Auditory Tracts Flashcards

1
Q

Draw the Monoaural Auditory tract

A

Ok

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2
Q

What type of information does the monoaural tract transmit?

A

Sounds from single ear

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3
Q

Draw the binaural tracts

A

Ok

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4
Q

What type of info do binaural tracts transmit?

A

Differences between sounds at both ears

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5
Q

Where doe the monoaural and binaural tract synapse at in the cortex?

A

Layer IV of primary auditory cortex in the anterior transverse temporal gyrus

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6
Q

Is there tonotopical organization in the auditory tracts?

A

Yes, high and low pitched sounds are organized tonotopically in these tracts

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7
Q

What happens at the olive, lateral lemniscus and inferior colliculus in the auditory tracts?

A

Further crossing over of some of the fibers, so hitting a side of the tract isn’t gonna cause total deafness because of this “insurance”

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8
Q

What is conduction deafness?

A

Deafness from obstructed, altered TM or ossicle chain

Ipsilateral ear is affected

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9
Q

What is sensorineural nerve deafness?

A

Deafness due to damage to cochlea, cochlear part of CN VIII or cochlear nuclei
Ipsilateral ear is affected

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10
Q

What is central deafness?

A

Damage to the central pathways after the Cochlear nucleus

Does NOT result in deafness due to the crossing over, but can have trouble with sound localization/focus

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11
Q

What does the basilar artery supply?

A

Cochlea and auditory nuclei of pons and medulla

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12
Q

What does the internal auditory (labyrinthine) artery supply?

A

From AICA, supplies inner ear and cochlear nuclei

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13
Q

What happens when AICA is occluded?

A

Monoaural (one ear) hearing loss.
Can also damage the facial nerve and the pontine (horizontal) gaze center, so you can have ipsilateral facial paralysis and inability to look toward side of lesion

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14
Q

What does the short circumferential branches of basilar supply?

A

Superior olivary complex and lateral lemniscus

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15
Q

What does the superior cerebellar and quadrigeminal arteries supply?

A

Inferior colliculus

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16
Q

What do the thalamogeniculate arteries supplies?

A

Medial geniculate bodies

17
Q

What does M2 segment supply?

A

Primary auditory and association cortices

18
Q

Broca’s and Wernicke’s areas

A

Both in left hemisphere in most adults
Broca: producing language, grammar
Wernicke’s: understanding spoken and written language

19
Q

Area analogous to Wernicke’s

Area analogous to Broca’s

A
  • allows interpretation of body language

- allows interpretation of gestures and tone of speech

20
Q

Describe the pathway of neural processing of language

A

Auditory/visual and association cortices (help, but not necessary) > wernicke’s > subcortical connections > Broca’s > oral and throat region of sensorimotor cortex

21
Q

What is Broca’s specifically responsible for?

A

Word processing
Grammar (syntax)
Word production
Articulation

22
Q

What is the lateral temporal cortex responsible for?

A
Semantics 
Word recognition (meaning)
23
Q

What is wernicke’s specifically responsible for?

A

Word representation and retrieval. Takes visual word form as input to put the letters together

24
Q

What is the arcuate fasciculus and dorsal premotor cortex responsible for?

A
  • word repetition

- motor programs for articulation

25
Q

Auditory agnosia:
Cause
Clinical

A

Bilateral sensory association cortex lesion

-cannot describe what sound you’re hearing even if you hear it

26
Q

Wernicke’s aphasia
Cause
Clinical

A
  • temporal gyrus, parietal lobule damage
  • cannot understand, read (alexia), write (agraphia) language but can express fluent speech (word salads). Patient unaware of deficits
27
Q

Broca’s aphasia

A

Inferior frontal gyrus damage
Severe form: mutism, less sever form = limited speech
Labored, slow speech. Telegraphic speech. Patient aware of deficit

28
Q

Global aphasia:
Cause
Clinical

A

Lateral sulcus lesion.

Receptive and expressive deficits, cannot read or write.

29
Q

Transcortical sensory aphasia:
Cause
Clinical

A

MCA-PCA watershed lesion

Similar to wernicke’s but patient able to repeat

30
Q

Transcortical motor aphasia:
Cause
Clinical

A

ACA-MCA watershed zone lesion

Similar to broca’s but patient has intact grammar and repetition abilities.

31
Q

Conduction aphasia:
Cause
Clinical

A

Lesion of supramarginal gyrus and arcuate fasciculus.

Patient cannot repeat, having hard time “finding” words, impaired writing

32
Q

Mixed transcortical aphasia:

A

Cannot produce own speech, or comprehend, but can repeat