cerebral cortex Flashcards

1
Q

What is multiple sclerosis (MS).

A

Demyelination of neurons in the CNS.

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2
Q

What are the main symptoms of MS. List 3.

A

Any 3 from:
Blurred vision, fatigue, difficulty walking, numbness or tingling (paraesthesia) in different parts of the body, muscle stiffness and spasms.

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3
Q

What can be used to record the activation of motor axons

A

Electromyography.

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4
Q

The fast response (twitch) that comes from peripheral nerve stimulation is called what, relating to Electromyography.

A

The M (motor) wave.

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5
Q

Describe orthodromic and antidromic directionality

A

Orthodromic - travelling in the normal direction in a nerve fibre
Antidromic - travelling in the opposite direction to that normal in a nerve fibre

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6
Q

What can you use to stimulate cortical motor neurons.

A

Transcranial magnetic stimulation (TMS).

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7
Q

What does the activation of upper motor neurons lead to.

A

Stimulation of the entire motor neurone pathway (upper and motor neurons) leading to muscle contraction.

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7
Q

What does the activation of upper motor neurons lead to.

A

Stimulation of the entire motor neurone pathway (

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8
Q

What is the EMG response called when the upper motor neurons are stimulated.

A

Motor evoked potential. (MEP)

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9
Q

What is the total motor conduction time (TMCT) referring to.

A

Time for the action potential to reach the MUSCLE from the BRAIN.

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10
Q

What is the TMCT also known as?

A

MEP latency.

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11
Q

What is the peripheral motor conduction time referring to.

A

Time taken for the action potential to reach the MUSCLE from the SPINAL CORD

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12
Q

How do you calculate PMCT.

A

(M latency + F latency-1) /2

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13
Q

What is central motor conduction time. (CMCT).

A

TMCT-PMCT

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14
Q

What is the effect of MS on brain stimulation in regards to MEP latency/ TMCT.

A

-longer than usual MEP latency
-Total motor conduction time - delayed

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15
Q

What is the effect of MS on peripheral nerve stimulation.

A

-Normal F wave latency. No issue with lower motor neurons.
-Peripheral motor conduction time - normal

16
Q

Why is PMCT unaffected by MS?

A

MS affects the CNS not the PNS.