Ch. 11: Basil Ganglia, Cerebellum, and Movement Flashcards

1
Q

What does the Basil Ganglia control?

A
  • Subcortical
  • Motor Control
  • Motor Planning
  • Motor Adjustment

“Predict the effects of various actions, then make and execute action plans”

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2
Q

In the Basil Ganglia, what is the Caudate and what does it do?

A
  • Connects to frontal lobe - connective link to prefrontal cortex
  • Helps decide what movement you want to make
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3
Q

In the Basil Ganglia, what is the Substantia Nigra and what does it do?

A
  • Compacta: Creates Dopamine = critical neurotransmitter for Basil Ganglia to work
  • Reticularis: output - helps control head and eye movement
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4
Q

What do the Basil Ganglia’s projections to the motor planning areas of the cerebral cortex do?

A
  • Instructions to voluntary muscles on how you want to move
    • Ex: Grab cup
  • Output to motor planning areas of frontal lobe
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5
Q

What do the Basil Ganglia’s projections to Pedunculopontine do?

A
  • Postural muscles so you dont’ fall over
  • Mucleus of the midbrain - output to subcortical UMN’s (esp cor & prox muscles
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6
Q

What do the Basil Ganglia’s projections to the midbrain locomotor region do?

A
  • Stepping pattern generator
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7
Q

In the Basil Ganglia what are the functions of the:

Motor Loop

A

*Output of Basil Ganglia is inhibatory*

  • Sequencing of movements
  • Regulating muscle tone
  • Regulating muscle force
  • Facilitating or inhibiting specific motor synergies

VERY important in motor learning - may be the spot where old skills are stored

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8
Q

In the Basil Ganglia what are the functions of the:

Oculomotor Loop

A

Helps with moving eyes to know where you are going

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9
Q

In the Basil Ganglia what are the functions of the:

Executive Loop

A

Connection to the prefrontal cortex - to executive areas

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10
Q

What are Hypokinetic Disorders and what is an example?

A
  • Excessing inhibition from output nuclei
  • Ex: Parkinson’s Disease
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11
Q

What is the pathophysiology of Parkinson’s Disease?

A
  • Death of dopamine producing cells
  • Lack of dopamine = inc inhibatory output from basil ganglia
    • Further inhibits Motor Thalamus = DEC voluntary muscle control
    • Further inhibits Pedunculopontine (inhibitor) = double negatives make a positive = OVERACITVE postural & girdle muscles
    • Further inhibits Midbrain locomotr regioan = DEC walking control
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12
Q

What are the signs of Parkinson’s Disease?

A
  • Akinesia/hypokinesia. Less voluntary movement (less lateralcorticospinal)
  • Rigidity (typically “cog wheel”) - more core and prox muscles = stiff on both sides of the joint
    • NOT velocity dependent
  • Freezing during movement - Trouble with the motor plan
    • Cant send sequence signals to lateralcorticospinal
  • Visuoperceptive impairments - dec occulomotor loop
  • Postural instability - stiff and slow activation
  • Resting tremor - goes away with movement
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13
Q

What are Hyperkinetic Disorders and what is an example?

A
  • Inadequate inhibition from output nuceli
  • Ex: Huntington’s Disease
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14
Q

What is the pathophysiology of Huntington’s Disease?

A
  • Degeneration of basal gangli “input modules” and cerebral cortex (not as much info = not as much inhibition out)
    • Decreased inhibition to Motor Thalamus = OVERACITVE voluntary muscle control
    • Decreased inhibition of Pedunculopontine (inhibitor) = = DECREASED postural & girdle muscles
    • Decreased inhibition of Midbrain locomotor region = OVERACITVE walking
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15
Q

What are the signs of Huntington’s Disease?

A
  • Chorea: involuntary extra movements that are typically twisting or writhing in nature
  • Dementia: Atrophy of cerebral cortex
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16
Q

What is the Cereballum the organ of?

A
  • Organ of coordination
    • compeares what you meant to do to what’s actually happening and makes a change if needed.
17
Q

What are the 2 inputs to the cereballar cortex?

A
  1. From brain to pons
    • intended movements - “What I meant to do”
  2. Sensory receptors via spinal cord
    • State of body system at the moment - “What I am really doing”
18
Q

What are the 3 cortical layers of the cerebellum?

A

Computer of the cerebellum

  • Outer - processing
  • Middle - Purkinjie cells: output
    • Sends inhibition like Basil Ganglia
    • Modulates or fine tunes movements
  • Inner - processing
19
Q

What does the output of the cerebellar cortex do?

A
  • Inhibitory
  • Project to deep cerebellar nuclei and vestibular nuclei
20
Q

What are the vertical divisions of the cerebellum and what do they control?

A
  • Midline vermis - most prox muscles
  • Paravermal hemisphere - slightly more distal muscles
  • Lateral hemisphere - distal muscles (esp hands and feet)
21
Q

What are the 3 function divisions of the cerebellum?

A
  1. Vestibulocerebellum
  2. Spinocerebellum
  3. Cerebrocerebellum
22
Q

What does the Vestibulocerebellum do?

A

*Handlebar mustache connected with inner ear*

  • Balance and equilibruim - hold you upright against gravity
  • ”..influences eye movemetn and postural muscles..”
    • esp vestibulospinal tract (ext legs to keep you balanced)
23
Q

What does the Spinocerebellum do?

A

*Midline of cerebellum - functionally linked with the spinal cord (esp core & prox muscles)

  • Gross movements of the limbs
    • generate activity to medial corticospinal & brainstem
  • Control ongoing movement via the brainstem descending tracts
    • facilitates directors & helpers of core & prox muscles
  • Receives rich “what am I doing now” info
  • Automatic corrections
  • New movement plans (ex: like when falling)
24
Q

What does the Cerebrocerebellum do?

A

*Strongest connection with cerebral cortex*

  • Fine, distal, voluntary movements - esp hands & feet
  • Soordination of voluntary movments
  • Planning of movemnts - works with basil ganglia
  • Ability to judge time intervals and produce accurate rhythms
  • Output to lateral tracts
    • Rednucleus helper
    • Motor cortes - esp lateral corticospinal tract
25
What does the **superior** cerebellar peduncle do?
* Most of cerebellar efferent - output of cerebellum * Wires that take messages out of cerebellum * Messages of unconscious (to helpers) and conscious (to directors) correction
26
What does the **Middle** cerebellar peduncle do?
* Afferent from corticopontocerebellar fibers * In line with pons * Afferent from porticopontocerebellar (xerox copy)
27
What does the **Inferior** cerebellar peduncle do?
* Afferent from spinal cord and brainstem * Closest to spinal cord * Messages of what I am really doing
28
What are the functions of the cerebellum?
* Comparing actual motor output to the intended movement. * Adjusting actual motor output if there is a discrepancy.
29
What are sings of Clinical DIsorders of the Cerebellum?
* Hypotonia * Ataxia: movements are erky & inaccurate * lack of coordination * Signs are **ipsilateral** to side of damage
30
What signs are associated with lesions of the Vestibulocerebellum?
* **Abnormal eye movements** * Eyes may not move properly during movement * **Dysequilibrium** * Out of balance * **Truncal ataxia** * Trunk does not stay stable - makes coordinated movement difficult
31
What signs are associated with lesions of the Paravermis & Cerebrocerebellum?
* Dysarthria * Difficulty/disordered mechanical production of speech. * **Ataxic Dysarthria**: Changes rate, pitch, annunciation (specific to cerebellar damage) * Sound drunk
32
What signs are associated with lesions of the Spinocerebellum?
* Ataxic, wide-based gait * Mechanically more protected against falls
33
What signs are associated with lesions of the Spinocerebellum & Cerebrocerebellum?
* **Dysdiadokokinesia:** Disordered alternating movement * Cerebellum having trouble gaging timing and rhythm of movement * **Dysmetria:** Inability to accurately hit a target * **Action or intension tremor:** Only tremor with movement
34
How do distinguish between Cerebellar Ataxia and Sensory Ataxia?