Cerebral Hemispheres Flashcards
Where are pyramidal cells located?
In the cortex (spanning on edge from white to gray matter)
Where are upper motor neurons located?
Cell bodies in CNS, end up in CNS - generate EPSPs on lower motor neurons and interneurons
Where are lower motor neurons located?
Cell bodies in CNS, and end up in PNS
What are the three parts of the internal capsule and what is its significance?
Posterior limb, genu, anterior limb
The primary motor cortex sends axons through post. limb so lesions in this area result in contralateral hemiparesis or hemiplegia - severe weakness that can recover
Aphasia
A defect in language processing caused by brain lesions; develop as consequence of lesions in the dominant cerebral hemisphere; most cases are caused by stroke, head injury, cerebral tumors or degenerative dementia (alzheimer’s)
Expressive aphasia
Broca’s aphasia - problem in formulation of speech
Receptive aphasia
Wernicke’s aphasia - form of auditory agnosia in which the patient fails to recognize or comprehend the meaning of known words - “word deafness”
Apraxia
Inability to carry out a motor action in response to a verbal recent in the absence of paralysis/paresis, comprehension deficit, etc. generally associated with (left) dominant cerebral hemisphere
Agnosia
Inability to understand or recognize the significance of sensory stimuli, although sensory pathways (primary sensory context) are intact.
-Lesion related to cortical association areas (somesthetic, visual, auditory)
Tactile agnosia
Patient can’t correlate surface texture, shape, size, etc. and compare with previous experience.
-Parietal association cortex lesions
Visual agnosia
Inability to recognize objects and patient fails to relate present to past visual experiences. Patient fails to recognize what is seen and appreciate significance.
-Visual association cortex lesions
Auditory agnosia
Condition where patient with unimpaired hearing fails to recognize or appreciate meaning with a perceived sound
-Auditory association cortex lesions
Anosognosia
A loss of disease awareness
-Parietal lobule
Prosopangnosia
“face blindness” ability to recognize faces is impaired, while other aspects of visual processing and intellectual functioning remain intact.
-Involves lesions affecting the underside of the occipital lobes
What is the motor homunculus?
It is pre-central gyrus - contains the map of the body from sacral to cervical