CEREBELLUM Flashcards

1
Q

ROLE OF THE CEREBELLUM:

A

Cerebellum controls the maintenance of balance, influences posture & tone and coordinates movement.

  • Cerebellum compares and integrates afferent information from the periphery with plans for action received from the cortex to produce efficient, smooth movements.
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2
Q

OVERALL STRUCTURE OF THE CEREBELLUM:

A
  • 3 cerebellar lobes: anterior, posterior, flocculonodular.
  • 3 cerebellar peduncles: inferior, middle, superior.
  • 4 deep cerebellar nuclei:
    1. dentate, (LATERAL)
    2. fastigial, (MEDIAL)
    3.emboliform
    4. globose.
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3
Q

UNDERSTANDING THE DEEP CEREBELLAR NUCLEI

A
  • Relay stations.
  • Efferent Purkinje fibres (from the cerebellar cortex) project to the deep cerebellar nuclei.
  • Efferent fibres from deep cerebellar nuclei HEAD TO THALAMUS, RED NUCLEI AND VESTIBULAR NUCLEI

TO AFFECT MOVEMENT

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4
Q

Pathway to and from Deep cerebellar nuclei

A
  1. Peripheral NS
  2. CEREBELLUM; VIA PURKINJE FIBRES
  3. CEREBELLAR NUCLEI (FIBRES)
  4. THALAMUS, RED NUCLEI, VESTIBULAR NUCLEI
  5. AFFECT MOVEMENT
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5
Q

UNDERSTANDING INFERIOR OLIVARY COMPLEX

A
  • PURPOSE: Helps coordinate motor output.
  • Receives afferents from the MOTOR AND SENSORY CORTICES of the cerebral hemisphere & from RED NUCLEUS of the midbrain.
  • Olivocerebellar fibres = Climbing fibres.
  • Climbing fibres project to cerebellum via INFERIOR CEREBELLAR PEDUNCLE
  • and SYNAPSE in DENTATE NUCLEUS and upon Purkinje cells of the cerebellar cortex.
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6
Q

INFERIOR OLIVARY NUCLEUS COMPLEX (AFFERENT MODEL) PATHWAY

A

AFFERENTS:
1. MOTOR + SENSORY CORTICES OF CEREBRAL HEMISPHERES
2. RED NUCLEI OF MIDBRAIN

OLIVOCEREBELLAR TRACTS (climbing fibres project to)

CEREBELLUM via INFERIOR PEDUNCLE

SYNAPSE IN: DENTATE NUCLEUS UPON PURKINJE CELLS OF CEREBELLAR CORTEX

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7
Q

OTHER AFFERENTS TO CEREBELLUM

A
  • All other afferents to cerebellum = end as MOSSY FIBRES.
    (Pontocerebellar, spinocerebellar & vestibulocerebellar fibres)
  • Carry vestibular, proprioceptive and cortical information
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8
Q

SPINAL CORD VS CORTEX PATHWAY TO CEREBELLAR CORTEX

A

CORTEX –> PONTINE NUCLEUS —> CEREBELLAR CORTEX

OR

SPINAL CORD OR OLIVE OR VESTIBULAR NUCLEI —>
CEREBELLAR CORTEX

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9
Q

UNDERSTANDING EFFERENTS OF THE CEREBELLUM

A

1 * Efferent information RELAY through DEEP NUCLEI

2 * DENTATE NUCLEUS project to CORTEX AND RED NUCLEUS

3* Efferents from the EMBOLIFORM, FASTIGIAL AND GLOBOSE nuclei project to RED NUCLEUS AND OLIVARY NUCLEAR COMPLEX

  • Efferents from FLOCCULONDULAR LOBE project to VESTIBULAR NUCLEI
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10
Q

EFFERENTS OF THE CEREBELLUM

A
  1. CEREBELLAR CORTEX;
  2. RED NUCLEI, VESITIBULAR CORTEX, OLIVE
  3. RED NUCLEI TO THALAMUS VL/VA
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11
Q

Cerebrocerebellar/Pontocerebellar afferents ultimately modulate activity of the corticospinal tract.

A

ROLE :
* Coordinates & streamlines motor output from cortex.

HOW?
* Efferents from CORTEX TO PONTINE NUCLEI

  • PONTOCEREBELLAR AFFERENTS : POINTINE NUCLEI TO CEREBELLAR CORTEX
  • Purkinje fibre to dentate nucleus.
  • Dentothalamic fibres: dentate nucleus to VL nucleus of thalamus.
  • Thalamocortical neurons project to PRIMARY MOTOR CORTEX
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12
Q

Spinocerebellar afferents ultimately affect activity of the rubrospinal tract.

A

HOW?

1 * Spinocerebellar afferents project to CEREBELLAR CORTEX

  • Purkinge cell efferents project to GLOBOSE AND EMBOLIFORM NUCLEI
  • G&E nuclei project to red nucleus (+ vestibular nuclei + reticular formation) to modulate activity of rubrospinal & vestibulospinal tracts

ROLE: coordinate limb movements.

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13
Q

Vestibulocerebellar afferents ultimately affect activity of the vestibulospinal tract.

A
  • Vestibulocerebellar afferents project to cerebellar cortex.
  • Purkinje cell efferents project to FASTIGIAL NUCLEI
  • Fibres from fastigial nuclei project to VESTIBULAR NUCLEI AND RETICULAR FORMATION

ROLE: to coordinate adjustment of truncal stability & balance.

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14
Q

Cytology of the cerebellar cortex

A

molecular layer
* Golgi cells
* Granule cells

Purkinje layer
* Purkinje cells

Granule cell layer
* Stellate cells * Basket cells
* Mossy fibres
* Climbing fibres
white matter

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15
Q

UNDERSTANDING THE WIRING OF CEREBELLAR CORTEX

A

INPUT:
CEREBELLAR AFFERENTS
MOSSY FIBRE
CEREBELLAR GLOMERULUS
GOLGI CELL
GRANULE CELL
PURKINJE CELL

OR
OLIVE
CLIMBING FIBRE
PURKINJE CELL

OUTPUT:
STELLATE CELL AND OR BASKET CELL TO PURKINJE CELL
- CEREBELLAR OUTPUT

  • Afferent mossy fibres synapse on granule & golgi cells which “screen” information before it is passed on to the Purkinje cells.
  • Afferent climbing fibres pass directly to synapse on Purkinje cells.
  • Purkinje cells send inhibitory output to the deep cerebellar nuclei.
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16
Q

What is the blood supply to the cerebellum?

A
  1. SUPEROIR CEREBELLAR ARTERIES:
    - VERMIS
    - SUPERIOR PEDUNCLE
    - ANTERIOR LOBE
  2. ANTERIOR INFERIOR CEREBELLAR ARTERIES:
    - M.C PEDUNCLE
    - I. C PEDUNCLE
    - FLOCCULUS
  3. POSTEROIR INFERIOIR CEREBELLAR ARTERIES:
    - POSTEROIR LOBE
    -
17
Q

WHAT IS CEREBELLAR AGENESIS?

A

complete absence of the cerebellum, irrespective of its underlying cause

  • History neonatal hypotonia (reduced muscle tone)
  • Persistent ataxia (loss of full control of body movements)
    -Mild dysmetria = (lack of co-ordination of movement)
  • Unable to stand unassisted until 4-years-old
  • Unintelligible speech until 6-years-old
  • Unable to walk unassisted until 7-years-old
  • Never run or jumped
  • Persistent unsteady gait