Week 11 Flashcards

1
Q

Frontal Cortex

A
• Posterior → motor areas
• Anterior → association
area – prefrontal cortex
(PFC)
• Important subregions
• Lateral PFC (lPFC) dorsal
and ventral portions (dlPFC,
vlPFC)
• Frontal pole (FP)
• Orbitofrontal cortex (OFC) –
ventromedial
• Medial frontal cortex (MFC)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Prefrontal Cortex

A
• Massively connected – links
motor, perceptual, and limbic
• Large input from thalamus –
connects PFC with BG, CB,
brainstem nuclei
• Almost all cortical and
subcortical areas influence PFC
either directly or by only a
synapse or 2
• Many projections to
contralateral hemisphere
• Many connections bidirectional
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Prefrontal Cortex – Sensory Input

A
Dorsal - motor and
executive control
functions for which
spatial information is
important
Ventral – mediate
emotional responses to
things in the environment –
emotional significance first
requires recognition
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Prefrontal Cortex – Motor Control

A
• Emotional and cognitive
processes exert control
over behaviour
• Serial/functional
hierarchy
• vmPFC/OFC (emotional
processes) to dlPFC
(cognitive control) to
motor
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Prefrontal Cortex – Emotional

A
• vmPFC/OFC
• Closely connected with
limbic structures, especially
amygdala
• Influence cognition and
directly influence ANS
• Drives, motivation, valence,
and the assessment of the
emotional significance of
sensory stimuli
• Part of a system encoding
emotions and emotional
responses
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Prefrontal Cortex

A
• PFC half of FL in humans
• Human PFC expansion – more
about white matter than grey
matter
• Connections!
• PFC matures late in development
• Not fully developed until mid 20’s !!
• Grey matter peaks earlier
• White matter later
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

PFC Myelination

A
• Higher cog functions (language,
intelligence, and reasoning) heavily
rely on intracortical and
corticocortical connectivity
• Do not reach full maturity until mid
20’s
• Corticocortical axons that develop
most between childhood and
adulthood are those that run from
PFC to posterior association cortex
• Those axons are part of the top–
down frontal efferent pathways
critically involved in cognitive
control
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Dysfunction - Phineas Gage

A
• 1848, Phineas Gage working as a
foreman when an accident shot a
steel rod through the front of his
skull
• Survived and reportedly got to his
feet and walked away
• “I did not believe Mr. Gage's
statement at that time ... Mr. Gage
persisted in saying that the bar
went through his head ... He got
up and vomited; the effort of
vomiting pressed out about half a
teacupful of the brain [through the
exit hole at the top of the skull],
which fell upon the floor”• Significant part of his left frontal lobe
destroyed
• Dramatic personality shift but memory
and general intelligence seemed
unimpaired after the accident
• Social problems - now fitful, irreverent,
and grossly profane, showing little
deference for his fellows.
• He was also impatient and obstinate, yet
capricious and vacillating, unable to settle
on any of the plans he devised for future
action.
• His friends said he was “no longer Gage."
• Most serious mental changes were
temporary
• Became far more functional, and
socially far better adapted
• A social recovery hypothesis suggests
that Gage's work as a stagecoach driver
in Chile fostered this recovery by
providing daily structure which allowed
him to regain lost social and personal
skills.
• 1860, he began to have epileptic
seizures and died a few months later
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Dysfunction - Frontal Lobotomy

A
• Treatment of psychiatric
disorders 1930’s to
1950’s (pre drugs)
• Moniz pioneered based
on reported effects of
frontal lobectomy in
chimps (won Nobel in
1949)
• Isolate PFC rather than
remove – connections!!
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Frontal Lobotomy

A
Transorbital sectioning
• Electroshock anaesthesia
• Icepick tapped through top of the
orbit
• Insert 5cm into brain and “wiggle”
Leucotome
• Insert 6 times with cutting wire
retracted
• Extrude cutting wire and rotate
• Cut out a core of tissue
• Anecdotal reports – patients were
‘stimulus-bound’:
• Reacted to whatever was in front of
them and did not respond to
imaginary situations, rules, or plans for
the future.
• Some gained significant weight, and /
or became sexually promiscuous
• Could not form / sustain goals
• Distracted by circumstances
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Dysfunction - Frontal Astrocytoma

A

• Patient W.R - the man who had “lost his ego”
• Life changed after he earned his law degree - over 10
years from graduation:
• Had not taken the bar exam 4 years after graduation, or
even looked for a job
• No motivation
• Worked as instructor in a tennis club
• Family described him as ‘drifting’
• Poor state financially, borrowing from brother
• Eventually gave up tennis: became demotivated and
nonchalant during matches, not keeping score
• Lost interest in romantic pursuits

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Frontal Astrocytoma

A

• Suffered a seizure in his last year of college
• No identifiable cause (on PET or CT) at the time
• CT re-done:
• Extremely large astrocytoma
• Traversing along the callosal fibres, invading extensively the lateral
prefrontal cortex in the left hemisphere, and considerably in the
right
• Poor prognosis: death within ~1 year
• Response of W.R.: passive, detached, no rage, minimal
anguish, general absence of concern

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Dysfunction - FTD

A

• Frontotemporal dementia or “Pick’s Disease”
• In 1892, Arnold Pick described a man who had presented in
life with progressive loss of speech and dementia.
• When the patient died his brain was found to be atrophied.
• This shrinkage had been caused by brain cells dying in
localized areas.
• This feature of localization is very different to Alzheimer’s
disease where the atrophy is more generalized.
Atrophy of frontal
lobes and anterior
temporal lobes
‘knife-edging’ – thinning
of the gyri from
neurodegeneration
Atrophy with
ventricular dilation
Swollen neurons with
abnormal tau protein
inclusions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Frontotemporal Dementia (FTD)

A

Abnormal spontaneous behaviours during examination
• Inappropriate jocularity
• Echolalia (repeating the examiner’s words), echopraxia
(repeating the examiner’s gestures)
• Disinhibited approach or utilization behaviours
• Unkempt, depressed in early stages
During the first 2 years - “classic” frontal lobe syndromes:
• orbitofrontal dysfunction: aggressive and social
inappropriateness (may steal or demonstrate obsessive or
repetitive stereotyped behaviours), apathy and disinhibition
• dorsomedial or dorsolateral dysfunction: lack of concern,
apathy, or decreased spontaneity.
Speech and language
• Abnormalities often begin early and progress fast
• Memory impairment relatively less severe than
speech/language and behavioural changes
• Verbal output that is often nonfluent, with poor naming
of objects
Movement disorders
• Akinesia, plastic rigidity, or paratonia (involuntary
resistance) on motor examination
Perseveration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Frontal Lobe Dysfunction

A

• FL patients often seem ok – no obvious perceptual,
motor, speech, intelligence, knowledge, LT memory
problems
• Unless damage bilateral and extensive
• Apathetic, distractible, impulsive
• Trouble making decisions, planning actions,
understanding consequences of actions, following
rules
• Trouble organising and segregating timing of events in
memory and remembering sources of memories
• Loss of goal oriented behaviour –stimulus driven –
reflexive behaviour that can’t inhibit
• Poor social control, inappropriateness, irritability,
aggression
• Deficits vary with location – different regions of PFC
subserve different processes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Prefrontal Cortex Functions

A

• Executive control - use perception, knowledge and goals to
bias selection of action and thoughts from many possible
• Supervisory functions so that we are
• Not just driven by emotion
• Not just driven by stimuli
• Planning and selection of goals
• Working memory, inhibition, control, interacting with the
environment
• Social and emotional decision-making

17
Q

Working Memory

A

Baddeley and Hitch 1974
• Unitary short-term memory concept not enough to
explain how information is maintained and worked
on over short periods
• Limited capacity over the short term
• Performing mental operations (NOT rehearsal) on
contents of store
Working memory:
• Transient representation of task relevant info
• Interface between perception, LT memory, and action
• “Desktop of the mind”
• Enables goal oriented behaviour and decision making
• Keeps task relevant info active and manipulate it to achieve goals
• Lateral PFC – interface between current perceptual info and stored
knowledge

18
Q

Delayed Response Task

A
• Food in one of 2 wells
(perception)
• Cover wells and lower curtain
• After delay raise curtain
• Monkey chooses well for food
• WM – must continue to
represent location of food
• Lesion latPFC – do poorly
• Lesion latPFC – do poorly
• Not general association
problem though
• Associate particular cue with
food – lesioned monkeys ok
with this
Human version – Piaget’s Object Permanence test
• Child observes experimenter hiding reward in one of
two locations
• Few seconds delay then encouraged to find the reward
• Children <1 fail
• Success parallels development of FL
19
Q

Lateral PFC and WM

A

• Spatial vs working memory task (fMRI McCarthy et al 1994)
• Spatial WM task: respond when a stimulus appears at a
location that has been used previously
• Control colour task: respond when a red object appears
• Enhanced lateral PFC activation during the WM task

20
Q

Lateral PFC and WM
Hypothesis – lateral PFC activation reflects a
representation of the task goal and interfaces with task
relevant LT representations elsewhere

A
• fMRI study – encode faces / delay / retrieve
• Intact and scrambled faces – remember only faces –
vary number
• Probe after delay – does it match one of the learned
• Bilateral lPFC rises with
encoding and sensitive to
demands
• Sustained response during delay
- greater for 3 or 4 than 1 or 2
• Compare lPFC with FFA – FFA
drops during delay (but not to
baseline; lPFC sustains;
encoding – FFA leads lPFC but
retrieval lPFC leads FFA
21
Q

WM and Concept Formation

A
Wisconsin Card Sorting Test (WCST)
• Concept formation
• Concept shifting
• Concept perseveration
Combine info from present and recent past, manipulate it
and come up with a new response
Match the new card to one of the groups
Feedback – correct or incorrect
COLOUR?
NUMBER?
SHAPE?
22
Q

WCST

A

Rule – colour, shape, or number
• Concept formation – guess a rule
• Concept shifting – change rule if incorrect
• Concept perseveration – keep the rule if it works
Then – experimenter changes the rule without saying
anything
• Normal performance – find the category and shift when
conditions change
• Impaired – inability to find the category and/or inability to shift or
switch
• Perseveration with same category even after changed conditions (e.g.
FTD)
• Information must be integrated with information that was
relevant in previous trials (what the category was, what the E
said)
• S must retain knowledge about the relevance of features, and
manipulate this information on-line

23
Q

WCST – Task Switching

A

Computerised WCST (Konishi et al. 1998)
• Function of PFC - inhibit dimension that is not relevant
• Isolating shift-related signals using fMRI
• Transient activation of the posterior part of the bilateral inferior frontal sulci
• Activation larger as the number of dimensions (relevant stimulus attributes that had to be recognized) were increased
• Suggest the inferior frontal areas play an essential role in the flexible shifting of cognitive sets
Inferior frontal sulci in
both hemispheres

24
Q

Decision Making

A

• Brain is a decision making device - perceptual, memory, and motor capabilities to
support decisions that determine actions
• Decisions simple (get up or not) to complex (who to vote for)
• Why do people make apparently irrational decisions?
• Considering evolution – should decide to not eat sweet, fatty pastry, and do some
exercise but evolution (survive)– maximise calorie intake and conserve energy
• Irrational in present context may not be irrational in the enviro brains evolved in
• Reach decisions in different ways – action outcome or stimulus-response
• Action-outcome – evaluation of expected outcomes – repeat and consistently get
same outcome, decision may become habitual – stimulus-response

25
Decision Making - Value
• Economic models of decision making – first compute value of options and compare • Primary reinforcers – food, water, sex – direct survival benefit – value hardwired but with some flexibility • Secondary reinforcers – money, status – no intrinsic value but association with other forms of reinforcement • Factors in representation of value • Payoff – kind and amount • Probability • Cost (including temporal discounting) • Context – internal or external state, novelty • Preference • Subjective value can be different person to person and hour to hour
26
Representation of Value
Monkeys – electrodes in ACC, lPFC, OFC – reward but manipulate cost, prob, payoff • Choose between 2 pictures – each associated with specific value (juice) • Vary value along one dimension while holding the other 2 fixed • ACC – many cells that responded to all 3 – suggest overall measure of value • If only 1 dimensions – usually payoff or prob • If respond to cost, then usually something else also
27
Representation of Value Human fMRI - look at regions preferentially activated by different value dimensions
• OFC – activation tied to variation in payoff • Striatum – related to effort (cost) • lPFC – probability • mPFC (and lateral parietal) activity correlated with delay b/w action and payoff
28
Representation of Value | What happens with high short term value but adverse long term value?
• vmPFC (incl OFC) activity correlated with taste preference independent of health • dlPFC associated with degree of control – more activity if preferred but unhealthy item rejected than if same item selected • Hypothesis – vmPFC forecasts short term value, dlPFC evolved later to modulate primary value signals to incorporate longer term considerations • OFC key in value while more lateral modulate control on value representations or actions associated with them
29
Decision Making - Reward
• Subcortical areas represent reward info – dorsal and ventral striatum, HT, amygdala, lat habenula • A lot of work on dopamine – but interplay of many NTs • Dopaminergic cells in midbrain – SN and ventral tegmentum (VTA) • SN project to dorsal striatum (BG and motor circuits) • VTA project 2 pathways • mesolimbic (emotional) – nucleus accumbens (vent striatum), amygdala, hippocampus, ACC • mesocortical – medial FL Dopamine (DA) and reward – Olds and Milner (1954) • Rats with implanted electrodes – can push a lever at will to activate • Some pressed rarely, some constantly • High activity – electrodes activating dopaminergic pathways (recall – PD and l-DOPA and side effects) • More recent – DA activation not related to size of reward but to expectancy of reward – especially active when reward unexpected – role in reinforcement and decision making
30
Dopamine and Prediction Error
``` • Shultz et al. – classical conditioning with monkeys and recording from dopaminergic neurons in VTA • Light (CS) followed by juice (US) • Early training – burst of activity after juice (unexpected reward) • With training – burst after juice decreased and cells started to fire after light (CS) • DA not representing the reward - prediction error • Initially juice not expected so burst when get it • Light not expected but know that it means juice - DA • Learn light/juice relationship – light means juice coming, so getting juice is expected - no DA • Light but no juice – DA after light (light was not predicted) but DA supressed after no juice (negative prediction error) • Repeated withhold juice – response to light decreases and suppression to no juice decreases – extinction ```
31
Social and Emotional Judgement
• Choosing how to act: integrate incoming info with pre-existing info about goals, values and current social situation • Patient “Elliot” (Damasio 1994) - tumour invading OFC bilaterally • Lack of concern for social rules, decreased social awareness and empathy Anticipation of rewards and punishments (Bechara et al. 1996) • Skin conductance and card selection • Selection followed by reward or punishment • Only controls developed anticipatory SCRs • Patients emotionally insensitive to future outcomes
32
OFC and Psychopathy
• Sociopath/psychopath – antisocial personality disorder • Pervasive pattern of disregard for the safety and rights of others - lack of empathy; a tendency to be contemptuous of the rights, interests, or feelings of others; and an excessively high selfappraisal • 3 or more of the following traits: • Regularly breaks or flouts the law • Constantly lies and deceives others • Is impulsive and doesn’t plan ahead • Can be prone to fighting and aggressiveness • Has little regard for the safety of others • Irresponsible, can’t meet financial obligations • Doesn’t feel remorse or guilt
33
A case of Acquired Sociopathy
• JS, 56yo male, engineer (Blair and Cipolotti, 2000) • Premorbid: quiet and rather withdrawn, no psychiatric history • Right frontal trauma, incl OFC • High levels of aggression and callous disregard of others • Lack of remorse • Contrast with • CLA: dysexecutive syndrome, no sociopathy • Five prison inmates: developmental psychopathy In contrast to CLA and inmates, JS showed • Poor recognition of visually presented emotions • Reduce autonomic response to visually presented emotions • Poor identification of social behaviour violations: lower skin conductance response and disgust than control Ss • Suggested that impairment is due to a reduced ability to generate expectations of others' negative emotional reactions, in particular anger • In healthy individuals, these representations act to suppress behaviour that is inappropriate in specific social contexts • Propose that the OFC may be implicated specifically either in the generation of these expectations or the use of these expectations to suppress inappropriate behaviour
34
Goal Oriented Behaviour
``` • Long term goals • Short term goals • Hierarchy of goals • Subgoals • Conflicting goals • Habits to supress ```
35
Goal Oriented Behaviour
• Executive function • Use perception, knowledge and goals to bias selection of action and thoughts from many possible • Override automatic thoughts and behaviours • Cognitive flexibility – act and think in novel ways • Cognitive control essential for purposeful goal oriented behaviour • Basic function of the PFC is the representation and execution of organized goal-directed action • Executive functions of the PFC serve that superordinate function in one way or another • Goals of an organism (especially human) vary immensely, so do the timescale and means to achieve them • Also variable are the motives for action and the emotions that accompany it, as well as their influence at any step in the pursuit of a goal • Need plan of action that draws on experience • Tailored to current environment • Flexible and adaptive to deal with unforeseen • Monitor actions and stay on target • Constrain desire and follow rules • Inhibit habits and override urges • Consider 2 PF control systems • Lateral PFC (and FP) • Supports GOB • Works with cortex to form working memory • Planning; simulating consequences; initiating, inhibiting, shifting behaviour • Medial FC • Guiding and monitoring behaviour • Works with lPFC • Monitor ongoing activity to modulate cog control to achieve goals
36
Anterior Cingulate Cortex
``` • Input from limbic structures, including amygdala, the thalamus and the striatum, as well as the brainstem • Output to prefrontal cortical areas ```
37
ACC – Monitoring Function
``` • Was thought to be part of the limbic system (modulation of autonomic responses) • Now shown to have attentional / monitoring functions • Considering and evaluating appropriate goals and subgoals on the basis of affective feedback 1. Dense projections from the ACC to the motor cortex and spinal cord =motor control, esp willed action: overcoming inertia when initiating actions and fighting competing well-established or innate tendencies 2. Reciprocal connections with the lateral prefrontal cortex (PFC) – cognition, esp conflict monitoring (not errors as such, rather the presence of conflict) 3. Extensive afferents from the midline thalamus and the brainstem nuclei point to the importance of arousal/drive state for ACC engagement – increased activation with increased need for arousal ```
38
ACC – Emotion
• ACC as a way-station / hub / amplifier of emotional signals • Emotional signals can be interoceptive (eg heart rate, breathing) or exteroceptive (meaning in environment eg horrible scenes) • ACC participates in the experiential processing and response to emotion cues – conscious experience of emotion