Final Flashcards
(41 cards)
What do the lower motor neurons of the medial ventral horn govern?
posture, balance, locomotion, and orienting movements of the head and neck during shifts of visual gaze
describe the organization of descending motor control for the medial motor neurons
These medial motor neurons receive descending input from pathways that originate mainly in the brainstem, course through the anterior-medial white matter of the spinal cord, and then terminate bilaterally
What do the lower motor neurons of the lateral ventral horn govern?
The lateral ventral horn contains lower motor neurons that mediate the expression of skilled voluntary movements of the distal extremities
Describe the pathway of the descending motor control of lateral motor neurons
These lateral motor neurons receive a major descending projection from the contralateral motor cortex via the main (lateral) division of the corticospinal tract, which runs in the lateral white matter of the spinal cord.
What is the internal capsule
As the white matter of the corona radiata passes through the basal ganglia it is called the internal capsule
Describe the corticospinal tract
motor cortex internal capsule midbrain pons medullary pyramids pyramidal decussation lateral column of the spinal cord
terminate in the ventral horn (grey matter
Describe the medial and lateral vestibulospinal tracts
Both originate in the vestibular nuclei. The medial vestibulospinal tracts projects bilaterally down the spinal cord and activates the cervical spinal circuits that control neck and back muscles to our guide head movements.
The lateral vestibulospinal tracts projects ipsilaterally as far down as the lumbar spinal cord. It helps maintain an upright and balanced posture by facilitating extensor motor neurons of the legs.
Describe the tectospinal tract summary
- Tectospinal tract summary: superior colliculus decussation contralateral termination - orienting response of head and eyes in response to primarily visual stimuli
Describe the pontine reticulospinal tract
- The pontine reticulospinal tract (medial tract) enhances the antigravity reflexes of the spinal cord.
- Activity in this pathway, by facilitating the extensors of the lower limbs, helps maintain a standing posture by resisting the effects of gravity
Describe the medullary reticulospinal tract
- The medullary reticulospinal tract (lateral tract) has the opposite effect; it liberates the antigravity muscles from reflex control
What kind of mechanism does postural control require
Feedforward, anticipatory mechanism
What would a smashed T10 vertebra result in?
Bilateral leg flaccid paralysis
What would be the result of an anterior spinal cord lesion at C5-T1
Quadriplegia, bilateral hand and tricep weakness, hypotonia, and absent tricep reflexes, urinary retention, incontinences, and absent rectal tone
What does a lesion in the posterior limb of the right internal capsule result in
Pure motor hemiparesis in the left side
What is the function of the vestibulospinal and tectospinal tracts
Keep the head balanced as our body moves and to turn our heads in response to new sensory stimuli
What muscle helps with the maintenance of body posture
gastrocnemius muscle
How can the motor cortex influence the activity of the spinal cord
Neurons in the motor cortex that supply the lateral part of the ventral horn to initiate movements of the distal limbs also terminate on neurons in the reticular formation to mediate postural adjustments that support the movement. The reticulospinal pathway terminates in the more medial parts of the ventral horn, where lower motor neurons that innervate axial and proximal muscles are located. Thus, the motor cortex can influence the activity of spinal cord neurons via both direct and indirect routes
Describe the crossed-extensor reflex
In response to pain detected by nociceptors (Chapter 7), the ipsilateral flexor muscle’s motor neuron is stimulated (withdrawal reflex).
The opposite limb is extended (crossed-extensor reflex) to support the body’s weight.
Activation of flexor muscles and inhibition of extensor muscles in ipsilateral leg.
That same stimulus causes opposite response in the contralateral leg (motor neurons to the extensor muscles are activated and flexor neurons are inhibited.
The contralateral leg supports body’s weight as the pain inflicted leg contracts
Describe the NMDA rhythmic activity in a spinal interneuron
- Some neurons respond to the activation of NMDA receptors with rhythmic depolarization.
- (a) In the resting state, the NMDA receptor channels and the calcium-activated potassium channels are closed.
- (b) Glutamate causes the NMDA receptors to open, the cell membrane to depolarize, and Ca2+ to enter the cell.
- (c) The rise in intracellular [Ca2+] causes the Ca2+-activated potassium channels to open. Potassium ions leave the neuron, hyperpolarizing the membrane. The hyperpolarization allows Mg2+ to enter and clog the NMDA channel, arresting the flow of Ca2+.
- (d) As [Ca2+] falls, the potassium channels close, resetting the membrane for another oscillation
What is a central pattern generator
Circuits that give rise to rhythmic motor activity, flexing of one & extension of the other
What is chronic traumatic encephalography (CTE)
Consisten hits to the head/brain disease
Progressive neurodegenerative brain disease
Like alzheimer’s
Develops into progressive dementia
abnormal build-up of tau in brain
Causes tau to form around the brain’s blood vessels, interrupting normal functioning and eventually killing nerve cells
What are the 4 stages of CTE
- No symptoms, Isolated spots of tau build-up mostly around the frontal lobe or crown of the head
- Rage, Impulsivity, depression, and Symptoms begin to appear as defective tau protein affects more nerve cells in the brain’s frontal lobes
- Confusion, Memory loss, Tau deposits expand from the frontal section to the temporal section of the brain, the condition begins to affect the amygdala and the hippocampus, which impairs emotion and memory
- Advanced dementia, brain becomes deformed and brittle, and cognitive function is severely limited, Tau deposits have overwhelmed the brain, killing many nerve cells and shrinking it by roughly half its size
Functional recovery in patients with brain injury reflects _________ of ________ circuits and not regrowth/replacement of damaged neurons
Functional recovery in patients with brain injury reflects reorganization of intact circuits and not regrowth/replacement of damaged neurons
What happens to the neuron after axotomy
Injured neuron inputs and targets can atrophy and degrade
Distal axonal stump separates from cell body and undergoes wallerian degeneration
Myelin fragments
Cell body undergoes chromatolysis synaptic terminals contacting the damaged neuron withdraw