Cerebellum Flashcards

1
Q

What is the role of the cerebellum?

A

Involved in equilibrium, muscle tone, postural control, and coordination of voluntary movement

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2
Q

Where does input to the cerebellum go and how does it get there?

A

Cerebellar cortex; via 3 cerebellar peduncles

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3
Q

Where does output to the cerebellum go and how does it get there?

A

Deep cerebellar nuclei; thalamic or brainstem structures

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4
Q

Describe the primary fissure of the cerebellum

A

Separates anterior and posterior lobes

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5
Q

Describe the posterolateral fissure of the cerebellum

A

Separates posterior and flocculonodular lobes

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6
Q

What are the 3 longitudinal zones of the cerebellum?

A
  • Vermis (medial)
  • Intermediate/paravermal zone - medial hemisphere
  • Lateral hemisphere
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7
Q

Where does the floculonodular lobe receive input from?

A
  • Vestibular system, vestibulocerebellum
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8
Q

Where do the vermis and the intermediate hemisphere receive input from?

A

-Spinal cord; spinocerebellum

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9
Q

Where do the lateral lobes receive input from?

A
  • cerebral cortex relayed through the pontine nuclei; neocerebellum or cerebrocerebellum
    • always some overlap for different systems - not completely contained in each lobe
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10
Q

What is the role of the corticopontocerebellar pathway?

A
  • brings voluntary motor intention information to the cerebellum
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11
Q

What are the results of lesions to the inferior olivary nucleus?

A
  • produce widespread defects similar to complete destruction of entire cotralateral half of cerebellum
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12
Q

Describe the somatotopic map in the anterior lobe of the cerebellum

A

Homunculus upside down with head near the primary fissure

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13
Q

Describe the 2 somatotopic maps of the lateral lobes of the cerebellum

A

Homunculus sitting upright with back to midline

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14
Q

What are the 3 layers of the cerebellar cortex? Describe them

A

Granular layer - deep layer of cell bodies close to white matter

Molecular layer - superficial layer of dendrites

Purkinje Cells - intermediate layer of cells between granular layer and molecular layer; these cells project from the cerebellar cortex to deep cerebellar nuclei (dendrites are in the molecular layer)

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15
Q

Describe the 3 fiber types in the molecular layer of the cortex

A

Parallel Fibers - belong to granular cells - synapse with purkinje cells

Climbing Fibers - belong to cells of contralateral inferior olivary nucleus

Mossy fibers - all other central connections, including pontine, brainstem/vestibular, and spinal cord input

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16
Q

Describe the dentate nucleus (lateral)

A
  • Receives input from lateral cerebellum
  • Projects to lateral cerebellum and VL/VA of thalamus
  • Involved with planning movements
17
Q

Describe the interposed (Emboliform/Globose Nuclei) (intermediate)

A
  • input from intermediate cerebellum
  • Projects to brainstem structures (red nucleus)
  • adjusts limb movements
18
Q

Describe the fastigial nucleus (medial)

A
  • Input from vermis
  • Projects to reticular formation and vestibular nuclei
  • Responsible for postural adjustments and head movement
19
Q

What are the cerebellar outputs?

A
  • lateral cerebellum
  • vermis
  • Intermediate cerebellum
20
Q

Describe cerebellar lesions and their principle signs

A
  • typically get motor disorders without significant sensory deficits; Deficits affect the ipsilateral side
  • Signs = ataxia, nystagmus
21
Q

How would a lesion to the lateral cerebellum/dentate nucleus present?

A
  • affects learned, skilled movements that become more precise and automatic with practice
  • affect ipsilateral (cerebellar) side of body (C/L motor cortex)
22
Q

How would a lesion to the intermediate cerebellum present?

A

-overshooting of targets or inability to readily grasp objects

23
Q

What is the role of the intermediate cerebellum?

A
  • Compares commands from the cerebral cortex (via pontocerebellar tract) with the actual body position and velocity of the moving parts (via spinocerebellar tract) and issues corrections
24
Q

What is the role of the vermis?

A
  • regulation of posture and stereotyped movements (ex. walking)
25
How would a lesion to the vermis present?
- modifications in gate or other repetitive tasks
26
What are the causes and presentations of Anterior Lobe Syndrome?
- Caused by malnutrition due to chronic alcoholism - Degeneration of anterior lobe causes folia to be thinner - Results in ataxia of leg movement, broad based staggering gate
27
What is Neocerebellar syndrome?
- Affects lateral cerebellum - Results in decreased muscle tone, lack of coordination (caused by problem in timing of movements and regulation of their rates), and lack of voluntary movements including speech
28
How does Neocerebellar syndrome manifest?
- Dysmetria - Intention Tremor - Dysdiadochokinesia - Decompositions of movement - Normal flow and rhythm of speech distrupted
29
What is the role of the flocculonodular lobe?
- Maintenance of equilibrium and involved in coordination of eye movements
30
How would a lesion to the flocculonodular lobe present?
- Vertigo and general disequilibrium (problems with balance, swaggering gate, wide-based gate, and tendency to fall)