Neuro Anatomy Flashcards

1
Q

Gray Matter= In CNS

A

unmyelinated axons, dendrites and cell bodies

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2
Q

White Matter= in CNS

A

myelinated axons

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3
Q

CNS when injured

A

dramatic effects on movement and thought processes

plays critical role in motor learning and motor planning

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4
Q

corpus callosum

A

joins two hemispheres:Outer gray matter

Inner white matter

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5
Q

Homunculus

A

Representation of body on brain tissue by specific location and function

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6
Q

Wernickes Area

A

temporal lobe, speech comprehension

a lesion here will result in RECEPTIVE aphasia

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7
Q

Brocas area

A

frontal lobe, expression of speech

lesion here results in EXPRESSIVE aphasia

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8
Q

Frontal:

A
  • voluntary muscle contraction, initiation of movement
  • Broca’s area-motor control of speech
  • Personality, temper, judgment, reasoning, behavior, self awareness, executive functions
if injured: Contralateral weakness
Perseveration, inattention
Personality changes
Impaired concentration, apathy
Brocas aphasia
Delayed or poor initiation
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9
Q

Parietal:

A

-Associated with sensation of touch, kinesthesia, vibration, temp, etc.
-Sensory info is received
>Provides meaning for objects
>Interprets language and words
>Spatial and visual perception

If injured: 
May see apraxia
Contralateral sensory deficits
Impaired language comprehension
Impaired taste
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10
Q

Temporal

A

Primary auditory processing and olfaction
Wernicke’s area: ability to understand and produce meaningful speech (receptive)
Allows us to interpret other people’s emotions and reactions

if injured: 
Learning deficits, 
Receptive aphasia
Antisocial aggressive behaviors
Difficulty with facial recognition, memory, memory loss
Inability to categorize information
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11
Q

Occipital

A

vision & processing of visual information
Judgment of distance, seeing in 3D

if injured:
Homonymous hemianopsia
Impaired extraocular movement and visual deficits
Impaired color recognition
Reading and writing impairment
Cortical blindness if bilateral occipital lobe involvement

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12
Q

Right hemisphere

A

Non-verbal, Artistic
Processes info in holistic way
Non-verbal communication
Tend to be good at fine arts; appreciate the artistically pleasing

negative emotions

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13
Q

Left hemisphere

A

Verbal, analytical
Processes info in sequential way
Produces & processes language
Tend to be good at math/ science

express positive emotions such as love and happiness

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14
Q

Internal capsule

A

descending fibers leave the motor area & travel through the internal capsule on the way to SC

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15
Q

Amygdala:

A

nuclei in the temporal lobe
Functions in emotional and social processing
Involved in fear & pleasure responses, arousal, processing of memory and formation of emotional memories.

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16
Q

Diencephalon

A

Thalamus:

Hypothalamus:

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17
Q

Thalamus

A

relay station for body sensations
Interprets crude sensory information
Damage can result in “thalamic pain syndrome”

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18
Q

hypothalamus

A

Primary role is homeostasis
Regulates body temperature, sugar & fat metabolism & water balance.
Primitive Drives for eating, sexual behavior, rage, aggression, emotion, thirst, hunger and sleep/ wake cycles.

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19
Q

Basal Ganglia:

A

coordination of motor movement, posture, muscle tone and control of motor responses

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20
Q

Limbic System

A

group of structures; governs emotions & memory based on emotions (pain, pleasure, etc.)

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21
Q

Reticular Activating System

A

diffuse group of cells that governs level of awareness

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22
Q

Cerebellum

A

Equilibrium, Regulation of muscle tone
Maintenance of Posture & Voluntary Motor Control
Muscle coordination, sequencing of movements, ability to do rapid alternating movements
Motor Learning

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23
Q

Brainstem

A

visual and auditory reflexes
respiratory center
vasomotor center

Reticular activating system is found within the midbrain, pons and medulla. Severe damage to the brainstem often results in brain death…

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24
Q

Decending motor tracts

A
  • Corticospinal (anterior)

- Corticospinal (lateral)

25
Corticospinal (anterior)
Ipsilateral voluntary, discrete and skilled movements
26
Corticospinal (lateral)
Contralateral voluntary fine movement Damage results in + Babinski sign, absent superficial and cremasteric reflex, and loss of fine motor or skilled voluntary movement
27
Extrapyramidal tracts:influence motor response
Reticulospinal: Rubrospinal: tectospinal vestibulospinal
28
Reticulospinal:
facilitation & inhibition of voluntary and reflex response (regulates intensity of response)
29
Rubrospinal:
originates in red nucleus of brainstem | affects motor input of gross postural tone, facilitates flexors and inhibits extensors
30
Tectospinal:
Originates in the midbrain to cervical ms. Contralateral postural tone associated with auditory/ visual stimuli orientation of head toward a sound or moving object
31
Vestibulospinal:
postural adjustments to head movements | Facilitates extensors and inhibits flexors
32
ascending sensory tracts
``` Anterior spinothalamic Lateral spinothalamic: Dorsal columns Spinocerebellar (dorsal and ventral) Spinoreticular: ```
33
Anterior spinothalamic:
pressure, light touch
34
Lateral spinothalamic:
pain & temperature
35
dorsal column
Proprioception, vibration, 2 point discrimination and graphesia Fasciculus cuneatus: UE Fasciculus gracilis: LE
36
Spinocerebellar (dorsal and ventral)
Subconscious proprioception, tension in muscles, joint sense, posture of the trunk and extremities
37
Spinoreticular:
Sensory information that influences the reticular formation, affecting level of consciousness
38
ANS:Sympathetic
prepares the body to defend itself | responds to emergency
39
ANS: Parasympathetic
returns body to normal resting state | regular consistent activities
40
Circle of Willis:
originates from the internal carotid & vertebral arteries ``` Major Branches Anterior Cerebral Artery (ACA) Middle Cerebral Artery (MCA) Posterior Cerebral Artery (PCA) Vertebrobasilar Artery ```
41
Anterior Cerebral Artery
medial aspect of frontal & parietal lobes & sub-cortical structures
42
Middle Cerebral Artery
lateral aspect of frontal, temporal & parietal lobes & sub-cortical structures * most common site of CVA
43
Posterior Cerebral Artery
occipital lobe, medial & inf. Temporal lobes, upper brainstem, midbrain, thalamus
44
Vertebrobasilar Artery
pons, inner ear, cerebellum
45
Reaction to injury in the CNS
Artery obstruction produces tissue death within minutes Within 24- 36 hours becomes soft and edematous Inflammatory reaction with scarring, function of these neurons lost Nearby undamaged axons and collateral sprouting result in some return of function
46
Reaction to injury in the PNS
If cell body destroyed, regeneration is not possible If cell body intact, regeneration is possible. Axonal sprouting approximately 1 mm per day
47
Upper Motor Neuron Lesion
Disease which affects nerve cells located in the motor cortex, internal capsule, brainstem or spinal cord Lesion is above the Anterior Horn Cell Examples: hydrocephalus, CVA, anoxia, tumors, cerebral palsy, MS, etc. Symptoms: weakness, high tone,
48
Lower Motor Neuron Disease
disease that affects nerves below the level of the brainstem. Injury is at or below the Anterior Horn Cell Examples: trauma, infection, Guillaine Barre, muscular dystrophy, spina bifida, Symptoms: ↓or absent reflexes, flaccidity, atrophy, fasiculations, ↓ed tone
49
Reflex Arc
Controlled at the spinal cord level, modulated by input from deep brain structures. No conscious thought or voluntary control. Occurs very quickly. Afferent sensory input, synapse in the spinal cord, then efferent motor output
50
Muscle tone
Input from brain no longer able to modulate reflexes in a normal manner. Can result in Hypotonia Hypertonia
51
Hypotonia
Common in initial days following a neurological event May lead to hyper-extensibility of joints and joint instability
52
Hypertonia
Evolves over time in many patients following a neurological event Increased by excessive effort, emotions, and a variety of environmental stimuli. May lead to joint stiffness, contracture.
53
Summary
Nervous tissue in CNS does not repair itself...recovery of function is through establishing new pathways.
54
What is the space between the dura and arachnoid mater called?
subdural
55
Which lobe is responsible for voluntary muscle contraction and personality?
frontal
56
Which area of the brain is responsible for level of awareness?
reticular activating system
57
Which ascending tract carries sensory impulses for pain and temperature?
Lateral spinothalamic
58
Which artery supplies the lateral aspect of the frontal, temporal and parietal lobes & subcortical structures?
MCA