Case 7 - extra Flashcards

1
Q

what does the cerebellum monitor

A

monitors and regulates motor control

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2
Q

what is the result of the cerebellum modulating movement

A

neuronal activity in the cerebellum changes continually during the course of a movement

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3
Q

what is this action controlled by

A

the purkinje fibres and the deep cerebellar nuclear cells

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4
Q

what are these fibres like during rest

A

both are tonically active during rest and change their frequency of firing as movements occur

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5
Q

what happens when there are lesions in the cerebellum

A

patients find it difficult to produce smooth, well coordinated movement - cerebellar ataxia

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6
Q

what does the cerebellum contribute to in the oculomotor system

A

contributes to the motor error reduction in the oculomotor system

this is done when a small part of the tendon of the lateral rectus is cut which weakens horizontal eye movement

the nervous system corrects the error in the saccades mode by the weak eye by increasing the gain in the saccade motor system

lesions in the vermis of the spin cerebellum eliminate this ability to reduce the motor error

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7
Q

what does the cerebellum also contribute to

A

error reduction in the vestibule-ocular reflex system:
if the cerebellum is damaged or removed, the ability of theVOR to adapt to the new conditions is lost

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8
Q

what does the basal ganglia facilitate

A

the initiation of motor programs that express movement and the suppression of competing motor programs that would otherwise interfere with the expression of sensory drive or goal directed behaviour

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9
Q

what are the nuclei in the basal ganglia that are concerned with motor movement

A

corpus striatum (caudate and putamen)
globus pallidus

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10
Q

how does the BG influence movement

A

by regulating the activity of upper motor neurones

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11
Q

what does the loop including the BG, substantia nigra and sub thalamic nucleus do

A

the neurones in this loop respond in anticipation of and during movements, and their effects on upper motor neurones are required for the normal course of voluntary movements

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12
Q

what happens when one of the components of this loop is compromised

A

the patient cannot switch between commands smoothly that initiate a movement and those that terminate a movement

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13
Q

what is the largest source of input to the BG

A

the corticostriatal pathways, from the cortex. these tackle through the internal capsule to reach the caudate and putamen directly

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14
Q

what is the only cortical area that does not project to the corpus striatum

A

the primary visual and auditory cortices

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15
Q

what are cortical projections topographically mapped within

A

rostrocaudal bands

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16
Q

what is the output from the basal ganglia from

A

the corpus striatum.

the destinations pf the incoming axons form the cortex are the dendrites of medium spiny neurones in the corpus striatum

17
Q

what is most cortical input from the striatum

A

excitatory and uses glutamate

18
Q

where do the axons arising from the medium spiny neurones convert on neurones

A

in the globus pallidus and the substantia nigra pars reticulate, the main sources of output from the basal ganglia compel

19
Q

how is dopamine produced

A

by the action of DOPA decarboxylase on L-DOPA

20
Q

following its synthesis in the cytoplasm of presynaptic terminals, what happens to the dopamine

A

is loaded into synaptic vesicles via a vesicular monoamine transporter (VMAT)

21
Q

what is dopamine action in the synaptic cleft terminated by

A

reuptake of dopamine into nerve terminals or surrounding glial cells by a Na_ dependent dopamine transporter - termed DAT

22
Q

what do both neurones and glia contain

A

mitochondrial MAO and COMT

23
Q

where do the dopaminergic systems arise

A

in the midbrain

24
Q

what are the two structures in the midbrain that give rise to the dopaminergic systems

A

substantia nigra
ventral tegmental ares

25
Q

why is the substantia nigra darker than neighbouring areas

A

due to high levels of neuromelanin in dopaminergic neurones

26
Q

where does the nigrostriatal pathway arise form

A

the substantia nigra pars compacta and projects into the caudate and putamen. this pathway serves as the primary inout into the basal ganglia system

27
Q

what does dysfunction of this pathway produce

A

movement disorders such as PD

28
Q

what are the two pathways in the ventral tegumental area

A

mesolimbic pathway
mesocortiyal pathway

29
Q

features of the mesolimbic pathway

A

arises mainly from the ventral tegumental area and projects to limbic structures. this pathway plays a major role in the reward circuitry and addiction

30
Q

features of the mesocortiyal pathway

A

arises mainly from the ventral tegumental area and projects to the prefrontal cortex. this pathway is involved in working memory and attentional aspects of motor ignition

31
Q

how does dopamine act once release

A

exclusively by activating G protein coupled receptors

32
Q

how do most dopamine receptor subtypes act

A

by either activating or inhibiting adenylyl cyclase