Lecture 3 Flashcards
Discuss the means by which some functions in the brain are lateralized to one side of the brain and to specific regions
ye
Discuss focal vs distributed networks contributing to cortical function
ye
discuss means why which disruption of these cortical regions/networks leads to clinically recognizable dysfunction
ye
what is the left hemi usually associated with?
- skilled complex motoro tasks for both hemispheres
- verbal language functions
- arithmetic processing–sequential
- following written directions-sequential
- musical ability – sequential/analytical
- sees things in parts/bits or pieces: reductionist
what is the right hemi usually associated with?
non-dom hemi;
- visual/spatial analysis
- non-verbal language functions (prosody)
- sense of direction - knowing where you are
- musical ability - untrained
- complex musical pieces - organization
- comprehensive processing - holistic
- sees things as a whole/gestalt/pattern recognition
what functions are located in the contralateral areas of Broca’s and Wernicke’s?
broca = interprets tone (musical)-->prosody; damage in right hemi in broca's area = can't produce tone/correct tone wernicke's = not undersanding the tone
describe how one responds to a question
hears the question: primary and secondary auditory cortex;
interprets questions: wernicke;s area (unimodal association cortex)
subsequent addition of information (perception, emotions, speech) from multimodal cortex
information is relayed over association fibres–>arcuate fasciculus to Broca’s area of the inferior frontal gyrus
additional info is supplied by the association cortex that surrounds broca’s area (thoughts, movement, planning, cognition–>prefrontal)
primary motor cortex is activated and you answer the question
how will a stroke in the MCA affect Brocas and Wernicke’s areas?
Broca’s area supplied by superior branches of MCA and Wernicke’s y inferior; a stroke would lead to aphasia and various clinical disturbances depending on how much cortex is involved
What are the features of broca’s aphasia?
- decreased fluency of spontaneous speech
- lacks prosidy (dom hem won’t get the right side “broca’s area” information)
- telegraphic in content (nouns rather than words)
- marked naming difficulties
- difficulty in repeating phrases with high content of function words (no ands ifs or buts)
- writing and reading aloud are also affected (comprehension is usually okay)
- speech is choppy;
- may also have difficulty chewing (Broca’s area is the motor area for mouth –> oral cavity is lateral on homunculus)
salient features of wernicke’s aphasia?
- decreased comprehensions
- fluent speach but meaningless and nonsensical errors
- incorrect subs (bus - car, fish - pish)
- neologisms (non-words)
- naming difficulties due to Broca disconnect (block from primary –> wernicke’s; can’t go to broca’s)
- difficulty in repeating phrases (broca disconnect?)
- writing and reading aloud are also affected (incorrect reading or subbing of words)
study slide 22
ye
what is alexia?
inability to read
what is agraphia?
inability to write
what is anomia?
inability to name obects
what is acalculia?
can’t do math
what is agnosia?
inability to recognize