Week 8 Flashcards

1
Q

What is the basal ganglia?

A
  • sub-cortical “structure” (group of various distinct cell clusters i.e. ganglia/nuclei)
  • part of the extrapyramidal system
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2
Q

What is the function of the basal ganglia?

A

modulate voluntary movement through facilitation or inhibition of signals descending from the motor cortex

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3
Q

The basal ganglia receives input from…

A

cortex (primary motor and frontal)

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4
Q

Does the basal ganglia have direct output to the spinal cord?

A

No

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5
Q

Where does the basal ganglia send output?

A

pre-motor area, supplementary motor area, primary motor cortex, frontal cortex (all via thalamus)

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6
Q

What are the 4 main nuclei in the basal ganglia?

A
  1. striatum
  2. globus pallidus (internal and external segments)
  3. subthalamic nucleus
  4. substantia nigra
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7
Q

The basal ganglia relays to…

A

the thalamus

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8
Q

Each nucleus in the basal ganglia is somatotopically organized. What does this mean?

A

neurons grouped by specificity of movement (e.g. direction, amplitude and velocity)

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9
Q

Which nuclei in the BG is the first to receive input from the motor cortex?

A

striatum

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10
Q

Which nuclei in the BG is the last stop before going to the thalamus?

A

globus pallidus internal

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11
Q

Is the pathway from MI to the striatum direct or indirect?

A

direct

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12
Q

The subthalamic nucleus receives input from the…

A

motor cortex

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13
Q

What neurotransmitters are involved in the basal ganglia?

A

GABA, glutamate, dopamine

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14
Q

What is GABA? Where does it come from in the BG? What is it’s action?

A
  • gamma-aminonutyric acid
  • GABAergic neurons
  • action: inhibitory
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15
Q

Where does glutamate come from in the BG? What is it’s action?

A
  • glutamatergic neurons
  • action: excitatory
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16
Q

Where does dopamine come from in the BG? What is its action?

A
  • dopaminergic neurons
  • action: depends on the receptor it binds with (D1 or D2)
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17
Q

What are D1 receptors?

A
  • excitatory
  • involved in the direct pathway
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18
Q

What are D2 receptors?

A
  • inhibitory
  • involved in the indirect pathway
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19
Q

What is the direct functional pathway in the BG?

A

neural pathway involving the Basal Ganglia vital to the initiation and facilitation of voluntary movement

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20
Q

What is the indirect functional pathway in the BG?

A

works in conjunction with the direct pathway, functions to inhibit unwanted movement

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21
Q

Which nuclei within the basal ganglia can act as an excitatory nucleus?

A

substantia nigra

22
Q

What is parkinson’s disease?

A
  • progressive neurodegenerative disorder
  • 1/100 individuals > 60 years of age
  • incidence 1.5x higher in males than females
  • life expectancy: 10-20 years after diagnosis
  • no cure → treatments target symptom management
23
Q

What are the 4 main motor symptoms of parkinson’s disease?

A
  • resting tremor
  • ridgdity (e.g. at joints)
  • bradykinesia - slowness of movements
  • “parkinsonian gait”

cannot initiate movement properly

24
Q

What are lewy bodies? How are they involved in the pathophysiology of Parkinson’s?

A
  • abnormal aggregates of protein that displace other cell components and disrupt cell function
  • present within neurons in the substantia nigra
  • leads to death of the neurons
25
Q

What are the steps in the pathophysiology for Parkinson’s that we should know for this class?

A

death of dopaminergic neurons in the Sub. Nigra → reduced dopamine release in the BG → direct pathway cannot aid in initiation/facilitation of movement → movement symptoms of Parkinson’s disease

26
Q

What nucleus within the basal ganglia contains dopaminergic neurons? Where does this nucleus project to within the basal ganglia?

A

Substantia Nigra projects to: 1. Striatum: dopamine transmission
2. subthalamic nucleus: inhibitory neurotransmitters sent back in negative feedback loop

27
Q

What is the cerebellum?

A
  • translates to “little brain”
  • 10% of total brain volume but over 50% of total brain volume
  • is our computer:
    → receives afferent (sensory) and efferent (motor) information
    → compares intention vs what happened
28
Q

What are the three main functions of the cerebellum?

A
  1. maintenance of balance and posture
  2. coordination of voluntary movements
  3. motor learning
29
Q

What is the cerebellum’s function of maintenance of balance and posture?

A
  • important for making postural adjustments
  • integrates sensory information relevant to balance & modulates information sent to motor neurons to control postural muscles
30
Q

What is the cerebellum’s function of coordination of voluntary movements?

A

coordinates timing and force of different muscle groups to plan and produce smooth movements

31
Q

What is the cerebellum’s function of motor learning?

A
  • adapt and fine-tune motor commands to make accurate movement
  • trial-and-error process
32
Q

What is the cerebellum anatomy?

A
  • similar to the cerebrum, the cerebellum has two symmetrical hemispheres
  • 4 symmetrical sections
33
Q

When considering function, the cerebellum can be divided into 4 symmetrical sections. What are they?

A
  • hemisphere
  • vermis
    -intermediate zone
  • flocculonodular lobe
34
Q

What are the 3 pathways of the cerebellum?

A

spinocerebellar, cerebrocerebellar, vestibulocerebellar

35
Q

What is the spiniocerebellar pathway?

A
  • location: vermis & intermediate zones
  • integrates sensory & motor information
  • motor coordination
36
Q

What is the cerebrocerebellar pathway?

A
  • location: lateral hemisphere
  • involves cortical input
  • planning and timing of movements
37
Q

What is the vestibulocerebellar pathway?

A
  • location: flocculonodular lobe
  • involves vestibular nuclei input
  • posture and vestibular reflexes
38
Q

What is the cerebellum important for?

A
  • planning smooth, coordinated movements (spinocerebellar and cerebrocerebellar pathways)
  • balance control (vestibulocerebellar pathway)
39
Q

How do we know what the cerebellum is important for?

A

through those with damage or loss of cerebellar tissue

40
Q

What are the 4 main symptoms of cerebellum dysfunction?

A
  • ataxia, dystermia, hypotonia, large amounts of sway
41
Q

What is ataxia?

A

“A” not, without
“Taxis” order
- lack of coordination
- decomposition of movement
- jerky movement

42
Q

What is dysmetria?

A

“dys” bad, difficult
“metry” to measure
- inability to make accurate voluntary movements
- overshoot/undershoot of movement

43
Q

What does hypotonia mean?

A

“hypo” under, less
“tonia” tension, stretching
- decrease in muscle tone/resistance

44
Q

What is efference?

A

motor command sent from motor cortex to body

45
Q

What is an efference copy?

A

copy of motor command uses to update other brain regions on the action about to be performed

46
Q

What is corollary discharge?

A
  • signal created within the cerebellum → represents the re-afference we expect to get from a self-generated movement
  • used to inhibit expected feedback from self-generated movement that may interfere with execution of a motor task (frees up cortical resources)
  • if there is any unexpected afferent information we get from a voluntary movement → does not get inhibited and gets sent to cortex to update on unexpected information
47
Q

Comparison occurs within the ____________

A

cerebellum

48
Q

What is the first step in the cerebellum feedforward motor learning model?

A
  1. movement goal is sent to motor cortex
    → select appropriate motor plan based on previous experience (force, speed, direction of movement, correct MU recruitment, etc)
49
Q

What is the second step in the cerebellum feedforward motor learning model?

A
    • Efference (motor command) sent to effector muscles in the body
      → execute appropriate motor plan based on previous experience (force, speed, direction of movement, correct MU recruitment etc.)
      - efference copy (copy of motor command0 sent to cerebellum to update on what is about to happen
50
Q

What is the third step in the cerebellum feedforward motor learning model?

A
    • corollary discharge is produced by the cerebrum
      → created from efference copy
      → represents the expected sensory feedback we should get from executed movement
      → used to inhibit any response to self-generated movement that may interfere with execution of the motor task
      - reafference is produced from the body
      → the actual sensory feedback we get from the executed movement
51
Q

What is the fourth step in the cerebellum feedforward motor learning model?

A
  1. comparison of corollary discharge and reafference occurs in the cerebellum
    → expected vs. actual sensory information
    → expected and actual information match = successful movement execution
    → if they don’t match = unsuccessful execution & need to update cortex
52
Q

What is the fifth step in the cerebellum feedforward motor learning model?

A
  1. cerebellum updates motor cortex about reafference information that didn’t match
    → adjust motor plan until desired movement is achieved