Lecture 09 - Motor Cortex Flashcards
Motor Cortex
Association motor cortex creates motor plan
-parietal association cortex, BG, cerebellum help
primary motor cortex executes plan via corticospinal and corticobulbar tract
frontal eye fields do horizontal gaze somehow
Association motor cortex
supplementary motor cortex (SMA) Premotor cortex (PMA)
Frontal eye field
always lateral frontal cortex, but varied from individual to individual
The motor plan
Which muscles, sequence, intensity, duration
- Association motor cortices send motor plan to primary motor cortex for execution
- need parietal association cortex for sensation and vision
praxis
ability to do learned purposeful movements
motor plan
Corticobulbar tracts
to face/neck
Lateral primary –> corona radiata –> genu of internal capsule –> bilateral to most cranial nerve nuclei with LMN, but variable
speech and swallow need both sides lower face (CONTRA) and eyes are exceptions
Corticospinal tracts
everywhere except face/neck
Primary –> corona radiata –> post. limb of internal capsule –> cerebral peduncle of midbrain –> basis pontis –> medullary pyramind –> pyramidal decussation –> lateral corticospinal tract
Apraxia
Inability to perform learned purposeful movements, despite having necessary motivation and basic motor and sensory functions
- deficit in motor planning, doesn’t always involve weakness
- association motor and/or parietal association cortices
Paresis
weakness hemi - unilateral para - bilateral quadri - all four limbs di - all four limbs that is worse in legs than arms mono - one limb opthalmo - any eye movement gaze - both eyes
plegia/paralysis
absence of volitional movement
palsy
paresis OR plegia