Frontal lobe Flashcards

1
Q

what is the role of frontal lobe/ what movements is it involved in

A
  • volitional eye movements
  • speech and language
  • motivational behaviour
  • working memory
  • attention
  • social behaviour
  • self awareness
  • self regulation
  • executive ability
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2
Q

What are the motor areas in the frontal love

A

Primary–> area 4

secondary- area 6

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3
Q

What are the motor disturbances that result from a damaged frontal lobe

A

Primary/secondary motor cortex–> no voluntary movement/poor fractionation of movt. and abnormal muscle tone (spasticity)

  • left and right hemispheres affected equally
  • release of primitive reflexes (grasp, sucking, bite reflex)
  • sphincter control–> micturition centre in frontal lobe
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4
Q

What are volitional eye movements mediated by

A

frontal eye fields

  • anterior to motor strips
  • saccadic eye movements depend on the integrity of this system
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5
Q

How can frontal lobe lesion affect volitional eye movements

A

can produce an alteration in voluntary eye gaze in relation to scanning the visual field appropriately (random eye movements)

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6
Q

What are some language disturbances for frontal lobe lesions

A

Expressive aphasia (broca’s area affected)

  • inability to perform verbal expression of language
  • can understand language but have non-fluent output
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7
Q

What are executive funcitons

A

set of cognitive processes
-include attentional control, inhibitory control, working memory and cognitive flexibility, reasoning, problem solving and planning
frontal lobe responsible for executive function

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8
Q

What is the executive function necessary for

A

for cognitive control of behaviour

-for selecting and successfully monitoring behaviours that facilitate the attainment of chosen goals

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9
Q

What is volition

A
  • ability to determine needs and wants

- conceptualise future realisation of needs and wants

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10
Q

What are some examples of executive functions

A
  • volition
  • planning and organising behaviours
  • purposeful activity
  • effective performance (attention)
  • planning ahead
  • monitoring ahead
  • sustained attention
  • goal directed behaviour
  • problem solving
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11
Q

What does volition require

A
  • Self awareness
  • ability to formulate a goal and intentions and initiate task performance
  • awarness of environment
  • social awarness
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12
Q

Define planning

A

identification and organisation of steps and elements to carry out an intention or achieve a goal

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13
Q

what does planning require

A

involves ability to look ahead and conceptualise change, identify alternatives, prioritise and make choices and make a plan

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14
Q

What is a purposeful action

A

ability to structure an effective and fluent course of action

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15
Q

What is working memory

A

ability to hold a limited amount of information while a variety of cognitive operations are performed
-important process for resoning and guidance of decision making and behaviour

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16
Q

What is the frontal lobes primary role in working memory

A

the control and manipulation of information held ‘on-line’

17
Q

What is PTA

A

post traumatic amnesia

  • confusion and memory loss following traumatic brain injury
  • may last mins/weeks/months
  • pt will be confused, disorientated, unable to retain day to day events
18
Q

What is anterograde amnesia

A

problems with creating new memories after injury

19
Q

what is retrograde injury

A

loss of memories that are formed shortly before the injury

20
Q

What is a confabulation

A

the replacement of a gap in a persons memory by a falsification that he/she believes to be true

21
Q

What are the 2 types of declarative memory

A

Episodic and semantic

22
Q

what is episodic memory

A

relates to personally experienced events situated in the person’s temporo-spatial context

23
Q

What is semantic memory

A

concerns general knowledge independent of the learning context

24
Q

What are the 3 types of attention and what are they controlled by

A

Frontal lobes mediate attentional control

  • Switching attention
  • Selective attention
  • Sustained attention
25
What are S&S of dorsolateral frontal cortex lesions
- lack of ability to plan or to sequence actions or tasks - impaired working memory - a loss of mental flexibility - impaired reasoning and judgement - impaired self monitoring
26
What are 3 frontal lobe syndromes
- Abulic - Dysexecutive - Behavioural
27
What is abulic frontal lobe syndrome
lack of activation and initiative, disinterest and lethargy
28
What is dysexecutive frontal lobe syndrome
Impairment of organisation, planning, reasoning, set shifting, self monitoring
29
What is behavioural frontal lobe syndrome
disinhibition, childishness, aggressive/abusive behaviour, selfishness, impulsivity
30
What are the S&S of orbitofrontal cortex lesion
disinhibited, impulsive, inappropriate behaviour - emotional liability - personality changes - irritability/aggressive behaviour