Higher Cortical Funtion Flashcards
The cerebral cortex is 6 layers thick and most outputs are axons of pyramidal neurones
List 3 type of fibres that are outputs from the cerebral cortex
- Projection fibres
- Association fibres
- Commissural fibres
Where are most inputs to the cerebral cortex from?
Thalamus and other cortical areas
An important set of inputs is that from the Reticular Formation, which maintains cortical activation
List 6 functions of the Frontal Lobe
- Motor
- Expression of Speech (usually left hemisphere)
- Behavioural regulation/ judgment
- Cognition
- Eye movements
- Continence
Describe the Motor function of the Frontal Lobe
How can damage present?
- Primary Motor Cortex found here
- Damage can-> Contralateral weakness
Describe the Expression of Speech function of the Frontal Lobe
What can damage lead to?
- Broca’s Area is here
- Damage can-> Expressive dysphasia
Describe the Behavioural regulation/ judgment function of the Frontal Lobe
What can damage lead to?
- Prefrontal Cortex is here
- Damage can lead to impulsive behaviour (aggression, sexual inappropriateness)
Describe the Cognition function of the Frontal Lobe
What can damage lead to?
- Prefrontal Cortex
- Difficulty with tasks such as complex problem solving, including calculation
Describe the Eye movements function of the Frontal Lobe
What can damage lead to?
- Contain frontal eye fields
- Problems with conjugate gaze and other disturbances
Does Diplopia WITHOUT other cortical features suggest Frontal lobe or brainstem/ cranial nerve problems?
Brainstem/ cranial nerve problems
Describe the Continence function of the Frontal Lobe
What can damage lead to?
- Cortical areas responsible for maintaining continence
- Urinary incontinence
List 5 functions of the Parietal Lobe
Not including the visual pathway running through
- Sensory
- Comprehension of speech (Usually left hemisphere)
- Body image (Usually right)
- Awareness of external environment
- Calculation of writing
Describe the Sensory function of the Parietal Lobe
What can damage lead to?
- Primary sensory cortex
- Contralateral anaesthesia (all modalities)
Describe the Comprehension of Speech function of the Parietal Lobe
What can damage lead to?
- Contains part of Wernicke’s Area
- Receptive dysphasia
Describe the Body Image + Awareness of External Environment function of the Parietal Lobe
What can damage lead to?
- Acknowledgement that things exist
- Neglect
Describe the Calculation and Writing function of the Parietal Lobe
What can damage lead to?
- Works with frontal lobe
- Can affect calculation ability