Cortical Asymmetry Flashcards

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1
Q

where is the Broca’s area

A
  • left frontal lobe just above the lateral sulcus
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2
Q

where is the primary motor cortex

A
  • Primary motor cortex is located inside the precentral gyrus
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3
Q

What did Broadmann do

A
  • Broadmann using a stain for neuronal cell bodies showed that there were subtle differences in neurone type and density in different parts of the cortex
  • He divided the cortex into 50 anatomically different areas, this was the start of the science of cytoarchitectonics
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4
Q

what Brodmann area is the primary motor cortex

A

area 4

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5
Q

what Brodmann area is the visual cortex

A

area 17 18,19

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6
Q

what are the Brodmann area of the somatosensory cortex

A

the somatosensory (touch) cortex includes areas 1,2 & 3.

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7
Q

what are the brodmann area of the auditory cortex

A

areas 41 and 42

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8
Q

what is the association cortex

A
  • this is the large part of the cortex that is outside of specific areas and tend not to have any function
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9
Q

what hemisphere is language controlled by

A

left

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10
Q

what does Brocas area do

A
  • language vocalisation, it is controlled by specialised cortical areas in the left hemispheres
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11
Q

What brodmann area is Broca’s area

A

44 & 45. (the areas are sometimes known as pars opercularis and pars triangularis of the frontal lobe)

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12
Q

what is the fold underneath Brocas area called

A

Insula

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13
Q

what is the role of the insula

A
  • modern MRI have shown that the insula is active during speech production therefore it may be part of the speech production cortex
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14
Q

what is the opercular Cortex

A
  • This is the cortex on the upper and lower lips of the laterl fissure, this cortex is thicker in the left hemisphere this is thought to correlate with language production
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15
Q

where is Wernickes area

A

it is adjacent to the primary auditory cortex which is also on the temporal lobe

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16
Q

what does Wernickes area do

A
  • does language perception

- it has shown that the area that is involved in speech recognition

17
Q

where is speech heard

A
  • it is heard on the auditory cortex on both the left and right sides of the brain
18
Q

what type of aphasia does damage to Brocas result in

A

expressive aphasia

19
Q

what type of aphasia does damage to Wernickes area result in

A

receptive Aphasia

20
Q

describe expressive aphasia

A
  • Halting speech
  • Repetitive
  • Disordered grammar
  • Disordered syntax
  • Disordered word order
  • Sense behind words
  • Patients with expressive aphasia use single words: they find it difficult to link words together into grammatical sentences
21
Q

describe receptive aphasia

A
  • Fluent speech
  • No repetition
  • Good syntax
  • Grammar ok
  • Meaningless
  • Inappropriate words
  • Patients with receptive aphasia speak fluently but in an almost meaningless way
22
Q

what is the tract that connects Borcas and Wernickes area

A

Broca & Wernicke’s areas are joined by a bundle of cortico-cortical association fibres called the arcuate fasciculus

23
Q

what does damage to the arcuate fascicles result in

A

Damage to arcuate fasciculus produces conduction aphasia.

24
Q

describe conduction aphasia

A
  • Patients with Conduction Aphasia show an impaired ability to repeat back heard or written words.
  • Speech output is characterized by word-finding difficulties
  • also have difficulty reading aloud but they may have good comprehension
25
Q

describe how The Wernicke Geschwind model works

A
  • hear a noise - this is coded in the auditory cortex
  • When we wish to speak the word concepts are formed in Wernicke’s area, stored in some kind of buffer memory and then sent via the arcuate fasciculus to Broca’s area.
  • Here they are converted into motor programs which are then sent to the motor cortex of the mouth, lips and tongue.
  • When we speak we hear our own voice. The sounds produce patterns of neuronal activity in the auditory cortex.
  • These patterns are decoded into perceived words or fractions of words in Wernicke’s area.
    = The input signals (perceived words) are compared with the output in the buffer to see if our physical speech sounds matched what we wanted to say.
26
Q

what happens when you are deaf

A

Without this feedback (The Wernicke Geschwind model) of your own heard speech learning to speak is difficult this is why deaf children find speech more difficult to learn

27
Q

what is the blood supply to the Broca and Wernickes area

A

Both broca and Wernicke’s areas are supplied by branches of the middle cerebral artery

28
Q

what will a stroke to the proximal part of the middle cerebral artery do

A
  • will affect both broca and Wernicke areas producing global or total aphasia
29
Q

can the Borcas area be on the right or left side of the brain

A

both

  • it is estimated that between 70% to 95% of humans have a left-hemisphere language specialization.
  • 5% to 30% of humans have anomalous patterns of specialization.
  • These might include: (a) having a right-hemisphere language specialization or (b) having bilateral specialization.
30
Q

what is the right hemisphere involved of in speech

A
  • They are involved in rhythm, volume, intonation and emphasis of speech
31
Q

what does intonation mean

A
  • Intontion – same words but different out tonight – going out tonight and going out to night
32
Q

what does a lesion of the right hemisphere region in Brocas equivalent do

A
  • lesion of these right hemisphere regions in brocas equvialnet may produce robotic, monotonous speech. This is known as aprosodia.
33
Q

what does a lesion of the right hemisphere region in wernickes equivalent do

A
  • If you have a lesion in werkinces area on the right hand side then you cannot tell if someone changes emphasis
34
Q

what is Aspordia

A

a robotic monotonous speech

35
Q

What does the left prefrontal lobe do

A
  • enable you to focus your attention on particular objects or problems, and block out distracting inputs.
  • They facilitates analytical and logical skills, in particular use of language and mathematics to solve problem
36
Q

what does the right prefrontal lobe do

A
  • maintain broad overall vigilance on all sensory inputs so that if something important occurs you can switch your attention and concentrate on the new inputs.
  • The right hemisphere is important for survival as it can override the left hemisphere and make you pay attention to the immediate environment.