S34 cerebral cortex Flashcards
SMA syndrome
three stages:
global akinesia that was worse contrallaterally, with arrest of speech immediately posteratively
- sudden recovery few days later with persistent reduction in contralateral motor activity, emotional facial palsy, and reduction in spontaneous speech
- subtle disturbance involving alternating hand movements
primary sensory cortex
somatic sensation
hearing
vision
vestibular
gustatory
olfactory
secondary somatosensory area
immediately posterior to the primary sensory cortex
larger receptive fields compared to the primary sensory Cortex
responde to touch, pressure, pain, and limb position from BOTH SIDES OF THE BODY
Somatotopic Organization
Lesions of the secondary somatosensory area
impairment of tactile discrimination, deficits in 2-point discrimination, precise localization, position sense, stereognosis
primary and secondary auditory areas
receive auditory information from the geniculate nucleus
binaural (but more contralateral)
pure word deafness
bilateral lesions (or unilateral left-side lesions)
disconnects auditory association (respond only to auditory stimuli, retention of auditory info) from wernicke’s area
cannot understand or repeat spoken words, but they respond appropriately to sounds and understand written language
Lateral geniculate nucleus
receives information in a retinotopic pattern representing the contralateral visual field
Neurons of LGN form the
geniculocalcarine tract (optic radiations)
projecting to Primary visual cortex of the occipital lobes
the cuneus
receives impulses from the Upper quadrant of ipsilateral side of both retinas
corresponds to Lower quadrant of contralateral visual field
Lingual gyrus
receives impulses from the lower quadrant of ipsilateral side of both RETINAS
Corresponds to UPPER QUADRANT of CONTRALATERAL Visual Field
Cortical blindness
pupillary light reflexes remain intact, but no useful vision
results from complete bilateral destruction of striate cortex
Anton’s syndrome:
- patients with cortical blindness who claim that they can see
visual association areas
respond to complex aspects of visual stimuli such as form, motion, color, speed and direction
Visual association area lesion
can result in discrete deficits in naming of visual stimuli affecting some categories but not others.
primary taste area
brodmann’s area 43- receives input from ventoposteromedial (VPM) nucleus
two major heteromodal association
temporoparietal areas
prefrontal areas
temporoparietal association area
receives input from auditory, somatosensory, visual, and olfactory area
input and output to paralimbic cortex
affected by motivation and reward
heavily connected with the following thalamic nuclei: medial part of the pulvinar nucleus and lateral posterior nucleus
Infarction of internal capsule most frequently results from occlusion of the
lenticulostraite branches of the middle cerebral artery