Cerebral Cortex Flashcards

1
Q

What are the 3 functional divisions of the cerebral cortex?

What are the 6 structural divisions of the cerebral cortex?

A

Archicortex, paleocortex, and neocortex.

Our familiar lobes: Frontal, Parietal, Occipital, Temporal, Limbic, and Insula.

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2
Q

What arteries feed the circle of willis?

Which venous sinuses are bilateral?

A

The internal carotids, as well as the vertebrals (via the posterior cerebrals).

The transverse and sigmoid sinuses, which drain into the IJVs.

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3
Q

Describe the 6 cellular layers of the neocortex.

A

The molecular layer is most superficial, atop the external granular, external pyramidal, internal granular, internal pyramidal, and multiform layers.

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4
Q

Describe the structure and significance of a cerebral column.

A

A column represents a section through all six cellular layers. These are sorts of functional subunits–neuron within them behave similarly and have similar functions. They demonstrate interconnectivity with other columns.

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5
Q

Primary Somatosensory Cortex

Where is it located?

What brodmann’s areas does it cover?

What is the consequence of a lesion?

A

Primary Somatosensory Cortex

On the post-central gyrus.

3, 1, 2.

Lesion causes contralateral numbness (loss of somesthesis).

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6
Q

Primary Motor Cortex

Where is it located?

What brodmann’s areas does it cover?

What is the consequence of a lesion?

A

Primary Motor Cortex

On the pre-central gyrus.

4.

Lesion causes contralateral paralysis (spastic, as UMN lesion).

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7
Q

Primary Visual Cortex

Where is it located?

What brodmann’s areas does it cover?

What is the consequence of a lesion?

A

Primary Visual Cortex

At the occipital pole, extending in deeply.

17.

Lesion causes anopia that varies with nature of lesion; usually contralateral hemianopia but may be quadrantanopia and macula-sparing.

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8
Q

Primary Auditory Cortex

Where is it located?

What brodmann’s areas does it cover?

What is the consequence of a lesion?

A

Primary Auditory Cortex

It is on the posterior part of the superior temporal gyrus.

41, 42.

Hearing loss occurs with bilateral lesions–due to multiple crossover, lesioning one side does not.

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9
Q

Broca’s Area

Where is it located?

What brodmann’s areas does it cover?

What is the consequence of a lesion?

A

Broca’s Area

It covers the opercular and triangular frontal gyri.

44, 45.

Lesion on the dominant (usually left) side causes Broca’s aphasia. Lesion on the non-dominant impairs emotional expression in speech.

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10
Q

What structure was lesioned in “lobotomy” patient inmates, and was famously damaged in Phineas Gage’s accident?

What is the consequence of these injuries?

A

The prefrontal cortex.

It is involved in complex planning as well as working memory and personality.

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11
Q

Association Cortices of Parietal Lobe

Which structures are involved? Which brodmann’s areas?

What is the consequence of a lesion here?

A

Association Cortices of Parietal Lobe

Posterior parietal lobule (medial), Superior (5/7) and Inferior parietal lobules (inferior divided into supramarginal (40) and angular (39).

A lesion of the dominant side causes loss of stereognosis and aphasia/alexia/agraphia. A lesion on the non-dominant side presents with spatial distortion and contralateral neglect.

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12
Q

Association Cortices of Occipital Lobe

Which structures are involved? What brodmann’s areas?

What is the consequence of a lesion here?

A

Association Cortices of Occipital Lobe

The secondary visual cortex (18/V2) as well as the “dorsal and ventral streams” (V3/V4).

Lesions can create visual defecits that depend on location of the lesion (eg prosopagnosia)

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13
Q

Association Cortices of Temporal Lobe

Which structures are involved? What brodmann’s areas?

What is the consequence of a lesion here?

A

Association Cortices of Temporal Lobe

Wernicke’s area, which is also on the superior temporal gyrus (22).

On the dominant side, lesion causes Wernicke’s aphasia. On the non-dominant, comprehension of emotional overtone is impaired.

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14
Q

What types of connections may link different cortices?

A

Long/short association fibers, as well as callosal fibers.

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15
Q

What are the purposes of the cerebral cortex?

What are the typical causes of dysfunction here?

A

Sensory perception, motor planning, memory, handling of emotions/behavior, and cognition.

Vascular insult (hemorrhage/infarction) or tumor (glial origin). Probably many others…

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