Anatomy Flashcards

(70 cards)

1
Q

what are the parts of the forebrain

A

cerebral hemispheres
diencephalon (thal, hypothal, pineal, pituitary)

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2
Q

what are the parts of the hindbrain

A

medulla, pons, cerebellum

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3
Q

axial/horizontal
coronal
saggital

A

parallel to floor
connects ear to ear
line dividing 2 hemispheres

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4
Q

roles of orbitofrontal/ventromedial frontal lobe

A

emotion regulation
reward monitoring
personality

damage results in:
disinhibition
disordered reward processing

think PHINEAS GAGE: orbitofrontal damage

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5
Q

role of dorsolateral regions of frontal lobe

A

cognitive/executive functions

damage results in:
dysexecutive syndromes
working memory impairment
poor attentional control
poor word list generation
sometimes abulia/amotivation

think ADHD

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6
Q

role of dorsomedial region of frontal lobe

A

intentional and behavioral activation

damage results in:
problems with behavior initiation

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7
Q

what are three regions of temporal lobes

A

temporal pole: polymodal convergence zone (intersensory integration, semantic memory)

ventral temporal: object recognition, discrimination (bilateral damage results in obj or face agnosia)

posterior temporal: (middle and superior sulci): primary auditory area, Wernicke’s area (and prosody comprehension in non-dom hem)

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8
Q

3 regions of parietal lobe

A

superior: sensory-motor integration, body schema, spatial processing

temporoparietal junction: phonological and sound-based processing, language/music comprehension

inferior: complex spatial attention, integration of tactile sensation, self-awareness (think NEGLECT)

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9
Q

what are the 2 main visual cortical pathways

A

ventral/what stream: connects occipital and temporal. Object and face recognition, item-based memory, complex visual discrimination

dorsal/where OR HOW stream: connects occipital and parietal. Spatial vision & visuomotor integration

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10
Q

anatomy of the occipital cortex

damage causes:

A

primary visual cortex and visual association areas

damage causes cortical blindness or things like Anton syndrome (blindness but anosagnosia) or blindsight (some ability to perceive some info despite blindness)

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11
Q

how many layers of cells (laminar structure) are present in cortex vs. limbic system

A

6 in cortex
3 in limbic system (lizard brain)

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12
Q

in order to have a dense amnesia, whta must happen

A

damage to the TWO memory circuits:
medial (papez, involving hippocampus) circuit AND lateral circuit (involving amygdala)

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13
Q

what is the basal forebrain

A

it’s located at the junction of the diencephalon and the cerebral hemispheres.

its role is important for memory - but most lesion cases include a large lesion that impacts other key anatomical regions involved in memory

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14
Q

what cog functions is the thalamus involved in

A

sensory relay!
alertness, behavioral activation, memory

what may be key for memory are the white matter pathways (Internal Medullary Lamina) that transmit information from mammilary bodies to the anterior and dorsomedial thalamus.

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15
Q

in what % of left handers is language localized to the LEFT hemisphere?

A

60-70%

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16
Q

what is Wernicke’s area responsible for and where is it located?

A

Wernicke’s area is responsible for identifying sounds as words. Posterior Brodmann areas 33

it’s located in the perisylvian region of the temporal lobe, just posterior to Heschl’s gyrus (primary auditory cortex)

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17
Q

Broca’s area

A

plans and activates sequences of speech sounds - then sends to regions like face area of primary motor cortex

responsible for language generation; damage produces NONFLUENT aphasia

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18
Q

arcuate fasciculus

A

connects Brocas and Wernicke’s area - must be intact in order to be able to repeat language

damage would result in “conduction aphasia”

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19
Q

prosody & brain regions

A

right hemisphere - aligns with language regiosn in Left.

damage in inferior right frontal lobe = deficit in expressing prosody (like Broca’s aphasia)

damage in right posterior temporal/parietal lobe = deficit in prosody comprehension (like Wernicke’s)

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20
Q

Wernicke’s area connects with supramarginal and angular gyri in parietal lobe - what is this system responsible for?

A

language comprehension
writing
lexical semantics (mapping sounds to meaning)

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21
Q

transcortical motor aphasia

A

difficulties with generating language - halting speech but CAN REPEAT (unlike in Broca’s)

damage in frontal

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22
Q

anomic aphasia

A

can understand
can speak
can repeat

BUT difficulties finding the right word

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23
Q

conduction aphasia

A

can understand
can speak
CANNOT repeat

damage to arcuate fasciculus

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24
Q

what is the difference between transcortical and core (Broca’s, Wernicke’s, Global) aphasias?

A

in transcortical, you CAN repeat

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25
what kind of lesion produces broca's aphasia?
damage to third frontal convolution if there is also damage in the motor fibers nearby you can have right hemiparesis
26
what cognitive functions is acetylcholine involved in?
attention, memory, learning regulation of thalamic output in addition, acetylcholine is primary efferent NT of the peripheral NS
27
what are the two types of acetylcholine receptors and what are they involved in?
muscarinic: mediate main cognitive effects: attention, learning, short term memory nicotinic: neural and neuromuscular transmission within sympathetic and parasympathetic NS and at the neuromuscular junction
28
what are drugs that impact acetylcholine
antihistamines, first-gen antipsychotics, tricyclic antidepressants can have negative cognitive side effects
29
where are norepinephrine producing neurons inthe brain?
locus coeruleus and lateral tegmental regions of pons and medulla
30
what is cognitive relevance of norephinephrine signalling?
mood, sleep/wake cycles, attentional shifting, arousal
31
what drugs affect norephinephrine?
stimulants: increase NE and dopamine atomoxetine (Strattera) selectively increases available NE
32
serotonin producing neurons are found in the
raphe nuclei of midbrain, pons, medullas
33
serotonin is implicated in which disorders?
anxiety, depression, OCD, aggressive bx, certain eating disorders
34
what are some drugs that affect serotonin?
SSRIs: fluoxetine, sertraline SNRIs: venlafaxine remeron: 2A agonist
35
what are supramarginal and angular gyri involved in
mapping sounds to meaning
36
where are dopamine-containing neurons in the brain?
substantia nigra pars compacta and ventral tegmental area
37
what are the three dopamine transmision systems?
mesostriatal: to striatum, involved in Parkinson's mesolimbic: to medial temporal and limbic area,: reward functions, addictive behavior mesocortical: to frtaonlalobe, involved in EF, damage can cause dysexecutive syndrome, negative schizophrenia symptoms, bradykinesia
38
GABA
inhibitory involved in memory, anxiety/arousal, meuromodulation balaance is key for attentions hifting, regulating sleep, arousal
39
glutamate
most abundant excitatory NT involved in leraning and memory involved in excitotoxicity/cell death - implicated in alzheimer's and ALS.
40
what does it mean if a cortical region has a big layer 4?
lots of inputs from thalamus
41
what are myelin producing cells in the... CNS? PNS?
CNS: oligodendrocytes PNS: schwann cells
42
afferent vs. efferent
afferent: ARRIVE efferent: EXIT
43
segments of the spinal cord from head to tail
cervical thoracic lumbar sacral
44
2 divisions of the autonomic nervous system where they originate and what they do
sympathetic: originates from Thoracic and Lumbar regions. Fight or flight: releases norepinephrine into end organs. parasympathetic: originates from cranial nerves and sacral region. Rest and digest: releases acetylcholine into end organs **The Lion Fights, Cranial Calm**
45
layers of the neocortex
1: dendrites from neurons below 2-3: cortico-cortico projections 4: inputs from thalamus 5: project to subcortical regions 6: projects to thalamus
46
pyramidal decussation in the medulla what is important about it? what do lesions above and below cause?
where 85% of fibers in the corticospinal tract cross over to control mvmt of the opposite side of the body lesions above P.D. cause contralateral weakness lesions below P.D. cause ipsilateral weakness
47
mnemonic to remember regions involved in Papez circuit:
M: mammillary bodies AT: anterior thalamus C: cingulate gyrus H: hippocampus
48
describe the 2 main pathways in the spinal cord for somatic sensation
posterior column: conveys proprioception, vibration, fine discriminative touch anterolateral/spinothalamic pathways: pain, temperature, crude touch (forms spinothalamic tract) **Posterior Feels Very Fine Anterior Hurts Terribly (temp, touch)**
49
what is the reticular formation of the brainstem involved in? rostral aspect vs. caudal
caudal: motor & autonomic functions rostral: level of consciousness lesions can cause lethargy, coma
50
what does the fornix connect?
hippocampal formation to the hypothalamus and septal nuclei
51
what are microglia?
glial cells that act as phagocytes, disposing of pathogens/debris
52
what are ependymal cells
glial cells that line ventricular system, incl choroid plexus
53
what do vertebral arteries merge into?
basilar artery
54
what connects the lateral ventricles to the third ventricle?
foramen of monro
55
what connects 3rd to 4th ventricle
Cerebral acqueduct
56
how does 4th ventricle drain?
thru Foramen of Magendie and 2x foramina of luschka to the cisterna magna (region of subarachnoid space)
57
what absorbs CSF?
arachnoid villi
58
are cranial nerves part of CNS or PNS?
all but optic nerve are PNS
59
what 3 cranial nerves work together to control eye movment?
3, 4, 6
60
how does the cerebellum influence motor cortex?
via the thalamus
61
how many cell layers are in the cerebellum?
3: superficial molecular cell layer, intermediate purkinje cell layer, deeper granular cell layer
62
what does Vermis of the cerebellum control?
postural adjustment
63
what do cerebellar hemispheres control?
ipsilateral limbs
64
Scanning speech is related to a lesion where?
in the cerebellum
65
what brain region is the control center for the autonomic nervous system?
Hypothalamus
66
what is primary role of the basal ganglia?
to modulate cerebral cortical control of voluntary movement. Especially timing and initiation of movements
67
name parts of the striatum
caudate, putamen
68
name parts of the basal ganglia
caudate nucleus, globus pallidus, putamen, substantia nigra (DA production)
69
where does corticospinal tract decussate?
in the medulla
70
where does corticobulbar tract decussate?
brainstem, but only 50% cross