Lecture 11 - ‘Higher’ cortical function Flashcards
describe the cerebral cortex
- Thin layer of grey matter
- Sitting on the superficial surface of the cerebral hemispheres
- 5-6mm thick
- Arranged in 6 cortical layers
complex functions of the cerebral cortex
- Behaviours
- Thoughts
- Emotions
Majority of inputs to the cortex:
- From the thalamus
- From other parts of the cortex
- Recurrent feedback loops where cortex provides its own input – e.g. one thought leading to another
- Monamine neurones
Majority of outputs from the cortex:
- Other cortical regions
- Pyramidal cells
- Large neurones which send structures down to the:
- basal ganglia
- caudate putamen and pons
- reticular formation and red nuclues
- spinal cord, brainstem and cranial nerves
- basal ganglia
- Large neurones which send structures down to the:
Cortex is not homogenous
*
- Phrenologists believed that personality traits and tendencies to crime etc could be correlated with the size of bony prominence’s on the skull
- Now discounted but early inspiration for cortical localisation
Cortical localisation
- Various regions of the cortex have different functional properties
- Demonstrated by strokes
- Different histological regions of the cortex
Different functional regions of the cortex
Frontal
Parietal
Temporal
occipital
location of the frontal lobe
anteriro to central sulcus
Major functions of the frontal lobe
- Motor
- Primary motor cortex
- Motor homunculus
- Expression of speech (usually left hemisphere)
- Behavioural regulation/judgement
- Cognition
- E.g. mathematical ability
- Eye movement
- Region called frontal eye field
- Projects down onto the brainstem and communicates with CN nuclei relevant to the eyes
- Continence
- Paracentral lobule (near midline)- regulates micturition
example of Behavioural regulation/judgement role of the frontal lobe
E.g. Phineas Gage story- iron rod went through frontal lobe. Became impulsive, alcoholic and violent behaviour significantly changed
location of the parietal lobe
Posterior to central sulcus
major functions of the parietal lobe
- Sensory
- Comprehension of speech (usually left hemisphere)
- Wernicke’s area
- Body image (usually right)
- Awareness of external environment (attention)
- Condition called Neglect – despite the fact pt has normal visual field, they can’t acknowledge the existent of one of half of their environment
- Calculation and writing
- Don’t forget visual pathways projecting through white matter
- Superior optic radiations pass through the parietal lobe
what condition regarding awareness of external enbironemnt can occur if the parietal lobe is damaged
Neglect
hemispatial neglect
Hemispatial neglect is a neuropsychological condition in which, after damage to one hemisphere of the brain is sustained, a deficit in attention to and awareness of one side of the field of vision is observed. It is defined by the inability of a person to process and perceive stimuli on one side of the body or environment, where that inability is not due to a lack of sensation.[1] Hemispatial neglect is very commonly contralateral to the damaged hemisphere, but instances of ipsilesional neglect (on the same side as the lesion) have been reported.
ie.
- despite the fact pt has normal visual field, they can’t acknowledge the existent of one of half of their environment
which side of the brain is most responsible for comprehension of speech
left hemisphere in the wernickes area (parietal)
temporal lobe located
inferior to synvian fissure