Cerebellum Flashcards

1
Q

Cerebellum regulates

A

Movements

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2
Q

How does cerebellum regulate movements?

A

Indirectly through modulation of upper motor neurons

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3
Q

What forms the network loop of the cerebellum? What is networked?

A

Basal ganglia

Are formed with the cerebral cortex and mediated by the thalamus

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4
Q

Three regions of the cerebellum?

A

Cerebrocerebellum
Spinocerebellum
Vestibulocerebellum

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5
Q

Where is the cerebrocerebellum located?

A

Lateral portion of the hemispheres of cerebellum

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6
Q

What does the cerebrocerebellum receive signals from?

A

Indirect connections to/from the cerebral cortex

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7
Q

What is function of cerebrocerebellum?

A

Regulation of skilled movements

Planning and execution of complex spatial and temporal sequences

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8
Q

Where is the spinocerebellum located?

A

Median (vermis) and intermediate (paravermal) regions of the cerebellum

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9
Q

What is input of spinocerebellum?

A

Direct inputs from the spinal cord

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10
Q

Function of spinocerebellum?

A

Intermediate regulates movements of distal muscles

Median (vermis) regulates movements of proximal muscles and some eye movements (smooth pursuit and saccades)

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11
Q

Where is the vestibulocerebellum?

A

Caudal-inferior portion of cerebellar lobes

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12
Q

Input of the vestibulocerebellum?

A

From vestibular nuclei

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13
Q

Function of the vestibulocerebellum?

A

Regulates vestibular reflexes

Vestibuloocular reflex
Balance through the VSR and VCR

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14
Q

Grey matter in the cerebellum?

A

A layered cerebellar cortex on surface

Deep cerebellar nuclei

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15
Q

Deep cerebellar nuclei connect to?

A

Output connections from the cerebellum to variety of brain regions

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16
Q

Describe the saggital sectioning of the cerebellum and their projections

A

Cerebrocerebellum - dentate nucleus
Intermediate cerebellum - interposed nuclei
Vermis cerebellum - fastigial nucleus
Vestibulocerebellum - vestibular nuclei

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17
Q

Three main pathways between cerebellum and other parts of the nervous system?

A

Superior CRB peduncle
Middle CRB peduncle
Inferior CRB peduncle

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18
Q

Function of the superior CRB peduncle?

A

Almost entirely efferent

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19
Q

Origination of the superior CRB peduncle?

A

Deep nuclei (interposed and dentate)

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20
Q

Projections of the superior CRB peduncle?

A

1) thalamus that in turn projects to upper motor neurons in the primary motor and premotor cortices + others
2) Projects to upper motor neurons in superior colliculus

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21
Q

Function of middle CRB peduncle?

A

Afferent pathway

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22
Q

Origination of the middle CRB peduncle?

A

Contralateral pontine nuclei

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23
Q

Function of the inferior CRB peduncle?

A

Smallest afferent and efferent path

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24
Q

Origination of the inferior CRB peduncle?

A

Afferent - vestibular nuclei, spinal cord, inferior olivary complex
Efferent - vestibular nuclei, reticular formation, superior colliculi

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25
Q

Where does SCA arise from and what does it feed?

A

Basilar artery

Superior and lateral cerebellum

Superior CRB peduncle

Superior portion of middle CRB peduncle

Dentate nucleus

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26
Q

Where does AICA arise and what does it feed?

A

Basilar artery

Lower 2/3 pons

Ventrolateral cerebellum

Middle CRB peduncle

27
Q

Where does PICA arise and what does it feed?

A

Vertebral artery

Lateral medulla

Inferior vermis

Posterior intermediate cerebellum

Lateral cerebellum

28
Q

Three inputs to the cerebellum?

A

Cerebral cortex

Sensory nuclei

Inferior olive

29
Q

Cerebral cortex input to the cerebellum via?

A

Largest source of input

To lateral CRB and some intermediate CRB

Via pontine nuclei

30
Q

Describe path of neurons from cortex to cerebellum

A

Project ipsilaterally to pontine nuclei

Cross within pons to enter contralateral cerebellum

Enter via middle CRB peduncle to reach the cerebro-CRB and intermediate CRB

31
Q

Sensory nuclei of the cerebellum? What are the pathways?

A

Vestibular nerve and nuclei project ipsilaterally to vestibulocerebellum

Proprioceptive input from spinal cord (Dorsal nucleus of clarke), from caudal medulla (external cuneate nucleus), and mesencephalic trigeminal n to reach ipsilateral spinocerebellum. Enteres via the inferior cerebellar peduncle

32
Q

Inputs and function of inferior olive?

A

Receives inputs from cerebral cortex (motor), somatosensory (spinal cord and brainstem), and reticular formation to integrate motor commands with the somatosensory signals resulting from execution of movement.

33
Q

The inferior olivary nucleus is also known as?

A

The error detector!

Integration of sensory and motor commands

34
Q

Inferior olive enters the cerebellum via?

A

Project to entire contralateral cerebellum

Via inferior cerebellar peduncle

35
Q

Somatotopic map of cerebellum?

A

Axial control - medial

Distal control - lateral

36
Q

Projection of efferent output of the cerebellum?

A

First to deep cerebellar nuclei

Then to upper MN in brainstem or thalamic nuclei

Then to upper MN in the cerebral cortex

37
Q

Describe input of deep cerebellar nuclei

A

From different regions of cerebellar cortex

Vestibulocerebellum directly to vestibular complex in the brainstem. these upper MN influence reflexes of VSR, VCR and VOR

38
Q

Cerebrocerebellum output via?

A

Dentate nucleus

39
Q

Pathway of cerebrocerebellum output?

A

Dentate nucleus to terminate in the contralateral premotor and motor cortex (after relay in thalamus)

40
Q

Cerebrocerebellum output function?

A

Planning of movements

41
Q

Output of spinocerebellum via?

A

Fastigial nucleus
Interposed nuclei

These are organized somatotropically

42
Q

Pathways of the spinocerebellum?

A

Fastigial (medial) to inferior CRB peduncle to reticular formation and vestibular complex

Lateral interposed nuclei project via superior CRB peduncle to thalamus to primary motor region and superior colliculus

43
Q

Functions of spinocerebellum tracts

A

Fastigial - modulates axial and proximal limb musculature

Interposed - volitional limb movements

44
Q

Dentate nucleus projects via and to where? Then where?

A

Via superior cerebellar peduncle

To contralateral VL thalamus

From there to premotor and motor association cortices of the frontal lobe (planning an execution of volitional movements)

Additionally terminates contralaterally at superior colliculus

45
Q

Direct cerebellar hemisphere projection?

A

Directly to vestsibular complex

Modulate VOR and VSR/VCR

46
Q

Describe the circuits of the fastigial nuclei

A

Medial fastigial via inferior CRB peduncle to reticular formation for control of proximal limb and axial musculature) also to ipsilateral superior colliculus

Superior colliculs then can go to reticular formation as well

CRB via reticular formation and vestibular nuclei exert bilateral modulation of balance

47
Q

Describe the layers of the cerebellum

A

Superifical - molecular layer of dendrites from purkinje neurons, incoming axons, and interneurons

Middle - purkinje cell layer which has cell bodies in a single row

Deep layer - granule layer with granule cells

48
Q

Granule cells comprise?

A

50% of the total neurons in the CNS

49
Q

Where are interneurons in the cerebellum?

A

Middle and deep layer

50
Q

Two afferents of the cerebellum?

A

Mossy fiber

Climber fiber

51
Q

Describe the mossy fiber system

A

Formed by most of the input sources to cerebelllum from the cerebral cortex, spinal cord, brainstem (except inferior olives)

52
Q

Pathway of mossy fiber system?

A

Enter cerebellum and synapse with deep cerebellar nuclei on granule cells

Granule cells give rise to axons called parallel fibers that ascend to the molecular layer where they bifurcate to form T-shaped branches extending parallel to the surface of the molecular layer

53
Q

Describe the climbing fiber system?

A

Originate in the inferior olivary complex in the medulla

54
Q

Pathway of climbing fiber system?

A

Enters cerebellum and makes contact with deep cerebellar nuclei directly on the purkinje cells

55
Q

Function of the climbing fiber system?

A

Error detector

56
Q

Contrast between the mossy and climbing fiber systems?

A

Mossy is segregated into zones (vestibular, spinal, cerebrocerebellar)

Climbing is the whole cerebellum

57
Q

Describe parallel fibers

A

Connectivity is divergent

Purkinje cells receive 200,000 synapses from parallel fibers

Each granule cell contacts thousands of purkinje cells

Massive contacts done at the level of distal dendrites of the purkinje cells

58
Q

Describe climbing fiber

A

Numberous synaptic contacts to purkinje cell but from a single climbing fiber (~1500 connections to the proximal dendrites or the cell body)

These synaptic contacts are the most powerful in the nervous system

59
Q

From purkinje cells signal?

A

Synapses with output neurons in the deep cerebellar nuclei

60
Q

Each input fiber will contact?

A

Mossy/climbing fibers will contact both the deep cerebellar nuclei and the purkinje cells to be excitatory

61
Q

Describe the deep excitatory loop

A

Deep cerebellar nuclei and their excitatory afferents

62
Q

What shapes output of deep excitatory loop?

A

The purkinje inhibitory loop

63
Q

How does purkinje inhibitory loop work?

A

Inverts the sign of the input signals (responding to excitation with inhibitory output)

64
Q

Describe error and the purkinje inhibitory loop

A

Parallel fiber input is weak and can be modulated by the climbing input (error input)

If no error, then input from inferior olives is rhythmic and habituates reducing the input to the purkinje cells and deep nuclei

Overall output is reduced

If error, then no habituation and correcting signal is generated to the upper MN