PSYC 311 Final Exam Flashcards
(68 cards)
What is the Sanides-Pandya theory?
The allocortex and pyriform cortex are the two oldest cortical areas, and a series of differentiation steps can be followed leading to the neocortex. Each layer is the same as the last but more developed. Steps: periallocortex –> proisocortex –> true isocortex/neocortex
What are the fiber pathways in the brain?
Projection fibers: cortical –> subcortical (internal capsule + external capsule)
Association fibers: cortical –> cortical (same hemisphere) (all the association fasiciculi, such as arcuate fasciculus)
Commissural fibers: cortical –> cortical (different hemisphere) (corpus callosum, anterior commissure)
What are the 3 white matter pathways in the brain?
Internal capsule: pathway of axons from cortical areas converging together and going down to the thalamus and other subcortical structures –> projection fibers. The internal capsule separates the caudate nucleus + thalamus from the globus pallidus + putamen. Not found in the rodent brain.
External capsule: axons from cortex –> putamen (thus also projection fibers). The external capsule separates the globus pallidus + putamen from the claustrum.
Extreme capsule: cortico-cortical axons going from the frontal/parietal/temporal lobes into the insula (which is also a cortical structure!). Separates the claustrum from the insula.
How is the corpus callosum divided?
Rostrum: connects orbital frontal lobes
Genu: connects anterior frontal areas
Body: connects motor + somatosensory areas
Splenium: connects occipital areas
(Note that the anterior commissure connects the temporal lobes)
What is Broca’s Aphasia?
Impairment in the production of speech accompanied by the following symptoms:
- Non-fluent speech
- Agrammatism (syntax problems)
- Dysprosody (lack of emphasis/lack of prosody)
- Agraphia
- Slight language comprehension problems
- Cannot write
- Caused by damage to the IFG, inferior precentral gyrus, anterior insula and operculum
What is Wernicke’s Aphasia?
Impairment in the comprehension of speech accompanied by the following symptoms:
- Fluent speech but lack of comprehension
- Prosody is fine, melody is fine
- Speak very quickly
- Produce neologisms
- Also cannot write properly (same deficits show up)
What is Conduction Aphasia?
Difficulty in repeating words, characterized by damage to the inferior parietal lobe. Hesitation in speech occurs, but comprehension and articulation are fine. The real impairment is in repetition. Two competing theories to explain Conduction Aphasia:
1. Damage to the parietal lobe causes a disconnection between Broca and Wernicke’s areas via the arcuate fasciculus
2. Conduction Aphasia is a problem in verbal working memory, for which the parietal lobe is critical
3. The extreme capsule fasciculus may be implicated
Either way, the parietal lobe is involved in the lesion!
How is the parietal lobe organized?
- The intraparietal sulcus divides the parietal lobe into superior and inferior lobules
- The inferior parietal lobule contains:
The supramarginal gyrus SMG = area 40. The SMG has an anterior (PF) and posterior (PFG) section. –> high level control of orofacial, arm, and hand actions (somatosensory; right next to postcentral gyrus)
The angular gyrus=area 39=area PG. –> mainly visual information reaching this area
Alexia with Agraphia
- Inability to read or write, speech and comprehension intact
- Due to damage to the left angular gyrus, which is receiving all of the visual information. The angular gyrus is the brain center for decoding visual language (words, letters) so that we can understand their meaning. This is why alexia with agraphia patients cannot read. “Patient is blind for language”; they therefore cannot read or write because they can’t understand any of it.
Alexia without Agraphia
- Patient cannot read, but could write
- Due to damage to the left striate cortex (producing right homonymous hemianopsia) AND the splenium
- The left angular gyrus is intact and has memories of words stored since infancy, thus the patient can write.
- Right homonymous hemainopsia = right visual field is damaged as a result of damage to left striate cortex. Patients with RHH can still read because they can shift their gaze such that the left visual field sees everything, but if the splenium is also damaged, the visual informtion from the right striate cortex (LVF) cannot reach the left striate cortex –> left hemisphere –> left angular gyrus. The angular gyrus is critical to interpret the visual meaning of words. Thus the patient does not understand the words, cannot read.
- Patient can write something and not be able to read what they just wrote!
What is the role of the middle cerebral artery?
Feeds blood to the peri-Sylvian language regions including the IFG and the anterior insula.
What is Transcortical Aphasia?
- Damage to non periSylvian region; showed that the perisylvian language areas are not sufficient to production and comprehension of speech
- Perisylvian areas were spared because they were supplied by the middle cerebral artery, but patient lacked any propositional speech and had no comprehension of language - in general, no meaningful or useful communication
- Opposite of conduction aphasia: patients are able to repeat exactly what is said to them
What is the representation in the somatosensory cortex?
Area 3b: touch –> most granular
Area 2: vibration
Area 3: sensation on the bones and joints
What is Ideomotor Apraxia?
Apraxia=difficulty in action.
- Caused by left parietal lesions
- Disconnection between the idea and the motor action; patient is not paralyzed, motor system is intact, can hear and understand task, but cannot connection the action to the word.
Geschwind believed this was due to a disconnection syndrome whereby the lesioning of the SMG=PF/PFG=area 40 –> lesions arcuate fasciculus.
What would happen if the supramarginal gyrus were lesioned?
Can develop agraphia without alexia - i.e. Can read but cannot write. Writing is impaired with lesions to the supramarginal gyrus because you need this gyrus and the premotor area to organize movements of the hand.
What is the functional and cytoarchitectonic structure attributed to areas 44, 45, and 47?
- area 44: disgranular (agranular motor and premotor + granular prefrontal), stimulation of which causes aphasic speech arrest without vocalizations, involved in articulation of words, i.e how you wish to say them (syntax, grammar)
- area 45: granular; active controlled memory retrieval; figuring out the words you wish to say. THE EXTREME CAPSULE FASCICULUS EXTENDS FROM WERNICKE’S AREA TO AREA 45, NO CONNECTIONS TO AREA 44
- area 47: granular
Extreme capsule fasciculus vs. Arcuate fasciculus
Arcuate: dorsal stream of language, links Wernicke –> SMG –> area 44 –> area 6 (much more involved in execution of language)
Extreme capsule: Wernicke –> area 45 (much more involved in semantics and organization of language)
What is Gerstmann Syndrome?
- The result of LEFT inferior parietal lobule lesions; specifically SMG
1. Left-right disorientation (distinguishing between left and right)
2. Finger agnosia
3. Alcalculia
4. Agraphia
All of these involve spatial recognition and ability.
Mirror Drawing Task
Patient is asked to draw a star but can only see the mirror reflection of their hands. It is a test of motor procedural learning.
- H.M. Performed well and exhibited retention over the course of trials. However, he didn’t remember what the test was or how to do it.
Digital Repetition Task/Corsi Recurring Digit Sequence Test
- Patients are asked to repeat their digit span; many make errors, but gradually improve if the same span is inserted every 3 intervals (ex: 123, 342, 451, 345, 678, 451)
- Patients with left temporal damage do not improve on this verbal task
The same idea when asked to repeat a story or list of words (anything verbal)
Corsi Block Tapping Task
Patient must tap the same blocks the examiner touched, in the same order. Every third string of blocks is the same.
Patients with right temporal damage have difficulty on this nonverbal visuospatial task.
Smith & Milner/Crane & Milner Task
Put toys on a white sheet and question patients about them. Then remove toys and ask the patients to replace them in the same position on the sheet.
- Patients with right temporal damage had a lot of trouble doing this, even across trials. Left temporal patients performed fine.
Describe the sodium amytal procedure for assessing hemispheric function in epileptic patients.
Before the test: perform tests with the patient so you know they understand them. Then inject into left carotid artery –> left hemisphere, right side of the body is asleep. The memory and language tests can be administered to the right hemisphere alone.
Types of tests: memory (show patient objects pre-op, during op, and reshow them all plus more at end of op. They need to identify all the ones they saw that day. These objects have to be coded visually or auditory-wise) or language (ask patients to read, count, spell a word, repeat a word…)
Patients are asked to reproduce the arrangement of objects on a white table. What lesions would produce what impairment?
Left temporal lobe: very little impairment regardless of severity of lesion
Right temporal lobe:
A+ lesion: very little impairment
A+H+ lesion: impairment was significant and severe