Cerebral cortex 2 Flashcards
Function: Analyzing location and movement of visual objects in space
Parietal Association Cortex
Injury to what side results in hemineglect?
Damage to R parietal or frontal cortex
- Worse with acute injury
- Recovery can take weeks to months
- Some patients will have permanent deficit
Ignore visual, auditory or tactile stimuli from contralateral side
Sensory neglect - Tactile > Visual > Auditory Double simultaneous stimulation - Look for extinction - Bilateral - Proximal > distal
sensation on R reported as on L
Allesthesia
- In L sided neglect
Decreased spontaneous movement or akinesia; Ipsilateral gaze preference toward side of lesion; Motor impersistence (hold arms out, involved side drifts down), especially of contralateral limbs; Allokinesia (moves normal limb when told to move involved limb)
Motor-intentional neglect
Line bisection – to R; Cancellation tasks – ignore left side; Drawing a clock, they draw a circle but only put numbers on R side
Combined sensory-motor neglect
Involved with thought process; Anosognosia, anodiaphoria, and hemiasomatognosia
Conceptual neglect
lack of awareness of hemineglect
Anosognosia
seen in conceptual neglect and also seen in:
- Wernicke’s aphasia
- Frontal lobe dysfunction
Aware of disability, but no emotional concern or distress
Anosodiaphoria
Deny L body is part of them
Hemiasomatognosia
Damage can result in an inability to function in the real world;
Overall functions:
- Restraint – inhibition of inappropriate responses
- Initiative – motivation to pursue positive activities
- Order – sequencing tasks
Frontal cortex
What are the specific functions of the frontal cortex?
- Working Memory
- Learning New Materials
- Shifting Cognitive Set
- Selective Attention (also being able to switch attention)
- Integrate Information from Limbic and heteromodal Association areas in decision making
Functions:
- Self-awareness
- Motivation
- Goal oriented behavior - Deciding on a goal, Planning how to accomplish goal, and Executing the plan
- Monitoring the execution of the plan
- Abstract thought
- Problem Solving
Prefrontal cortex
AKA frontal association area
Where is the prefrontal cortex? where is connected to?
Location: rostral to motor planning areas;
Connections to Sensory Association Areas and Limbic areas
What occurs as a result to prefrontal cortex injury?
- Apathy
- Loss of goal-directed behaviors: Choosing goals, Planning , Executing plans, Monitoring execution
- Behavior may be misinterpreted as uncooperative or unmotivated - Difficulties with divergent thinking (thinking of possibilities; can choose a correct answer out of a list) - don’t ask open ended questions
What effects are seen with frontal lobe lesions (not including problems with prefrontal cortex)?
- Incontinence – more medial frontal regions
- Inability to suprress inappropriate responses (Go-no-go test)
- Attention impairments
- Problems with abstract reasoning (similarities; can assess normal or concrete)