Neurology - Basic Neuroanatomy and Physiology Flashcards
Blood supply to medial surface cerebral hemisphere
Anterior cerebral aa
Blood supply to lateral 2/3 brain
Middle cerebral aa
What do the central branches of the middle cerebral aa supply/
Corpus striatum
Thalamus
Internal capsule
What does the posterior cerebral aa supply
corpus callosum
occipital and temporal lobes
Which arteries supply the brainstem and cerebellum
Vertebral aa
Basillar aa
Location olfactory nn
Olfactory epithelium
Function CN I
Sensory - smell
Location optic nn
Retinal ganglion
Function CN II
Sensory - vision
Function CN III
Motor - 4/6 extraocc mm + LPS
Visceral - pupil constriction
Function CN IV
SO mm
Location CN III and IV
Midbrain
Function CN V1
Ophthlamic
SUperior 1/3rd sensation
+ cornea
Function CN V2
Maxillary
Middle 1/3rd sensation
Function CN V3
Mandibular
Bottom 1/3rd sensation
Mm mastication
Function CN VI
LR mm
Function CN VII
Motor - facial expression. Visceral glands (SM,SL and lacrimal)
Sensory - ant 2/3 tongue, around ear
Location CN V, VI and VII
Pons
Function - CN VIII
Balance
Hearing
Location CN VIII
Vestibular ganglion
Function - CN IX
Motor - swallow (stylopharyngeus) and parotid gland
Sensory - post 1/3rd tongue
Function CN X
Motor - soft palate, parasymp of trachea, bronchi, digestive tract
Sensory - taste, epiglottis, sensation viscera
Function CN XI
Motor - SCM and trapezius
Location CN XI
SC
FUnction CN XII
Tongue mm
Location CN IX, X + XII
Medulla
Where in the brain does a bulbar palsy occur
LMN of CN 9, 10 + 12
PS bulbar palsy (5)
Tongue - wasting flaccid + fasciculations Dysphagia Poor elevation soft palate Quiet and nasal speech Jaw jerk + gag reflex absent
Causes bulbar palsy (5)
MND Stroke GBS Infective Neoplastic
Where is the brain does a pseudobulbar palsy occur
Bilateral UMN of CN 9,10,12
PS pseudobulbar palsy (5)
Tongue - stiff/spastic, slow movement Dysphagia Normal elevation SP Donald duck speech Incr jaw jerk and normal gag reflex
Cause pseudobulbar palsy (4)
MND
Stroke
MS
Head trauma
Sx frontal lobe lesion (5)
Intellectual impairment Personality changes Incontinence Paralysis Brocas aphasia
Sx temporo-parietal lesion (left)
Agraphia Alexia Acalculia Wernicke's aphasia Contralateral sensory neglect
Sx temporo-parietal lesion (right)
No face recognition
Contralateral sensory neglect
Sx occipital lobe lesion
VF defects
Fct vermis
Midline posture and balance
Fct flocculonodular lobe
eyes movements
Fct cerebellar hemisphere
Control limb movement
O/E Cerebellar lesion
Dysdiadokinesis Ataxia Nystagmus Intention tremor Speech - slurred, staccato Hypotonia/Heel-shin