Week1 Flashcards

1
Q

Brain Meninges

A

Dura Mater > Arachnoid layer > (sub-arachnoid space filled with CSF) > Pia Mater > brain

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2
Q

What is the purpose of the brain meninges?

A

to protect the brain

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3
Q

Dorsal

A

towards top

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4
Q

Ventral

A

towards the bottom

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5
Q

The four lobes of the brain

A

Frontal
Parietal
temporal
occipital

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6
Q

LOL there is a fifth one -

A

its called the insular lobe or insula

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7
Q

hemispheres are separated by the

A

longitudinal fissure

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8
Q

frontal and parietal lobe separated by

A

central sulcus

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9
Q

Lateral

A

towards the side (outer)

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10
Q

medial

A

towards the middle (inner)

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11
Q

Lateral fissure

A

separates the temporal and frontal lobe

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12
Q

Ventricles and CerebroSpinal Fluid

A

Third ventricle, lateral ventricle and fourth ventricle.

CSF is produced by the choroid plexuses (0.5l)/day

CSF (clear fluid contains glucose, sodium & potassium ions, neurotransmitters, hormones, neuropetides)

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13
Q

what is the function of CSF

A

Cushions the brain and spinal cord from external force, remove waste

(also creates boyancy)

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14
Q

grey matter

A

neuronal nuclei

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15
Q

white matter

A

axonal tracts and myelin

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16
Q

gyrus (gyri)

A

a ridge on surface of the brain

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17
Q

sulcus

A

a valley in the surface of the brain

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18
Q

Cranial Nerves

all 12 of them

A
  1. Olfactory
  2. Optic
  3. Oculomotor (eye movement)
  4. Trochlear (eye movement)
  5. Trigeminal (masticatory movement)
  6. Abducens (eye movement)
  7. Facial (movement)
  8. Auditory vestibular
  9. Glosso-pharyngeal (tongue and pharynx)
  10. Vagus (heart, blood vessels, viscera, larynx & pharynx movement)
  11. Spinal accessory (neck muscle)
  12. Hypoglossal (tongue muscle)
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19
Q

Sensory Cranial Nerves only

3

A
  1. Olfactory nerve
  2. Optic Nerve
  3. Auditory Vestibular
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20
Q

Motor Nerves only

6

A
  1. Oculomotor (eye)
  2. Trochlear (eye)
  3. Adbucens (eye)
  4. Facial nerve
  5. Spinal accessory (neck muscle)
  6. Hypoglossal (tongue muscle)
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21
Q

Both sensory and motor crainal nerves

A
  1. Trigeminal (masticatory movement)
  2. Glosso-pharyngeal (tongue and pharynx)
  3. Vagus (heart, blood vessels, viscera, larynx & pharynx movement)
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22
Q

The Hindbrain or Brain Stem

is composed of

A

Medula oblongata
pons
recticular formation
cerebellum

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23
Q

Medulla oblongata and Pons

A

Nuclei of cranial nerves (5th to 12th)

Regulates basic functions such as heart rate, respiration, blood pressure, swallowing, eye movement

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24
Q

Reticular Formation

A

arousal & sleep/wake cycle

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25
Cerebellum
Balance & coordination and learning of skill movements, muscle tone, cognitive and motor sequencing (esp. timing)
26
The Midbrain composed of:
Tectum (roof) | Tegmentum (floor)
27
Tectum
``` (roof) Superior colliculi (nuclei for visual function) ``` Inferior colliculi (nuclei for auditory function) Orienting
28
Tegmentum
floor Nuclei of 3rd 4th cranial nerves (eye movement) Ventral TA: natural reward circuitry (motivation, social affiliation) contiains red nucleus and substantia nigra
29
Diencephalon (between brain)
Thalamus Hypothalamus
30
Thalmus
Comprise pairs of nuclei projecting to the cortex Relay station for sensory signals – lateral (visual), medial (auditory) geniculate nuclei, dorsal (memory) and ventral posterior nuclei (sensory)
31
lateral geniculate nuclei
is relay for visual signals | or the visual signals come in via the lateral section of the thalamus
32
medial geniculate nuclei
is relay for auditory signals | or the auditory signals come in via the lateral section of the thalamus
33
dorsal geniculate nuclei
memory relay
34
ventral posterior geniculate nuclei
sensory relay
35
Hypothalamus
Regulates hormone release from the pituitary gland (HPA)(Hypothalamic–pituitary–adrenal axis) Mediates ANS function and behaviour (e.g., flight/flight, hunger and sexual drives)
36
Autonomic Nervous System
A division of the peripheral nervous system that supplies smooth muscle and glands, and thus influences the function of internal organs. The autonomic nervous system is a control system that acts largely unconsciously and regulates bodily functions such as the heart rate, digestion, respiratory rate, pupillary response, urination, and sexual arousal. This system is the primary mechanism in control of the fight-or-flight response.
37
Limbic System
Circuitry of midline structures that circle the thalamus. e.g., Hypothalamus Mammillary bodies Cingulate gyrus (Anterior Cingulate – also part of PFC) Hippocampus Amygdala (almond) – primary processing of emotion Emotion, memory & learning, motivation – fleeing/ fighting, feeding and sexual behaviour
38
Basal Ganglia
Collection of subcortical grey matter Caudate nucleus (striatum) Lentiform nucleus - ---Globus pallidus (pale globe) - ----Putamen (striatum) Substantia nigra (dopamine producing) Limbic: Nucleus accumbens and ventral tegmental area (dopaminergic pathways) Inter-connected with frontal lobe, thalamus, motor cortex and brain stem
39
Basal Ganglia is important for?
Important for voluntary control of motor function, procedural and reward learning, executive functions, emotion
40
Cerebral Cortex (outer and inner lobes)
Frontal Lobes (motor, executive function, behavioural regulation, memory, speech production) Temporal Lobes (audition, speech comprehension, emotion, memory, visual perception) Parietal Lobes (somatosensory, visual perception, multi-modal integration of stimuli) Occipital Lobes (vision) Insula – part of CC folded deep in lateral sulcus: consciousness, interoceptive awareness, self-awareness, emotion (contagion), body homeostasis, pain
41
Visual and Spatial Processing Contralateral
Left visual field goes to right hemisphere right visual field goes to left hemisphere
42
Visual and Spatial Processing optic chiasm
the place in the brain where the optic nerves cross-over
43
Visual and Spatial Processing path
eye receives sensory input (light) > retina converted to action potentials > optic nerve > optic chaism > optic tract > lateral geniculate nucleus (thalamus) > optic radiations send to > Primary Visual Cortex (V1) (where vision is perceived) note * vision at V1 is very basic (light/dark etc) also note, if damage occurs before thalamus then patient would be fully blind, if damage occurs after thalamus, px maybe able to see some.
44
Loss of Vision (sensory)
monocular blindness = damage to one optic nerve bitemporal hemianopia = vision is missing in the outer half of both the right and left visual field. nasal hemianopia = Binasal hemianopsia is the medical description of a type of partial blindness where vision is missing in the inner half of both the right and left visual field. Right nasal hemianopia would be missing just the inner half of the right visual field. Homonymous Hemianopia = the loss of half of the visual field on the same side in both eyes. Quadrant-anopia = affecting a quarter of the field of vision. It can be associated with a lesion of an optic radiation.[1] While quadrantanopia can be caused by lesions in the temporal and parietal lobes, it is most commonly associated with lesions in the occipital lobe Macular sparing = Macular sparing is visual field loss that preserves vision in the center of the visual field, otherwise known as the macula. It appears in people with damage to one hemisphere of their visual cortex, and occurs simultaneously with bilateral homonymous hemianopia or homonymous quadrantanopia.
45
Homonymous Hemianopia
A homonymous hemianopsia is the loss of half of the visual field on the same side in both eyes. The visual images that we see to the right side travel from both eyes to the left side of the brain, while the visual images we see to the left side in each eye travel to the right side of the brain. Therefore, damage to the right side of the posterior portion of the brain or right optic tract can cause a loss of the left field of view in both eyes. Likewise, damage to the left posterior brain or left optic radiation can cause a loss of the right field of vision.
46
Visual Neglect
Visual neglect (also called hemispatial neglect or unilateral spatial neglect) differs from hemianopsia in that it is an attentional deficit rather than a visual one. Unlike patients with hemianopsia who actually don't see, those with visual neglect have no trouble seeing but are impaired in attending to and processing the visual information they receive. Whereas hemianopsia can be assuaged by allowing patients to move their eyes around a visual scene (ensuring that the entire scene makes it into their intact visual field), neglect cannot. Neglect can also apply to auditory or tactile stimuli and can even leave a patient unaware of one side of his or her own body.[6] Some patients with neglect also have hemianopsia, however the two often occur independent of one another.
47
``` Sensory - Perception Area 17 (striate cortex) ```
Region V1 Visual Sensation and recognition SENSORY
48
Visual Perception
Areas 18 & 19: perception of visual stimuli Temporal visual: what (stimulus recognition) Parietal visual: where (guiding visual movement)
49
the "what" pathway
Takes ventral stream from V1 V1 > v2 >v3 & V4 > Temporal visual areas WHAT = TEMPORAL
50
the "where" pathway
Dorsal stream from V1 V1 > V2>V5 (motion)>Parietal visual areas V1>V3a (form)>parietal visual areas
51
Occipital Lobe Damage Area 17 damage
Contralateral loss of visual sensation and recognition (small = scotoma; large = anopia) (LH = RF, RH = LF)
52
Occipital Lobe Damage area 18,19 damage
Areas 18, 19: Perceptual problem: difficulties in discriminating visual objects that are different in sizes, shapes, orientations, and colours
53
Temporal Visual Area (the ‘What’) disorders
Visual agnosia: inability to combine visual impression into complete patterns and interpret these Object agnosia Apperceptive: Inability to develop a “percept” of objects (failure to recognise objects, cannot copy, cannot match) Associative (failure to recognise objects despite intact perception – can copy/match objects but not identify) – failure to associate visual representation with meaning Prosopagnosia: inability to recognise faces (damage to fusiform gyrus)
54
Prosopagnosia
Inability to recognise human faces Bilateral damage to the occipital-temporal junction (fusiform) Disorder is dissociable from facial emotion recognition and object agnosia
55
Dissociations/double dissociations
Assumptions about brain function based upon the pattern of people’s intact abilities and impairments within the same functional domain. Person A has an impairment in word pronunciation (phonological skills) and intact understanding of word meanings (semantics) = dissociation Person B has an impairment in semantics and intact phonological abilities Evidence from Person A+B = double dissociation Suggests that these abilities are subserved by different brain regions (and can be selectively damaged)
56
Parietal Visual Areas (the ‘Where’)
Tertiary area Right: contralateral neglect, inability to consciously attend to objects in the left visual space despite intact visual pathways and cortex (spatial attentional problem) Left/bilateral – multimodal integration (temporo-parietal junction) = visual/auditory/tactile & motor Affects reading, writing, maths and skilled movements (alexia/dyslexia, agraphia, acalculia, apraxia)
57
Somatosensory Processing: Parietal Lobe
Primary area: recognition of sensory stimuli from contralateral side of the body Secondary area: tactile perception, touch discrimination and body sense Tertiary area (TPJ): integration of stimuli (visual, auditory and somatosensory); guiding movement in space and spatial representation
58
Tactile Processing Disorders
``` Primary area (somatosensory strip) --Loss or alteration of sensation of touch, pain, temperature and body sense on contralateral side of the body ``` Secondary area --Partial or complete inability to recognise somatosensory stimuli. 2 types: - ---Loss of ability to recognise objects by touch - ---Loss of knowledge or sensory awareness of one’s own body or bodily condition
59
Hierarchical Organisation of Motor Functions
Tertiary zone: Formation of behavioural intention – prefrontal cortex Secondary zone: Preparation and organisation of motor programmes – premotor areas of frontal lobes Primary zone: execution of motor programmes – motor cortex (input from thalamus and basal ganglia) and spinal cord
60
Motor Functions: Frontal Lobes & BG
Damage to primary motor area: impairment of motor functioning (speed, movement and strengths) in limb and digits – extensive damage = hemiplegia Damage to tertiary and secondary motor areas: impaired planning, selection and organisation of motor behaviour – apraxia and apathy
61
The Auditory Pathways
Tone > ear drum > cochlear nucleus >inferior colliculus (brreaks off to both dorsla and)> medial geniculate (ventral) >41 (sound discrimination) > secondary (42, 44) Tertiary and paralimbic also Tone > ear drum > cochlear nucleus >inferior colliculus > medial geniculate (dorsal) > secondary (42, 44)(auditory perception) >Tertiary and paralimbic
62
Auditory Processing damage
Damage to primary, secondary and tertiary areas (41, 42, 22) of temporal lobe can lead to disorders of auditory sensation and perception However, damage to primary area of auditory cortex (41) does not always lead to cortical deafness – more deficits in discrimination Auditory perceptual problems (42, 22) Auditory agnosia (amusia, agnosia for sounds) LH – speech, RH - music
63
Language Areas
Damage to BA 22 of dominant hemisphere leads to Wernicke’s or receptive aphasia (deficits in language comprehension, word recognition, poor repetition) Damage to Brodmann’s area 44 (dominant hemisphere): Broca’s aphasia (problem with speech production)
64
Brain areas involved in speech & language
``` Brocas area (frontal lobe) Primary motor cortex (initiate speech motor programmes) Acuate fasciculus = connects brodmans and wernickes areas Primary auditory cortex = hearing angular gyrus (reading, writing, understanding) ``` primary visual cortex = percieving wiords TPJ
65
left temporoparietal junction
The left temporoparietal junction (lTPJ) contains both Wernicke's area and the angular gyrus, both prominent anatomical structures of the brain that are involved in language cognition, processing, and comprehension of both written and spoken language
66
Auditory Hallucinations
Reported by >65% of people with schizophrenia Dierks et al. (1999): fMRI on the brains of people with PS Verbal hallucinations activated the primary auditory cortex, Broca’s area, and speech zone in posterior temporal cortex (LH), and limbic system What does this suggest about the origins of auditory hallucinations?
67
Attention Systems
Posner’s model of attention: 1) Alerting or Arousal Network (security guard – surveillance and alert) – brain stem (RAS) and parietal lobes – sustained attention or vigilance 2) Orienting Network (signal detection - brain shifts from general to specific attention) – selective attention (midbrain, parietal and Temporoparietal Junction) 3) Executive Network (signals are evaluated and a decision is made about what to do next) – Dorsolateral PFC and ACC, attentional switching and divided attention
68
Attention and Memory
Stimulus > Sensory Organs > Perception > Sensory Memory (millisecond to 1 second > Attention > short term memory/working memory (<1 min, if keep repeating then can>>>Encode/consolidate into > Long-term Memory (days, months years) (LTM gets retreived into stm) forgetting happens all the way along this path
69
Memory: Distributed Neural Network
LTM: Declarative memory & nondeclarative Declarative: Episodic and semantic > Medial temporal lobe, diencephalon Non-declarative memory: --Procedulral memory, skills/habits = basal ganglia ---Priming = neocortex --Simple classical conditioning = amygdala, cerebellum --Habituation, sensitization = reflex pathways
70
Memory and Temporal Lobes
Damage to medial temporal cortex (hippocampus) leads to material specific memory problems LH problem in learning and remembering verbal material RH problem in learning and remembering visual material Both Hemispheres: general amnesic syndrome
71
Memory Disorders
``` Amnesias Global amnesia (Clive, HM) Post-traumatic amnesia Anterograde amnesia Retrograde amnesia Psychogenic amnesia (“The great escape: a neuropsychological study of psychogenic amnesia”; Kopelman et al., 1994) – see also dissociative fugue ```
72
Herpes Simplex Viral Encephalitis
Clive was 46 when he developed meningitis-like symptoms (fever, headaches, fatigue and confusion), lasting several months Finally diagnosed with HSVE and treated with an antiviral drug which saved his life “but left his brilliant mind full of holes” (Wilson, 1999, p. 73) CT scan – low density in the (L) temporal lobe – extending into inferior and posterior frontal lobe and ® medial temporal lobe
73
Core vs Extended Consciousness
Clive experienced Predominant damage to the limbic region which enables core consciousness but not autobiographical consciousness, thus leading to a life “being sensed but not really examined” (Damasio, p. 217) Clive was unable to recognise the existence of his own past consciousness since his illness
74
Wernicke Korsakoff’s Syndrome
Degenerated diencephalon (particularly dorsomedial nucleus of the thalamus & mammillary bodies) Slow development: difficult to pinpoint onset of amnesia Damage often extends to frontal lobes
75
Emotion Processing
Amygdala: Role in emotional processing and emotional learning and memory (both implicit/explicit). - --Mediates approach and withdrawal behaviour - --Fear conditioning – neutral stimuli gets paired with fearful experience and produces fear reaction (phobia and avoidance reactions) The amygdala interacts with the hippocampal memory system: - -Responsible for assigning emotional significance to stimuli and events - --Affects the storage of memories and influences recall
76
Threat Processing Pathways
1) Innate and fast-acting thalamo-amygdala pathway, bypasses cortex to elicit immediate autonomic, endocrine and behavioural response (unconscious/implicit processing) - --Adv of emotion driven system: adaptive for survival, diverts attention in presence of threat and danger - --Disadv of this system: can be too dominating; hasty and potentially irrational reactions that affect goals (e.g., good relationship) 2) Slow acting thalamo-cortical-amygdala pathway that supports cognitive appraisal of the meaning of stimuli within context (LeDoux, 1996) – react in accordance with goals and social needs (conscious processing through orbital prefrontal cortex)
77
Role of Orbito-Frontal Cortex (OFC)
Role in regulating emotional expression and inhibition of inappropriate social behaviour Connections with the limbic system: amygdala may elicit learnt emotional associations – while the OFC corrects/adjusts responses (down regulation) Reasoning about an emotional event can reduce its emotional impact and alter behaviour
78
Example: An argument
Fast-acting and non-conscious threat response system: quick analysis of emotional meaning of the situation. Perceptual representations link external stimuli (e.g., comment, angry face) with internal affective and physiological states Immediate and emotionally driven responses initially dominate or disrupt higher order goal systems (carefully thought out reactions congruent with goals and social needs). Working memory system registers that the self is under threat and supports processing of information at the implicational level (OFC) - or what this may mean for one’s self and the future to guide goal-directed behaviour (LeDoux, 2000)