Ebner -- Cerebellum Flashcards

1
Q

Cerebellar nuclei

A
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2
Q

Purkinje cells are one of the five intrinsic neruons in cerebellar cortex. What are their characteristics?

A

Only output neuron

inhibitory (GABA) to cerebellar nuclei (DEGF) and vestibular nucleus.

Receive input from parallel fibers (granule cells) and climbing fibers – both are excitatory (glutamate)

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3
Q

The granule cells of the cerebellum serve what function?

A

major input to purkinje cells via parallel fibers

excitatory (glutamate)

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4
Q

Basic cerebellar circuitry:

  1. Mossy fibers –>
  2. climbing fibers (inferior olivary nucleus) –>

purkinje cells –>

cerebellar nuclei –>

A

–> granule cells –> purkinje cells (excitatory; glutamate)

–> purkinje cells (glutamate) (contralateral)

–> cerebellar nuclei and vestibular nucleus

–> many targets in CNS

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5
Q

What produces simple spikes in purkinje cells?

A

Mossy fiber afferents (via excitatory glutamate)

high frequency discharge encoding temporal and intensity information

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6
Q

What produces a complex spike in purkinje cells?

A

climbing fiber afferents (excitatory via glutamate)

slow (1 spk/sec) but powerful excitation

“teaching signal”

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7
Q

Name the three cerebellar functional divisions…

A
  1. Vestibulocerebellum
  2. Spinocerebellum
  3. Cerebrocerebellum
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8
Q

Vestibulocerebellum input and output

A
  • input: mossy fibers from semicircular canals, otoliths, visual system
  • output: vestibular and fastigial nuclei, medial (controls trunk/neck) and lateral (controls limb) vestibulospinal tract, gaze centers (eye movements)
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9
Q

If you have a right vestibulocerebellum lesion, what would you find on Rhomberg test?

A

Patient falls to same side as lesion… so to the right

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10
Q

spinocerebellum is located where?

A

in the intermediate zone just lateral to the vermis

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11
Q

Spinocerebellum receives input from where?

A

3 areas: 1. vestibular/cochlear, 2. spinocerebellar tracts (DSCT and VSCT; both double cross!), 3. face somatosensory and proprioceptive.

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12
Q

Lesions of the spinocerebellum result in what symptoms?

A

gait ataxia

action tremor/voluntary tremor

hypotonia

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13
Q

Name the inputs and outputs of the cerebrocerebellum…

A

Most lateral zone of the cerebellum

Inputs: pontine nuclei (sensory, primary motor, premotor and parietal cortices)

Outputs: through dentate nuclei to VL nucleus of thalamus, then to primary motor and premotor cortex. Also, prefrontal areas and red nucleus.

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14
Q

Disorders of the cerebrocerebellum manifest how?

A

ataxia of the finest movements (hand shaping/writing)

(lesion of the dentate nucleus has similar effects)

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15
Q

The climbing fiber system originates where?

A

contralateral inferior olive

(goes to purkinje cells)

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16
Q

mossy fibers and the climging fiber system run…

A

orthogonal (cerebellum)

17
Q

What does the cerebellum do? problems?

A

1. produces smooth, coordinated movements

(problems = decomposition of movements and dysmetria

2. Movement timing

3. Motor learning

18
Q

What evidence is there that the cerebellum plays a role in motor learning…

A

VOR plasticity with magnifying glass: world moves more than head –> retinal slip –> climbing fiber activation –> VOR gain increase