speech and cortical asymmetry Flashcards

1
Q

what are gyri?

A

rounded ridges (surface of the cerebral cortex)

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2
Q

what are sulci?

A

grooves in the cerebral cortex

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3
Q

what is found in the precentral gyrus?

A

primary motor cortex

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4
Q

what do focal lesions in the precentral gyrus cause?

A

cause paralysis or weakness in particular muscle groups

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5
Q

what does the central sulcus separate?

A

parietal and frontal lobe

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6
Q

what does the post-central gyrus contain?

A

primary somatosensory cortex

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7
Q

what does the lateral sulcus separate?

A

separates parietal, frontal lobe from temporal lobe.

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8
Q

what is broca’s area?

A

part of the left frontal lobe, just above the lateral sulcus, which controls spoken speech

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9
Q

what did Brodmann do?

A

• Brodmann noticed subtle differences in neuron type and density in various parts of the cortex and divided them into over 50 areas.

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10
Q

what is brodmann area 4?

A

primary motor cortex

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11
Q

what is brodmann areas 1, 2, 3?

A

somatosensory

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12
Q

what is brodmann areas 17, 18, 19?

A

visual cortex

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13
Q

what is brodmann areas 41 and 42?

A

auditory cortex

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14
Q

what is the association cortex?

A

cerebral cortex outside the primary areas: areas whose function is obscure

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15
Q

what controls language vocalisation?

A

Broca’s area - specialized cortical areas in left hemisphere only just above the lateral sulcus
Insula

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16
Q

what is the insula?

A

hidden region of the cortex in the lateral sulcus which is also active during speech production

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17
Q

what is the opercular cortex?

A

cortex on upper and lower lips of lateral fissure

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18
Q

which hemisphere is the opercular cortex thicker on?

A

the left

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19
Q

what is the opercular cortex involved with?

A

language production

20
Q

what is wernicke’s area?

A

a cortical area at the proximal end of the superior temporal gyrus in the temporal lobe

21
Q

what is wernicke’s area adjacent to?

A

primary auditory cortex

22
Q

what does wernicke’s area control?

A

language perception

23
Q

what are symptoms of Broca’s aphasia?

A
Halting speech
Repetitive 
Disordered grammar 
Disordered syntax
Disordered work order 
Sense behind words
24
Q

what are symptoms of Wernicke’s aphasia?

A
Fluent speech
No repetition  
Good syntax
Grammar ok  
Meaningless  
Inappropriate words
25
Q

what is aphasia?

A

inability to understand or produce speech as a result of brain damage

26
Q

what is expressive aphasia?

A

use single words (find it difficult to link words in grammatical sentences)

27
Q

what is receptive aphasia?

A

speak fluently but in an almost meaningless way

28
Q

what joins broca’s and wernicke’s areas?

A

arcuate fasciculus

29
Q

what is arcuate fasciculus?

A

bundle of cortico-cortical association fibres

30
Q

what does damage to arcuate fasciculus cause?

A

conduction aphasia – patients show impaired ability to repeat back heard or written words.
o Patients also have difficulty reading aloud

31
Q

what is speech output characterised by?

A

word-finding difficulties

32
Q

explain the wernicke-geschwind model

A

word concepts formed in Wernicke’s –> stored in buffer memory –> Broca’s area via arcuate fasciculus

converted into motor programs –> motor cortex of the mouth, lips and tongue

33
Q

when we speak, how do we hear our own voice?

A

sound produces patterns of neuronal activity in the auditory cortex which are decoded into perceived words/fractions of words in Wernicke’s area

34
Q

why are our perceived words compared with the output in buffer region?

A

to see if our physical speech sounds like what we wanted to say

35
Q

what blood vessel supplies Broca’s and Wernicke’s areas?

A

branches of the middle cerebral artery

36
Q

what do strokes affecting the middle cerebral artery affect?

A

both the Broca and Wernicke areas: producing global/total aphasia.

37
Q

what scans can be used to show which area of the brain is active during vocalisation/hearing words?

A

fMRI/PET scans

38
Q

which side of the brain is normally active during listening to speech?

A

the left

39
Q

how many people have left-hemisphere language specialisation?

A

70-95%

40
Q

what are right hemisphere regions corresponding to Broca’s and Wernicke’s areas involved with?

A

tasks requiring non-semantic speech recognition and generation – intonation rhythm and emphasis

non-language communication skills - understanding body language, gesture and emotional content of speech

41
Q

what do lesions of the right hemisphere regions cause?

A

produce robotic, monotonous speech known as aprosodia

42
Q

what do lesions in area 44 cause?

A

tend to change patient’s speech to a dull monotone.

43
Q

what do lesions in area 22 cause?

A

listening errors (can’t tell whether it’s a question, struggles with sarcasm).

44
Q

what do the left prefrontal lobes do?

A

allows you to focus attention on particular objects/problems, gives you analytical and logical skills (in particular use of language and mathematics)

45
Q

what do the right frontal lobes do?

A

maintain overall awareness even if you are focusing on something else. Allows you to switch your attention and concentrate on new inputs