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Cortical Functions - Review - (copy)

Cortical and Brain Stem Control of Motor Function- review - Chapter 55 Guyton and Hall, Textbook of Medical Physiology, 12th edition -Unit Ten: The Nervous System

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What is the primary area of the motor functional area of the cerebral cortex?area 4.
What are areas of the motor functional areas that control the premotor and supplementary control ?area 6.
Most “voluntary” movements initiated by the cerebral cortex are achieved when the cortex activates“patterns” of function stored in lower brain areas.
More than one half of the entire primary motor cortex is concerned with controlling themuscles of the hands and the muscles of speech.
Excitation of a single motor cortex neuron usually excites“pattern” of separate muscles.
The premotor area cause much more complex “patterns” of movement than the patterns generated inthe primary motor cortex.
Contractions elicited by stimulating which motor area are often bilateral rather than unilateralsupplementary motor area.
Broca’s area isthe “Word formation” area.
Damage to which area does not prevent a person from vocalizing, but it does make it impossible for the person to speak whole wordsBroca’s area.
Damage to which area prevents a person from voluntarily moving the eyes toward different objects“Voluntary” eye movement field
Motor apraxia results from damage tothe area for controlling hand skills.
Most of corticospinal pyramidal tract cross to the other side of the body atthe lower medulla.
The red nucleus is located in themesencephalon.
Rubrospinal tract, which crosses to the opposite side in thelower brain stem.
The rubrospinal fibers terminate mostly on theinterneurons of the cord gray matter.
Dynamic pyramidal neuronsare excited at the beginning of a contraction, causing the initial rapid development of force.
Static pyramidal neuronsfire at a slower rate to maintain the force of contraction as long as the contraction is required.
The basal ganglia, reticular formation, and the vestibular nuclei are refered to asthe extrapyrimidal system.
The motor cortex vertical columnar neurons functions as a unit to stimulatea group of synergistic muscles.
Respiration,cardiovascular, parts of GI functions and many stereotyped movements of equilibrium and of eye movements are controlled bythe brain stem.
The role of the pontine reticular nuclei of the brain stem in controlling motor function is totransmit excitatory signals, receive signals from vestibular. nuclei and from nuclei of the cerebellum
The role of the medullary reticular nuclei of the brain stem in controlling motor function is totransmit inhibitory signals to the same neurons as the pontine nuclei.
What controls antigravity muscles through the lateral and medial vestibulospinal tracts of the spinal cord?the vestibular nuclei.
What is the vestibular apparatus?a sensory organ for detecting sensations of equilibrium.
The vestibular apparatus is protected bythe bony labyrinth.
The membranous labyrinth- is composed ofthe cochlea, three semicircular canals, the utricle and the saccule.
What sensory organs of the utricle and saccule detects the orientation of the head with respect to gravity?the maculae.
The gelatinous layer of the maculae contain calcium carbonate crystals known as thestatoconia.
What bends the hair cells (cilia) in the direction of gravitational pull?the weight of the statoconia.
What is reponsible for the directional sensitivity of the hair cells?the Kinocilium.
Each semicircular duct has an enlargement at one end called theampulla.
Ducts and ampulla of the semicircular ducts are filled withendolymph.
Rotation of the head causes the cupula to bend to theopposite side.
Bending the cupula causing depolarization of the hair cells to stimulate thevestibular nerve.
The ability to maintain equilibrium when the head is in a near vertical position is the function ofthe utricle and saccule.
The utricle and saccule do not operate for the detection oflinear velocity.
What enables the prediction of dysequilibrium and causes the equilibrium centers to make appropriate anticipatory preventive adjustments?.the semicircular ducts.
The reflexes of the vestibular nuclei and the medial longitudinal fasciculus to the oculomotor nuclei are responsible forstabilizing the eyes to compansate for head movements.
Neck proprioceptors, visual Input and somatic proprioception information are all important for controllingequilibrium.
Each ampulla has a structure on the top the crista ampullaris calledthe cupula.
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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