Neuro week 16 Flashcards
Primary Unimodal cortex has a single primary sense input and involves the conscious perception of that modality.
Unimodal association cortex is the cortex surrounding each of the primary sensory areas. These areas have a 1° unimodal input from that specific modality & integrates info for that specific modality which allows for appreciating objects by specific sense
Multimodal Association Cortex include - APB
Anterior, posterior & basomedial association cortex
Multimodal Association Cortex projects from anterior & posterior multimodal to-BmMC
Basomedial multimodal cortex
Multimodal Association Cortex receives information from
several 1° unimodal and unimodal association areas
Multimodal Association Cortex inputs
Multimodal & integrates cross-modal information
1° cortices and association cortices projects to
Multimodal association cortex
The Anterior nucleus projects to
The limbic association areas (basomedial multimodal cortex).
Dorsomedial nucleus projects to - PPAC .
posterior parietal association cortex
Pulvinar projects to
The dorsolateral prefrontal association cortex, which is the anterior multimodal association area
The Left hemisphere is dominant for LP
Language and processing of complex stimuli
The Right hemisphere dominant function.
Spatial
Right & left hemispheres are interconnected with .PM&MA
1° motor & motor association areas but the impact of these influences may change based upon the side of the brain
The Posterior Parietal association cortex is involved in
spatial cognition
Deficits in the posterior parietal association cortex producing problems with - spatial memory
Spatial motor tasks such as reaching & pointing to visual targets and problems with remembering travel routes
Deficits in the posterior parietal association cortex also produce - (simultaneous agnosia)
Inability to organize spatial events in time such as problems in describing events in sequence in a picture and an inability to reproduce designs using marked blocks
Deficits in the posterior parietal association cortex produce - Dyslexia
Inability to begin spelling words, dyslexia (skipping words or whole lines when reading) and Inability to recall spatial relationships (layout of room)
Damage to the Posterior Parietal association cortex - Unilateral hemispatial neglect
Difficulty in the ability to direct attention to contralateral personal & extrapersonal space- most common form of unilateral neglect is left side neglect with right brain lesion
Damage Posterior Parietal association cortex produces unilateral hemispatial neglect- anosognosia or asomatognosia
A denial of disability where the patient states that their paralyzed limb is not part of their body
Frontal lobe multimodal association cortex has executive function with behaviors within
Social (orbitofrontal) & nonsocial (dorsolateral) context.
Executive function can alter
Goal directed behavior within the context in which it is performed.
The following are all what type of function? Generation of multiple strategies to attain a specific goal or solve a specific problem Choosing, sequencing and initiating subroutines that collectively achieve a goal Self-monitoring the adequacy of the sequence of actions Modifying behavior when conditions change Inhibiting incorrect responses when distracted
Executive Function tasks:
Damage to the anterior association cortex includes damage to
Dorsolateral Prefrontal & Orbitofrontal prefrontal cortex
Damage to the Dorsolateral Prefrontal cortex causes
affective flatness, reduced cognitive & motor activity
Damage to the Orbitofrontal prefrontal cortex causes- JuBLEP
Behavioral disinhibition, Poor judgment Labile affect Judgment errors Emotional outbursts
Anterior cingulate cortex of the Limbic (Basomedial) plays an important role in: MEM
- Motivation
- Emotional state
- Monitoring performance in relationship to rewards
Input to the anterior cingulate cortex of the Limbic (Basomedial) association cortex about internal state, from GOV
Gustatory,
Olfactory and
Visceral sensations
Anterior cingulate cortex of the Limbic (Basomedial) association cortex forms part of the
Mesolimbic dopaminergic reward system
Limbic (Basomedial) association cortex allows for the interaction between M
- Mesolimbic system- addiction and Cognitive assessment of rewards and motivation.
Deficits / lesions of the mesolimbic system include- OA
Obsessive-Compulsive & Attention Deficit Disorders
Inferior temporal gyrus is part of the
Basomedial association cortex which is part of the ventral stream of the visual system
Inferior temporal gyrus is responsible for
Facial recognition.
Damage to the Inferior temporal gyrus produces-
Prosopagnosia or the inability to recognize faces
Tests of function for the posterior parietal area include
Testing of a wide variety of behaviors mediating attention to intrapersonal and extrapersonal space and tests for unilateral neglect.
Tests for unilateral neglect include
Drawing tests where positive signs are lack of one side in all drawings and the inability to do 3-D puzzles
Anterior Association area tests are used to assess
Executive functioning
Anterior Association tests to assess executive functioning include:
Wisconsin Card Sorting Test (WCST) & Stroop Test
Wisconsin Card Sorting Test (WCST)
Ordering of cards based upon different characteristics
Stroop Test
Sorting by color word & color
Different forms of the Stroop test include:
Counting stroop test & Emotional stroop test
The Counting Stroop Test for the dorsal anterior cingulate cortex involves:
Identifying the number of words, when number words used does not match the number words.
Emotional Stroop Test
Tests the ventral anterior cingulate cortex- uses words with high emotional content to distract from naming color of the words
Basal ganglia function
Regulation of motor behavior & cognitive functions.
What exists within the basal nuclei to mediate cognitive functions ?
Parallel pathways (loops)
Caudate nucleus plays a central role in which pathway?
Parallel pathway?
Basal Ganglia cognitive loop involves the following circuit:
Dorsolateral prefrontal cortex to caudate nucleus to globus pallidus internus and substantia nigra pars reticularis to mediodorsal nucleus of thalamus then back to the Dorsolateral prefrontal cortex
At what stage does cognitive deficits occur in Parkinson’s Disease (PD).
Early stages
What type of tests help to determine if deficits in Parkinson’s Disease (PD) is Increasing as the disease advances?
Neuropsychological testing.
The study with people with Parkinson’s Disease showed that
PD patients achieve fewer card-sorting categories on the Wisconsin Card Sorting Test than matched controls.
T / F- Study shows association of cognitive & motor function since patients with worse cognitive performance also had worse motor performance
False - dissociation they did not also have worse motor performance
Triad of behavioral manifestations in Huntington’s Disease (HD)
Motor symptoms Cognitive impairments Memory impairments Dementia
Dementia in Huntington disease is due to
Loss of striatal neurons (caudate primarily) Co-occurs with depression of prefrontal neuronal function
Cerebellar neodentate nucleus (ventrolateral part of the dentate nucleus) is only present in humans and is involved in the
Closed-loop circuits connecting cerebral association cortex with cerebellar cortex
Cognitive and affective roles of cerebellum are supported by - CAN
Clinical Anatomical and Neuroimaging data
The Association cortices form two connections to the cerebellum
- Corticoponto-cerebellar mossy fiber input to the cerebellar hemispheres
- Association cortices via the red nucleus provide climbing fiber input from inferior olivary nucleus
Ventrolateral part of dentate nucleus (neodentate) projects via thalamus to: CPPD
- Cingulate & parahippocampal (limbic) cortex
- Posterior parietal cortex and
- Dorsolateral prefrontal cortex,
Ventrolateral loop also have contributions from
Broca’s & Wernicke’s areas
Cognitive deficits caused by damage to cerebellum EVIL2
FD
Deficits in:
- Executive function
- Visual spatial capacities
- Inappropriate behavior
- Language production
- Lowering of intellectual function – may be transient
- Flat affect
- Disinhibited