E3 Cortex Flashcards
prefrontal cortex
BA 9,10,11,12,46,47 executive funciton working memory dorsolateral pfc ventromedial pfc
dorsolateral pfc
planning and working memory
lesion - apathetic, lifeliss, abulic
ventromedial pfc
decision making associated with reward and punishment suppressiong of innappriate responses and emotional reactions
lesion - impulsive
phineas gage
spike
pfc
ass hole now
lobotomy
scramble pfc
kills drive
schizophrenia dopamine hypothesis
positive sympotms like ahhucinations negative like lack of emocion similar to to pfc damage blocking dopmaine can help overactive mesolimbic gives positive hypoactive mesocortical gives negative
schizophrenia glutamate hypothesis
blocking NMDA glutamate receptors can cauz schizo symptoms
suggests gluatame and dopamine have a role
Broca area
44,45
dominant side for written and spoken language
lesion for brocas aphasia affects verbal and written
non dom for prosody (emotion) of language
lesion for motor aprosodia (emotionless speach)
frontal eye field
area 8
control of vouluntary saccades to contrallateral side
goes either directly to PPRF or superior colliculus first then to that abducens to occulomotor circuit to turn contra
premotor cortex
preparation and initiation of volunatry movement
rostral to pre central sulcus
activated during planning
has mirror neurons
lesion for reflex imbalance, contra spasticity and slowed complex limb movements
supplementary motor cortex
planning of complex sequences of voluntary movement and bilateral coordination
active in complex movements real or imagined
internally guided like from memory not visual cues
lesion for motor apraxia and deficits in bimanual coordination
primary motor cortex
area 4 pyramidal neurons corticospinal and corticobulbar tracts jacksonian seizures encoding for force, velocity, and direction brain machin interfaces lesion for contralateral weakness and spastcity UMN signs face stuff more laterally
primary somatosensory cortex
propriception, pain,temp, fine touch
granular
dorsal column and anterolateral system
homunculus with lateral face
regional signaling and functional columns
lesion for hemianestesia, astereognosia and agraphesthesia
3a
propriceptors
3b
cutaneous mechanoreceptors
1
cutaneous mechanoreceptors with larger fields
2
cutaneous mechanoreceptors and proprioceptors
superior parietal lobule
integrates somatosensation with vision to locate objects in space and make a map
helps with targetted movements
lesion for deficeit in spatial processing
inferior parietal lobule
39,40
language, math, space, body image
lesion for ideomotor, ideational, and constructional apraxia
also gertsmann and balint syndroms
gertsmann syndrome
LR confusion finger agnosia agraphia acalculia lesion on dominant side of 39,40
Balints syndrome
bilateral 39,40
optic ataxia
posterior parietal association cortex
5,7,39,40
non dom is more important for attentiaonal processing for both ispi and contra side
dominant attends only contra side
so a lesion on dominant side has mild spatial deficits but could have gertsmann
non dom gets contralateral or hemineglect
Wernickes area
22,39,40 dominant for comprehension of language non dom for prosody of language lesion dom for wernickes aphasia (ppor comprehension) non dom for sensory aprosodia
global aphasia
lesion in both W and B areas
impaired fluency, comprehension and repetitsion