Exam II Flashcards
Broca’s Aphasia Chart
- Frontal cortex rostral to base of primary motor cortex (Broca’s area)
- Nonfluent speech
- Good comprehension
- Poor Repetition or Naming
Wernicke’s Aphasia Chart
- Posterior portion of superior temporal gyrus (Wernicke’s area) and posterior language area
- Fluent speech
- Poor comprehension, repetition, naming
Pure Word Deafness Chart
- Wernicke’s area or its connection with primary auditory cortex
- Fluent speech
- Good Naming
- Poor comprehension, repetition
Conduction Aphasia Chart
- White matter beneath parietal lobe superior to lateral fissure (arcuate fasciculus)
- Fluent speech
- Good comprehension and naming
- Poor repetition
Anomic Aphasia Chart
- Various parts of parietal and temporal lobes
- Fluent speech
- Good comprehension, repetition
- Poor naming
Transcortical Sensory Aphasia Chart
- Posterior language area
- Fluent speech
- Good repetition
- Poor comprehension or naming
Broca’s Aphasia, add’l
- Prototypic nonfluent aphasia.
- Damage to inferior left frontal lobe or insular cortex
- Articulation difficulty-no expressive language, painful
- Anomia-word finding/naming difficulties
- Agrammatism-telegraphic speech. Grammatical trouble.
Wernicke’s Aphasia, add’l
- Poor insight.
- Prototypic fluent aphasia
- Damage to posterior portion of left superior temporal gyrus
- Hallmarks include poor receptive language/comprehension, cannot identify spoken words. And fluent meaningless speech, word salad.
Pure Word Deafness, add’l
- Disorder of word recognition, without other deficits. Presents normally.
- Reading and writing intact. Damage to Wernickes Area.
Conduction, add’l
- Arcuate fasciculus- bundle of axons connecting wernickes and brocas area, damaged.
- Anomia- everything is good except naming (Tip of the tongue phenomena) Parietal and temporal lobes damaged
Transcortical Sensory, add’l
- Same as wernicks but w/out ability for repetition.
* Posterior language area damaged.
Emotion Structures: Amygdala
o fight, flight, feed fornicate.
• Medial – olfaction and sensory input relays to medial basal forebrain and hypothalamus.
• Lateral – sensory information from neocortex, and sends to basal, and central nucleus of amygdala. Hippocampus learning of lesson, connection of response to emotion
• Central – expression of emotional response to aversive stimuli. learning of a threatening situation. PTSD
Ventral prefrontal cortex
• involved in automatic emotional response and control of complex behaviors (such as appropriate social demeanor).
Ventromedial prefrontal cortex
- base of anterior frontal lobes
- receives input from dorsomedial thalamus, etc. outputs to cingulate, hippocampus, etc. inputs provide information of planning environmental stimuli and responses organized by amygdala.
Kluver-Bucy Syndrome
• from bilateral anterior temporal removal or injury. breakdown of fear and response/conditioning, increased aggression, sexuality, eating/drinking and memory impairment. Hypothalamic increase (increase in species behaviors) increased inpulsivity, etc.
Emotional facial paresis
lack of facial movement during genuine response to emotions on the ipsilateral side of damage, usually to insular prefrontal cortex, subcortical white matter or thalamus.
Volitional facial paresis
cannot move facial muscles voluntarily even though they feel the emotion. Damage to subcortical connections in primary motor cortex
Hemisphere Dominance
- R hemisphere → comprehension of emotion, tone.
* L → language
James-Lange Theory
feelings of emotion are an after effect of the internal autonomic response to what we feel/biologically respond with after an experience. Ie: experience causes you to sweat , your feelings/insight about sweating cause emotion of it.
2 primary pathways for conditioning
- Direct transcortical connections, episodic memory.
* Connections via basal ganglia and thalamus, overlearned behaviors/cerebellum.
Anterograde
amnesia after trauma
Retrograde
amnesia before trauma
Korsakoffs
permanent anterograde amnesia via alcoholism or malnutrition
Confabulation
reporting of events that never happened
4 types of learning
- Perceptual- stimulus recognition and familiarity/understanding of what you see
- Stimulus-response, learned response to stimulus (CC, OC)
- Motor- Strong neural circuits are formed in motor systems of brain to become “well learned”.
- Relational- increased complexity of learned behavior, relationship between stimuli. Episodic learning is remembering sequences of events.
Hebb Rule-
repeatedly activating an unconditioned stimulus with the excitation of an automatic response, you strengthen the weak/CS by pairing.
HM
- bilateral mesial temporal resection (including hippocampus)
- antegerade amnesia.
Thus, hippocampus:
• (1) is not the location of long-term memories or their retrieval
• (2) is not the location of immediate (‘short-term’) memories
• (3) is involved in converting immediate (‘short-term’) into long-term memories
Hippocampus
short term memory and memory consolidation into LTM
Hippocampal formation
- highly plastic forebrain structure of temporal lobe in limbic system which includes the Ammon’s horn dentate gyrus (input from entorhinal cortex and projects pyramidal cells to hippocampus) and subiculum
- A forebrain structure of the temporal lobe, constituting an important part of the limbic system; includes Ammon’s horn (cornu ammonis or CA), dentate gyrus, and subiculum.
long-term potentiation (LTP)
A long-term increase in the excitability of a neuron to a particular synaptic input caused by repeated high-frequency activity.
Huntington’s
Hyperkinetic neurologic disorder, degeneration of caudate nucleus and putamen, englarged lateral ventricles, characterized by uncontrollable jerking movements, writhing, psychiatric symptoms and dementia. F>M early onset. Psychosis. Cohrea-dancing, throwing of limbs. Anticipation-each subsequent generation is worse. Amplification, and more debilitating with each onset.
Parkinsons
- hypokinetic movment disorder that results from degradation of cell bodies and dopaminergic neurons within the substantia nigra (basal ganglia) in midbrain.
- TRAP: resting tremor, rigitidy =, Akinesia (psychomotor slowing) and postural instability. breakdown of planning and drawing of the clock would be too small. Cannot “right” themselves (find balance).
2 Types of Apraxia
- Limb apraxia:
• a. Callosal apraxia (apraxia of left hand caused by damage to anterior corpus callosum.
• b. Sympathetic apraxia (d/o of left hand by damage to left frontal lobe, impairment of right and left arm.
• c. Left parietal apraxia – caused by damage to left parietal lobe, difficulty producing sequenced movement on verbal request. damage to right parietal lobe. - Constructional apraxia – difficulty drawing pictures of geometrical qualities,
Apraxia
difficulty carrying out purposeful movement in absence of paralyses and muscle weakenss. Esp for overlearned tasks. Breakdown of sequenced movment, and becomes concrete, breakdown of initiation, innap. Or excessive behavior.
Monosynaptic stretch reflex
a reflex when a muscle contracts in response to its being stretched quickly, involving sensory neuron and motor neuron w/ one synapse between them. Righting, given response at spinal level. Single muscle spindle gets activated (stretching of muscle) which sends action potential down dorsal root ganglion to spinal cord (grey matter) meeting at alpha motor neuron. Then the ventral root takes the message/potential back to the extrafusal muscles (w/many dendritic spines).