Lecture 19: Cerebellum Flashcards

(36 cards)

1
Q

Some functions of the cerebellum

A
  1. Correction of future movements
  2. Coordinating willed movements
  3. Motor learning
  4. No role in conciousness
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2
Q

How does the cerebellum improve volitional movements?

A

Uses musculoskeletal proprioceptors to tell where limbs are; does calculations and tells cerebrum how to better do the action

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3
Q

Most obvious signs of cerebellar dysfunction

A
  1. Unsteadiness of volitional movement
  2. Unsteadiness of sustained volitional posture
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4
Q

Three lobes of the cerebellum

A
  1. Anterior
  2. Posterior
  3. Flocculonodular
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5
Q

Longitudinal parts of the cerebellum

A
  1. Left Hemisphere
  2. Right Hemisphere
  3. Midline vermis
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6
Q

What part of the embryonic brain does the cerebellum come from?

A

Metencephalon

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7
Q

What does the flocculonodular lobe do in the cerebellum?

A

Constitutes the vestibulocerebellum; process movements of the head in releation to gravity

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8
Q

Place the cerebellar lobes in order by evolution time

A
  1. Flocculonodular
  2. Anterior
  3. Posterior
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9
Q

What does the anterior lobe of the cerebellum do?

A

Processes proprioceptive info from the limbs and trunk

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10
Q

Name the peduncles of the cerebellum

A
  1. Superior
  2. Middle
  3. Inferior
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11
Q

Types of fibers in the middle cerebellar peduncle

A

Axons heading from basilar pons to cerebellum crossing the midline

Info from contra motor cortex

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12
Q

What kinds of fibers are found in the inferior cerebellar peduncle?

A

Inputs from spinocerebellar, trigeminocerebellar, inferior olive, and vestibular nerves

Outputs to tectospinal, vestibulospinal, and reticulospinal

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13
Q

What kinds of fibers does the superior cerebellar peduncle have?

A

Outputs from deep cerebellar nuclei across the brain to red nucleus, VA/VL in thalamus. These then go to pre-motor and motor cortex.

Primary output peduncle!

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14
Q

Two types of afferent fibers to cerebellum

A
  1. Mossy
  2. Climbing
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15
Q

Major output cells of the cerebellum

A
  • Deep cerebellar nuclei
  • Dentate, interposed, and fastigial
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16
Q

Purkinge cells of the cerebellum

A

Affected by both mossy and climbing fibers directly or indirectly via granule cells

17
Q

Where do mossy fibers arise from?

A
  1. Spinocerebellar fibers
  2. Pontocerebellar fibers
  3. Vestibulocerebellar system
18
Q

What mossy fibers enter the inferior peduncle?

A

Spinocerebellar, vestibulocerebellar

19
Q

What mossy fibers enter the middle peduncle?

A

Pontocerebellar

20
Q

Where do climbing fibers arise from and go to?

A

Come from inferior olive via inferior peduncle

21
Q

What side of the body does the cerebellum deal with?

22
Q

What side of the body does the motor cortex deal with?

A

Contralateral

23
Q

UMNs in left motor cortex synapse where?

A

LEFT basilar pontine gray

24
Q

Where does a signal from the left motor cortex cross to the right side of the body?

A

Left pontine cells send axons across via middle cerebellar peduncle as mossy fibers

25
How do muscles communicate their status to the cerebellum?
Proprioceptors send info to ipsilateral cerebellum via dorsal spinocerebellar tract and inferior cerebellar peduncle as mossy fibers
26
Know the cerebellar pathways (picture)
27
What three arteries supply the cerebellum?
1. Superior cerebellar artery 2. Anterior inferior cerebellar artery 3. Posterior inferior cerebellar artery
28
Infarts of what artery cause Wallenberg's or Lateral medullary syndrom?
Posterior inferior cerebellar artery (PICA)
29
Intention tremor
Tremor at the end of a purposeful movement
30
Four major cerebellar signs
1. Ataxia (Decreased coordination) 2. Tremor (Intention and postural) 3. Hypotonia (Reduced muscle tone) 4. Asthenia (Decreased muscle length)
31
Titubation
Low frequency tremor of head and trunk around 3 Hz
32
Other names for intention tremor
* End-point tremor * Kinetic tremor
33
Nystagmus
Uncoordinated oscillations of the eye
34
Scanning speech
Voice varies from low to high volume; wrong syllables are stressed
35
Clinical test for dystaxia of gait
Tandem (tightrope) walking
36
Dysmetria
Cerebellar patient will often over- or undershoot muscle movement, like when trying to touch their nose