Chapter 7 - Temporal Lobes Flashcards
What are the principal areas of the temporal lobe?
- superior temporal gyrus
- middle temporal gyrus
- inferior temporal gyrus
What are some of the important internal structures of the temporal lobe?
- the limbic system, specifically the amygdala and the hippocampus
Primary auditory cortex
- sensation of the stimulus
- detection threshold of sounds
Damage to the primary auditory cortex
- impairment in auditory detection thresholds in the contralateral ear to damage
- tone deaf - auditory agnosias
Secondary auditory cortex
perception - adding meaning to sounds
Damage to the secondary auditory cortex
- R side damage; difficulty in musical perception
- L side damage; difficulty in distinguishing btwn similarly sounding words
Wernicke’s Area
- located in L temporal lobe
- important for reception and comprehension of language
- Wernicke’s aphasia - pt can produce speech, but not understand it
Damage to Wernicke’s
- Wernicke’s aphasia - difficulty in comprehending speech
- difficulty writing and speaking fluently
- paraphasia - substituting incorrect words
- pt unaware of deficit
The temporal lobes are important for which visual functions?
- higher visual pathways enter this lobe
- visual processing of complex stimuli
- obj recognition
Damage to the temporal lobe could result to what visual impairments?
- similar symptoms to Dr. P
- prosopagnosia - difficulty recognizing faces
- loss of upper half of field of vision
- visual agnosia - cannot ID objs visually
Attention
- selective attention to visual or auditory input
Damage to the temporal lobe could result to what attentional impairments?
- inability to attend to one source of stimulation specifically
- integration of stimuli perceived in diff sensory modalities (seeing sounds)
- tested using the McGill picture anomaly task - pt has to name what is wrong with the picture
Memory
- controlled by medial temporal lobe, includes the hippocampus, parahippocampal gyrus and the amygdala
- long term memory, spatial memory
Mediotemporal lobe damage
- bilateral damage: memory deficit (anterograde amnesia), difficulty w/ digit span test, H.M., Clive Wearing, and Jimmy Gwas an example
- R side damage: impairment of spatial memory (EX: learning how to go through a maze)
- L side damage: impairment of verbal memory (have pt tell you a story, give Wecshler test)
H.M.
- removal of both medial temporal lobes to treat severe seizures
- resulted in anterograde amnesia (cannot make any new memories)
- tested via digit span test
Mirror Drawing Task
- pt has to look at a mirror only, and trace a shape
- H.M. and Jimmy showed improvement, but couldn’t remember doing it
Gollins Incomplete Figures
- pt shown pairs of incomplete pictures, should be able to ID what they are earlier and earlier
- H.M. showed improvement in this task
Where was Clive Wearing’s damage centralized?
- L side, due to larger L ventricle
Corsi Block Tapping Task
- pt has to tap blocks in order following what the neurpsych does
- difficulty doing so if R side is damaged
Brenda Milner
- cambridge gra who pioneered neuropsychology
- studies and tested pts before and after temporal lobe removal
Rey-Osterrieth Task
- pt is shown a picture and must draw it from memory
- difficulty when there has been damage to R mediotemporal lobe
Temporal lobe epilepsy (excessive activity in the area) can result in changes in personality like:
- aggressive outbursts
- hallucinations (auditory, visual)
- changes in sexual activity or orientation
- religious conversions
- oversharing in convos, may be difficult to get away from in convos
Temporal lobe epilepsy can result in altered states of experience like:
- depersonalization
- paranoia/paranoid ideas
- deja vu
- jammis - opposite of deja vu
John from video who had temporal lobe epilepsy
- felt omnipotent after seizures
- experienced depersonalization
Kluver Bucy Syndrome
- severe damage to bilateral mediotemporal lobes
- insatiable appetite to things
- change in sexuality, even for inanimate things
- calm and passive
Bilateral damage in the temporal lobes
- anterograde amnesia
Jimmy
- cirrhosis of the liver and Korsakoff’s
- memory deficit - anterograde amnesia
- memory ended in 1945