L6:FUNCTIONAL AREAS OF CEREBRAL CORTEX Flashcards

1
Q
PRIMARY MOTOR AREA
#
Location
Functions
Lesion
A
PRIMARY MOTOR AREA
#4
Location: precentral gyrus
Functions: isolated movement of simple nature without much skill
Lesion: hemiplegia, UMNL +Babinski
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2
Q

SUPEROLATERAL SURFACE OF PRIMARY MOTOR AREA
Controls
Supplied by
Effect of occlusion

A

SUPEROLATERAL SURFACE
Controls: muscles above knee of contralateral side
Supplied by: Middle Cerebral Artery
Occlusion: contralateral paralysis of muscles above the knee.

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3
Q

MEDIAL SURFACE OF PRIMARY MOTOR AREA
Controls
Supplied by
Effect of occlusion

A

MEDIAL SURFACE
Controls: contralateral muscles below the knee
Supplied by: ANTERIOR CEREBELLAR ARTERY
Effect of occlusion: paralysis of contralateral muscles below the knee.

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4
Q
PREMOTOR AREA
#s
Location
Functions; general and  by number
Lesion
A

PREMOTOR AREA
Location: Superior, middle, inferior frontal gyri

Functions: program movements executed by area 4, corpus striatum, cerebellum

Upper part of 6: writing center

8(frontal eye field): regulate voluntary conjugate movement(bilateral fixation on object)

Lesion: hesitancy in performing learned movements.

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5
Q

Corpus striatum?

A

Collective name for caudate nucleus and lentiform nucleus within basal ganglia

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6
Q

A lesion in internal capsule leads to:

A

TOTAL hemiplegia

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7
Q


Functions:

PREFRONTAL AREA

Lesion:

A
PREFRONTAL AREA
#9 to 12

Functions:

  1. Regulate depth of feeling
  2. Abstract thinking, mature judgment and tactfulness
  3. Right vs wrong, pleasure vs displeasure

Lesion: mental with lack of responsibility, vulgarity and clownish behavior.

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8
Q

MOTOR AREAS

A

Primary 4
Premotor 6,8
Prefrontal 9 to 12
Supplementary

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9
Q

SENSORY AREA ORGANIZATION

A

A. PRIMARY

a. Somesthetic
b. Visual
c. Auditory

B. Secondary ( lower part of pre and post central gyrus- pain)

C. Association ( superior parietal lobule and AREA 40 AND 39)

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10
Q

PRIMARY SOMESTHETIC AREA
#
Location
Functions; general and by area

A
PRIMARY SOMESTHETIC AREA
# area 3, 1 &2

Location: POST central gyrus

Functions: differentiates sensory modalities
Area 3: cutaneous sensation- touch, pressure, vibration
Area 1: cutaneous and joint senses
Area 2: DEEP sense from muscles and joints

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11
Q

Function of paracentral lobule and its blood supply

A

Function:Motor AND sensory control of lower limbs (below knees) and voluntary control of micturition and defecation.

Supplied by: ANTERIOR CEREBRAL ARTERY

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12
Q
PRIMARY VISUAL AREA
AKA:
#
Location
Structure
A

PRIMARY VISUAL AREA
AKA: striate area
#17 (followed by area 18, 19 39)

Location: lips & walls of posterior part of calcrine sulcus

Structure: very thin grey matter made of outer band of ballarger (layer 4) where pyramidal cells are replaced by STELLATE (sensory) cells.

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13
Q

PRIMARY VISUAL CORTEX

A

The optic tract in the superior colliculus ends in the Lateral Geniculate Nucleus of the thalamus ie. area 17.

In the optic chiasma, one eye will receive its ipsilateral temporal vision and the contralateral nasal vision.

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14
Q

MACULAR VISION
Function
Location
Blood supply

A

Function:central vision of max discrimination
Location:Projected onto area 17 (1/3 of visual cortex)
Blood supply: MIDDLE CEREBRAL ARTERY

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15
Q

Lesion of posterior cerebellar artery results in

A

Homonymous hemianopia in both eyes with sparing of macular vision as it is supplied by middle cerebellar artery.

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16
Q

VISUAL ASSOCIATION AREA
#
Function

A
VISUAL ASSOCIATION AREA
# 18 parastriate and 19 peristriate

Function: recognize objects thru past experience

17
Q

HIGHER VISUAL ASSOCIATION AREA
#
Lesion

A

39, angular gyrus

HIGHER VISUAL ASSOCIATION AREA

Lesion: visual agnosia

18
Q

PRIMARY AUDITORY AREA
#
Location
Lesion

A

PRIMARY AUDITORY AREA
#41
Location: Anterior transverse temporal gyrus (heschl’s)

Lesion: unilateral doesn’t produce impairment because of the bilateral fibers that cross in the trapezoid body of pons

19
Q

AUDITORY ASSOCIATION AREA
#
Location:
Function

A
AUDITORY ASSOCIATION AREA
#42

Location: posterior transverse temporal gyrus

Function: interpret sound with area 22

20
Q

s

MOTOR SPEECH AREA

Locations
Lesions
Blood supply

A

MOTOR SPEECH AREA
# 44 and 45
Location: pars triangularis and opercularis respectively

Lesion: motor aphasia with preserved comprehension

Blood supply: Middle cerebral artery

21
Q

SENSORY SPEECH AREA
#
Location according to Broadmans and Wernickes

Function

A

40 supramarginal gyrus

SENSORY SPEECH AREA 
#22

Location
Broadmans; behind area 41 and 43

Wernicke’s ; posterior part of Superior temporal gyrus

22
Q

Location according To Wernicke’s area

A

22- posterior part of supratemporal gyrus

40- supramarginal gyrus

39- angular gyrus (higher visual association area)

23
Q

wernickes area

Function of 22, 40, 39

A

39,40 reading and writing centers

WERNICKE’S AREA

Function; understand spoken and written language (interpret auditory and visual stimuli)

24
Q
Effect of lesion on
#22
#39
A

22 SENSORY APHASIA; speak fluently but not comprehend

25
Q

Alexia vs agraphia

A

Alexia: disability in reading

Agraphia: disability in writing