Neuroanatomy Flashcards
Cranial nerves originating in Medulla
& consequential Medulla pathology presentation
- Glossopharyngeal (9), Vagus (10), Hypoglossal (12), Spinal Accessory (11)
- Ataxic, disrupted breathing, irregular heartbeats
Cranial nerves originating in Pons
& consequential Pons pathology presentation
- Trigem (5), Abducens (6), Facial (7), Vestibulocochlear (8-partially in medulla)
- Loss of facial sensation, medial eye deviation, facial muscle weakness, ipsilateral hearing/balance issues
Cranial nerves originating in Midbrain
& consequential Midbrain pathology presentation
- Oculomotor (3), Trochlear (4)
- Dilated pupil, restricted eye movements, coma
Precentral gyrus
Somatosensory
Postcentral gyrus
Motor
Superior parietal lobule lesion
Apraxia–inability to bring limb under sensory or cognitive control
Inferior parietal lobule lesion
- Dominant hemisphere=Wernicke’s
- Nondominant hemisphere= contralateral hemineglect
Heschel’s gyrus
- In temporal lobe
- Bilateral damage produces an inability to identify sounds
Inferior frontal gyrus
- Dominant hemisphere=Broca’s area
- If damaged=inability to generate fluent speech, but can understand completely
Prefrontal cortex
- Personality, planning and sequencing of complex tasks
- Damage can lead to personality changes
Anterior Spinal Artery Stroke
- Affects ventral 2/3 of SC and the medial medulla
- Branch in SC: paralysis, loss of pain and temp sense below the occlusion
- Branch in medulla: contralateral sensory loss and paresis, ipsilateral tongue paralysis
PICA Stroke
- Affects dorsolateral medulla/pons, medial cerebellum, and cerebellar cortex
- Wallenberg’s syndrome: vertigo, loss of balance, ipsilateral cerebellar signs, loss of facial pain sensation, hoarsness
AICA Stroke
- Affects inferior surface of cerebellar cortex, dorsolateral pons
- Ipsilateral cerebellar signs, facial paralysis, ipsilateral hearing loss, loss of pain and temperature over face ipsilaterally
Basilar branches stroke
- Affects pons, anterior midbrain (crus cerebri)
- Paralysis and loss of sensation in the face, body and limbs; can affect eye movements, diplopia
Superior cerebellar stroke
- Affects superior surface of cerebellum, dorsolateral corner of rostral pons
- Ipsilateral cerebellar signs, contralateral pain and temp loss, Horner’s