Spinal Cord, Brain Control of Movement, and Motor Disorders Flashcards

1
Q

Multiple sclerosis (MS) is caused by _______, which in turn _______

A
  • the loss of myelin (oligodendrocytes) in the nervous system
  • slows the conduction of action potentials
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2
Q

Where do MS plaques tend to form? (3)

A

Axons that course near the surface of the lateral ventricles, in the floor of the 4th ventricle, or near the pial surfaces of the brainstem or spinal cord

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3
Q

Which cranial nerve(s) is affected by MS?

A

CNII: Optic nerve

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4
Q

In patients with MS, CSF contains elevated _____ and _____

A
  • Gamma globulin
  • T-lymphocytes
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5
Q

Guillain-Barré syndrome (GBS) is caused by?

A

Acute inflammatory reaction of myelin formed by Schwann cells in the PNS, typically following a respiratory or gastrointestinal illness

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6
Q

In GBS, ____ axons are always affected and _____ axons are rarely or never affected.

A
  • Motor always affected
  • Sensory never affected
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7
Q

How many subtypes of GBS are there?

A
  1. Acute inflammatory demyelinating polyneuropathy
  2. Miller Fisher syndrome
  3. Acute motor axonal neuropathy
  4. Acute motor-sensory axonal neuropathy
  5. Acute panautonomic neuropathy
  6. Bickerstaff’s brainstem encephalitis

***For exam, don’t need to know names, just know there are 6***

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8
Q

Label the following aspects of the basal ganglia:

Internal capsule, Subthalamic nucleus, Caudate nucleus tale and body, Putamen, Thalamus, Substantia nigra, Globus palidus internal and external segments, Red nucleus, Cerebral peduncle

A
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9
Q

List the cranial nerves and functions.

***Pneumonic included on other side :)

A

Names:

  1. Oh - Olfactory
  2. Oh - Optic
  3. Oh - Oculomotor
  4. To - Trochlear
  5. Touch - Trigeminal
  6. And - Abducens
  7. Feel - Facial
  8. Very - Vestibulocochlear
  9. Good - Glossopharyngeal
  10. Vagina - Vagus
  11. Ah - Accessory
  12. Heaven - Hypoglossal

Functions:

  1. Some - Sensory
  2. Say - Sensory
  3. Marry - Motor
  4. Money - Motor
  5. But - Both
  6. My - Motor
  7. Brother - Both
  8. Says - Sensory
  9. Big - Both
  10. Boobs - Both
  11. Matter - Motor
  12. Most - Motor
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10
Q

How many pairs of spinal nerves are there?

A

31 pairs

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11
Q

A typical spinal nerve contains 3 kinds of nerve fibers:

A
  1. Pseudounipolar sensory neurons
  2. Somatic pultipolar motor neurons
  3. Autonomic multipolar motor neruson
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12
Q

The cervical enlargement contains neurons that innervate ______

A

Upper limbs

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13
Q

The lumbar enlargement contains neurons that innervate _____

A

lower limbs

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14
Q

What is the conus medullaris?

A

The tapering end of the spinal cord that gives rise to the cauda equina

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15
Q

The conus medullaris is located at _____ in adults and _____ in children

A

Adults: L1

Children: L2

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16
Q

In the spinal cord the dorsal horn is primarily composed of ____ neurons and the ventral horn is composed of _____ neurons

A

Dorsal horn: sensory

Ventral horn: motor

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17
Q

As a general rule, spino- refers to a _____ tract and spinal- refers to a _____ tract.

A

Spino- = sensory

Spinal- = motor

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18
Q

What is the function of the pyramidal system?

A

Non-postural precise movements of small muscles involved in skilful activity

Voluntary control

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19
Q

True or false. The pyramidal system is only present in mammals and achieving its greatest development in man.

A

True

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20
Q

What is the function of the extrapyramidal system?

A

Gross postural (stereotyped) movements involving large groups of muscles

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21
Q

What would be the result of a lesion to the extrapyramidal system?

A

Increased muscle tone (spasticity)

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22
Q

What is the function of first-order neurons in sensory tracts

A
  • Deliver sensation to the CNS from
  • Cell bodies in dorsal or cranial root ganglion
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23
Q

What is the function of second-order neurons in sensory tracts?

A
  • Interneuron that synapses with 1st order neuron
  • Cell body in spinal cord or brain
  • Decussation
24
Q

What is the function of third-order neurons in sensory tracts?

A
  • Transmit information from the thalamus to cerebral cortex
  • Synapses with second-order neuron
25
What is the function of first-order neurons in motor tracts?
* Conduct impulses from cortex to spinal cord or brain stem
26
What is the function of second-order neurons in motor tracts?
* Interneuron * Synapses with first-order neuron * Decussation
27
What is the function of third-order neurons in motor tracts?
* Exit spinal nerve to supply muscle * Cell bodies in ventral horn of the spinal cord
28
The corticospinal tract arises from \_\_\_\_\_\_\_
Long axons of pyramidal cells in the precentral gyrus
29
Where does decussation occur in the lateral corticospinal tract?
Rostral medulla
30
Where does decussation occur in the rubrospinal tract?
Midbrain | (ventral tegmental decussation)
31
What is the function of the lateral corticospinal tract?
Controls distal limb E.g. fingers for skill movement
32
What is the function of the anterior corticospinal tract?
Control posture and axial & proximal muscles for walking
33
What is the function of the vestibulospinal tract?
Processing afferent signals from the semicircular canal system of the inner ear
34
What is the function of the rubrospinal tract?
Indirectly carries regulatory signals from the cerebrum and cerebellum to inhibit extensor and promote flexor muscle activity
35
What is the function of the reticulospinal tract?
Provides regulatory impulses to the spinal reflex centers and voluntary movement
36
What is the function of the tectospinal tract?
Responsible for responding to visual stimuli e.g. jumping away from an object that unexpectedly moves or is perceived as hazardous at the time
37
What are the three major sensory tracts?
1. Posterior column tract 2. Spinothalamic tract 3. Spinocerebellar tract
38
What is the function of the lateral spinothalamic tract?
Carries pain and thermal stimuli
39
What is the function of the ventral spinothalamic tract?
Pressure and crude touch sesnations
40
What is the function of the dorsal column?
1. Vibration sensation 2. Proprioception 3. Two-point discrimination
41
What is the function of the spinocerebellar tracts (anterior and posterior) and cuneocerebellar tract?
Conduct unconscious stimuli for proprioception in joints and muscles
42
What is the function of the spinotectal tract?
Accessory pathway for tactile, painful, and thermal stimuli to reach the midbrain
43
What is the function of the spinoreticular tract?
Integrates stimuli from muscles and joints into the reticular formation
44
What is the function of the spino-olivary tract?
Accessory pathway that carries additional information to the cerebellum
45
Voluntary contraction of skeletal muscle requires an interaction between a ______ and \_\_\_\_\_\_.
* Upper motor neuron (UMN) * Lower motor neuron (LMN)
46
Where are lower motor neuron cell bodies located?
Ventral horn
47
In the ventral horn, motor neurons controlling flexors lie ____ to extensors
dorsal
48
In the ventral horn, motor neurons controlling axial muscles lie ____ to those controlling distal muscles
Medial
49
A motor neuron pool refers to what?
ALl the motor neurons that innervate a single muscle
50
What is the ratio of muscle fibers to motor neurons in the eye muscles?
1:1
51
What is the ratio of muscle fibers to motor neurons in the hamstrings?
300:1
52
Proprioceptive neurons respond to \_\_\_\_
Angle, direction, and velocity movement in a joint
53
What is the difference between extrafusal and intrafusal fibers?
Extrafusal: innervated by alpha and beta motor neurons Intrafusal: innervated by gamma and beta motor neurons
54
What is a myotatic reflex?
Stretch reflex: when a muscle is pulled it has a tendency to pull back E.g. knee-jerk reflex
55
True or false. Human brains are fully myelinated at birth.
False. This is true for most other animals. Human brains are not fully myelinated until 15 months
56
What are signs of upper motor neuron lesions?
1. Weakness 2. Increased reflexive response 3. Increased tone
57
What are signs of lower motor neuron lesions?
1. Weakness 2. Atrophy 3. Fasciculations (twitching) 4. Decreased reflexes 5. Decreased tone