3 - Motor Systems II Flashcards

1
Q

What does the frontal lobe control?

A

Motor control

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2
Q

What area is the primary motor cortex

A

4

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3
Q

Local lesions in primary motor cortex

A

Paralysis of specific muscle groups

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4
Q

What area is the premotor cortex

A

6

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5
Q

What area is the supplementary motor cortex

A

8

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6
Q

Damage to premotor/supplementary motor cortex

A

Apraxia - normal refelxes but difficulty in complex motor tasks

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7
Q

What is Oculomotor Apraxia

A

difficulty moving eyes horizontally and quickly

caused by damage to frontal eye fields

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8
Q

Frontal eye fields function

A

motor control of extraocular eye muscles

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9
Q

Damage to brocas area

A

Motor aphasia - difficulty constructing meaningful word sentences

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10
Q

What areas are the dorsolateral prefrontal cortex

A

9 and 10

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11
Q

What is the function of the dorsolateral prefrontal cortex

A

Planning and movement

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12
Q

Lesion in the dorsolateral prefrontal cortex

A

Personality changes

lack of ability to plan or sequence actions or tasks

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13
Q

Test for frontal lobe function

A

Wisconsin Card Sorting Test

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14
Q

What area is the orbitofrontal cortex

A

11

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15
Q

Function of the orbitofrontal cortex

A

Inhibition of motor responses associated with the lmbic system

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16
Q

Lesion in orbitofrontal cortex

A

Impulsiveness
Sexual disinhibition
Lack of concern

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17
Q

Stroke in motor thalamus

A

Severe paralysis

18
Q

Occlusion of the MCA

A

all of one side of the frontal lobe

Severe motor disability in all parts of the contralateral body except the lower limb

19
Q

Blood supply to basal ganglia

A

MCA via leticulostriate arteries

20
Q

What does the cortcobulbospinal tract run through

A

Internal capsule

21
Q

Where does the corticobulbar component terminate

A

Pontine nuclei
Reticular formation
Red nucleus
CN nuclei

22
Q

Where is the red nuclei

23
Q

Where is the motor decussation of the corticobulbospinal tract

A

Upper Spinal Cord + Medullary Pyramids

24
Q

Origin of lateral vestibulospinal tract

A

Vestibular nuclei in upper medulla/lower pons

25
Function of lateral vestibulospinal tract
Posture and balance | tonically active when upright
26
Origin of reticulospinal tract
Reticular formation of pons and medulla
27
Function of reticulospinal tract
Autonomic control and respiration
28
Rubrospinal/vestigal spinal tract origin
Red nucleus in midbrain
29
Function of rubrospinal tract
Carries cerebellar commands to SC
30
Tectospinal tract
Co-ordinates voluntary head and eye movements
31
Medial vestibulospinal tract
Continuation of MLF Maintains objects in view despite movements coordination of head and neck with extraocular eye muscles
32
Which UMN act directly on LMN
Those driving the muscles of the thumb and fingers
33
Spasticity
Abnormally increased muscle tone | Upper motor neuron lesion
34
Clonus
Series of (jerky) contractions of a particular muscle following sudden stretching of the muscle
35
Hyperreflexia
abnormally (pathologically) brisk tendon reflex is seen in one or more muscles.
36
Decorticate posturing
More favourable Arms adducted and flexed Legs internally rotated and stiffly extended
37
Decerebrate posturing
Arms adducted and extended Legs internally rotated Severe injury to brain at the level of the brainstem Unconscious patients
38
Can the cortex recover from a lesion?
Yes if acute - after paralysis due to plasticity in the cortex Larger lesions - slower recovery/permanent loss of movement
39
What is hemiplegic dystonia
Persistent flexion of the arms Extension of the legs occurs with chronic spasticity
40
Paralysis/weakness of voluntary movement
Corticospinal tract
41
Loss of bladder/bowel control
Reticulospinal tract
42
Loss of ability to stand up straigh/balance
Vestibulospinal tract