Final Exam Flashcards
What is involved in the control of complex movements?
Cerebral Cortex Basal Ganglia Cerebellum Thalamus Brain Stem Spinal Cord
Describe the Primary motor cortex
somatotopic arrangement
greater than 1/2 controls hands & speech
Stimulation of neuron stimulate movements instead of contracting a single muscle
Describe the Premotor Area
anterior to lateral portions of primary motor cortex below supplemental area
projects to primary motor cortex and basal ganglia
Origins of the Corticospinal tract
Primary Motor Cortex- 30%
Premotor and Supplemental Areas- 30%
Somatic sensory areas- 40%
Ventral corticospinal tract
Fibers stay ipsilateral
Lateral corticospinal tract
Fibers cross midline (contralateral)
Describe the Supplemental motor area
-superior to premotor area lying mainly in the longitudnal fissure
-functions in concert with premotor area to provide:
attitudinal movements
fixation movements
positional movements of head & eyes
background for finer motor control of arms/hands
What is Spinal preparation?
All tracts cut, cord completely isolated from brain (flaccidity)
Occurs low brain stem
What is Decerebrate preparation?
Transection at mid collicular level. Extensors are tonically hyperactive (rigidity)
What is Decorticate preparation?
Destruction of the cerebral cortex. Creates spasticity due to tonic excitation from upper areas of the reticular formation no longer under inhibitory cortical influence (release phenomenon)
Describe Decorticate Spasticity.
Removal or lesion of cerebral cortex
loss of cortical inhibition of gamma efferent discharge mediated by the medullary reticular formation
seen in humans on the hemiplegic side after stroke
small arteries in internal capsul prone to rupture or thrombosis
60% of intracerebral hemorrhages
What is an experimental procedure useful for the study of reflexes?
Decerebration
What are the specifics of Decerebration?
Transection of midbrain often at intercollicular level
loss of sensation
motor contro is altered
-cortical descending pathways are interrupted but brain stem control remains intact