Cerebellum Flashcards

1
Q

What does the word cerebellum mean ?

A

Little brain- 1 or the 3 main divisions of the brain

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2
Q

What is the overall structure of the cerebellum?

A

mini version of cerebral

  • has outer cortex which consist of grey matter and neruron cell bodies
  • and white matter under neath that cortex with deep nuclei within the deep white matter like the thalamus
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3
Q

What is the cerebellum main functions?

A
  • brain in miniuture

- is in sensory and motor integration with a specific purpose of smoothly coordinating our voluntary movements.

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4
Q

What is the general principal of control of voluntary movements ?

A

3 events occur when you make a voluntary movement

  1. plan the movement
  2. initiate the movement
  3. execute the movement
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5
Q

How is the planning of voluntary movements made?

A
  • occurs in the pre motor area (PMA) of the frontal cortex
  • sit infront of primary motor
  • Brocas area is part of the pre motor cortex which is responsible for planning our ability to speak
  • mediated by the PMA of the frontal cortex
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6
Q

What do these pre motor areas of the frontal cortex contain ?

A

stored motor programmes which have been acquired from practice and rehearsal from procedural memory
-accquired to generate complex movements and sequences from our part experience e.g our speak, reaching out to an object

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7
Q

How does the initiation occur?

A

area of frontal cortex send signals to M1 in pre central gyrus

  • role of neurons in M1 to activtate the intended motor plan or programme
  • M1 initiates the signals which initiate the movement
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8
Q

How does execution occur?

A
  • while movement is executed it is supervised and coordinated by 2 things:
  • PPC - posteror parental cortex which is in the cerberbral cortex- sits behind the S1 cortex
  • Cerebellum
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9
Q

How is the PMA always used?

A

In FMRI - Brian imaging findings- looking at brain acitivity- when people imagine making a movement

  • e.g person lying in the scanne- asked to tap right index finger on forearm- a region of PMA will be activated , then M1 is activated and parts of cerebellum will be activated (as responsible for co-rodinating movement)
  • Then ask px to imagine tapping their forearm with finger- PMA is still activated however because they dont initiate it M1 and cerebellum is not activated
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10
Q

What is the important sensory aspects to control of voluntary movements ?

A
  1. Motor plan/programme- takes account of sensory information about- because can change
    need to know current head, eye, body & limb positions in space
    which are rarely ever the same.
  2. Execution of the Movement itself:
    -generates sensory feedback, in different systems, for example:
    changes in head position (vestibular system)- when you are walking head bops up and down
    muscle contraction & joint positions (proprioceptive system)- in your hand if you are grasping an object
    body parts moving in the field of view (visual system)- reaching out the grasp object

3.The Cerebellum receives all this information:about motor plan from the PMA - and receives info from sensory feedback-
And calculates the best way to coordinate the timing, force & amplitude of the desired muscle contractions

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11
Q

How is cerebellar damage caused?

A

Its normal sensory-motor coordination
functions involve regulating:
-Proper force & sequences of muscle contraction (timing)
-Accurate movement sizes & amplitudes (space)

THEREFORE THE damage to the cerebellar cortex leads to loss of timing and spatial accuracy - which is called Ataxia

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12
Q

What are the 3 features cerebellar ataxia is characterised by ?

A

A disorder characterized by clumsy & misdirected movements:
- Timing:
Intention Tremor-before you move to lift hand - it will go into spasm before you even go into movement. & ‘Decomposition’
- mis-timing of muscle forces & contraction sequences -
-Dysmetria
- inaccurate movement amplitudes (over- or under-shooting) - too big or little a force

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13
Q

What does the cerebellum receive ?

A

the Motor plan- what the intention actually is- receives those signals from the PMA -sent directly to cerebellum
along with sensory feedback rom the action inn progress
-integrates motor and sensory signals and thinks - if there is a mismatch to the intention of the action and actually doing the action- yes there is.

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14
Q

Why is there a mismatch in intention and action ?

A
  • motor plans contain inherent errors in them
  • these motor plans we develop in the PMA
  • glitches and errors
  • send signals back up to PMA to tell them the current state (remember motor plan has to take into account the current situations ) that’s called updating the motor plan. - route between cerebellum and PMA.
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15
Q

What are the 2 main parts of the cerebellum ?

A

[1] Outer Cortex:
has 3 sub-regions, which receive & integrate sensory & motor inputs:

- Midline region = Vermis (‘worm’)
     - Lateral regions = 2 Hemispheres- one extends on left then right

[2] Deep Nuclei: receive information from neurons from the outer cortex and they send motor outputs involved with co-ordinating movements and updating motor plans
3 pairs = Fastigial, Interposed & Dentate

(Like the cerebral cortex, these 3 regions of cerebellar cortex have grey matter on
the outside and white matter inside & are deeply folded)

(Unlike the cerebral cortex, they are concerned with events on
the same side of the body)

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16
Q

looking down at the cerebellum from above - with the occipital lobe of the cerebral cortex removed so you can see,

A

right and left lateral hemisphere

lamellae - folds - running across the vermis - looks like a worm

17
Q

What does each cerebellar cortex have ?

A

3 main sub lobes

  1. Midline = Vermis + small medial extensions= the Flocculo-Nodular Lobes- stick out the back
  2. Anterior Lobe (superior surface, only)- part of lateral hemisphere but only on superior surface
  3. Posterior Lobe (superior surface + entire inferior surface) = largest, most lateral
18
Q

What do the anterior and posterior lobes contain ?

A

proprioceptive MAPS
of the body (of muscles contractions and joints in the body) & are separated by the ‘Primary Fissure (separating smaller anterior lobe to the much bigger posterior lobe behind it ).

19
Q

What is the maps of the cerebellar cortex like ?

A

unlike cerebral cortex, this map in the right cerebellar cortex- is related to the right side of body vice versa (same side of body)
-works well to co-ordinate the same side representations - thank you very much

20
Q

What does the representation of the MAPS in the cerebellar cortex in both anterior and posterior lobes show ?

A

shows over representations

21
Q

What type of input does the cerebellar cortex receive ?

A

Receives 2 types of Input:

  • Motor Plan/Program: to all 3 sub-lobes- all parts of cerebellar cortex know about the plan
  • Sensory Information & Feedback: to specific sub-lobes
    • Vermis & FN lobe = from vestibular system for head position & head movements
    • Anterior lobe = proprioceptive information about muscle tensions & joint positions in all regions of the body, directly from the spinal cord & brainstem
    • Posterior lobe = similar proprioceptive information, but from the Somatosensory Cortex & also visual information from the Visual Cortex
  • the 3 sub lobes of the Cortex: Sends Outputs to specific Deep Nuclei
  • From Midline Vermis + FN Lobe to Fastigial Nucleus (medial, smallest)
  • From Anterior Lobe to Interposed Nucleus (in-between)
  • From Posterior Lobe to Dentate Nucleus (lateral, largest)

neurons in the cortex of the vermis send info to the vestibular nucelus on the same side
neurons on posterior lobe Posterior Lobe to Dentate Nucleus on the same side
and neurons on the anterior lobe
to Interposed Nucleus on the same side

22
Q

What does the vestibular system do ?

A

input- it sends information about head position and movmement to the flocculi-nodular lobe and vermis which sends signal to festival nucleus - which has neurons whose axons which connect to nuclei which are vestibule which sends axons down to spinal cord which are part of the vestibular spinal pathways and they are concerned with regulating our balance and posture

23
Q

What does the brainstem and spinal cord do input ?

A

-neurons in the brainstem and spinal cord receiving proprioceptor info send signals to the anterior lobe to the interposed nucleus which connects to nuclei in the brainstem- brainstem nuclei to spinal cord= this is for more controlling walking which is gait and locomotion .

24
Q

What does the sensory motor cortex ?

A

sned info to posterior lobe cortex to dentate nucleus - which has 2 parallel outputs - some of the axon pathways go to a big nucleus in your brainstem called the red nucleus which sends signals to motor neurons which control speech, or down into spinal cord to control hand or foot when doing completed movements- for controlling more fine movements of the hand and vocal apparatus
-The denatate nucleus also sends outputs the the + Ventral Lateral Nucleus to Pre-Motor & Motor Cortex
for Up-dating motor plans & learning

25
Q

What are the 3 main cerebral outputs?

A
  1. Spinal Cord: Coordinates Balance, Posture & Gait
  2. Red Nucleus: Coordinates fine (hand, vocal) movements &……
  3. Up-dates Motor Plan via Thalamus to Motor Cortex
26
Q

What happens in the brain activity for speech?

A

1- Broca- left cerebral corteex- where motor plan for speech to BE created
2- then signals are sent to the M1 on the left side and also across the midline through the corboscuolosum to the M1 on the right side to initiate the muscles that control the vocal apparatus to contract
3- finally in the superior part of the posterior lobe of the cerebellar cortex on the left and right side in order to co-ordinate the contraction of various muscles in the tongue etc to make sure the speech is smooth.

27
Q

What happens when cerebellar gets damaged?

A

cerebellar ataxia
-Damage to different regions of the Cerebellar
Cortex may cause different impairments:
-1= damage to the Vermis, FN &/or Anterior Lobes
clumsy balance, posture, gait
-the px will find it difficult to balance and have good posture. People who have damaged this and will sway
-if the damage extends to the anterior lobe of the cereebellum- will have problems with walking- may trip up- ant co-ordinate the contraction of muscles in the lower limb that are associated with …?- gait and loccomotion.
-(+ specialized ‘OculoMotor’ region of Vermis & FN lobe, loss of eye movement coordination)-

[2] damage to Posterior Lobe will afefect hadn’t actions and speech-
clumsy hand actions, slurred speech (dysarthria) & words in the wrong sequence (dysfluency)

NB: excess alcohol leads to the complete set!
= Interferes with inhibitory processes, entire cerebellum

3 parts which separate cerebellum- Vermis, anterior and posterior lobe