Organization and Control of Neural Function Flashcards

1
Q

What is the motor control system? Briefly explain.

A

It may be defined as an area of natural science exploring how the central nervous system (CNS) produces purposeful, coordinated movements in its interaction with the rest of the body and with the environment.

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2
Q

What are the components of motor pathways?

A

The cerebral cortex is the highest level of skilled and intentional motor and speech functions.

Different brain areas control specific anatomic sites.

Descending nerve tracts carry muscle and motor messages from the cerebral cortex to cranial and peripheral nerves.

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3
Q

What is Neuromuscular Junction?

A

Neuromuscular Junction is a connector between a motor neuron and skeletal muscle fiber.

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4
Q

How does Neuromuscular Junction work?

A

Motor neurons release acetylcholine at the site of the neuromuscular junction.

This acetylcholine crosses the synaptic space to make contact with acetylcholine receptors.

The receptors are found in the end plate of muscle fiber.

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5
Q

With the basal ganglia, the descending nerve tract transmits…

A

Impulses from the brain cortex to cranial and peripheral nerves to produce motor and muscle activity.

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6
Q

Normal Basal Ganglia activity is essential for _______ movement?

A

Voluntary

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7
Q

Normal Basal Ganglia lead to what?

A

Involuntary movements

Altered muscle tone

Posture abnormalities

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8
Q

What is Parkinson’s disease?

A

A disorder of the central nervous system that affects movement, often including tremors.

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9
Q

What are some explanations to Parkinson’s disease?

A

Unknown cause

Low dopamine level in basal ganglia

Excessive action of acetylcholine

Disease is progressive

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10
Q

What is Parkinsonism?

A

It has the same clinical manifestations as Parkinson’s disease and is due to trauma, infection, or toxicity in the brain.

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11
Q

What are some examples of Parkinsonism?

A

Some examples include:
-Drug-induced Parkinsonism
-Vascular Parkinsonism

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12
Q

What are some clinical manifestations of Parkinson’s Disease?

A

Classic Triad (unilateral –> bilateral):
-Akinesia
-Rigidity - cogwheel movement
-Resting tremors

Associated manifestations:
-Speech impediments
-30-50% develop dementia
-Propulsive gait
-Drooling
-Lack of facial expressions

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13
Q

How can Guillain Barre Syndrome be described?

A

Acute inflammation of peripheral and cranial nerves.

Unknown etiology but possibly viral or autoimmune origin.

Most common cause of acute flaccid paralysis:
-History of viral infection especially mononucleosis.
-History of recent influenza vaccine.

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14
Q

What are some clinical manifestations of Guillain Barre Syndrome?

A

Back and leg pain progressing to weakness.

Decreased DTR

Decreased velocity of nerve conduction.

Paralysis from most distal body area to body center

Chest muscle paralysis

Note: With advanced care, recovery is likely! ***

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15
Q

What is Multiple Sclerosis (MS)?

A

An autoimmune attack on myelin sheath in the brain, spinal cord, and optic nerves.

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16
Q

What is myelin sheath?

A

A high fat content covering for nerve fibers. It increases velocity of nerve impulses.

17
Q

What is demyelination?

A

It disturbs neuron impulse conduction with numerous sensory, cerebellar, and motor deficits.

18
Q

What are some sensory components of Multiple Sclerosis?

A

Numbness

Anesthesia

Paresthesia

Pain

Deafness

Decreased temp

19
Q

What are some motor components of Multiple Sclerosis?

A

Paralysis

Paresis

Foot dragging

Spasticity

Bowel and bladder dysfunction

20
Q

What are some cerebellar components of Multiple Sclerosis?

A

Ataxia

Imbalance

Uncoordinated

Speech disturbances

Tremors

Vertigo

Optic nerve dysfunction