Cerebellum Flashcards

1
Q

What is the three functions of the Cerebellum?

A

Coordinating movements, maintaining posture and motor learning (procedural memory)

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2
Q

What are the layers of the cerebellum?

A

Molecular Layer, Purkinje Layer, Granular Layer then the White Matter

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3
Q

What are the Neurons in the Gray Matter of the Cerebellum?

A

Purkinje cells, Granule Cells, Stellate Cells, Golgi Cells and Basket Cells

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4
Q

What is the function of Purkinje Cells?

A

Output cells of cerebellum. Inhibit cerebellar nuclei and vestibular nuclei.

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5
Q

What is the function of Granule Cells?

A

Only excitatory neurons.

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6
Q

What is the function of stellate cells?

A

Synapse on purkinje cell and inhibit them

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7
Q

What is the function of Golgi Cells?

A

Inhibitory Cells.

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8
Q

What is the function of basket cells?

A

Inhibit Purkinje Cells

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9
Q

What are the Afferent Fibers of the cerebellum? Where do they originate?

A

Climbing and Mossy Fibers.
Climbing originate from inferior olive. Mossy originate from spinal cord, reticular formation, vestibular system and pontine nuclei.

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10
Q

What is the function of Climbing Fibers?

A

Excitatory axons for purkinje cells, they convey movement errors to cerebellum.

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11
Q

What is the function of mossy fibers?

A

Gives somatosensory, arousal and cerebral cortex motor info to the cerebellum

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12
Q

What is the function of the vestibulocerebellum?

A

Influences eye movements and postural muscles of the head and body.

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13
Q

Where does the vestibulocerebellum send and receive information?

A

Sends to the vestibular nuclei, receives from vestibular nuclei and from visual areas.

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14
Q

What is the function of the spinocerebellum?

A

Control ongoing movement.

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15
Q

What is the function of the cerebrocerebellum?

A

Coordination and timing of voluntary movements.

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16
Q

What anatomical structures make the vestublocerebellum, spinocerebellum and cerebrocerebellum?

A

Vestibulocerebellum- flocculus and nodulus
Spinocerebellum- vermis and paravermal layers
Cerebrocerebellum- Lateral hemisphere

17
Q

Where does the Dentate Nucleus receive input from? Where does it send its efferent information?

A

Receives from Cerebrocerebellum, sends to Red Nucleus and Thalamus

18
Q

Where does the Globose and Emboliform Nuclei receive input from? Where does it send its efferent information?

A

Receives from Spinocerebellum, Sends to Red Nucleus and thalamus

19
Q

Where does the Fastigial receive input from? Where does it send its efferent information?

A

Receives from Spinocerebellum and Vestibulocerebellum, Sends to Reticular formation and Vestibular Nucleus

20
Q

What is the Posterior Spinocerebellar Tract’s 1st and 2nd order neurons?

A

1st- DRG and ascends into gracile fasciculus. Synapses in Clark Nucleus.
2nd- Into dorsolateral funiculus through the inferior cerebellar peduncle

21
Q

What is the Cuneocerebellar tract’s 1st and 2nd order neurons?

A

1st- DRG to cuneate fasciculus (lower medulla) or accessory cuneate nucleus
2nd- Accessory cuneate nucleus to cerebellum via inferior cerebellar nucleus

22
Q

What afferent and efferent routes are in the superior cerebellar peduncle?

A

Efferent- globose, emboliform and dentate nuclei

Afferent- ventral spinocerebellar tract

23
Q

What afferent and efferent routes are in the middle cerebellar peduncle?

A

Afferent fibers from pontine nuclei

24
Q

What is the afferent fibers in the inferior cerebellar peduncle?

A

Primarily afferent from spinal cord.

25
Q

What movements does the vestibulocerebellum do?

A

Eye movements and Neck and Trunk movements.

26
Q

What movements does the spinocebellum do?

A

Axial and lower extremity movements, gait and station.

27
Q

What movements does the cerebrocerebellum do?

A

Precise, coordinated movements of the extremities, mainly the upper ones.

28
Q

What are the deep nuclei of the Cerebellum?

A

Fastigial, Globose, Emboliform and Dentate

29
Q

Which side of the body will unilateral lesions of the cerebellum affect? How will they present?

A

Lesions will affect the ipsilateral. With ataxia.

30
Q

How will lesions of the vestibulocerebellum present?

A

Nystagmus, Truncal ataxia and truncal instability. (wouldn’t pass a sobriety test)

31
Q

How will lesions of the spinocerebellum present?

A

Gait and truncal ataxia, will have a wide, staggering base

32
Q

What causes midline ataxia? How does it present?

A

Vestibulocerebellar and spinocerebellar disease/lesion. Titubation (trunk tremor) and Gait ataxia.

33
Q

How do lesions of the cerebreocerebellum present?

A

Ataxia and will have decomposed movements. Limb ataxia manifestations: can’t alternate movements rapidly.

34
Q

What causes appendicular ataxia? How does it present?

A

Lesion or dysfunction of the cerebellar hemispheres. Ataxia of speech (British Constitution is broken down to small syllables)

35
Q

What is sensory ataxia?

A

Abnormal vibratory sense, proprioception. Cannot stand with feet together with eyes closed

36
Q

What is cerebellar ataxia?

A

Can’t stand with feet together, but NORMAL vibratory sense.