Lecture 9 (2/19) Flashcards
Cerebellum (Overview)
Lies dorsally to the pons and the medulla
Separated from the brainstem by the fourth ventricle
Connected to the brainstem through Cerebellar Peduncles
Entire surface made up of folia
Cerebellar Peduncles
Located on the pons
Connect the cerebellum to the brainstem
Folia
Tightly packed gyri that compose the entire surface of the cerebellum
Cerebellum (Function)
Contributes to the coordination of movement
Does NOT initiate movement
Modifies motor information from the cortex
Maintains equilibrium
Compares motor activities to increase precision and smoothness of movement
Cortical Motor Function
The modification of motor information coming from the cortex in the cerebellum
Damage to the Cerebellum
Effects: Mild weakness Tremors Paucity of movement Muscular incoordination Impaired equilibrium
Problems are ipsilateral
Ataxia
Disorder caused by damage to the cerebellum
Incoordination of movement with an unsteady gate
Looks like a heavily intoxicated person
Dysdiadochokinesia
Disorder caused by damage to the cerebellum
Impaired ability to coordinate or perform sequences of movements, especially RAPID, ALTERNATING movements
Ex. “pataka”
Dysmetria
Disorder caused by damage to the cerebellum
Impaired ability to estimate or judge the range of voluntary movement
Patients fail to judge correctly the distance of a target from a point during motor behavior
Dyssyngeria
Disorder caused by damage to the cerebellum
Condition in which the patient exhibits jerky, uneven, and tremulous movements (ALL MOVEMENTS, GENERAL MOVEMENTS)
Ex. Asking the patient to touch his nose
Dysarthria
Disorder caused by damage to the cerebellum
Speech disorder marked by slow, slurred, and disjointed production of syllables
Intention Tremor
Disorder caused by damage to the cerebellum
The patient exhibits difficulty during the performance of tasks using skilled movement (SKILLED MOVEMENTS, INCREASES IN INTENSITY)
Tremor becomes more severe as the patient approaches the target
Ex. Pointing at one’s nose
Disrupts timing of muscular excursion
Hypotonia
Disorder caused by damage to the cerebellum
A reduction of muscle tone and tension
The patient exhibits loss of muscle tone and therefore the muscle resists passive stretching
Rebounding
Disorder caused by damage to the cerebellum
Reduced ability to predict or stop a movement
“Keeps you from hitting your own face when your arm is released”
Disequilibrium
Disorder caused by damage to the cerebellum
Shows unsteadiness in their gait
The body tends to slide towards the side of the body that has experienced damage