Neuroscience Week 4: Cerebellum Flashcards
Overview of the motor system

3 and the cerebellum

Lobes of the Cerebellum
- Anterior Lobe
- Posterior Lobe
- Folliculonodular Lobe

Identify Cerebellum


Identify Cerebellum


Deep Cerebellar Nuclei
4 listed
DONT EAT GREASY FOOD
Dentate
Interposed
- Emboliform
- Globose
Fastigial

The point at which the fourth ventricle passes up into cerebellum is called
Apex
or
Fastigium (the fastigial nucleus is near this area)

The cerebellum is attached to the brainstem by
3 Peduncles
- Superior peduncle
- Middle peduncle
- Inferior peduncle

Identify and composed of?

3 Peduncles

Superior Peduncle is composed primarily of
mainly Efferents
Middle Peduncle is composed primarily of
Afferents
Inferior Peduncle is composed primarily of
Afferents
and
efferents
Dentate axons gives rise to?
Superior peduncle
Identify cerebellar parts


Cerebellar arteries
- Superior Cerebellar artery
- Anterior inferior Cerebellar artery
- Posterior inferior Cerebellar artery

Posterior inferior Cerebellar artery AKA
PICA
PICA AKA
Posterior inferior Cerebellar artery
PICA originates from
Vertebral arteries
Identify arteries


AICA AKA
Anterior inferior cerebellar artery
SCA AKA
Superior cerebellar artery
SCA supplies
anterior lobe and the superior tip of the posterior lobe also parts of the pons **** check first aid *****

PICA Supplies
posterior lobe
inferior cerebellum
**** check first aid *****

AICA originates from
Basilar Artery

SCA originates from
Basilar artery
AICA Supplies
medial anterior and posterior lobes and flocculonodular lobe
parts of the medulla
**** check first aid *****

Cell types of the cerebellar cortex
Outermost layer
Molecular layer
Purkinje cell layer
Granular layer

The most abundant neurons in the brain
Granular layer
Topography of Purkinje projections

Hemisphere Purkinje projections
to Dentate Nucleus
Paravermal or medial hemisphere Purkinje projections
- to emboliform and globose
Interposed nucleus
Vermis Purkinje projections
to fastigial nucleus
Fastigial nucleus recieves Purkinje projections from
Vermis

Interposed Nucleus receives Purkinje projections from
Paravermal or medial hemisphere
Dentate nureceivescieves Purkinje projections from
Lateral hemisphere

Cerebellar somatotopy

vermis and paravermal area AKA
Spinocerebellum

Lateral hemisphere of cerebellum AKA
Cerebrocerebellum

Neocerebellum AKA
Cerebrocerebellum
Flocculus and nodulus AKA
Vestibulocerebellum

Lateral hemispheres of Posterior lobe of cerebellum functions
3 listed
- multi-joint movement of the limbs
- involved in learning and storage of sequential components of skilled movements (learning to play violin)
- Activity in this region and the dentate precedes activity in the motor cortex that commands a movement

Corticalpontine tracts
Primary cortices → pons to synapse on pontine nuclei → decussate and form middle cerebellar peduncle and synapse on cerebellar cortex in the granular cells → purkinje cells project out to dentate → axons from purkinje form superior cerebellar peduncle as the dentacticlethalmic fibers and decussate in the midbrain to the thalamus → to the left motor cortex
so overall decussates 2x and ends ipsilateral to origin

Lateral cerebellar lesions cause
ipsilateral alterations in targets
Ataxia

Lesions here: name area and effect

Lateral hemispheres of cerebellum or pontocerebellum
- Dysmetria
- dysdiadochokinesia
- Movement decomposition
- Action or intention tremor
- Dysarthria
- Cognitive alterations (inattention, memory alterations)

Common causes of Lateral Hemisphere Damage
4 listed
- Infarction (PICA or SCA)
- Hemorrhage
- Tumor
- Multiple Sclerosis

Anterior lobe function
- maintains coordination of limb movements while these are executes
- strongly connected with the spinal cord

Spinocerebellar pathway
Start in lumbosacral spinal cord ascending via dorsal columns in gracilis tract or cuneatus tract to nucleus dorsalis of Clarke (dorsal nucleus) ascend as dorsal spinocerebellar tract in posterolateral spinal cord and synapse in the accessory cuneate nucleus or gracilis nucleus and form the inferior peduncle and synapse in the anterior lobe of the cerebellum in the vermis or paravermis to purkinje cells of vermis or paravermis to the fastigial nucleus and project out via fastigiabulbar fibers via the inferior peduncle and make synapse with vestibular nuclei and connect with medial and lateral vestibulospinal tracts and regulate muscles for stability and equilibrium
- the most paravermal will project to the interposed and out through the superior peduncle to red nucleus to the rubrospinal tracts

Anterior cerebellar lobe damage common causes
- Alcoholism/thiamine (vitamin B1) deficiency
- Spinocerebellar tract demyelination in Vitamin B12 deficiency
Anterior cerebellar lobe damage Symptoms
- Gait ataxia
- lower limb ataxia
- some truncal ataxia

Hereditary Ataxias affect spinocerebellar loop
- Friedreich ataxia
- spinocerebellar ataxias
- ataxia telangectesia

Friedreich Ataxia Etiology
Trinucleotide repeat on chromosome 9
Flocculonodular lobe function
coordination of muscles associated with equilibrium and eye movements
flocculonodular lobe circuitry Vestibulocerebellar tract???
start in vestibular apparatus → vestibular ganglion → cranial nerve 8 → flocul
Vermal and paravermal damage common causes
4th ventricle tumor
MS
Cerebral palsy
Joubert Syndrome

Vermal and paravermal damage Symptoms
- Truncal ataxia (titubation)
- Nystagmus
- Oculomotor disturbances
- Balance alterations
medulloblastomas commonly seen in?
Children

medulloblastomas origin
originates in granular cells of the cerebellum and projects into the 4th ventricle

medulloblastomas Symptoms
reeling of trunk (truncal ataxia) stands on wide base
symptoms of elevated intracranial pressure (NV, Headache, papilledema)

Normal function of cerebellum
- planning movement
- motor coordination
- muscle tone maintenance
- control eye movements
- cognitive computation
Altered function of the cerebellum: planning movement
movement decomposition (asynergia) - initiation delay
Altered function of the cerebellum: Motor coordination
incoordination (terminal dysmetria, intention tremor, dysdiadochokinesia, dysarthria)
Altered function of the cerebellum: Muscle tone maintenance
hypotonia, pendular relfexes
Altered function of the cerebellum: Control of eye movements and equilibrium
- Nystagmus
- defective saccadic and eye pursuit movements
- vertigo
Altered function of the cerebellum: Cognitive computation
Planning, attention, working memory and visual-spatial deficits, blunting of affect disinhibited behavior; dysmetria of thought and emotion
normal and altered cerebellar functions
