Session 8 - Lecture 1: Higher Cortical Function Flashcards
What are the main inputs of the cerebral cortex?
Thalamus and other cortical areas.
What are the main outputs of the cerebral cortex?
Pyramidal cells and other widespread areas.
What are the main functions of the frontal lobe?
Motor, expression of speech (usually left hemisphere), behavioural regulation, cognition, eye movement and continence.
What are the main functions of the parietal lobes?
Sensory, comprehension of speech (usually left hemisphere), body image (usually right), awareness of external environment, calculation and writing, visual pathways projecting through white matter.
What are the main functions of the temporal lobes?
Hearing, olfaction, memory, emotion and visual pathways projecting through white matter.
What is usually the function of the left cerebral hemisphere?
Sequential processing, language, mathematics and logic. Left hemisphere is dominant in 95% of the population.
What is usually the function of the right cerebral hemisphere?
Whole picture processing, body image, visuospatial awareness, emotion and music.
Describe the location of lesion for hemispatial neglect.
Lesions of parietal lobe, i.e. on right side will lead to the left side of images being ignored.
Describe the corpus callous, its function and its significance in alien hand syndrome.
Huge bundle of white matter connecting the two hemispheres. A lesion here will lead to alien hand syndrome as there will be no communication between the two cerebral hemispheres.
Where is the location and function of Broca’s area?
Inferior, lateral frontal lobe. Involved in the production of speech.
Where is the location and function of Wernicke’s area?
Superior temporal lobe. Involved in the interpretation of language.
Describe the pathway for repeating a heard word
Ear –> primary auditory cortex –> Wernicke’s area –> arcuate fasciculus (white matter connecting two areas) –> Broca’s area –> face of motor homunculus, drives muscles necessary for speech.
Describe the pathway for speaking a thought.
Cortical areas of the brain –> Wernicke’s area –> arcuate fasciculus –> Broca’s area –> face of motor homunculus.
Describe the pathway for speaking a written word.
Eyes –> primary visual cortex –> Wernicke’s area –> arcuate fasciculus –> Broca’s area –> face of motor homunculus.
Describe Wernicke’s aphasia.
Patient can produce fluent speech as Broca’s area is intact. Patient will not understand what person is saying.