Neuro-Psych Midterm 1 Flashcards

1
Q

Neuropsychology

A

The study of the relationship between brain function and behavior
It draws information from many disciplines, such as biology and physiology

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2
Q

Human Neuropsychology

A

How the brain (and nervous system) influence human behavior, cognition, and emotions

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3
Q

IMPORTANCE OF NEUROPSYCHOLOGY

A

Studies which area of the brain is associated with specific cognitive domains
- Can use lesion studies

Examines what happens to the brain with age and disease
- Examining development over time and different diseases (Alzheimer’s, autism)

Has implications in various fields
- Occupational therapy
- Education (IEP)
- Speech language pathology

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4
Q

Trepanation

A

The earliest evidence of interest in the brain comes from skulls with burr holes.

May have been used for relieving pressure, treating headaches, or mental disorders.
- Thought to be used to release “evil spirits”

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5
Q

Phrenology

A

Reading a skull to determine what type of characteristic traits or personality someone had.

Procedure: Felt for bumps or ridges

Problem: based on race/ethnicity bumps might be different, so this led to racism

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6
Q

Classic studies of neuropsychology

A
  1. Amnesia patients
  2. Split-brain patients
  3. Blindsight patients
  4. Lesion studies
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7
Q

Amnesia

A

Natural or surgical lesions in the medial temporal lobe that affected the ability to form and recall new memories.

Importance: Allowed researchers to identify the specific brain structures essential for memory (Temporal lobe associated to long term memory)

→ Showed that there are different types of memory

→ Provided evidence for memory consolidation

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8
Q

Split Brain

A

Involves surgically cutting the corpus callosum in people with epilepsy.

Importance: Lateralization/cerebral asymmetry:
○ Left hemisphere = involved with speaking
○ Right hemisphere = not involved with speaking

→ This work highlighted the importance of both hemispheres in cognition
→ Revealed that each hemisphere can independently perceive and process information
→ Showed how the two hemisphere communicate

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9
Q

Blindsight

A

Patients with damage to the visual cortex, resulting in loss of conscious visual perception in parts of their visual field.
○ Often result of a stroke

→ The information is still processed by other areas of the visual system that are still intact.

Importance: Provided valuable information of the association of vision and consciousness with the human brain.

→ Helped map visual pathways
→ Improved our understanding of brain plasticity
→ Provided insight for the study of consciousness

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10
Q

Lesion Studies

A

People who have damage to one hemisphere showed differing functional abilities.

Importance: These studies showed the specialized function of the cerebral hemispheres
→ Right hemisphere = drawing, puzzles, spatial skills, and navigation
→ Left hemisphere = language functions, reading, naming, arithmetic, control of voluntary movements

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11
Q

The job of neuropsychologists

A
  1. Expert diagnosticians
  2. Characterize cognitive strengths and weaknesses
  3. Link 1 & 2 to:
    a. Select appropriate interventions
    b. Estimate patient outcomes
    c. Set goals
    d. Direct to proper services
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12
Q

Central nervous system (CNS)

A

The brain is protected by the skull while the spinal cord is protected by the vertebrae

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13
Q

Peripheral nervous system (PNS)

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Fibers that carry information to and away from the CNS

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14
Q

Somatic nervous system (SNS)

A

The part of the PNS associated with sensory and motor pathways

Has two parts:
1. Sensory pathways that bring information into the CNS (eg. skin receptors)(afferent)
- cannot be repaired

  1. Motor pathways that connect the brain and spinal cord to muscles (sending info out = efferent)
    - can be repaired
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15
Q

Autonomic nervous system (ANS)

A

Subdivision of the PNS where the sensory and motor pathways influence the muscles of our internal organs

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16
Q

Dorsal

A

structures atop or within brain
- also known as superior

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17
Q

Medial

A

structures toward brainʼs midline

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18
Q

Lateral

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structures located toward sides

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19
Q

Ventral

A

structures toward bottom of brain
- also known as inferior

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20
Q

Anterior

A

front

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21
Q

Posterior

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back

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22
Q

Coronal slice

A

frontal view

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23
Q

Horizontal slice

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dorsal view

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24
Q

Sagittal slice

A

medial view

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25
Brain looks wrinkled with?
- clefts - can be fissure or sulcus → lateral fissures are deep enough to hit the ventricles; separates frontal and temporal lobe → central sulcus are not deep enough to hit the ventricles; separates frontal from parietal - ridges - gyri
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Frontal lobe
executive functioning
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Parietal lobe
goal orientated movement
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Temporal lobe
hearing, language, and music (encoding memory)
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Occipital lobe
visual processing
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Motor cortex
plan and control voluntary movements - part of frontal lobe
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Somatosensory cortex
sensory information - part of pareital lobe
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Forebrain
- Contains the cerebral hemispheres (cerebrum), basal ganglia, limbic system, thalamus, and hypothalamus - Involved with many functions including mental activities, movement, emotion, and behaviors
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Basal ganglia
involved with motor movements, executive functions, behavior, and emotions
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Limbic system
involved with many functions like memory, emotions, and behavior
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Diencephalon
Contains the: 1. Hypothalamus - Controls the body’s hormone production - Temperature regulation, feeding, sexual behavior, sleeping, emotional behavior, and movement 2. Thalamus - Channels sensory information travelling to the cerebral cortex from all sensory systems
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The Midbrain
Contains neural circuits for: - Hearing - Seeing - Orientating movements - Pain perception functions
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The Hindbrain
Cerebellum: plays a role in motor coordination, motor learning, and maintaining body equilibrium Reticular formation: involved with sleep-wake behavior and behavioral arousal Pons & medulla oblongata: controls vital body movements
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The Brainstem
The bottom of the brain which connects the brain to the spinal cord Regulates body functions & controls balance Consists of midbrain, pons, and medulla oblongata Reticular formation runs through it
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Cerebral Connections
There are four main type of connections between regions: 1. Projections between one lobe and another 2. Projections within a lobe 3. Interhemispheric connections 4. Connections through the thalamus
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CEREBRAL MATERIAL
gray matter & white matter
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gray matter
- cerebral cortex (outer-most layer) - folds in brain increase gray matter - more area for information and cognitive processing - 40% of brain - consists of nerve cell bodies (dendrites and axon terminal)
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white matter
- deeper within brain (subcortical) - 60% of brain - made up of myelin and bundles of axons - fatty molecule that provides insulation for axon - involved in signal transmission
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VENTRICLES
four ventricles are connected: 1. left lateral ventricle 2. right lateral ventricle 3. third ventricle 4. fourth ventricle
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VENTRICLES AND CEREBROSPINAL FLUID
ventricles and subarachnoid space are filled with CSF - CSF cushions brain and spinal cord, washes out waste, and delievers nutrients
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Ventricles are measure of atrophy
- loss of brain volume - brain shrinkage → larger ventricles
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CEREBRAL ASYMMETRY
both hemispheres are responsible for different functions right and left hemispheres operate on contralateral sides of body
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Cerebral lateralization
left hemisphere: - language processing - arithmetic - analytical thinking right hemisphere: - visuospatial processing - emotional processing - holistic thinking
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Cerebral asymmetry differences
- schizophrenia: reduced brain asymmetry (causes auditory hallucinations) - dyslexia: bilateral language dominance - handedness: left-handed individuals show bilateral language dominance - sex differences: females show stronger left-sided language lateralization
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SPINAL CORD
Extends from the bottom of the medulla 31 segments with spinal nerves Supported by vertebra
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Three main functions of the spinal cord
1. Act as a pathway for impulses going to and from the brain 2. Control automatic reflexes without consulting the high brain centers 3. Control body movement and functions
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Cranial nerves
12 pairs of cranial nerves in brain: key part of nervous system - somatic nervous system sense and motor impulses - help you make facial expressions, move your eyes and process smells
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Spinal nerves
31 pairs of spinal nerves: facilitate voluntary motor control, sensory perception, and reflex responses
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SPINAL NERVE CONNECTIONS
Posterior root: brings in sensory information Anterior root: sends out motor information White-matter: carries information to and from the brain Branches: sensory neurons may influence motor neurons (e.g., spinal reflex arc)
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AUTONOMIC NERVOUS SYSTEM- Sympathetic & parasympathetic
sympathetic division: - body arousal - fight-or-flight response parasympathetic division: - rest-and-digest
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Electrical Messages
Also known as action potentials convey information form one area to another
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Action potential steps
1. neurons have resting potential (70mV) 2. when threshold is reached (50mV), it becomes depolarized 3. depolarization causes electrical spike 4. membrane is then repolarized 5. hyperpolarization occurs when neuron is in refractory period - neuron is unable to be stimulated again 6. wave of action potential travels down axon
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ELECTRICAL TO NEUROCHEMICAL MESSAGES
- synapses carry either excitatory or inhibitory messages - involved with breathing, heart rate, cognition, and sleep
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Presynaptic membrane
encloses molecules that transmit chemical messages
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Postsynaptic membrane
contains receptor molecules that receive chemical messages
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Postsynaptic receptor
site to which a neurotransmitter molecule binds
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Synaptic cleft
small space separating presynaptic terminal and postsynaptic dendritic spine
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NEUROTRANSMISSION STEPS
1. synthesis: neurotransmitters are transported from cell nucleus to terminal buttons 2. release: transmitter is released across membrane by exocytosis 3. receptor action: transmitter crosses synaptic cleft and binds to receptor 4. inactivation: transmitter is taken back into terminal or inactivated in synaptic cleft
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NEUROTRANSMITTER CLASSES - three classes of neurotransmitters
1. small-molecule transmitters: derived from food breaks down acetylcholine (ACh), amines, and amino acids 2. neuropeptide transmitters: made through translation of mRNA from instruction in neurons DNA 3. transmitter gases: synthesized in cell as needed
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SMALL - MOLECULE NEUROTRANSMITTERS
Acetylcholine Amines Amino Acids
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Acetylcholine
Essential for communication between motor neurons and muscle fibers Key for “rest and digest” Involved with learning and memory, arousal, and attention
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Amines
Dopamine* – plays a role in movement, attention and learning, and in behaviors that are reinforcing Serotonin* – involved with mood regulation, aggression, appetite, arousal, pain perception, and respiration Norepinephrine – involved with alertness, arousal, attention, and the stress response Epinephrine – also involved with the stress response
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Amino Acids
Glutamate (Glu) – involved with learning and memory, motor function, pain perception, neuropsychiatric disorders Gamma-aminobutyric acid (GABA) – associated with stress & anxiety, mood, sleep, and pain perception Histamine – controls arousal and waking, and constriction of smooth muscles
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NEUROTRANSMITTER CLASSES - BEHAVIOUR EFFECTS
cholinergic system (ACh) - involved with waking behaviour, attention, and memory dopaminergic system (dopamine) - involved with coordinating movement, addiction, and mood regulation noradrenergic system (NE) - involved with emotions, hyperactivity and ADHD, and learning serotonergic system (5-HT) - involved with wakefulness, learning, depression, and schizophrenia
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Anatomical Techniques
1. x-ray (bones) - conventional radiography - pneumoencephalography - angiography - computed tomography (CT) 2. magnetic resonance imagine (MRI) (diagnosing conditions) - structural MRI (sMRI) - diffusion tensor imaging (DTI) - magnetic resonance spectroscopy (MRS)
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Conventional Radiography
X-rays pass through the skull (or body) A shadowy image shows locations of different tissues (brain tissue = light grey, bone tissue = white) Radiography is still used for examining the skull for fractures and the brain for gross abnormalities This method is not the primary method for visualizing brain abnormalities
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Pneumoencephalography
Advances traditional x-ray by taking advantage of the fact that x-rays are not absorbed by air A small amount of CSF is removed from the spinal cord and replaced with air (spinal tap) X-ray is taken as the air moves up the spinal cord and into the brain Ventricles stand out because of the air
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Pneumoencephalography advantages and disadvantages
Advantages: - shows blockages and abnormalites - brain tumors, hydrocephalis Disadvantages: - very invasive and painful - high potential for morbidity and mortality
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Angiography
A method for imaging blood vessels - check how the blood is flowing through the brain and the health of the vessels A substance that is absorbed by x-rays is injected into the bloodstream Can be painful and dangerous
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Computed Tomography (CT)
A narrow x-ray beam goes through the same object at many angles - get a 3D image, and briefly exposed to radiation The CT scan can localize brain tumors and lesions as they come up darker Skull is white, grey and white matter are similar, and ventricles are dark
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Computed Tomography advantage
In cases of brain trauma it’s much better than conventional radiology, you can see the ventricles and everything more clearly
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Magnetic Resonance Imaging
A large magnet and a radiofrequency pulse generate a signal through the brain that produces an image A hydrogen atoms nucleus consists of a single proton that align in the magnet. When many align in the same direction and can be summed Proton density varies in different brain tissue therefore electrical currents differ depending on the tissue being examined CFS, myelin, non-myelin atoms: all have different degrees of hydrogen atoms to allow use to see the different colours in the scan Con: Patients Cannot go in scanner if have unremovable piercings or implanted metal though
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Alzheimer's MRI
much larger ventricles, a lot more black space = less overall brain volume
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1.5T vs 3T vs 7T?
The number (e.g., 1.5) represents the strength of the magnetic fields - 1.5T is the most common and widely available - 7T is great for cutting-edge research but is not widely available - 7T: good for seeing different sub-divisions, gives clear and crisp image
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T1-weighted vs T2-weighted
T1w is great anatomical detail - focuses more on the structure T2w is great for detecting fluid-filled structures and edema - focuses on the fluid (CFS build up in the frontal regions)
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MRI vs CT scans
MRI - CANT HAVE IT: People with pace-makers or cochlear implants - MRI takes longer: on average 30 mins - Common reasons for MRI: neurological conditions, headaches, trouble with vision, joint injury CT - CANT HAVE IT: Pregnant woman because of radiation for fetus, people under the age of 30 - 5-10 mins is length of the exam for most people - Common uses: look at the head if people have chronic headaches, abdominal pain
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Main difference between MRI and CT
Main difference is MRI uses strong magnetic filed to generate an imagine, CT uses radiation that generates through the body and is processed
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Diffusion Tensor Imaging (DTI)
Detects the movements of water molecules to create virtual images of the brains nerve fiber pathways A magnetic field is used to detect this water diffusion Water molecules in nerve fibers follow the tract orientation moving in the direction of its longitudinal axis
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DTI continued
Water molecules and nerve fibres are in the myelin, which allows us to see where the white matter is (the connections) Different colours represent different representations This method allows researchers and clinicians to study the structural connectivity between different brain regions and understand the organization of neural pathways DTI can detect abnormalities in neural pathways and identify changes in fiber myelination Has low signal-to-noise ratio Arcuate pathway allows us to speak coherently - If we have decreases in myelin (damage to the pathway) we might be slower at processing
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DTI outcome measures
Fractional Anisotropy (FA) - reflects the directionality of water diffusion/displacement Higher FA: more organized and coherent tracks (it’s good) (brighter colour) - Brain regions are being connected at a higher rate Low FA: potential tissue damage or disruption to the tracks Mean diffusivity (MD) - reflects the average magnitude of water diffusion/displacement High MD: is bad because there is a lot more water in the brain which can reflect swelling, inflammation and loss of neurons Low MD: is good
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Magnetic Resonance Spectroscopy (MRS)
Another MRI method to examine brain development, function, and disease Used to look at the different metabolites in the brain - NAA- most common metabolite: often observed where there's neuronal loss MRS varies the radiofrequency used for aligning the hydrogen protons Can detect: - Abnormalities in brain metabolism - Brain-cell loss in degenerative disease - Loss of myelin in demyelinating disease such as multiple sclerosis Has limited special resolution and requires high concentration of the metabolite of interest to be reliably detected
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Functional Techniques
Brain’s electrical activity - Electroencephalography (EEG) - Event-related potentials (ERPs) Dynamic Brain imaging - Position emission tomography (PET) - Functional magnetic resonance imaging (fMRI) - Optical tomography Brain’s magnetic activity -Magnetoencephalography (MEG)
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