Lecture 2 Flashcards

(41 cards)

1
Q

Frontal Lobe : posterior

A

Motor cortex: responsible for planning and controlling voluntary mvmnts on contralateral side

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Frontal Lobe: Dominant frontal lobe

A

usually left; Broca’s area

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Frontal lobe: anterior

A

planning, concentration, brining ideas and memories together to carry out goal directed behaviors
also influences personality, insight, initiative, morality, impulse control and appropriate emotional display

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

anterior parietal lobe

A

perception of somatosensory info from contralateral side of head, neck and extremities

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

temporoparietal association area

A

integrates sensory inputs with memory and emotion (allows us to recognize patterns in our sensory experiences)
-plays role in spatial orientation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Post-Inf parietal lobe and sup. temporal lobe

A

Wernicke’s area

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Occipital lobe: 2 main areas

A

perception of visual info

1) primary visual cortex: post pole (makes us aware of stimuli)
2) visual association area (visual stimuli are analyzed)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Temporal lobe: sup regions

A

primary auditory complex and auditory association areas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Temporal lobe: inf parts

A

assist occipital lobe in higher order processing of vision

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Temporal lobe: medial parts

A

contains hippocampus and amygdala: memory and learning

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Limbic lobe

A

not distinct anatomic location; important for emotional responses and active behaviors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Cerebellum

A

provides motor programs for controlling timing and sequencing of voluntary muscle contractions
-controls muscle tone, balance and equilibrium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Basal Ganglia

A

provides motor programs for complex, learned activity

-moduclates activity of cortical motor neurons so muscle tone is appropriate for any planned mvmnts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Brainstem

A
  • contains pathways conducting sensory and motor input btwn cerebrum and spinal cord and btwn cerebrum and cerebellum
  • contains groups of neurons (reticular formation) control major autonomic fxns: cardioresp reflexes, consciousness, balance and equilibrium
  • also contains CN III-XII
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Upper Motor Neurons

A

neurons within the cortical spinal tract that are found above the level of synapse (above the anterior horn in the spinal cord)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Upper motor neuron lesions: results and where they occur

A

produce: weakness and sensory loss, spasticity, no atrophy, no fasciculations, brisk reflexes and positive babinski
- cerebrum, subcortical area (white and grey matter), brainstem, spinal cord

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Lower Motor Neurons

A

neurons within the cortical spinal tract that are found below the level of synapse (below the anterior horn in the spinal cord)

18
Q

Lower Motor Neuron lesions: results and where they occur

A

produce: weakness and sensory loss, atrophy, fasciculations, decrease in reflexes, negative babinski
- occur in anterior horn cells, roots, plexus, nerves, neuromuscular jxn, muscle

19
Q

Corticospinal tract: location, where it crosses over and where it synapses

A

Originate in the motor cortex (frontal lobe) and travel down to brainstem and medulla

  • crosses over in medulla
  • continues down to spinal cord where it synapses with the anterior horn cells
20
Q

Corticalspinal tract fxns:

A
  • mediate voluntary mvmnts
  • integrate skilled, fine, complicated mvmnts
  • *L side in brain controls R side of body
21
Q

Spinothalamic Tract: location, where it crosses over

A
  • originates in the spinal cord : in the grey matter is where it synapses
  • crosses over in the spinal cord
22
Q

Spinothalamic tract fxns:

A

Crude touch, temp, and pain ; transmits these to the thalamus

23
Q

Posterior column

A
  • Sensory pathway: goes thru the posterior root into posterior column and travels back up spinal cord
  • crosses over in the medulla
  • fxn = fine touch, proprioception and vibration
24
Q

Laterlization: Brain

A

Both motor and sensory are contralateral

25
Laterlization: Spinal Cord
- Corticalspinal and Post. Column are ipsilateral - Spinothalamic: contralateral * i think this is because post. column and cortical spinal cross over before spinal cord and spinothalamic crosses over at spinal cord
26
Subcortical Area includes:
Internal capsule Thalamus Basal Ganglia
27
Internal capsule lesions
shows: UMN weakness and sensory loss affecting contralateral face, upper extremity, lower extremity and hemibody
28
Difference btwn cortical and subcortical injuries
Cortical injuries: produce Both motor and sensory deficits Subcortical injuries: produce pure motor OR sensory deficits
29
Thalamus lesion:
produces contralateral hemisensory loss
30
Basal Ganglia lesisons
produce contralateral mvmnt disorders: - involuntary mvmnts: chorea, hemiballismus, athetosis - dystonic muscle contractions - Parkinsonism
31
Brainstem Lesion
IPSILATERAL CN deficit, accompanied by sensory &/or motor problems on the contralateral trunk and extremities
32
Common Brainstem Lesions
- CN III: ptosis, down and out, mydriasis - CN VII: central vs peripheral: - -> central: UMN in tact, lower part of face affected - ->peripheral: LMN lesion; both upper and lower part of face is affected
33
dorsal right pons
gaze palsy when looking to right
34
Cerebellum lesion : hemisphere lesions
ataxia/incoordination on the SAME side as lesion
35
Cerebellum lesion: vermis lesions
result in wide based "drunken sailor" gait
36
Spinal Cord lesions
- sensory deficit and muscle weakness below level of spinal cord - sensory deficit: both anteriorly and posteriorly - acute lesion: DTRs diminished or absent - slower in onset: increased muscle tone, hyperreflexia, and (+) babinski
37
Nerve Root lesions: Radiculopathy
LMN weakness, pain and sensory loss within one myotome or dermatome (in distribution of affected nerve root)
38
Plexus lesion: Plexopathy
LMN weakness and numbness in one limb that spans more than one nerve root Like the brachial or lumbar plexus
39
Neuropathy
affecting one specific nerve | examples: median nerve (carpal tunnel)
40
Neuromuscular Jxn lesions
No sensory deficits | weakness and fatigue, but does not follow myotonal pattern
41
Muscle lesions
weakness and fatigue: proximal > distal | No sensory deficits