Neuro anatomy Clinical skills Flashcards

(47 cards)

1
Q

what structures make up the CNS

A

Brain/spinal cord

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2
Q

what structures make up the PNS

A

peripheral nerves

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3
Q

what is the cauda equina

A

region where spinal roots/nerves start traveling down the spinal canal and the spinal cord itself ends

happens around L1/L2 region

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4
Q

What percentage of blood in the body is sent to the brain, and why is that important

A

20% of blood

any blockages can result in significant damage very quickly

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5
Q

what are the 3 parts of the brainstem, in decending order

A

midbrain

pons

medulla oblongata

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6
Q

What is the homonculus?

A

parts of the brain that correspond to the human body, with the innermost parts of the somatosensory and motor cortexes representing the feet and the bottom of the body, and moving up the body as you move laterally in the brain

areas with larger sensory input/tactile receptors take up larger areas on the homunculus

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7
Q

What are the 4 lobes, and the primary cortexes in each lobe?

A

frontal - primary motor cortex (motor movement initiation and planning)

parietal - somatosensory cortex (sensory input processing from sensory input)

temporal - primary auditory cortex (hearing input)

occipital - primary visual cortex (visual input)

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8
Q

What is the main blood supply for the frontal lobe? what would happen to the frontal lobe function if there were a stroke?

A

blood supply - Anterior cerebral artery (lower body) and middle cerebral artery (upper body)

impairments - inability to move lower/upper body, alongside issues arising with planning of voluntary motor movements. may also result in issues with processing information/solving problems, and if MCA stroke there will be deficits with speech production

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9
Q

what is the frontal lobe responsible

A

planning voluntary movement and controlling learned motor skills

executive functioning

controls expressive motor behaviour (hand gestures, facial expressions)

contains Broca’s area

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10
Q

what is the brocas area

A

responsible for the production of speech

brocas aphasia - inability to produce speech

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11
Q

What is the main blood supply for the parietal lobe and what would happen to the parietal lobe if it gets blocked

A

blood supply - Anterior cerebral artery (lower body) and middle cerebral artery (upper body)

impairments - inability to have sensation of lower/upper body, alongside issues with proprioception. may also result in issues with spatial memory and mathematical skills.

some minor language comprehension impairments as wernikes area is split between temporal and parietal

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12
Q

what is the function of the parietal lobe

A

sensory information interpretation and processing, alongside proprioceptive interpretation.

influences math skills and some language comprehension, and stores spatial memories to allow people to orient themselves and maintain sense of direction

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13
Q

what supplies blood to the occipital lobe of the brain and what happens to occipital lobe function if the vessel is blocked?

A

posterior cerebral artery

issues with vision, leading to blindness, issues with differentiating colour, hallucinations,

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14
Q

what is the occipital lobe responsible for

A

visual interpretation and visual memory

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15
Q

what supplies the temporal lobes with blood and what would happen to their function if it was blocked

A

middle cerebral artery

issues with memory and emotions

inability to understand/recognize people, objects, or sound

inability to understand speech due to wernikes area being impacted

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16
Q

what is wernikes area

A

region in the brain responsible for the comprehension of speech

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17
Q

what is the function of the parietal lobes

A

generation of memory and emotions, processing of hearing and comprehension of speech

processing of events into LTM and retrieval of memories

recognition of objects and people

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18
Q

What makes up the Diencephalon

A

Limbic system (experience and expression of emotions like fear, anger, pleasure)

Hippocampus - formation and retrieval of memories for connection to emotions

Thalamus - relays all sensory information to and from the brain (besides olfactory input)

hypothalamus - coordination of autonomic functions of the body and linking of nervous system to endocrine system

basal ganglia (caudate nucleus, putamen, and globus pallidus) - coordinates and smoothens movements - impaired in those with Parkinson’s or Huntingtons

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19
Q

What are the functions of the thalamus

A

learning of motor activities, sensory information relay, and minor role in memory development

20
Q

what are the functions of the hypothalamus

A

autonomic control centre

centre for emotional response

regulation of body temp

regulation for hunger/thirst

regulation of sleep cycles (contains ‘wake-up’ centre which is inhibited/disinhibited as per the midbrain)

control of endocrine function

emotional responses

21
Q

What is the function of the midbrain

A

pass point of all sensory input on the way to the thalamus, involved in

voluntary movement

motor functions

coordination of visual/auditory reflexes

circadian rhythm regulation (controlling the transition between sleep and wake)

and thermoregulation

22
Q

what are the functions of the pons

A

control of sleep, respiration, swallowing,/taste, bladder control, equilibrium, facial expression/sensation, and posture

23
Q

what are the functions of the medulla oblongata

A

decussation point for corticospinal and posterior column tracts

regulation of autonomic function (respiratory rhythm, cardiofunction, etc) and reflexes (cough, vomit, swallowing)

24
Q

What are the 3 meninges layers

A

Pia mater - innermost layer

Arachnoid Mater - middle layer

Dura Mater - outermost and toughest layer

25
WHat is the meninges
layers of tissue meant to protect the brain and spinal cords
26
What is cerebrospinal fluid
fluid that surrounds the brain and spinal cord, removes toxins and enters the spinal cord through the ventricles also allows the brain to float, resulting in less overall weight of the brain and ensuring that the brainstem is not crushed under the weight of the brain
27
What is a spinal fluid tap?
Collection of CSF from the lumbar region (as its the bottom of the spinal cord) Indicates the overall health of CSF
28
WHat is hydrocephalus
when there is a block in the ventricles of the brain, leading to swelling of the brain due to excess CSF stent usually placed to release pressure
29
what is the strength of a muscle contraction proportional to?
the number of motor units recruited
30
What roots do the sensory and motor tracts exit the spinal cord through
dorsal - sensory ventral - motor peripheral nerve - mixed
31
where are the cell bodies located for the motor and sensory roots
sensory - in dorsal root ganglion motor - in the spinal cord
32
what is the difference between white matter and grey matter in the spinal cord
grey matter - contains cell bodies and dendrites, allows neurons to transmit info between each other (also where spinothalamic tract decussates) white matter - bundles of axons to send info up/down the spinal cord (aka spinal tracts)
33
What info do ascending and descending tracts carry
ascending - sensory info descending - motor info
34
what are interneurons in the spinal cord for
bypassing the typical sensory tracts and connecting directly to the motor roots in order to trigger somatic reflexes
35
what is the difference between the dorsal and ventral rami in spinal nerves
dorsal - info to/from posterior muscles/skin ventral - info to/from anterior muscles/skin
36
what are the 4 primary plexuses
Cervical brachial lumbar sacral
37
what is a dermatome
region of skin innervated by a single spinal nerve (some overlap does exist) VZV virus caused by chickenpox can damage DRG and this can lead to pain/rash in a specific dermatome
38
what is the function for all 3 orders of sensory neruons
1st - sensory input to point of decussation 2nd - decussation to thalamus 3rd - thalamus to cortical cortex
39
Describe the posterior column tract
responsible for sensory info for fine touch, proprioception, and vibration 1st order - sensory input to gracile in medulla 2nd order - decussation in medulla and ascend to thalamus 3rd order - thalamus to somatosensory cortex
40
Describe the spinothalamic tract
responsible for sensory info for pain, temperature, and itchiness 1st order - sensory input to grey matter of spinal cord 2nd order - decussation in SC and travel up white matter to the thalamus 3rd order - thalamus to somatosensory cortex
41
Describe the corticospinal tract
motor pathway that descends down the SC, below is the pathway motor cortex corona radiata internal capsule cerebral crus midbrain/pons decussation in medulla oblongata travel down spinal cord white matter synapse onto lower motor neurons
42
Describe the corticobulbar tract
cerebral cortex to medulla oblongata
43
What is the corpus callosum
white matter that transfers info between brain hemispheres
44
Describe upper motor neuron damage
muscle paresis/paralysis increase in tone hyper reflexivity increase in spasms weakness, but no muscle wasting opposite side
45
describe lower motor neuron damage
weakness/paralysis muscle wasting flaccid paralysis (low tone) negative Babinski test same side
46
what are some ways that you can get neurological damage
toxins pressure heat cold inflammation tumors genetic diseases infection developmental damage environmental damage trauma transmission idiopathic
47
why is demyelination of nerves bad
myelin promotes nerve conduction by forcing impulses to jump across nodes of ranvier, without myelin signals slow down and may not make it to the muscle, resulting in denervation of muscles multiple sclerosis causes this