BMB 1 - The Cerebellum Flashcards

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1
Q

Identify the six structures listed on the left side of the image.

A
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2
Q

Identify the three structures listed on the left side of the image.

A
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3
Q

Identify the three structures listed in the image.

A
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4
Q

From superficial to deep, name the three layers of the cerebellar gray matter.

A

Molecular

Purkinje

Granular

(‘My perfect granny’)

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5
Q

Input to the cerebellum comes from what cell type(s)?

A

Mossy and climbing

(‘climbing the mossy hill to the cerebellum’)

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6
Q

Output from the cerebellum travels through what cell type(s)?

A

Purkinje fibers

(‘percolating out from the cerebellum’)

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7
Q

Name the upward-projecting, excitatory neurons projecting axons to the cerebellar granule and Golgi cells.

A

Mossy fibers, climbing fibers

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8
Q

Name the downward-projecting, inhibitory axons projecting from the cerebellum.

A

Purkinje fibers

(Golgi cells, stellate cells, basket cells)

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9
Q

Climbing fibers extend from the ___________ nucleus to form an ______tory synapse with the deep cerebellar and Purkinje nuclei.

A

Climbing fibers extend from the inferior olivary nucleus to form an excitatory synapse with the deep cerebellar and Purkinje nuclei.

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10
Q

Mossy fibers extend from the ___________ pathways to form an ______tory synapse with the deep cerebellar nuclei, granule cells, and golgi cells.

A

Mossy fibers extend from the sensory pathways to form an excitatory synapse with the deep cerebellar nuclei, granule cells, and golgi cells.

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11
Q

Describe the global pathway of cerebral-cerebellar interactions:

All areas of the ___________ > ________ capsule

> corticopontine fibers > synapse on ________ nuclei

> pontocerebellar fibers cross midline to enter contralateral _________ cerebellar peduncle

> entire cerebellar cortex (except the ________)

A

Describe the global pathway of cerebral-cerebellar interactions:

All areas of the cerebral cortex > internal capsule

> corticopontine fibers > synapse on pontine nuclei

> pontocerebellar fibers cross midline to enter contralateral middle cerebellar peduncle

> entire cerebellar cortex (except the nodulus)

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12
Q

Describe the global pathway of spino-cerebellar interactions:

Spinal cord > ____________ fibers >

synapse in dorsal nucleus of ______/external ________ nucleus >

travel through _________ cerebellar peduncle (_____lateral projection)

A

Describe the global pathway of spino-cerebellar interactions:

Spinal cord > spinocerebellar fibers >

synapse in dorsal nucleus of clark/external cuneate nucleus >

travel through inferior cerebellar peduncle (ipsilateral projection)

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13
Q

Describe the global pathway of brainstem-cerebellar interactions:

____________ nuclear complex contains ascending fibers (olivocerebellar fibers) >

cross in medulla and enter _____lateral cerebellum through _________ cerebellar peduncle >

climbing fibers synapse in cerebellar cortex > projects to contralateral _________ nucleus > pred nucleus > inferior _______ via central tegmental tract

A

Describe the global pathway of brainstem-cerebellar interactions:

Inferior olivary nuclear complex contains ascending fibers (olivocerebellar fibers) >

cross in medulla and enter contralateral cerebellum through inferior cerebellar peduncle >

climbing fibers synapse in cerebellar cortex > projects to contralateral dentate nucleus > pred nucleus > inferior olive via central tegmental tract

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14
Q

What is the purpose of the global spino-cerebellar pathway?

A

Unconscious proprioception, touch, pressure

This pathway actually gives rapid feedback about ongoing movements, allowing for fine adjustments.

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15
Q

What is the purpose of the global brainstem-cerebellar pathway?

A

Fine-tuning balance, equilibrium, and vestibulo-ocular reflexes.

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16
Q

Name the global cerebellar pathway associated with each of the following:

(1) Balance, equilibrium
(2) General motor control
(3) Vestibulocochlear reflex
(4) Fine-tuning movement based on unconscious proprioception, touch, and pressure

A

(1) Brainstem-cerebellar
(2) Cerebral-cerebellar
(3) Brainstem-cerebellar
(4) Spino-cerebellar

17
Q

Damage to a lateral cerebellar hemisphere will lead to what?

A

Ipsilateral motor planning deficits

(ipsilateral due to double decussation)

18
Q

Damage to one of the intermediate cerebellar hemispheres will lead to what?

A

Ipsilateral, appendicular motor deficits

(ipsilateral due to double decussation)

19
Q

Damage to the cerebellar vermis will lead to what?

A

Bilateral truncal/axial motor deficits

20
Q

Damage to the cerebellar flocculonodular nodes will lead to what?

A

Vestibulo-cochlear deficits

21
Q

A patient presents with deficits in motor planning in some of the musculature on the left side of her body.

Which portion of the cerebellum might be involved?

A

The left lateral hemisphere

22
Q

A patient presents with deficits in appendicular motor function in some of the musculature on the right side of her body.

Which portion of the cerebellum might be involved?

A

The right intermediate hemisphere

23
Q

A patient presents with truncal ataxia due to deficits in some of the musculature on the left side of her body.

Which portion of the cerebellum might be involved?

A

The right vermis

24
Q

A patient presents with deficits in vestibular function.

Which portion of the cerebellum might be involved?

A

The flocculonodular lobes

25
Q

What are the three major sets of bilateral cerebellar arteries?

A

Superior cerebellar arteries

Anterior inferior cerebellar arteries

Posterior inferior cerebellar arteries

(SCAs, AICAs, PICAs)

26
Q

Which portions of the cerebellum are supplied by the posterior inferior cerebellar arteries?

A

Inferior half of the cerebellum (including the vermis).

(along with the lateral medulla oblongata)

27
Q

Which portions of the cerebellum are supplied by the anterior inferior cerebellar arteries?

A

The middle cerebellar peduncle + a strip of the anterior cerebellum

(along with the inferior lateral pons)

28
Q

Which portions of the cerebellum are supplied by the superior cerebellar arteries?

A

Most of the superior half of the cerebellum (including the deep nuclei and superior vermis) + the superior cerebellar peduncle

(along with the upper lateral pons)

29
Q

Which cerebellar arteries have a large distribution and are most commonly occluded?

A

The superior cerebellar arteries