Motor System Flashcards

1
Q

What is the motor system split into?

A

Upper motor neurones (UMN)

Lower motor neurones (LMN)

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2
Q

Where are upper motor neurone cell bodies found?

A

Primary motor cortex

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3
Q

Where are lower motor neurone cell bodies found?

A

Brainstem

  • CN III nuclei
  • CN IV nuclei
  • CN V nuclei
  • CN VI nuclei
  • CN IX, X, XI nuclei
  • CN XII nuclei

Ventral horn of spinal cord

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4
Q

What state are LMNs in most of the time?

A

Inhibited state

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5
Q

What are signs of an upper motor neurone lesion?

A

Weakness
Hypertonicity
Hyperreflexia
Upgoing plantars

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6
Q

What are the signs of a lower motor neurone lesion?

A
Weakness
Wasting 
Hypotonia 
Areflexia 
Fasciculations
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7
Q

What is the main tract of the motor system?

A

Lateral corticospinal tract

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8
Q

Describe the lateral corticospinal tract?

A
  1. Passes from primary motor cortex through the corona radiata
  2. Passes into internal capsule
  3. Enters brainstem through cerebral peduncles
  4. Decussates at the medullary pyramids
  5. Travels in the lateral corticospinal tract
  6. Synapses at the level
  7. Passes to distal muscle
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9
Q

Which tract is used for proximal muscle?

A

Ventral corticospinal tract

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10
Q

Draw out the facial nerve neurones

A

See notes

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11
Q

Where does the upper face receive innervation from?

A

Both sides

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12
Q

Where does the lower face receive innervation from?

A

Contralateral side

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13
Q

What happens when there is a lesion of the facial nerve UMN?

A

Paralysis of contralateral lower quadrant

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14
Q

What happens when there is a lesion of the facial nerve LMN?

A

Paralysis of ipsilateral half of face

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