Module 3 Flashcards

0
Q

Name the 3 groups of white matter fibers also know as the medullary core

A

Projection
Association
Commissural

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1
Q

Where is white matter found?

A

In all areas of the cerebrum

EXCEPT the cortex and basal ganglia

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2
Q

Describe the projection group

A

Group of white matter pathway
Vertically organized
Connects the cortex to the Brainstem and spinal cord
Carries sensory and motor information

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3
Q

Describe the association group

A

Group of white matter pathway
Interconnects cortical area
Run within same hemisphere
Horizontally organized

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4
Q

Describe the commissural group

A

Group of white matter pathway
Interconnect cortical areas
Runs BETWEEN two hemispheres
Horizontally organized

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5
Q

What is the function of the groups of white matter pathways?

A

Informs brain on activity in and out of CNS
mediate info transfer between modalities
Coordinate activities between hemispheres

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6
Q

How are gross anatomy structures paired?

A

Bilaterally

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7
Q

What is the pyramidal pathway?

A
Major Motor projection system
Pyramidal tract (direct motor pathway)
Voluntary motor pathway
Initiation & control of skilled movements
Goes from the cortex to BS & SC
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8
Q

What does the pyramidal tract include?

A

Corticospinal

Corticobulbar

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9
Q

Where do the pyramidal tract originate from?

A

Primary motor cortex: 30%
Motor association cortex: 30%
Somatosensory cortex: 40%

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10
Q

Describe the corticospinal pathway

A
Cortex to spinal cord motor nuclei
Inner bates skeletal muscles of limbs
Carries motor commands 
Runs from cortex to spinal cord
Carrie motor commands from cortex to SC motor neurons
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11
Q

Where does the decussation of the pyramids happen?

A

Lower medulla
Lateral corticospinal crossed (90%)
Anterior corticospinal uncrossed (10%)

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12
Q

Describe the corticobulbar pathway

A

Runs from cortex to BS cranial nerves motor neuron nuclei
Innervates the speech muscles
Carries motor commands

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13
Q

Where does the decussation of the corticobulbar pathway happen?

A

*TRICK QUESTION**
This pathway has no major decussation
Neurons exit at various levels
Neurons exit pathway then cross to motor nucleus
Predominately contralateral innervation to speech muscles

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14
Q

What type of neurons does the pyramidal tracts have?

A

Upper motor neurons

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15
Q

What is the significance of the UMN?

A

Run from cortex to motor neuron cell body in the BS/SC

Within CNS but influence LMN

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16
Q

What is the significance of them LMN?

A

A peripheral motor neuron
Cell body in the BS/SC
Sends axons out to the muscles it serves
“The final common path”
Includes spinal and cranial motor neurons

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17
Q

How do the projection pathways reach different areas?

A

Through levels of the pyramidal tract:
Corona radiata
Internal capsule
Cerebral peduncles

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18
Q

what is the corona radiata?

A
Radiating projection system
Contains sensory/motor pathways
Between cortex and internal capsule
Diverges above
Converges below
19
Q

What is the internal capsule?

A

Bundle of nerve fibers
Same level of diencephalon
Both sensory/motor pathways
Part of continuous sheet of fibers to/from cerebral cortex

20
Q

What are the 3 main parts of the internal capsule?

A

Anterior limb
Knee (genu)
Posterior limb

21
Q

What is the function of the anterior limb of IC?

A

Carries motor data

Carries affective and emotional data

22
Q

Which pathways are used to carry motor data of the anterior limb?

A

Frontopontine (cortex to pons)

Corticostriate (cortex to BC/striatum)

23
Q

Describe the genu knee of IC

A

Corticobulbar pathway (cortex to BS cranial nerve nuclei & motor commands for speech)

Corticoreticular pathway

24
Q

What is the corticoreticular pathway?

A

Cortex to BS reticular formation

Arousal and alertness

25
Q

Describe the posterior limb IC: Motor

A

Corticospinal path
Innervates limb and trunk muscles
Travels through rostral end of Posterior limb

26
Q

Describe the posterior limb IC: sensory

A

Project first to thalamus
Travel thru caudal end of post. Limb
Carry general/special sensory
Corticopontine projections

27
Q

Do ALL of the pathways to/from IC go through corona radiata?

A

True

28
Q

What is the area below the IC?

A

Cerebral peduncles
A.k.a crus cerebri
A.k.a pea pedunculi

29
Q

What is a projection system?

A

A continuous pathway
Level of lesion significant (outcomes)
Motor and sensory components

30
Q

Name the 2 smaller white matter capsules

A

External capsule

Extreme capsule

31
Q

What are association pathways?

A

Connect areas within the same hemisphere
Gives bidirectional communication between cortical areas
Have: long and short groups

32
Q

Name the 4 important association pathways

A

Arcuate fasciculus
Inferior occipital fasciculus
Uncinate fasciculus
Cingulum

33
Q

What is the function of the arcuate fasciculus?

A

Interconnects all of the cortices of the 4 main lobes (fron, par, occ, temp)
Connects wernicke’s area and Broca’s area

34
Q

What is conduction aphasia?

A

Disconnection syndrome (arcuate syndrome)
Posterior disconnected from anterior areas (wernickes/ Broca’s areas disconnect)
Good comprehension, reduced and impaired speech output

35
Q

What is the function of the inferior occipital fasciculus?

A

Connects frontal lobe to occipital lobe and to inferior temporal lobes
Crosses below lateral sulcus

36
Q

What is the function of the uncinate fasciculus?

A

Connect orbital frontal with anterior temporal lobe cortex

37
Q

What is the function of the cingulum?

A

Connects frontal, parietal and temporal areas with limbic lobe
Follows cingulate gyrus
Lesions impair emotion and affective behavior

38
Q

Describe commissural pathways

A

Travel between hemispheres (interhemispheric pathways)
Connect homologous structures in each hemisphere
Makes bidirectional communication

39
Q

Name the 3 brain commissures

A

Corpus callosum
Anterior commissure
Posterior commissure

40
Q

What are the parts of the corpus callosum?

A

Rostrum (frontal areas)
Genu (frontal areas)
Body (parietal areas)
Splenium (visual areas)

41
Q

Lesions to the corpus callosum cause…

A

Communication impairment and coordination between hemispheres
Impact depends in location of lesion
Sectioning prevents spreading of seizures from one hemisphere to the other

42
Q

What is the anterior commissure?

A

Interconnects temporal lobes

Anterior to thalamus

43
Q

What is the posterior commissure?

A

Involved with midbrain visual (pupillary) reflexes

Posterior to thalamus

44
Q

White Matter forms what part of the brain?

A

Medullary core