Neuroscience Week 6: Cerebral Cortex Flashcards
Describe the cellular organization of the cerebral cortex
- The majority of cortex in mammals has 6 layers (neocortex)
- Distinguished by various staining techniques
by
- specific cell types
- density of cell types
- Pattern of myelination
How do cortical regions cytoarchitectonically?
The cortical surface can be divided into varying regions based upon differing features of cytoarchitectonics alone
Each hemisphere contains ________________ representations of the body and its surroundings (motor and sensory)`
Contralateral
Explain cerebral hemisphere dominance
higher functions such as analytical thinking, language, emotion, spatial orientation and musical abilities are centered in one hemisphere more than the other
The hemisphere that contains the centers for language production and comprehension is called
The dominant hemispheres
Explain hemisphere dominance
Area 4
Primary motor area
Primary Motor Cortex function
- Disproportionate representation of the body
- Large regions: hand, digits, lips and tongue
- Fine movements of the hand and fingers and speech
Lesions of the Primary motor cortex
Weakness of the body part contralateral to the specific area damaged
Identify blood supply
Area 6
Premotor cortex
Premotor and Supplementary motor function
Programming or organizing of the postural adjustments necessary to perform a skilled movement
Premotor and Supplementary motor stimulation
Damage to the Supplementary motor cortex often results in
Motor apraxia
Motor Apraxia description
Inability to perform purposive movement even though no paralysis exists
Damage to the _________________ often results in motor apraxia
Supplementary motor cortex
How do you test for motor apraxia?
by asking the patient to do complex tasks, using commands such as “Pretend to comb your hair” or “Pretend to strike a match and blow it out” and so on. Patients with apraxia perform awkward movements that only minimally resemble those requested, despite having intact comprehension and an otherwise normal motor exam. This kind of apraxia is sometimes called ideomotor apraxia. In some patients, rather than affecting the distal extremities, apraxia can involve primarily the mouth and face, or movements of the whole body, such as walking or turning around.
Areas 44/45
Broca’s Area
Broca’s Area Function
Motor or expressive speech center: motor programs for the production of words and projections to muscles used in articulation
Lesions of Broca’s area lead to
expressive or motor aphasia
Lesions of _____________ lead to expressive or motor aphasia
Broca’s area
Expressive or motor aphasia description
characterized as nonfluent because of the slow, prolonged output of words, poor articulation and short sentences containing only the necessary verbs, nouns and pronouns
Lesions limited to Broca’s area aphasia will be
mild and transient
lesions to Broca’s area that also includes the adjacent frontal cortex and white matter tracts will be
Severe: result in mutism and frequently agraphia
Agraphia
Agraphia is an acquired neurological disorder causing a loss in the ability to communicate through writing, either due to some form of motor dysfunction or an inability to spell.
Areas 1, 2 and 3
Somatosensory cortex
Somatosensory cortex function
Somatotopic representation of sensory input (sensory homunculus)
Somatosensory cortex stimulation results in
sharply localized contralateral sensation
Somatosensory cortex lesion
loss of tactile discrimination and proprioception on the contralateral side
________________ shows an incredible amount of plascticity as shown by remapping after a crush injury or amputation
Somatosensory cortex
Somatosensory cortex neuroplastic?
Yes the sensory cortex shows an incredible amount of plasticity as shown by remapping after a crush injury or amputation
Theory of phantom limb sensation
Areas 5, 7, 39 and 40
Parietal Association area
Parietal Association Area function
orderly or sequential performance of tasks (especially hands)
Parietal Association Area stimulation results in?
sharply localized contralateral sensation
Lesions of the parietal association area in the dominant hemisphere lead to
Astereognosis (tactile agnosia)
tactile agnosia
Tactile agnosia is characterized by the lack of ability to recognize objects through touch. The weight and texture of an object may be perceived, but the person can neither describe it by name nor comprehend its significance or meaning. Tactile agnosia is caused by lesions in the brain’s parietal association area
Astereognosis AKA
Tactile agnosia
Astereognosis description
(or tactile agnosia if only one hand is affected) is the inability to identify an object by active touch of the hands without other sensory input, such as visual or sensory information.
Lesions to the parietal association area on the non-dominant hemisphere lead to
neglect syndrome
Neglect syndrome is caused by?
lesions to the parietal association area on the non-dominant hemisphere
Neglect syndrome description
Such individuals with right-sided brain damage often fail to be aware of objects to their left, demonstrating neglect of leftward items.
The deficit may be so profound that patients are unaware of large objects, even people, towards their neglected or contralesional side - the side of space opposite brain damage. They may eat from only one side of a plate, write on one side of a page, shave or make-up only the non-neglected or ipsilesional side of their face (same side as brain damage). Their drawings may fail to include items towards the neglected side, for example when placing the numbers in a drawing of a clock (Fig.1). Many patients are often also unaware they have a deficit (anosognosia).
Area 41
Primary auditory cortex
Area 42
Secondary auditory cortex