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
Q

What are S&S of dorsolateral frontal cortex lesions

A
  • 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
Q

What are 3 frontal lobe syndromes

A
  • Abulic
  • Dysexecutive
  • Behavioural
27
Q

What is abulic frontal lobe syndrome

A

lack of activation and initiative, disinterest and lethargy

28
Q

What is dysexecutive frontal lobe syndrome

A

Impairment of organisation, planning, reasoning, set shifting, self monitoring

29
Q

What is behavioural frontal lobe syndrome

A

disinhibition, childishness, aggressive/abusive behaviour, selfishness, impulsivity

30
Q

What are the S&S of orbitofrontal cortex lesion

A

disinhibited, impulsive, inappropriate behaviour

  • emotional liability
  • personality changes
  • irritability/aggressive behaviour