Final Flashcards
3 parts of the cerebral hemispheres
Cortex (surface)
white matter (nerve tracts)
deep structure (basal ganglia, anygdala and hippocampus)
commissures
in the hemispheres
Commissure are nerve bundles
the largest is the corpus callosum
Topographic organization in the brain
each area of the cortex is organized topographically
ipsilateral/contralateral organization in the brain
most of the brain is organized conralaterally, but the cerebellum is organized ipsilaterally.
physical structure of the cortex
Most of cortex is 6-layered with large pyramidal cells - Betz Cells - whose axons make up the major output
Brodmann areas
52 regions of the brain
neocortex, archicortex and paleo cortex
where is the hippocampus?
where is the cingulate cortex?
are phylogenetically older areas of the brain.
Have less layers of cells (3, 4/5)
90% of human brain is the newer neocortex
archicortex contains the hippocampus
cingulate cortex is part of the paleocortex
The cortexes and their functions
- Occiptal - vision
- parietal - somatosensory
- temporal - hearing, language, speech
- frontal - motor and general planning
Association areas of the brain
large areas, particularly in the frontal and parietal lobes that are assumed to be for higher function
overrepresentation in the somatosensory cortex
Some areas in the somatosensory cortex that are important for touch sensation are overrepresented on the topographic map of the cortex
these areas have higher two point discrimination
Phantom limbs
- When part of the body is lost, it’s corresponding region of the sensory homunculous still exists
- plasticity leads to other parts of the body connecting with this region, so sensation in those regions may lead to sensation on the phantom limb
- May be painful/unpleasant
*
Common causes of prolongued pain (6)
- Shingles = postherpetic neuralgia. Reactivation of zoster virus can leave pain for months or years
- Tic Douloureux = trigeminal neuraliga. Intense facial pain. Due to pressure on the trigeminal by vascular or neuroplastic changes
- Cancer pain - tissue damage activates silent nociceptors
- Spinal nerve root compression - eg herniated disk
- fibromyalgia - widespread pain in muscles, joints, bones without known cause. More in women
- Complex regional pain syndrome - usually an entire arm or leg.
Central pain:
Damage to anterolateral disk
Damage to thalamus
Damage to the anterolateal system can cause central pain. Particularly on the spinothalamic and spinoreticular fibres.
Damage to thalamus itself can lead to central pain.
Central pain can be intense and can involve half of the body. Often resistant to analgesics.
Effect of distraction on pain
Many people don’t feel pain in urgent activites
Dstraction reduces percieved pain
Responses to pain: somatic reflexes
due to spinal cord connections
Flexor and crossed extensor reflexes - cutaneous pain in an extremity causes limb withdrawal and contralateral limb extension
scratch reflex - cutaneous pain on the body causes limb to remove the source of irritation.
Responses to pain
- autonomic responses
- emotional responses
- learning and memory
hypothalamus and brainstem
- Increased heart rate, respiration rate and blood pressure
- Nausea, vomiting, sweating, dilated pupils
cingulate cortex and limbic system
- anxiety, fear
hippocampal connections
- Important to learn to avoid pain, but people can learn to expect pain, which increases perception of pain (wind up phenomenon)
EEG
what is it
records
wave types
used clinically for
contaminated by
electroencephalogram
- small ascillating voltage recorded from the scalp.
- Mainly measures post synaptic potentials produces by thalamic signals to the cortex
- Alpha rhythms when we are relaxed, awake, eyes closed
- Beta rhythms when open eyes, alert, even in dark. Smaller and faster than alpha.
- Used clinically because epileptiform (abnormal) EEG shows off electrical activity in the brain and can be used for diagnosis of epilepsy, coma level and brain death, measurement of anaesthesia effects, detection of psychotropic drugs
- EEG can be contaminated by eye movements, tongue movements, EKG
REM sleep
when
waves look like
cycling
amount of REM
physical symptoms of REM
At the end of the first sleep cycle, the person doesn’t wake up, instead they enter into REM
REM looks similar to normal/awake/alert EEG
after a short time anodhter cycle through stages 1-4 occurs
Amount of REM increases with each cycle
REM is usually 4 times per night about 20-25% of the total sleep time
When dreaming occurs; muscles relaxed, eyes frequently active, twitches of muscles
Parasomnias
- Somnambulism
- Night terrors
- rhythmic movement disorder
- REM behaviour disorder
- Restless leg syndrome
- Somnambulism - sleepwalking and sleeptalking but not dreaming. Can’t see; often injured
- Night terrors - screaming, sweating, frightened, more than nightmare
- rhythmic movement disorder - rocking, head-rolling
- REM behaviour disorder - acting out dreams, can cause injury to sleeper or companions
- Restless leg syndrome - involuntary leg movements; genetic links
treatment for severe sleep disorder symptoms
tranquilizers - benzodiazepines
NT release during sleep and wakefulness
During wake/alert state, neurons that release norepinephrine and serotonin are active
During awake or in REM sleep, neurons that release acetyl choline are active
sleep wake cycle driven by
Circadian rhythm - a clock mechanism inherent to the brain and triggered by night/day cycle
sleep/wake cycle influenced by several areas of the brain
- superchiasmatic nucleus
- hypothalamus
- reticular system
coma
means a person cannot be aroused
result of many causes (injury, disease, drugs)
consciousness
includes
brain regions
paying attention
includes self awareness, thought, decision making, feeling, planning, imagining
structures involved in consciousness are not well know. Parts of cerebral cortex: thalamus, basal ganglia are essential
the ability to pay attention is enhanced by sensory information
right parietal damage
leads to loss of awareness of the left visual field and body parts on the left side.
The opposite occurs for left parietal damage
hemi-spatial neglect
apraxia
difficulty performing complex motor tasts due to premotor cortex, corpus callosum, parietal cortex damage
schizophrenia
type of disorder
causes
includes
treatment
a disorder of consciousness
Due to a variety of causes including genetic predisposition
delusions, hallucinations, often paranoia
helped by dopamine antagonists
general mood disorder treatment
treatment for bipolar disorder
Drug therapies for mood disorder usually increase serotonin or norepinephrine by limiting reuptake or degredation
- most popular increase serotonin - prozac
Lithium effective for damping mood swings in bipolar disroder. Mechanism probably involves second messenger systems
Frontal lobe
functions
size
age of maturity
types of neurons
result of damage
Impulse control, judgement, language, working memory, motor control, sexual behaviour, socialization, spontaneity, planning, coordination
- Executive functions: recognizing future consequences of actions, choosing between good, bad and better actions, suppressing unacceptable social responses, determining similarities and differences between things or events
developed later in evolution. Enormous in humans and relatively high in apes.
reach full maturity around age 25
rich in dopamine sensitive neurons
Damage leads to: impulsiveness, impaired planning of complex action sequences, persistence when change would be more appropriate
limbic system:
what does it mean
includes
major functions
function of the amygdala/result of damage
- LImbic means edge/border so its contents are the inner edge of the cingulate cortex
- Includes amygdala and hippocampus and thalamus (thalamus and front lobe are often included)
- Major function is emotion, control of hypothalamus, learning/memory
- Amygdala important for expressing emotion and interpreting emotion in others
- Stimulation produces sensations of fear/apprehension
- Amygdala is selectively activated by expressive faces
- Damage leads to inability to detect emotion in others
Papez circuit
originally thought to be mainly concerned with emotion
now considered to be important for memory
important cerebellar inputs
Hypothalamus
where is it
important for
involved in controlling (long list)
Small structure under the thalamus
Connected to pituitary gland
Important for homeostatic control - receives inputs from many sensory structures throughout the body and compares them to optimal set points
involved in controlling: anterior pituitary gland, blood pressure, water balance, eating and drinking, reproduction, circadian rhythm, body temperature, emotional expression, general autonomic functions
Thermoregulation
Pyrogens change the hypothalamis set point causing fever
Central heat receptors in hypothalamus detect changes
Shivering activaes muscles - piloerection (raised hairs)
Too much heat - sweating and blood flow to surface of skin to cool off
Two major classes of memory
Declarative: factual information (phone numbers, faces).
Procedural: how to do things like skating/riding a bike
forming declarative and procedural memories
limit to memory
damage to hippocampus
lateral specialization of hippocampus
Hippocampus is critical for forming long-term declarative memories
Cerebellum is involved in forming procedural memories
Seems to be no limit to the amount of declarative memory
Damage to hippocampus prevents storage of long-term memory, but does not erase existing memory
Lateral specialization of hippocampus:
- left = verbal memory, learning
- right = spatial memory
Cellular basis of memory
- Memory involves synaptic strength
- changes in amount of NT released with AP
- changes in size of PSP produced by a fixed amount of NT
- 2 models
- Long term potentiation and long term depression.
- Synaptic connections become stronger or weaker after appropriate stimuli and remain unchanged for days or weeks
- changes in 2nd messenger systems are particularly important
- Growth of postsynaptic reions or neurons or the delivery of additional receptor molecules to the postsynaptic membrane
Cerebral hemisphere specialization and dominance
corpus callossum cut studies show
specializatation of left and right
sominance
- Studies with a corpus callossum cut show that the two hemispheres can operate relatively independently and disagree about what to do
- Alien hand syndrome - one hand acts indpendently of conscious thought
- Language concentrated in left - speaking, writing and understanding language
- Left tends to dominate brain activity
- right hemisphere specializes in spatial functions: perspectives of 3D objects, recognizing faces, mathematical skill, but can understand simple language too
hemisphere that recognizes an object
Implications in split brain
Objects in the right visual field will be perceived by the left brain only and vice versa.
A split brain patient’s hemispheres can’t communicate so when a word or image appears in the left, the info goes to the right brain and the patient can’t name it, though they can draw it.
Broca’s and Wernicke’s areas
describe. Result of damage to each
connected by. Damage to this
Broca’s area = creation of speech, using respiratory muscles, vocal chords, mouth (left hemisphere)
- damage causes expressive aphasia
Wernicke’s area = Language comprehension, musical tone comprehension, non-verbal sounds
- Damage causes trouble understanding spoken or written speech. People may produce fluent but meaningless speech
The two areas are connected by the arcuate fasciulus - damage to it causes difficulty repeating words: conduction aphasia
- You would have to hear the word, understand it and then have it repeated in Broca’s area
language: damage to central areas
leads to more difficulties in language comprehension - central aphasias
Sclera
Aqueous humour
vitreous humour
lens
cornea
choroid
fovea
Sclera - the white over the whole eye
Aqueous humour - under the cornea
vitreous humour - filling up most of eye
lens - the disk at the front of eye
cornea - protective layer over the pupil and lens
choroid - dark structure behind the retina. Dark in humans because all light is absorbed. Not for nocturnal animals
fovea - depression at the back of retina. fine focus
Cornea
transparent, convex structure
Non-vascular
many nerve endings - trigeminal nerve (so very sensitive to touch)
Light coming in has to be bent - 2/3 of total focusing power
Pupil
what is it
why black
size controled by
increases depth of focus as
analogous to
- Hole at the centre of the iris.
- Appears black because all light entering the eye is absorbed
- Size controled by radial and circular eye muscles
- Pupil increases depth of focus as it becomes smaller due to pinhole effect
- light from one part of object only reaches one part of the eye (due to pinhole)
- directly analogous to a camera aperture - more depth of focus with more available light
pinhole effect
LIght from one part of an object only reaches one part of the eye due to the pinhole
Distance of object from pinhole doesn’t matter - still get a sharp image/depth of focus
smaller pupil = better focusing on back of eye
Iris
colour
muscle control
- Has pigmented cells containing several types of melanin, another pigment is lipofuscin
- Number and position of pigment cells leads to eye colour
- Iris has blood vessels so haemoglobin in blood contributes to colour
- Eye colour is difficult to predict even if genetics are known
- Two groups of muscles: sphinchter/circular muscles constrict the pupil and radial muscles dilate the pupil.
- Iris muscles controlled by autonomic system: sympathetic drive radial (dilate), parasympathetic drive circular
pupillary light reflex
Light falling in eye causes reflex activation of circular muscle.
Light detected by retina - signal goes from eye to pretectal area of midbrain and then back to ciliary ganglion of parasympathetic
Lens
what does it do
how does it do it
far-sighted
Adjusts focus
Distant vision - thin, stretched by zonule fibres
Near vision - circular ciliary muscles contract, allowing lens to relax
Only activates focusing power on far things. As we age, the lens gets rigid and won’t relax as easily so near vision is compromised (far sighted)
accomodation and vergence
As an object moves farther and closer, the lens must change shape - accomodation - to maintain focus
For a close object, eyes converge (turn in). Degree of convergence is used by brain to determine how far or close the object is. - binocular depth cue
cataracts
Clouding of the lens due to protein changes
mostly age-related
lens colour also changes
Surgical removal is common procedure - lens replaces with a prosthetic implant. Restores vision, but accomodation is lost because the lens has fixed depth focus
Aqueous and vitreous humours
Lens seperates the eye into two chambers. Aqueous humour fillst he front and the vitreous humour fills the back
Vitreous humour occupies 2/3 of eye and is a jelly like consistency and transparent.
Vitreous humour naturally shrinks with age and tends to seperate from the retina giving the appearance of floaters are the vitreous pulls away causing visual phenomena
Glaucoma
- Aqueous humour is clear, filling the frount of the eye
- Produces by the epithelium of cilary body; flows through pupillary space and exits through Schlemm’s channel
- Carries nutrients to the cells of the lens and cornea
- Conduction and drainage of aqueous humour controls intraocular pressure (IOP)
- Glaucoma is a common eye disease that is associated with elevated IOP, though some glaucoma patients have normal IOP levels
- Causes damage to optic nerve
- Produces loss of peripheral vision (visual world starts to shrink), but is not usually noticed until there is already signficant damage
- Surgery to make additional hols is done if Schlemm channel is blocked
Retina
choroid absorbs most of the light
the macula (darker area) contains the fovea, where accurate vision occurs.
Blod vessels avoid the macula/fovea so as not to interfere with vision
the blind spot is the area of the visual field correspondng to the optic disk - no retina there but the brain can fill in missing info for colours, lines, patterns (each eye has diff blind spot so they fill in for each other)
optic disk
where the optic nerve and the blood vessels leave and enter the eye
Light
A photon is a single quantum of light with energy -hc/wavelength
Natural light intensity range from brightest to darkest is 10^15, human functional intensity is about 10^12 with time for adaption
Human short term functional intensity about 10^3
Longer wavelengths = lower energy. A lot of animals can see beyond 400 nm but we can’t
Retinal cells
ganglion cells
amacrine cells
bipolar cells
horizontal cells
rods and cones