/ML