Lecture 4 - The Motor Systems of the Brain Flashcards
(41 cards)
What are some features of the Motor Cortex?
Motor Homunculus
representation is proportional to the complexity of control over those muscles (dexterity of the muscles)
millions of large neurons
Upper Body Neurons
lie right o top of the brain
spread throughout the central/primary motor cortex
Somatopical map in the cortex
Relative proportions
More cortical areas is devoted to muscles involved in Skilled, Complex or Delicate Movements
What does the order of representation represent?
Complexity of control or The degree of dexterity that you have over these muscles
Degree of precision
over 1/3 face
large area (1/3.5) hand
More CORTICAL area is devoted to muscles involved in SKILLED,COMPLEX or DELICATE movements
Where do you think/generate the idea of a movement?
Pre Frontal Area
What is the UMN?
Upper Motor Neuron
large number of neurons
large cell bodies
long and Myelinated Axons
Cell bodies are in Primary Motor Area AND Pre-Motor Area
goes through the Pyramidal/Corticospinal Tract
Excites the Lower Motor Neurons
What is the Corticospinal Tract?
Pyramidal Tract (southern motorway)
Axons=continuation of cell bodies which are in the cortex
Axons of UMN come together to form nerve bundle
atleast 1 million fibres
cortex–> midbrain–> pons–> medulla–> spinal cord
dorsal decussation at medulla=Pyramidal decussation
ventral decussation at spinal cord
Where is the Dorsal decussation and what is the tract the impulse proceeds through?
at the medulla
then after Anterior White Commissure proceeds down the Lateral Corticospinal Tract
(70-90%)
Where is the Ventral decussation and what is the tract the impulse proceeds through?
at the spinal cord
same level as the input
then after decussation proceeds down Ventral Corticospinal Tract
(10-30%)
How many fibres are needed to contract a muscle?
millions
therefore one is insufficient
What are some features of the sensory cortex?
Sensory Homunculus
representation is proportional to the number of specialised sensory receptors within the corresponding body part
larger representation in the 1 somatosensory cortex means that a body part has a more Highly SPECIALISED Sensory Function, so more of the cortical area is devoted to it
e.g. lips > trunk
more sensitive = larger # receptors
Why is the Corticospinal Tract essential?
pathway of control of Voluntary movements
millions of impulses going down
different groups of fibres going down at different rates
Motor information coming out of the brain is critical to everyday movements
Made up of Longitudinal bundles
What happens as the UMN exits the motor cortex?
The have to pass through the singular exit
INTERNAL CAPSULE of the cerebrum (IC->midbrain->pons)
bundles in the midbrain (corticospinal tract)
break up into a number of fibre bundles at pons
become solid bundle is the medulla and looks like a pyramid
ventral bulges = pyramids
When at spinal cord decussation occurs of the Dorsal root, crossing to other side of spinal cord
What is the Lateral Corticospinal Tract?
70-90% of UMNs take this pathway
Decussate at Medulla Pyramids=
PYRAMIDAL Decussation=
-massive decussation of millions of fibres
-to Contralateral (opposite) side of the medulla
Towards spinal cord
Precise, Agile and Highly skilled movements
-hand movements,fingertips
to muscles in the DISTAL parts of limbs
What is the Ventral Corticospinal Tract?
10-30% (fewer) of UMNs take this pathway
Decussate at the Spinal Cord Level= via the Anterior White Commissure = fibres REMAIN on the Ipsilateral (same side) and continue down until reach spinal cord “late crosses”
Termination=
a. directly at the LMN
b.indirectly via little InterNeurons which then project onto LMN
responsible for co-ordinating movements of the AXIAL skeleton
LONG pathway=to muscles in the TRUNK and PROXIMAL part of limbs
What do lesions result in in a general sense?
loss of movement
What would you decide if there was a lesion in the opposite side of the body which has a loss of movement?
SPASTIC paralysis No voluntary/precise movements UpperMN=spastic 1 motor cortex opposite=Brainstem/brain lesion
= because still hasn’t decussated
What would you decide if there was a lesion in the same side of the body?
could be 2 options a. SPASTIC Paralysis No voluntary/precise movements UMN spinal cord = some LMN + all UMN
b. FLACCID Paralysis
LMN
Spinal nNerve=effector
What happens to the Pyramidal/Corticospinal Tract at the Pons?
Tract breaks up into fasicles
Longitudinal bundles
What is the importance of the Ventral Gray Horn?
Upper Motor Neurons Terminate at the level of the spinal cord at the Interneuron
Synapse with LMN’s are at the Ventral Gray Horn
Inner Fibres = upper part of body
Outer Fibres = lower part of body
=HIGHLY ORGANISED
What is the function of Lower Motor Neurons?
UMNs terminate at the level of the spinal cord at the interneuron or at the LMN
synapse with the LOWER.M.N. is at the Ventral Gray horn
LMN provide OUTPUT from CNS –> out too skeletal muscle fibres
(terminate on MOTOR-End-Plate)(ACh)
What is the trend regarding extensions off the Lateral Corticospinal Tract?
further down spinal cord =more fibres come off = smaller corticospinal tract
(upper-most region = contains all fibres)
What would happen if the Lateral Corticospinal Tract was compressed (e.g. by a blood-pressure blockage/tumour)?
lower motor neurons = no info from motor cortex= paralysis
caused by stroke
What does Spastic Paralysis result in and where does the Lesion occur?
INability to do Voluntary or Precise movements
Increased Reflexes
Lesion in UpperMN (UMN Lesion)
LMN no longer gets input from UMN/motor cortex, therefore doesn’t know which muscle to activate -when and what to use
Lots of motor neurons terminate on the LMN, lots from Dorsal Root which have to do with REFLEXES=
OTHER INPUT = has a big impact on LMN
Hypersensitive=exaggerated movements=reflexes heightened=LOCAL Reflexes= difficulty doing precise movements ONLY CRUDE movements
What does Flaccid Paralysis result in and where does the Lesion occur?
Trauma or characteristic infection which results in lesion of LOWER Motor Neuron
POLIO Virus literally kills LMN= output to muscles are inhibited= loss of innervation to muscles = no impulses to move
Loss of impulses to muscle=Floppy muscle=no movements/just lies there
No impulses= No reflexes= No Movement= Decrease in size (gets thinner/wastes away) = cannot move limb
What are 2x critical pathways?
Lateral Corticospinal Tract
LMN