Nervous System Flashcards

1
Q

What constitutes the Brain Stem?

A

Mid brain, pons and medulla

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2
Q

What constitutes the Hindbrain?

A

Pons, Medulla and cerebellum

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3
Q

What is gray matter?

A

Dendrites and cell bodies
Its faster enlargement causes the cortical region to roll and fold upon itself
Receives and integrates incoming/outgoing information

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4
Q

What is white matter?

A

Bundle of Myelinated Axons of neurons

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5
Q

What is a gyrus?

A

Fold
Convolution
Gray matter (5-7mm variable thickness)
White matter underneath

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6
Q

What is a sulcus?

A

Shallow gap/groove between folds

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7
Q

What is the role of the cerebellum?

A

co-ordinates muscles/movement

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8
Q

What is the Transverse gyrus of Heschl?

A

Heschl’s gyrus
Located transverse on the temporal gyrus
Within the 1 Primary Auditory area
therefore Processes sound

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9
Q

What is the Primary Motor Cortex?

A

Voluntary movement - Each region controls voluntary contractions of specific muscles/groups of muscles on the opposite side of the body

down –>up (fingers eyes, vocalisation/head&neck (face=1/3))–> (fingers, head, arms) –> (thorax, abdomen, nipple) –> (leg thigh) –> foot

Muscles involved in skilled, complex or delicate movements required a greater number of brain cells to control that movement therefore they have more cortical area devoted to it.
Dominated by face, hands, forearms
Electrical stimulation at any point in the primary motor area cases the contraction of specific muscle fibres on the opposite side of the body

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10
Q

What is the Primary Somatosensory Cortex?

A

Conscious appreciation/perception of sensation -“touch, pressure, pain & temperature”
Located posterior to the central sulcus, in the post central gyrus of the parietal lobe
Each region receives nerve impulses from a specific part of the body (input from skin), and projects sensation out to the skin
Somatotopically organised according to the distorted body map of the sensory homunculus
Size devoted in cortical area which receives impulses depends on the number of receptors present (not the size of the body part)
Larger regions-lips, tongue, face, fingertips/hands - very discriminative and very precise
Highly discriminative - can pinpoint somatic sensations

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11
Q

What is the Primary Somatosensory cortex dominated by?

A

Lips, Tongue, Face, Fingertip/hands

highly discriminative and very precise

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12
Q

What is the Primary Visual Cortex?

A

Visuotopically organised (according to the map of the visual field) and Retinotopically organised (according to the map of the retina)
Highly acute
Central part of the visual field is: Discriminative, Upside down, Tip of the cortex
Peripheral=Deep part of the Cortex
Very discriminative sensation in the middle
Visual field on the right side goes to the opposite side of the brain
Brain flips the image
Right and Left side’s combine to give 3D panoramic vision
There is communication with the visual field on the opposite side, is a continuous representation in the brain
Supplementary visual field is involved with movement and colour, and adds quality

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13
Q

What is the overall functional role of the Forebrain?

A

CONSCIOUS appreciation

end points of different functions

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14
Q

What is the Primary Auditory Cortex?

A

Located superior part of the temporal lobe, near the Lateral Fissure
Receives information from sound, from the opposite ear
Involved in auditory perception
Transverse gyrus of heschl located 2.5cm deep into the lateral fissure, receives input from ear on opposite side
Tonotopically organised- according to frequency/pitch = Front=Low freq. and Back=High freq.

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15
Q

What is a stroke?

A

Characterised by an abrupt onset or persisting neurological symptoms such as :Paralysis or Loss of sensation
a. Intra-cerebral haemorrhage from blood vessels
b.blood clots
c. atherosclerosis –> formation of cholesterol-contianing plaques that block blood flow
Stroke on right side affected by opposite side of the brain
Risk factors: - High BP blood pressure, High blood Cholesterol, Diabetes, Smoking

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16
Q

How does a stroke affect the Primary Motor cortex?

A

Lesion would Paralyse muscle movement on the Opposite side of the body
the Particular muscle(s) paralysed would depend on Where on the 1 Primary motor cortex/motor homunculus the lesion occurs

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17
Q

How does a stroke affect the Primary Somatosensory cortex?

A

Lesion would result in Loss of Sensation on the opposite side if the body
The particular area with loss of sensation depends on Where on the mapping of the 1 Primary somatosensory cortex/according to the sensory homunculus

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18
Q

How does a stroke affect the Primary Auditory cortex?

A

A lesion would lead to a Loss of Hearing in the opposite ear

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19
Q

How does a stroke affect the Primary Visual cortex?

A

A lesion would result in a Loss of vision in the opposite eye

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20
Q

What are features of the Left Hemisphere?

A

Dominant side
Verbal language area/centres used to Talk
80-90% of people are Right handed
Hearing, Speaking, Reading, Writing
-to accumulate knowledge and expand societies

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21
Q

What are features of the Right Hemisphere?

A

Non Dominant side
Non-verbal language
LH= Some still have a dominant Left Hemisphere, Few other’s have it divided between the two hemispheres
1. Non-verbal language area (body language) (90% of communication)
2. Emotional expression (language) - modulation of speech
3. Spatial skills (3D) - shape of the object
4. Conceptual understanding
5. Artistic and Musical Skills - someone who can’t talk could sing
Large extent on right hemisphere but not entirely

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22
Q

What 5 things would a lesion on the Right hemisphere result in?

A

Injury to non-verbal language areas

Loss of Non-verbal (body) language
Speech lacks emotion
Spatial disorientation
Inability to recognise familiar objects
Lack of musical appreciation

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23
Q

What is the Frontal association cortex involved in

A

Intelligence, personality, mood, behaviour and cognitive function

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24
Q

What is the parietal association cortex involved in

A

Spatial skills, 3D recognition of shapes, faces, concepts and abstract perception

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25
Q

What is the temporal association cortex involved in

A

Memory, Mood, Aggression, intelligence

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26
Q

What is Broca’s area vs Wernickes area and which lobe are they located in. Left hemi vs right corresponding regions

A

Left hemisphere: Broca’s area in the pre motor area in the frontal lobe. This coordinates vocal muscles and breathing to speak. Wernickes area is in the superior temporal gyrus in the temporal lobe. It interprets the meaning of speech and recognises spoken word.
Right: Add emotional content to spoken word

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27
Q

What happens when Brocas vs Wernickes area is damaged

A

Brocas- non fluent aphasia: has clear thoughts but can’t coordinate muscles to speak.
Wernickes: fluent aphasia: can still speak but cannot arrange words in a coherent fashion.

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28
Q

What is the homunculus. The two types and the regions of the brain they are in

A

A homunculus is a “map” of the body with different amounts of cortical area on the gyrus corresponding to different parts of the body, with adjacent areas being adjacent parts on the body. Some areas are bigger than others based on the amount of receptors/ neurons in that area in the body- not the size of the part.
There is a homunculus in post central gyrus- somatosensory and in pre central gyrus for motor.

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29
Q

What is the structure and function of the visual sensory cortical area

A

Primary visual sensory area is right at the end of the occipital lobe at the bottom next to the longitudinal fissure. It receives visual information and orders it based on where it is in the field of vision
Visual association area: anterior of 1’, it uses info from thalamus and 1’ area to relate past and present visual experiences to recognise and evaluate what is seen, large area because more cells

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30
Q

What is the difference between primary and secondary (association areas)

A

Primary receives the information but Secondary interprets it- involved with recognising. Blind vs not recognising objects

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31
Q

What is the structure and function of the auditory sensory cortical area

A

1’ Auditory area is close to the lateral fissure in the superior temporal lobe and receives information for sound.
Auditory association area just beneath this helps you recognise sound as music, speech or noise.

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32
Q

What is the main difference between the dominant and non dominant hemisphere of the brains

A

Left has most of the functions. Both have a primary auditory cortex, and primary visual cortex

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33
Q

What is the purpose of the spinal cord

A

Send motor information from the CNS (brain) to the PNS (skin) and sensory information from the PNS to the CNS

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34
Q

How the 31 nerves in the spinal cord divided up top to bottom

A

8 pairs of cervical nerves, 12 pairs thoracic nerves matching the ribs, 5 pairs of lumbar nerves, 5 pairs of sacral nerves and 1 pair of coccygeal nerves.

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35
Q

What are the two enlargements on the spinal cord and why

A

Cervical enlargement- where all the sensory/ motor info for arms and hands are
Lumbar enlargement- where all the sensory/motor info for legs is.
Enlargement because they need more SA for more neurons

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36
Q

What is the cauda equina

A

The horses tail, roots of the lumbar, sacral and coccygeal nerves that spread out laterally

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37
Q

What is the conus medullaris

A

Cone shaped end of the spinal cord

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38
Q

What are dermatomes

A

They are segments of the body that provides sensory input to the CNS through one pair of spinal nerves. As these areas are mapped, and although there can be some overlap between areas, they can be used to determine if there is damage to specific parts of the spinal cord

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39
Q

What is the organisation of white matter and grey matter in the spinal cord and the orientation regarding anterior and posterior

A

White matter on the outside and grey matter butterfly in the middle The small wings of the butterfly are closest to the posterior

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40
Q

What are ‘nuclei’ in grey matter and the two types

A

clusters of neuronal cell bodies that form functional groups. Sensory nuclei receive input from sensory neurons and motor nuclei provide output to effector tissues via motor neurons.

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41
Q

Where do the cell bodies of incoming sensory neurons located in

A

the posterior (dorsal) root ganglion of the spinal nerve

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42
Q

Where does sensory information sent to the CNS (general afferent pathway) first enter at what root

A

Nerve impulses from the sensory receptor go along the axon which enters the spinal cord at the posterior (dorsal) root. The cell bodies are in the dorsal root ganglia. They can then go 3 possible pathways

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43
Q

What are the 3 possible pathways for sensory information to go from once it enters the spinal cord

A
  1. Axons can extend into the white matter of the spinal cord and ascend into the brain as part of the sensory tract.
  2. Axons of neurons may enter the posterior grey horn and synapse with interneurons whose axons extend into the white matter of the spinal cord.
  3. Axons of neurons may enter the posterior grey horn and synapse with interneurons that in turn synapse with somatic motor neurons involved in spinal reflex pathways
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44
Q

What is the difference between the first order neurons that carry touch/pressure and pain/temperature sensation

A

Pain and temperature is carried by unmyelinated neurons with free nerve endings.
Touch and pressure are carried by myelinated pseudounipolar neurons with encapsulated nerve endings

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45
Q

The capsule of the nerve ending determines what type of information a nerve will respond to. What are the names of the different capsules for touch and pressure

A

touch: Meisners corpuscles, Pressure is pacinian corpuscle.

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46
Q

Define sensation vs perception

A

The conscious or subconscious awareness of changes in the external or internal environments. Perception of sensation only happens when impulses reach the cerebral cortex.

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47
Q

What are the four kind steps that lead to sensation being felt

A

Stimulation of the sensory receptor
Energy of Stimulus converted to graded potential (transduction)
Generation of nerve impulse that go to CNS
Integration of sensory input in the cerebral cortex which leads to perception.

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48
Q

What are three main layers of the protective structures for the spinal cord and brain (CNS)

A

The outer skull/ vetebral column made of bone
The three connective tissue layers of the meninges
The cerebrospinal fluid/ fat and connective tissue in the space between two of the meningeal membranes

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49
Q

What is the order of the 3 spinal meningeal membranes from outside to inside

A

Dura mater, Arachnoid mater and Pia mater.

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50
Q

Describe the dura mater. What is it continuous with

A

Thick strong layer of dense irregular connective tissue. It forms a sac form the foramen magnum in brain to sacral vertebra 2. It is continuous with the meningeal dura mater of the brain and epineurium

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51
Q

What is the epineurium

A

the outer covering of spinal and cranial nerves

52
Q

Describe the Arachnoid mater. What is it continuous with

A

Middle layer. It is a thin avascular covering made of cells and loosely arranged collagen and elastin fibres. Through the foramen magnum It is continous with the arachnoid mater of the brain

53
Q

Where is the subdural space and what does it contain

A

Between the dura mater and arachnoid mater and it contains interstitial fluid

54
Q

Describe the Pia mater. What other structures are at this layer

A

Thin transparent connective tissue layer that sticks to the surface of the spinal cord and brain. It is thin squamous cuboidal cells with collagen and elastic fibres interlacing.
At this layer there are blood vessels for the spinal cord and denticulate ligaments.

55
Q

What is the subarachnoid space and what does it contain

A

Between arachnoid and pia mater space containing shock absorbing cerebrospinal fluid.

56
Q

What is the difference in sizing on the Left and Right Hemispheres?

A

Areas larger (e.g. Wernicke’s) on the Left side
(when looking at skull imprint) Lateral fissure is larger on the left hemisphere and lateral fissure is more acute on the right hemisphere

57
Q

What 5 things is your spinal cord protected by?

A

Vertebral column
Meninges + CSF in subarachnoid space
Cerebral Spinal Fluid
Fat
Connective Tissue

58
Q

What is the protective function of CerebroSpinal Fluid (CSF) in the spinal cord?

A

Central Canal is filled with CSF
CSF is produced by the Choroid Plexus
Provides cushioning : Hydraulic cushioning role and Shock absorber to protect the spine
Also located in the subarachnoid space between the Meningeal membranes (Arachnoid and Pia Mater). Here it SUSPENDS the central nervous Tissue. Provides a Shock absorbing and Hydraulic cushion in a Weightless environment

59
Q

What are some important features of encapsulated receptors?

A

Pseudounipolar nuerons
Takes the Dorsal/posterior/Afferent root
Equal level of entry and exit of the spinal cord and dermatome
Receptor is depressed and nerve gets activated
Specialised connective tissue capsule with nerve beginning in the middle (ENcapsulated)
Receptor is highly specialised and located just underneath the skin
Encapsulated receptors are highly discriminative and precise, up to less than thorax and abdomen
Cell body is located in the Dorsal root ganglion (which is a swelled/enlarged area in the dorsal root containing all the cell bodies of nerves which convey sensation to the spinal cord)
Relatively thicker
Myelinated fibres, Schwann cells wrapped around
Impulses therefore travel faster (50ms-1) between the Nodes of Ranvier via saltatory conduction
Myelination = speed of conduction and insulation
Dermatome –> spinal cord –> 1 primary somatosensory cortex on opposite side of the brain
Sensory information conveys INTO the spinal cord (REFLEXES) and has 2x processes
1. 1x branch into the Cortex, Up into the brain (very important branch)
2. 1x branch into the gray matter(dendrites and cell bodies) of the dorsal/posterior horn of the spinal cord

60
Q

What is a dorsal root ganglion?

A

a swelled/enlarged area in the dorsal root containing all the cell bodies of nerves which convey sensation to the spinal cord

61
Q

What are some important features of non-encapsulated receptors?

A

No capsule
Non discriminative sensations of Pain and temperature information
Pain: signals Noxious, tissue damaged conditions. Receptors called Nociceptors. In every tissue BUT the brain
Temperature:Thermal sensation detected in receptors called Thermoreceptors
Cannot pinpoint/localise pain and temperature sensations
Naked free nerve endings
Terminations of branches of nerve fibres
Bare dendrites (lack any structural specifications)
Terminates in the MOST DORSAL past of the gray dorsal horn in the spinal cord
Under the skin in dermis
Sensitive
Thinner
Non-myelinated
Less fast conduction
Conduction is in a continuous manner at 1ms-1 : No Schwann cells or nodes of ranvier
Sensation is Less specific regionally (regional sensation > Pinpointed/precise sensation)

62
Q

What are the main features of the dorsal/afferent/posterior root?

A

Contains ONLY sensory nerves - form a particular strop of dermatome
Conducts nerve impulses from Sensory receptors (encapsulated or non-encapsulated respectively) as an INput into the CNS (directly into spinal cord OR brain) on the Opposite side

63
Q

What are the main features of the ventral/efferent/anterior root?

A

contains ONLY motor neurons
Lower Motor Neurons (LMN)
Conducts nerve impulses from CNS OUTput to Effector organs, muscles and cells on the opposite side To the brian

64
Q

What forms a spinal nerve?

A

Dorsal root + Ventral root

65
Q

What is Quadriplegia?

A

c1-c3 Cervical (neck) injuries results in Four Limbed Paralysis
Damage to the Spinal cord
Leads to Loss of Sensation(cannot feel) AND Loss of/Inability to Move Muscles (paralysis)

66
Q

What is Paraplegia?

A

T1 - below (lower part of the body effected) (not cervical, anything Thoracic or below)
Usually results in complete OR Incomplete paralysis
affecting the Legs and possibly the Trunk but NOT affecting the arms
-dependant on the extent of the injury as to whether it is Complete OR partial lower paralysis
Damage to the Spinal Cord
Leads to Loss of Sensation (cannot feel) and Loss of/Inability to Move Muscles (paralysis)

67
Q

Where do the somatic sensory pathways relay information to and from

A

From the sensory receptors to the primary somaticsensory area in the cerebral cortex and cerebellum.

68
Q

What pathway is for the discriminative sensory system

A

Dorsal column medial lemniscus pathway

69
Q

What pathway is for the non-discriminative sensory system

A

anterolateral pathway / lateral spinothalamic tract.

70
Q

What is discriminative vs non discriminative sensation mean

A

Discriminative sensation is a sensory modality that allows subject to localise touch/pressure and tell two points of touch apart whereas non discriminative touch is pain, temperature and crude touch.

71
Q

At the spinal cord segmental level what is the dorsal columns

A

Bundles of white matter in the dorsal part of the spinal cord made of the axons of sensory neurons going to th brain stem. It has fasciculi and these are made of funiculi.

72
Q

Where are the first order neurons in the dorsal column leminscus medial pathway going to and from

A

From the receptor it goes through the dorsal root into the spinal cord to the Gracile fasciculus or Cuneate fasciculus depending on whether it came from legs or above legs. It goes to synapse with 2’ neurons in the gracile/cuneate nucleus in the medulla.

73
Q

What info is gracile vs Cuneate parts receiving?

A

Gracile is receiving from lower limbs and lower trunk while cuneate is receiving from upper limbs, upper trunk, neck and posterior

74
Q

Where are the second order neurons in the dorsal column leminscus medial pathway going to and from

A

The axons of the second neurons cross to the opposite side of the medulla via arcuate internal fibres and enter the medial lemniscus which goes to the ventral posterior nucleus of the thalamus

75
Q

Where are the third order neurons in the dorsal column leminscus medial pathway AND the anterolateral pathway going to and from

A

They go from ventral posterior nucleus of the thalamus through the internal capsule ot the primary somatosensory area of the cerebral cortex- cortical area of the homuncular map

76
Q

Where are the first order neurons in the Anterolateral pathway going to and from

A

The free nerve ending receptor goes through the dorsal root where it goes to through the tract of Lessauer to the posterior grey horn where it synapses with 2 order neurons

77
Q

Where are the second order neurons in the Anterolateral pathway going to and from

A

Axons of 2 order neurons cross to the opposite side of the spinal cord through the ventral anterior white commisure and continue through the lateral spinothalamic tract (joining the medial lemniscus) which goes up to the ventral posterior nucleus of the thalamus.

78
Q

What are the main differences between the Discriminative and Non discriminative pathways

A

Myelination: the discriminative is heavily myelinated for efficiency and speed as it is used often.Non is not as it doesn’t have to be as efficient.
Conduction speed: discrim: 50m/s, non: 1m/s
Place of 1st neuron termination: dis is in the medulla of gracile/cuneate nucleus. non is in the dorsal grey matter of spinal cord.
Point of dessucation: dis is in the internal arcuate fibres in the medulla. non is at the segmental level of the spinal cord.

79
Q

Why do some body parts receive greater representation in the sensory homunculus

A

The size of the cortical area receiving impulses depends on the number of receptors present rather than the size of the body part. Eg. more lip and fingers than legs and arm to the wrist.

80
Q

What is the effect of a lesion in the brain/ brain stem on one side of the body on sensory systems (eg. LEFT)

A

As brain stem is higher than the point where they crossed over for both pathways, the lesion will cause the discriminative and non discriminative sensation from the right side of the body (neurons intended for left hemisphere) which causes a loss in those sensations. This is ASSOCIATIVE because the loss is from the same side

81
Q

What is the effect of a lesion in the spinal cord on one side of the body on sensory systems (eg. LEFT)

A

The lesion will damage the discriminative pathway that is intended for the right hemisphere- before it crosses over so discriminative sensation from the left side will be lost. However it damages non discriminative pathway after it crosses over so it is information on the left side destined for the left hemisphere, so sensation from right side will be lost. AS has different sides of lost this is DISSOCIATIVE

82
Q

What is the Posterior Dorsal Root?

A

Contain ONLY Sensory axons
These conduct nerve impulses form the Peripheral sensory Receptors located in the skin, muscles and organs –> to the CNS Central Nervous System

83
Q

What is the Anterior Ventral Root?

A

Contain Axons of ONLY Motor Neurons

84
Q

What is the AWC?

A

Anterior White Commissure

-Connects the white matter on the Right and Left sides of the spinal cord

85
Q

What is the Posterior Dorsal Gray Horn?

A

Contains 2x neurons:

Cells bodies and axons of inter-neurons
Axons of incoming sensory neurons

86
Q

What is the Anterior Ventral Gray Horn?

A

Contains Somatic Motor Nuclei

-clusters of cell bodies of somatic motor neurons that Proved impulses for the contraction of skeletal muscle

87
Q

What is the Medial Lemniscus?

A

Big bundle of fibres (Millions)
In the brainstem
Thin, ribbon like, Projection tract
Extends form the Medulla –> to the VP of the Thalamus
Fibres are groups together so the order of representation is maintained

88
Q

What is the VP VentroPosterior Nuclei?

A

In the Thalamus
One of the highly specialised areas in the Thalamus
Highly specialised to receive Just sensory information from the skin
Processes, suppresses, modifies sensory information
Critical role
-Works closely with the cerebral Cortex
If a stoke present here = you wont survive

89
Q

What is the internal capsule?

A

North and south motor way

where all the nerve fibre from VPThalamus –> Cerebral cortex Pass Through

90
Q

What would occur to discriminative sensation if there was a lesion in the spinal cord?

A

Lesion in Left of Spinal cord
Loss of Discriminative sensation (touch and pressure) in the SAME Left side of the body
-as decussation occurs at the gracile/cuneate nuclei of the medulla (hasn’t occurred)

91
Q

What would occur to discriminative sensation if there was a lesion in the brain/brainstem?

A

Lesion in the Left of the Brainstem/ Brain
Loss of discriminative sensation (touch and pressure) in the OPPOSITE Right side of the body
- as decussation occurs prior to the brain/brainstem (has occurred)

92
Q

What would occur to non-discriminative sensation if there was a lesion in the spinal cord?

A

Lesion in Left of Spinal cord
Loss of Non-Discriminative sensation (pain and temperature) in the OPPOSITE Right side of the body
-as decussation occurs at the AWC Anterior White Commissure in the Spinal Cord (has occurred)

93
Q

What would occur to non-discriminative sensation if there was a lesion in the brain/brainstem?

A

Lesion in the Left of the Brainstem/ Brain

Los of Non-discriminative sensation (pain and temperature) in the OPPOSITE Right side of the body
-as -as decussation occurs at the AWC Anterior White Commissure in the Spinal Cord (has occurred) Prior to the brain stem

94
Q

What is the sensory loss due to a lesion in the Spinal Cord like?

A

Dissociative Loss

as discriminative and non-discriminative pathways decussate at different levels of the spinal cord
discriminative -sensory loss on same side of the body
non-discriminative - sensory loss on the opposite side of the body

95
Q

What is the sensory loss due to a lesion in the Brain/Brainstem like?

A

Associative Loss
- as discriminate and discriminative pathways have both decussated by the time of the spinal cord
Both loss of sensations are on the opposite side of the body

96
Q

What are pyramidal cells and where are they are found

A

Upper motor neurons with pyramid shaped cell bodies located in the premotor area and primary motor area of cerebral cortex.

97
Q

What is the name of the pyramidal tract and how does it contribute to muscle control

A

Name is Corticospinal pathway. It is a direct motor pathway that provides input to lower motor neurons via axons that extend directly from the cerebral cortex and is used to control the muscles of limbs and trunk.

98
Q

Describe the path of the corticospinal tract up to the point where it splits up

A

Upper motor neurons in the cortex go down through the internal capsule through the cerebral penducle of the midbrain and pons. At the medulla oblongata, the axon bundles of the corticospinal tracts form ventral bulges called pyramids. This is where it starts to split up

99
Q

Compare the point of dessucation for the two tracts of the corticospinal tract. How many axons in each tract

A

At medulla oblongata 85% of axons dessucate to the contralateral (opposite) side in the medulla oblongata. This is the lateral corticospinal tract.
The remaining 15% remain along the ipsilateral (same) side, and eventually dessucate at the spinal segmental level where they synapse with specific neuron- this is called the ventral/Anterior corticospinal tract.

100
Q

What part of the spinal cord do the axons of the corticospinal tract form a tract in before synapsing with lower motor neuron and what type of movement is each tract responsible for

A

The ‘lateral corticospinal’ form the ‘latcort’ tract in the lateral white column of the spinal cord. This tract is responsible for distal parts of limbs responsible for precise agile and highly skilled movements.
The anterior corticospinal tract forms ‘antcort’ tract in the anterior white column of the spinal cord. This tract is responsible for movements of proximal parts of limbs and trunk- posture/core muscle

101
Q

Why are lower motor neurons considered the ‘final common pathway’. How do they control muscle activity

A

They are the nerves that provide the output from CNS to the skeletal muscle fibres. They receive this information from synapsing with interneurons called local circuit neurons or directly from the upper motor neurons in the brainstem or spinal cord. They are in the anterior grey horn of the spinal cord and exit out of the anterior root of spinal nerves and terminate in skeletal muscle.

102
Q

What happens when there is a lesion in the upper motor neurons of one side (eg. LEFT)

A

Spastic paralysis on the limbs on the other side of the body (RIGHT) as any inhibitory signals from the cortex are removed so the Lower motor neurons are acting on reflex. Muscle tone is increased

103
Q

What happens when there is a lesion in a lower motor neuron on one side (eg LEFT)

A

Flaccid paralysis where there is no neural control at all- voluntary or reflex action of muscle fibres so muscle tone on the same side of the body (LEFT) is decreased/lost

104
Q

When the pyramidal neurons are going through the midbrain and to the pons what happens to the organisation of the fibres looking at it on a cross sectional level

A

In the crus cerebri of the midbrain is is one large bundle in the anterior part but in the pons, the upper motor neurons break into smaller bundles- perhaps because some are going off to the face

105
Q

What 5 parts of the brain are the basal ganglia and what type of colour matter is it

A

The basal ganglia are towards the bottom of the brain in the subcortical grey nuclei. It has the Caudate nucleus, the internal capsule, putamen, Globus pallidus (internal and external) sub-thalamic nucleus and the substantia nigra.

106
Q

What group of basal ganglia make the striatum

A

Caudate nucleus and Putamen

107
Q

How does the pre motor area, basal ganglia system and primary motor area interact.

A

Basal ganglia is used to bring about fine movement control. First the premotor area of the cerebral cortex talks to the basal ganglia system. Then the pre motor cortex talks to the primary motor cortex.

108
Q

What neurotransmitter does is excitory

A

Glutamate

109
Q

What neurotransmitter an inhibitory pathway neural use

A

GABA- gamma amino butyric acid

110
Q

What is the purpose of neurotransmitter dopamine in the substantia nigra to striatum path

A

It keeps the GABAergic fibres primed, ready to fire allowing only a small amount of glutamate/ action potential from the cortex to be propagated along

111
Q

What is purpose of the basal ganglia circuit

A

Improve our ability to engage in movement and to engage in showing our mood. It is particularly involved in the initiation of movement- fine movement control.

112
Q

Describe the circuit starting at cerebral cortex pre motor area state the 5 steps/ pathways to a muscle movement + excite or inhib

A

neurons go from the cerebral cortex to the striatum via excite

95% of nerves from striatum will go to substantia nigra or into the internal or external segment of the GP (inhib)

A fibre from internal GP goes to the ventral anterior nucleus of the thalamus (inhib)

Thalamus back to cortex (excite) which leads to the activation of upper motor neuron

One last path which is substantia nigra to striatum by dopamine

113
Q

What role does the cerebellum have in movement control

A

Nerves from the cerebellar cortex go to the VA-VL section of thalamus via excite. It is able to bring a cessation of movement. The cerebellum also models future movement and makes adjustments to keep the enacted movement close to the plan by changing muscle tone or direction of movement.

114
Q

What is disrupted in Parkinsons disease and why does this happen

A

The fibres going from sub nigra to striatum carrying dopamine. This happens because the cell bodies producing dopamine in sub nigra die off.

115
Q

What does the disruption in fibres related to Parkinsons disease cause to the gabaergic fibres- pathology

A

The GABAergic fibres in striatum are no longer primed for activation by small signals, so the gabaergic fibres don’t work properly because now a small amount of glutamate isn’t enough to activate it

116
Q

What are the main symptoms of Parkinsons disease

A

They have difficulty expressing their emotion- rigidity of the face. At rest involuntary skeletal contractions interfere with voluntary movement leading to 2. shaking- tremor and

increased muscle tone- rigidity.

Bradykinesia which is slowness of movements because initiation is impaired- but automatic motion is under different circuits not damaged

Hypokinesia is decreasing range of motion.

117
Q

List the treatments available for parkinsons

A

Dopamine replacement, (L-DOPA), Surgical lesions (pallidotomy and thalamotomy) Deep brain stimulation

118
Q

How does a pallidotomy help Parkinsons

A

Artery supplying the internal Globus pallidus nerves is occluded - lesion- so the signals inhibiting the Va-VL of thalamus are stopped. This means that the excitatory pathway to cerebral cortex can give a normal level of glutamate restoring some function.

119
Q

What is better for pallidotomy success

A

doing it only one side of the brain. 2 sides gets some symptoms again.

120
Q

How does L-DOPA help Parkinsons

A

It is the precursor for Dopamine which can cross the blood brain barrier that is taken up by remaining cells in sub nigra and changed to dopamine.

121
Q

How does L-DOPA affect the conc of dopamine compared to normal non parkinsons person

A

Usually Dopamine concentration is kept constant by the brain but the way dosing of L-DOPA leads to wave looking graph where it rises, peaks above the optimal level then decline

122
Q

why does this dosing pattern of LDOPA a problem

A

Having too little Dopamine leads to the catatonia- stiffness and rigidity symptoms of parkinsons, however above the optimal level, it leads to symptoms of hallucinations, depression and psychosis- symptoms of schizophrenia

123
Q

What is the chemistry of the neurotransmitters related to the causing of Parkinsons disease

A

The caudate nucleus of basal nuclei contains neurons that release Ach. And as Dopamine decreases and Ach remains the same there is an imbalance that is thought to cause some of the symptoms of Parkinsons disease

124
Q

What other drugs than L DOPA used to treat parkinsons

A

Drugs that inhibit enzymes that break down dopamine, and drugs that block the effects of Ach at some synapses in the basal nuclei neurons to rebalance Ach and Dopamine

125
Q

How does deep brain stimulation help parkinsons

A

It involves the implantation of electrodes into the subthalamic nucleus. The electrical currents reduce many of the symptoms.