Neuro review Flashcards
CN VII
- Facial
- Facial movement
- hyoid elevation
- salivation
- taste
CN V
- Trigeminal
- jaw movement
- face, mouth, jaw sensation
CN IX
- glossopharygeal
- pharyngeal movement
- pharynx and tongue sensation
- taste
CN X
- Vagus
- pharyngeal, palatal, laryngeal movement
- pharyngeal sensation
CN XII
- Hypoglossal
- tongue movement
Internal Regulation system, a.k.a. …
- Visceral system
- maintains homeostasis
Cerebrospinal Fluid system, a.k.a. …
- Ventricular system
- Cushions CNS
- CSF produced by choroid plexus in ventricles
Vascular system
- carotid (ACA and MCAs)
- vertebrobasilar (PCAs)
Consciousness system
- maintains wakefullness, awareness of environment
- attention
Motor system
- all motor activity including striated muscle
- essential to normal reflexes
- maintains normal muscle tone & posture
- planning, control, & execution of voluntary movement inc. speech
Nerve
- in the PNS
- collection of axons bound by connective tissue
Tract
- in CNS
- groups of fibres that travel together
- commissural (connect homologous areas w/in hemispheres)
- association (connect lobes w/in a hemisphere)
- projection (connect between hemispheres)
The Final Common Pathway
- LMN system
- generates activity in skeletal or somatic muscles
- damage responsible for FLACCID DYSARTHRIA
- Motor units / Alpha motor neurons
- Gamma motor neurons
Effects of damage to FCP
- weakness / paresis
- paralysis
FCP CNs for Speech
- V, VII, IX, X, XII
- Upper cervical spinal nerves
Direct Activation Pathway (DAP)
- aka pyramidal tract or direct motor system
- divided into corticobulbar and corticospinal tracts
- arranged as corona radiata – > internal capsule
- connects cortex to FCP
- comprised of primary motor & sensory cortexes
Effects of Damage to the DAP
- weakness and loss/reduction of skilled movements
- Unilateral -> unilateral UMN dysarthria
- Bilateral -> spastic dysarthria & other spasticity
The Indirect Activation Pathway
- aka extrapyramidal tract / indirect motor system
- comprised of corticoreticular & corticorubral tracts
- reticular formation plays crucial role in muscle tone
Effects of damage to IAP
- affect muscle tone & reflexes
- manifests as spasticity & hyperreflexia
- slow movement, hyperadduction of vocal folds during phonation
- Spastic dysarthria
Basal Ganglia control circuit
- regulates muscle tone, goal-directed movements
- postural adjustments during skilled movements
- adjusting movements to the environment
- ties to extrapyramidal pathways
Functions of BG Control Circuit
- posture & tone regulation
- movement scaling (force, amplitude, duration)
- set switching (interrupting ongoing behaviour)
- movement selection & learning
Effects of damage to BG CC
- reduced mobility / rigidity (hypokinesia)
- involuntary movements (hyperkinesia)
DAB’s 5 stages of Conceptual-programming level of speech
- conceptualization
- language planning
- motor planning / programming
- performance
- feedback
Role of sensation
- intelligible speech can be produced by structures that are continuously changing position
- input from muscles have influence on motor neurons supplying speech muscles
- sensory pathways can be pretuned or sensitized by motor system
- thalamus: sensory relay structure
Motor planning / programming is influenced by:
- control circuits (cerebellar & BG)
- limbic system (speech can change w/ emotions)
- R hemisphere influences (contributes to perception and organization of prosody)
- Reticular formation & thalamus
- Damage (results in apraxia of speech)