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Cortical Functions-2

Contributions of the Cerebellum And Basal Ganglia to Overall Motor Control -Chapter 56 - Guyton and Hall, Textbook of Medical Physiology, 12th edition -Unit Ten: The Nervous System

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What plays the major roles in the timing and planning of sequential movementsthe cerebellum.
What plans and controls complex patterns of muscle movementthe basal ganglia.
What is a functional unit of the cerebellar cortexthe Purkinje cell.
What are the three major layers of the cerebellar cortexThe molecular layer, Purkinje cell layer, granule cell layer
Basket cells and Stellate cells areinhibitory to the deep cerebellar nuclei.
What is the significance of the vestibulocerebellum?it controls equilibrium and postural movements.
What is the significance of the spinocerebellum?controls ballistic movements and prevents overshooting of movements
What is the significance of the cerebrocerebellum?plan, sequence, and time complex movements.
Without the cerebellum the body fails toexecute a particular goal and to progress smoothly from one rapid movement to the next.
To cause serious and continuing dysfunction of the cerebellum, the cerebellar lesion usually must involve?the dentate, interposed, or fastigial nuclei of the cerebellum..
What is the result of absence of the cerebellum when the subconscious motor controls cause movements overshoot?Dysmetria.
What is the result of absence of the cerebellum when the subconscious motor controls causes uncoordinated movements?t?Ataxia.
Lesions of the spinocerebellar tracts are associatd withdysmetria and ataxia.
Past pointing is a manifestation ofdysmetria.
No orderly “progression of movement” can occur in what condition?dysdiadochokinesia.
The loss of motor control with failure of progression is assocaited withdysdiadochokinesia.
What describes failure of progression that occur in talking that results in unintelligible speech?dysarthria.
Intention tremor or an action tremor usullay result fromloss of cerebellum control.
Cerebellar flocculonodular lobes damage associated with loss of equilibrium results incerebellar nystagmus.
Loss of cerebellar facilitation of the motor cortex and brain stem motor nuclei results inhypotonia of peripheral muscles on the side of the cerebellar lesion.
The basal ganglia consist of:the caudate nucleus, putamen, globus pallidus, substantia nigra, and subthalamic nucleus.
All motor and sensory nerve fibers connecting the cerebral cortex and spinal cord pass through theinternal capsule.
The internal capsule lies between themajor masses of the basal ganglia, the caudate nucleus and the putamen.
What supports the function of the basal ganglia in executing motr patterns?the Putamen circuit.
What circuits pass from the putamen through the external globus pallidus, the subthalamus, and the substantia nigrathe ancillary circuits.
What the lesions of the globus pallidus that lead to spontaneous, continuous writhing movements of a hand, an arm, the neck, or the face—movements ?athetosis.
What si the lesion in the subthalamus tat leads to sudden flailing movements of an entire limb?hemiballismus.
Multiple small lesions in the putamen that lead to flicking movements in the hands, face, and other parts of the body are described aschorea.
Parkinson’s disease is associated withlesions of the substantia nigra.
What neuronal circuit support the role of the basal ganglia in the cognitive control of sequences of motor patterns?The caudate circuit
Cognition means:the thinking processes of the brain, using both sensory input to the brain plus information already stored in memory
The caudate nucleus plays a major role inthe cognitive control of the motor activities.
What determines the ability of the basal ganglia to change the timing and to scale the intensity of movements?how rapid and how large the movement is.
Dopamine pathways of the Basal Ganglial connect the substantia nigra tothe caudate nucleus and putamen
The Gamma-aminobutyric acid (GABA) pathways of the basal ganglia connects the caudate nucleus and putamen tothe globus pallidus and substantia nigra.
Acetylcholine pathways connects the cortex tothe caudate nucleus and putamen
Which neurotransmitters pathways balances out the inhibitory signals of dopamine, GABA, and serotonin?the glutamate pathways.
Almost all areas of the cerebral cortex project topographically ontothe striatum of the basal ganglia.
The indirect pathway between basal ganglia and thalamus is mainlyinhibitory.
Basal Ganglia direct pathway isexcitatory.
GABA isinhibitory neurotransmitter.
Glutamate isexcitatory neurotransmitter.
Mossy fibers arethe majority of the cerebellar input
Basket cells and stellate cells inhibitPurkinje cells.
What disease is characterized by diminished facial expression, festinating gait, rigidity and a “pill-rolling” tremor?Parkinson’s disease.
Parkinson’s disease muscle rigidity and tremor is calledakinesia.
The basal ganglia and the nucleus accumbens decreased dopamine production leads toParkinson’s disease.
L-dopa is converted in the brain intodopamine.
What is an autosomal dominant disease characterized clinically by progressive movement disorders and dementia, and histologically by degeneration of striatal neuronsHuntington Disease.
What is a Jerky, hyperkinetic, dystonic movements involving all parts of the bodychorea.
Huntington’s Chorea is due toloss of most of the cell bodies of the GABA-secreting neurons in the caudate nucleus and putamen.
A striking atrophy of the caudate nucleus have been linked toHuntington disease.
Friedreich Ataxia isa spinocerebellar autosomal recessive progressive illness
Ataxia-Telangiectasia isautosomal recessive disorder that leads toloss of Purkinje, granule cells and the dorsal columns.
What drives the motivational systems of the brainthe limbic system.
With the exception of granule cells, all of the cerebellar interneurons areinhibitory.
Basket cells and stellate cells inhibitPurkinje cells.
Golgi II cells inhibitgranule cells.
Purkinje cells is always inhibitory because ofGABA release.
The overall output of the indirect pathway isinhibitory.
The basal ganglia inhibitory neurotransmitter isGABA
the basal ganglia excitatory neurotransmitter is isglutamate
Basal Ganglia Direct pathway isexcitatory
The basal ganglia to the thalamus indirect path isinhibitory.
The basal ganglia to the thalamus direct path isexcitatory.
Almost all areas of the cerebral cortex project topographically onto thestriatum of the basal ganglia.
The basal ganglia of the telencephalon are thecaudate nucleus, putamen, globus pallidus, and amygdala
The basal ganglia influence the motor cortex via pathways through the thalamus to aid inplanning and execution of smooth movements.
The striatum communicates with the thalamus and then back to the cortex viadirect and indrect pathways
The vestibulocerebellumcontrols balance and eye movements

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