Neuro 1/2 Flashcards
Dermatome
Area of skin relaying information via SINGLE spinal nerve
Myotome
Group of muscles sharing motor innervation from single spinal nerve
Sensory Neuron
Carries impulses from sensory organs to CNS
Motor Neuron
Carries motor impulses from CNS to motor neurons
Type of neuron for Sensory neuron
Pseudounipolar sensory neuron
Type of neuron for Motor neuron
Multipolar motor neuron
Myotome of Upper Limb:
Shoulder Abduction
C5
Myotome of Upper Limb:
Elbow Flexion
C5/C6
Myotome of Upper Limb:
Elbow Extension
C7
Myotome of Upper Limb:
Wrist Extension
C7
Myotome of Upper Limb:
Wrist Flexion
C8
Myotome of Upper Limb:
Finger Extension
C7
Myotome of Upper Limb:
Finger Flexion
C8
Myotome of Upper Limb:
Finger Abduction
T1
Myotome of Lower Limb:
Hip Flexion
L1/L2
Myotome of Lower Limb:
Hip Extension
L5/S1
Myotome of Lower Limb:
Knee Flexion
L5/S1
Myotome of Lower Limb:
Knee Extension
L3/L4
Myotome of Lower Limb:
Ankle Dorsiflexion
L4
Myotome of Lower Limb:
Ankle Plantarflexion
S1/S2
Myotome of Lower Limb:
1st Metatarsal Extension
L5
Reflexes:
Ankle
S1/S2
Reflexes:
Knee
L3/L4
Reflexes:
Biceps
C5/C6
Reflexes:
Triceps
C7/C8
Types of Deep Tendon Reflexes
Achillies
Patellar
Biceps
Triceps
Brachioradialis
Babinski
Patellar Tendon Reflex
Tests L4 nerve root
Kicking-like motion with stimulation of patellar tendon
Achilles Tendon Reflex
Tendon tapped with dorsiflexed foot
Positive with foot moving to plantar surface
Biceps/Triceps Reflex
Clonus Test
Rhythmic, oscillating stretch reflex
Relaxed lower leg; sharp dorsiflexion of foot; hold in place to observe oscillations
Positive: upper motor neuron lesion
Babinski Reflex
Run something along lateral sides of foot towards toes
If positive: upper motor neuron issue
Sensory Exam comprised of:
Pain
Light Touch
Proprioception/Position sense
Vibration
2-pt discrimination for senses
Three parts to Brain
Cerebrum
Cerebellum
Brainstem
Location to cerebellum
Posterior to pons
Inferior to occipital/temporal lobes
Only attached to brain stem via nerve fibers
Nerve fibers attaching cerebellum to brainstem
Superior Cerebellar peduncles
Middle Cerebellar peduncles
Inferior Cerebellar peduncles
Cerebellar Peduncles connect
Cerebellum with rest of NS
Grey matter of Cerebellum
Surface of cerebellum
Forms Cerebellar cortex
White Matter of Cerebellum
Underneath Cerebellar cortex
Contains 4 cerebellar nuclei
4 cerebellar nuclei of cerebellum
Dentate
Emboliform
Globose
Fastigial
Interposed nucleus
Emboliform and globose nuclei together
3 ways to divide cerebellum
Anatomical
Zones
Functional
Anatomic lobes
Anterior
Posterior
Flocculonodular
Flocculonodular lobe
Oldest part of brain
Balance and spatial orientation
Connects with vestibular nuclei
Zones of Cerebellum
Vermis
Intermediate Zone
Lateral Hemisphere Zone
Vermis
Midline of cerebellum
Intermediate zone
Paravermis
On either side of vermis
Lateral Zone
Lateral to intermediate zone
Functional Divisions
Cerebrocerebellum
Spinocerebellum
Vestibulocerebellum
Cerebrocerebellum
Largest division
Lateral hemisphere
Planning movements/motor learning
Regulates coordination of muscle activation; visual guided movements
Sends output to thalmus and red nucleus
Spinocerebellum
Vermis and intermediate zones
Regular body movements; allow for error correction
Receives proprioceptive info
Vestibulocerebellum
Functional equivalent to flocculonodular lobe
Controls balance and ocular reflexes (fixation on target)
Blood supply to Cerebellum
Superior cerebellar artery (SCA)
Anterior Inferior Cerebellar artery (AICA)
Posterior Inferior Cerebellar artery (PICA)
Superior cerebellar artery (SCA) and Anterior Inferior Cerebellar artery (AICA) are branches of…
Basilar Artery
Posterior Inferior Cerebellar artery (PICA) branch of…
Vertebral Artery
Wallenberg Syndrome
Occlusion of Posterior Inferior Cerebellar artery
Venous drainage of Cerebellum
Superior/inferior cerebellar veins
Superior/inferior cerebellar veins drain into…
Superior petrosal
Transverse
Straight Dural venous sinuses
Functions of Cerebellum
Coordination of gait
Maintain posture
Control muscle tone/voluntary muscle activity
Cerebellum is unable to initiate
Muscle contraction
Damage to cerebellum
Loss of ability to control finer movements
Loss of ability to maintain posture
Loss of ability for motor learning
Damage to cerebellum: result in paralysis?
No - will NOT result in paralysis
Dysdiadochokinesia
Inability to perform rapid alternating movements
Ataxia
Loss of control over voluntary movements
Can appear intoxicated
Nystagmus
Ataxia of ocular muscles - rhythmic oscillations of eye
Intention tremor
Involuntary rhythmic muscle contractions occuring during purposeful, voluntary movements
Worses as person gets closer to target
Scanning speech/Dysarthria
Ataxia of phonation laryngeal muscles
Slurred speech
Hypotonia
Loss of muscle tone due to diminished influence of cerebellum on gamma motor neurons