Unit 14: External Brain Flashcards

1
Q

What are the different histological classifications of the cerebral cortex?

A

Neocortex - makes up majority
Allocortex - more variable layering
Mesocortex - transition between neo and allo

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2
Q

What are the arrangements of the neocortex?

A

Arranged in six layers
Different in cell type and density

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3
Q

What is the following brain areas?
Note just posterior to all highlighted regions is the central sulcus

A

The light blue is the primary motor cortex
The dark blue is the supplementary motor area
The purple is the premotor area

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4
Q

What is the purpose of the parietal association area?

A

Aspects of attention and perceptual awareness

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5
Q

What is the purpose of the frontal lobe association areas?

A

Complex processes like planning, impulse control and self awareness

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6
Q

What are the different types of afferent cranial nerve fibres?

A

GSA - general somatic - sensory info from skin, skeletal muscle and joints
GVA - general visceral - sensory from visceral
SSA - special somatic afferent - sensory from ectodermal retina, cochlear and vestibular apparatus
SVA - special visceral - sensory info from endondermal nose and tongue

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7
Q

What are the different types of cranial nerve efferent fibres?

A

GSE - general somatic - motor to skeletal muscle
GVE - general visceral - secretomotor function to smooth muscles and glands
SVE - special visceral - motor to skeleral muscle of the pharyngeal arches

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8
Q

What is the role of CN1 (olfactory nerve)?

A

Specialised visceral afferent fibres for sense of smell

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9
Q

How does the olfactory nerve exit the skull?

A

Passes through cirbiform plate of ethmoid bone
Olfactory bulb sits deep to it, nerves project through

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10
Q

What is the role of the optic nerve?

A

Special somatic afferent fibres for vision
Afferent limb for pupillary light reflex

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11
Q

What is meant by neuralation?

A

The formation of the neural tube and its development into the spinal cord and the brain.

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12
Q

What is the process of neural tube formation?

A

Beings at day 18.
Embryonic disk has a cranial and cuadal end.
Notochord causes dorsal ectoderm to thicken forming a neural plate, The plate will start to fold forming a neural fold and a neural groove, continues to fold in on itself, forms a neural tube as two folds connect/fuse in the midlines and groove becomes an enclosed circle (the tube). Just before this fusion migratory nerual crest cells are released that acts as progentior cells to contribute to the development of structures throughout the body such as the cardia septa, the meningies and the sympathetic chain ganglia.

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13
Q

What is meant by the cranial and caudal neuropore?

A

Opening of the neural tube at the cranial and caudal end before formation is complete.
Communicate with the amnion.

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14
Q

When does the cranial neuropore form?
What happens next?

A

Day 25
Closes spontaneously
Followed by formation of primary brain vesilces

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15
Q

What are the primary brain vesicles?

A

Form after day 25 when the cranial neurpore closes
Prosencephalon - forebrain
Mesencephalon - midbrain
Rhombencephalon - hindbrain

Note cuadal neuropore is still open

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16
Q

What are the secondary brain vesicles?

A

Forebrain - develops into telencephalon and diencephalon
Midbrain - remains as mesencephalon
Hindbrain - develops into the metencephalon and the myelencephalon.

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17
Q

When does the caudal neural pore close?

A

Day 27
After the formation of the secondary brain vesicles.

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18
Q

What do the secondary brain vesicles become?

A

The telencephalon - becomes the cerebral cortex and he corpus striatum
The diencephalon becomes the thalamus and the hypothalamus
The mesencephalon - becomes the midbrain
The metelencephalon - becomes the cerbellum and the pons
The myelencephalon becomes the medulla.

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19
Q

What can cause different neural tube defects?

A

Failure of neural tube to close properly
Congenital - part of syndomres, chromosomal disorders, environmental exposure, folic acid deficiency/antagonists.

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20
Q

What is anencephaly?

A

Failure of cranial neural pore to spontaneously close
Brain fails to develop
Is incompatible with life.
High alpha-fetoprotein levels and polyhydramnios during pregnancy.

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21
Q

What is spina bifida?

A

The failure of the neural tube to close spontaneously close at the caudal end.
Results in failure or the vertebrae overlying the defect to form properly with vertebral arch remaining open.

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22
Q

What is open spina bifida occulta?

A

An asymptomatic defect caused by failure of the two halves of the vertebral halves to fuse at midline
Often small tuft of hair over site of defect
Spinal cord is not affected
Alpha-fetoprotein is normal

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23
Q

What is spina bifida with menigocele?

A

When meninges protrude through the gap between the two halves of the vertebral arches
Without protrusion of spinal cord
Defect is covered by skin

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24
Q

What is spina bifida with myelomenigocele?

A

When the spinal cord and menigeas protrude through the defect in the vertebrae.
Skin covers the defect
Alpha feto-protein levels increased
Associated with hydrocephalus and Chiari tube malformation.

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25
Label the cranial nerves as they leave the brain
Olfactory Optic Oculomotor Trochlear Trigeminal Abducens Facial Vestibulocochlear Glassopharangeal Vagus Accesory Hypoglossal
26
What are the different sections of CN1?
Olfactory tract - first exit brain Olfactory bulb - sit ontop of cribriform plate Olfactory nerve - travel through the cribiform plate
27
What are the different parts of CN2?
Optic tract - first leaves brain, before chiasm Optic nerve - after chiasm (closer to eyes)
28
Label the different foramina through which cranial nerves leave the skull
Cribiform plate Optic canal Foramen ovale Internal acoustic meatus Jugular foramen Hypoglossal canal Superior orbital fissure Foramen rotundum
29
What is anosmia and what can cause it?
The full or partial loss of smell Can be caused by injury to the cribiform plate.
30
What is the function of CNIII?
General somatic efferent - to extraocular muscles (levator palpebrae superiorib, inferior oblique, sup, mid and inf recti) General visceral efferent - to pupillary constrictor muscles Efferent limb of pupillarly light reflex Pupillary constriction and lens accomodation
31
Through what foramen does CN3 leave the cranium?
The superior orbital fissure
32
Through which foramina does the optic nerve leave the cranium.
The optic canal
33
What is the function of CN4?
General somatic efferent - extraocular superior oblique muscle Depress and abduct the eye.
34
How does CN4 leave the cranium?
Superior orbital fissure
35
What is the function of CN6?
General somatic efferent - lateral rectus muscle - eye abduction
36
How does CN6 leave the cranium?
Superior orbital fissure
37
What is the function of CN5?
Afferent limb of corneal reflex Opthalmic - general somatic afferent - above lower eyelid maxillary - general somatic afferent - lower eyelid to the upper lib Mandibular - general somatic afferent - below upper lip, and special visceral efferent to muscles of mastication
38
What are the three different sensory nuclei of the trigeminal nerve?
Mesencephalic - proprioception Principal - light touch and discrimination Spinal - pain, temp and crude touch
39
How can wetest the motor function of the mandibular nerve?
Jaw jerk - tapping on chin
40
What provides the sensory innervation to different regions of the head/neck?
Green - CN v1 - opthalmic Blue - CNV2 - maxillary Red - CNV3 - mandibular Purple - branches from cervical plexus Organe - posterior rami of cervical spinal cord
41
How does the facial nerve exit the cranium?
Enters the internal acoustic meatus Exit the stylomastoid foramen.
42
How do the divisions of the trigeminal nerve exit the cranium?
Ophthalmic - superior orbital fissure Maxillary - foramen rotundum Mandibular - foramen ovale
43
What is the role of CN7?
GSA - touch, pain and temp to skin behind ear SVA - tase to anterior 2/3 of tongue GVA - parasympathetic to lacrimal gland, submandibular and sublingual gland SVE - muscle of facial expression and posterior auricular for ear wiggle
44
What are the different branches of the facial nerve?
Temporal branches Zygomatic branches Buccal branches Marginal mandibular branches Cervical branches
45
What is the function of the vestibulocochlear nerve?
Special somatic afferent fibres for hearing and muscle Cochlear - auditory senses Vestibular - balance and head position
46
Where does the vestibulocochlear nerve leave the cranium?
The internal acoustic meastus - does not leave skull just travels within
47
What is the role of the glassopharyngeal nerve?
GSA - sensation from posterior 1/4 tongue and pharynx GSE - motor to stylopharyngeus and pharyngeal constrictors. SVA - taste post 1/3 of the tongue GVE - parasympathetic to parotid glands SVE - motor to stylopharyngeus
48
How does the glassopharyngeal nerve leave the cranium?
The jugular foramen
49
What is the function of the vagus nerve?
SVE -Motor - to pharynx, soft palate muscles and larynx GVE - Parasympathetic - smooth muscle of RT and GIT GVA - sensory information from body viscera SVA, - taste to root of tongue and epiglottis GSA - skin around ear
50
What is the function of the accessory nerve?
GSE - trapezius and sternocleidomastoid Note has a cranial root and a spinal root.
51
How does the accessory nerve leave the cranium?
Spinal accessory - leaves through the jugular foramen
52
What is the function of the hypoglossal nerve?
GSE - controlling tongue muscles All extrinsic except palatoglossus therefore - genioglossus, hypoglossues and styloglossus Also innervates intrinsic muscles
53
What would be the consequence of a lesion to the hypoglossal nerve?
Tongue would deviate towards the affected side Speech disturbances
54
What cranial nerves originate from the cerebrum?
CN1 - olfactory CN2 - optic
55
What cranial nerves originate from the midbrain?
CN3 - oculomotor CN4 - trochlear
56
What cranial nerves orignate from the pons?
CN5 - trigeminal
57
What cranial nerves orignate from the pontomedullary junction?
CN6 - abducens CN7 - facial CN8 - vestibulocochlear
58
What cranial nerves originate from the medulla?
CN10 - vagus CN11 - accesory CN12 - hypoglossal Cn9 glassopharyngeal
59
What bone is labelled in image A?
Sphenoid
60
What is a functional consequence of occlusion of the posterior cerebral artery?
Problems with primary visual processing (primary visual cortex)
61
What is a functional consequence of occlusion of the middle cerebral artery?
Problems with speech production Brocas area of frontal lobe
62
What type of haemorrhage is shown on this CT?
Epidural Dura still adhere to brain