Cerebellum Flashcards
The ____ cerebellar peduncles are attached to dorsal aspect of midbrain and area associated with ___.
superior
vision
The ___ cerebellar peduncle carries afferent fibers from pontine nuclei on one side across pons to the contralateral cerebellum.
middle
The ___ cerebellar peduncles are attached to the dorsal aspect of upper medulla.
Inferior
The cerebellum is located in the ___, separated from the cortex by the ___.
posterior fossa
tentorium cerebelli
The cerebellum may become compromised if there is hydrocephalus in the ____, due to its close proximity.
4th ventricle
True or False
The cerebellum is connected to LMN to influence movement.
False
Influences movement through links with cortex, spinal cord and brainstem.
Which is not a function of the cerebellum?
a. posture
b. initiate/execute movement
c. coordinate movement
d. balance
b. initiate/execute movement
Which is not a function of the cerebellum?
a. force and timing of muscle
b. gradates mm tone
c. cognition and language
d. motor planning
e. all of the above are functions
e. all of the above are functions
The inability to perform rapid, coordinated movement
dysdiadochokinesia
What structure is in the midline of the cerebellum?
vermis
Two bumps on the ventral surface of cerebellum that communicate with the nodulus.
Flocculi
The division between the posterior and anterior lobes of the cerebellum.
primary fissure
The division between posterior lobe and flocculonodular lobe
posterolateral fissure
What structures can herniate through the foramen magnum? Known as Arnold Chiari syndrome
Cerebellar tonsils
The bottom of the vermis is called the ___.
nodulus
Name the zone and structure.
Contains most of anterior and medial aspect of posterior lobe.
intermediate zone (paravermis)
The vermis and intermediate zone (paravermis) together form the ___.
spinocerebellum
This zone is mostly posterior lobe
lateral zone
provides the planning of sequential movements of the entire body along with involvement in the conscious assessment of movement errors.
cerebrocerebellum
The cerebrocerebellum is located in what zone?
lateral
Its primary role in the vestibulo-ocular reflex is connects lateral vestibular nuclei
Flocculonodular lobe
The ___ affects VOR gain.
Flocuculus
The __ affects duration of VOR.
Nodulus
If a patient has cerebellar damage, will the severity of postural sway change with eyes open or closed?
no
What part of the cerebellum controls distal extremity muscules?
intermediate zone (paravermis)
The ___ includes the flocculonodular lobe and its connections with the lateral vestibular nuclei.
vestibulocerebellum
This structure of the cerebellum is involved in the integration of sensory input with motor commands to produce adaptive motor coordination.
spinocerebellum
This structure receives input from the spinocerebellar tract and projects to the rubrospinal, vestibulospinal, and reticulospinal tracts.
spinocerebellum
What is the largest subdivision of the human cerebellum?
cerebrocerebellum
This structure of the cerebellum is comprised of the lateral hemisphere and the dentate nuclei.
cerebrocerebellum
What is the function of the cerebrocerebellum?
planning and timing of movements
The cerebrocerebellum receives afferents from the ___ and efferents to the ___.
pontine nuclei
VL thalamus
Name the Anatomical regions of the cerebellum.
Lateral hemisphere
vermis and paravermis (intermediate)
Flocculonodular lobe
Name the Functional regions of the cerebellum.
Cerebrocerebellum
Spinocerebellum
Vestibulocerebellum
This anatomical region is responsible for planning motor program for extremities, coordination of complex motions-especially UEs
lateral hemisphere
What part of the cerebellum controls coordination of the proximal trunk?
vermis
This structure is responsible for controlling coordination of the limbs and trunk during gait.
paravermis
Is ataxia ipsilateral or contralateral to the cerebellar lesion?
ipsilateral
What Functional Region is equivalent to the lateral hemisphere?
cerbrocerebellum
What Functional Region is equivalent to the vermis and paravermis?
spinocerebellum
What Functional Region is equivalent to the Flocculonodular lobe?
vestibulocerebellum
These are signs of lesion to which section of cerebellum?
- unsteady gait/ataxia
- limb ataxia
- dysmetria/dysdiadochokinesia
spinocerebellum
These are signs of lesion to which section of cerebellum?
- unsteadiness, balance deficits (truncal ataxia)
- abnormal eye movements
- vertigo, nausea, and vomitting
Flocculonodular lobe-Vestibulocerebellum
These are signs of lesion to which section of cerebellum?
- ataxia of the hands/fingers
- poor UE
cerebrocerebellum
Incoordination of the trunk/lack of postural control in any position.
truncal ataxia
Define if the cerebellar peduncle is mostly associated with input or output.
Superior-output
Middle- input
Inferior-input
What are the 4 Deep Cerebellar Nuclei?
Dentate nucleus
Emboliform nucleus
Globose nucleus
Fastigial nucleus
Dogs Eat Gross Food
The most lateral and largest to the deep nuclei.
Dentate
What is the role of the dentate nucleues?
planning; active before voluntary movement
The dentate nucleus receives projections from the _____ that carry information from the ___.
lateral hemisphere and from cerebellar afferents
cerebral cortex (via the pontine nuclei)
What is the role of the emboliform and globose nucleus? Interposed nuclei
coordination; active during voluntary movement; coordinating agonist/antagonist pairs
What is the most medial deep cerebellar nuclei?
Fastigal
What is the role of the Fastigial nuclei?
balance and equilibrium during movement; coordinates head and eye movements
What does the middle layer of cerebellum tissue consist of?
purkinje cell bodies
What are the layers of cerebellar tissue? Which are excitatory? Inhibitory?
- Molecular Layer of gray (external)
- Purkinje Layer of gray (Middle)
- Granule Layer of Gray (Internal)
- White matter
All excitatory but Purkinje Layer
What is the sole source of output from the cerebellar cortex?
Purkinje cells
What are the input nerve fibers?
Purkinje cells
Mossy Fibers
Climbing Fibers
These structures are inhibitory to the deep cerebellar nuclei (DCN) by determining the degree of activity inputted to the DCN.
Purkinje cells
Input is received via somatosensory pathways (spinocerebellar tracts), will rev up (excite) motor activity that is needed based on the info receives and info sent.
This is the action of what input fibers?
Mossy fibers
A message about motor activity that matches the intent is received. Agreement is made and info is sent forward.
This is the action of what input fibers?
Purkinje Fibers
There is talking between brainstem and cerebellum. The cerebellum decides the level of error and what has to happen to correct the movement.
This is the action of what input fibers?
Climbing fibers
Cerebellar lesions are mostly ___ (ipsilateral or contralateral) due to ___.
ipsilateral
double crossing phenomenon