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Neurology Exam 3
Flash cards for exam 3 covering a lot of cortical stuff
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Biology
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05/12/2013

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Term
Orbitofrontal cortex (OFC) represents what
Definition
Motivation
Term
Insula of limbic cortex represents what
Definition
Mood, emotional component of pain, "sensory cortex" of limbic
Term
Parahippocampal cortex represents what
Definition
Episodal memory
Term
Anterior cingulate cortex represent what
Definition
Self
Term
Limbic lobe is missing layers __ & __ and, therefore, is relatively ___
Definition
Layers II & IV, therefore agranular
Term
Does the limbic cortex receive direct sensory input: yes or no
Definition
No
Term
Does the limbic cortex receive sensory input from multimodal areas: yes or no
Definition
Yes
Term
Describe limbic cortex's connection to the amygdala
Definition
Reciprocal
Term
Limbic zone =
Definition
Nucleus accumbens & ventral caudate nucleus
Term
Parahippocampal gyrus contains what cortices (2)
Definition
Entorhinal & perirhinal
Term
Main cortical input to hippocampus is through what
Definition
Parahippocampal gyrus
Term
Granular & dysgranular zones of insula receive input from what thalamic nuclei (3)
Definition
VPMpc (taste), VPLpc/VPI (visceral), posterior thalamus (pain)
Term
Infralimbic cortex represents what
Definition
Visceromotor zone; sadness; anti-depressants affect this area
Term
Posterior cingulate cortex represents what
Definition
Navigation, self-reference
Term
Which monoaminergic systems heavily innervate limbic lobe (2)
Definition
Serotonin & dopamine
Term
Limbic cortices participate in loop circuits involving what
Definition
Ventral striatum
Term
Is the amygdala homogenous: yes or no
Definition
No, 25 nuclei so far described
Term
Parts of the amygdala (3)
Definition
1) Basal & lateral, 2) central, 3) corticomedial
Term
Corticomedial amygdala input & output
Definition
Input=olfactory system; output=hypothalamus
Term
Basallateral amygdala input & output
Definition
Input=limbic cortex; output=limbic cortex, striatum, forebrain cholinergic groups
Term
Central amygdala input & output
Definition
Input=basal amygdala, insula, perirhinal; output=brainstem pattern generators
Term
Function of the amygdala (4)
Definition
1) Associative learning to emotional stimuli, 2) recognition of emotional stimuli, 3) emotional responses, 4) sexual behavior
Term
Only component sending axons back to the cortex
Definition
Basal group
Term
Destruction of the amygdala leads to
Definition
Kluver-Bucy syndrome
Term
Kluver-Bucy syndrome features (5)
Definition
1) Psychic blindness, 2) hypersexuality, 3) lack of fear, 4) hyperorality, 5) memory/learning deficits
Term
Which part of the amygdala is sexually dimorphic
Definition
Corticomedial
Term
Main source of hippocampal axons in the fornix
Definition
Subiculum
Term
Major output target of the hippocampus
Definition
Mammillary bodies
Term
Major input of the hippocampus
Definition
Entorhinal cortex
Term
Papez circuit starting from the hippocampus (7)
Definition
Hippocampus → fornix → mammillary body → anterior nucleus → cingulate gyrus/cingulum → entorhinal cortex → hippocampus
Term
London taxi drivers have bigger what
Definition
Posterior hippocampus
Term
In light of patient HM, what kind of memory does the hippocampus do (2)
Definition
Episodic & spatial/contextual
Term
Psychomotor epilepsy involves what areas (4)
Definition
1) Amygdala, 2) hippocampus, 3) medial temporal lobe, 4) insula
Term
Herpes simplex infects what part of the brain
Definition
Limbic system
Term
Alzheimer's begins with neurons where and moves toward what
Definition
Parahippocampal gyrus and moves toward hippocampus, amygdala, and limbic corices
Term
What is implicated in autism
Definition
Cingulate & limbic striatum
Term
Basal forebrain region
Definition
Anterio & lateral to hypothalamus & beneath the anterior commissure
Term
Systems of the basal forebrain (2)
Definition
1) Ventral striatopallidal, 2) magnocellular corticopetal
Term
Ventral striatopallidal sytem connects __ to __
Definition
Appetitive centers of hypothalamus to basal ganglia
Term
Function of the ventral striatopallidal system
Definition
Goal-directed appetitive behavior
Term
Function of the magnocellular corticopetal system
Definition
Attention & consolidation of memory
Term
Embryologically, the basal forebrain flanks what structure
Definition
Lamina terminalis
Term
Drugs of abuse target which part of the basal forebrain
Definition
Ventral striatopallidal
Term
Magnocellular corticopetal system uses what neurotransmitters (2)
Definition
ACh & GABA
Term
Which system of the basal forebrain has a decline in neurons in Alzheimer's
Definition
Magnocellular corticopetal system
Term
Striatal region contains what structures (3)
Definition
1) Nucleus accumbens, 2) olfactory tubercle, 3) ventral part of the putamen & head of the caudate
Term
Striatum, caudate & putamen have what kind of GABAergic neurons
Definition
GABergic medium-sized spiny neurons
Term
Pallidal region lies __ [anatomical direction] to the striatum
Definition
Posteriorly
Term
What structure separates pallidus from globus pallidus
Definition
Anterior commissure
Term
What kind of GABAergic neurons are found in the pallidal region
Definition
GABAergic multipolar neurons
Term
Input to the ventral striatum (5)
Definition
1) Limbic, 2) hippocampus, 3) amygdala, 4) midline thalamic nuclei, 5) orexin neurons in the lateral hypothalamus
Term
Biogenic amines (4)
Definition
1) Serotonin, 2) NE, 3) dopamine, 4) histamine
Term
Serotonin: from what region
Definition
Raphe nuclei
Term
NE: from what region
Definition
Locus ceruleus
Term
Dopamine: from what region
Definition
Substanti nigra
Term
Serotonin: AA precursor
Definition
Trp
Term
NE: AA precursor
Definition
Tyr
Term
Dopamine: AA precursor
Definition
Tyr
Term
Histamine: AA precursor
Definition
His
Term
5-HT aka
Definition
Serotonin
Term
Where is the raphe nuclei located
Definition
Pons & medulla
Term
Serotonin: where do axons project to in the brain
Definition
Probably everywhere: cortex, amygdala, hippocampus, striatum, thalamus, hypothalamus
Term
Which bioamine is "sprinkled" in a paracrine fashion at non-synaptic axon varicosities
Definition
Serotonin
Term
Products of serotonin metabolism (2)
Definition
1) 5-HIAA, 2) melatonin
Term
What converts serotonin into 5-HIAA
Definition
Monoamine oxidase (MAO)
Term
Too little ___ in the diet can deplete serotonin and predispose toward ___
Definition
Tryptophan; depression
Term
One way serotonin levels can be monitored
Definition
5-HIAA in CSF
Term
Low 5-HIAA is assoicated with (3)
Definition
1) Depression, 2) suicide, 3) violence
Term
Serotonin: receptors (all but one) are what kind of receptor
Definition
GPCR
Term
Which serotonin receptor is the odd one out and what is it
Definition
5-HT3 is a ligand-gated cation channel similar to nicotinic ACh
Term
Effects of agonism of 5-HT receptors (3)
Definition
1) Psychosis (LSD), 2) anti-migraines, 3) anxiolytic
Term
Effects of antagonism of 5-HT receptors (4)
Definition
1) Anti-schizophrenia, 2) anti-emetic, 3) anti-psychosis, 4) anti-depressants
Term
Serotonin reputake inhibitors inhibit what
Definition
Serotonin reputake transporter (SERT)
Term
SERT inhibition effects
Definition
1) Weight loss, 2) OCD, 3) euphoria
Term
Inhibition of vesicular transporters of 5-HT could
Definition
Reverse flow through SERT and put serotonin in the synapse (e.g., MDMA, fenfluramine)
Term
Are SSRI's for depression immediate: yes or no
Definition
No, up to two weeks before anti-depressant effects seen
Term
Serotonin syndrome results in what state
Definition
Hyperserotonergic state
Term
Serotonin syndrome triad of symptoms
Definition
1) Cognitive (confusion, headache, agitation, …), 2) autonomic (shivering, sweating, hyperthermia, hypertension, tachycardia, …), 3) somatic (clonus, hyperreflexia, tremor, insomnia)
Term
Where is the locus ceruleus located
Definition
Pons
Term
NE: where do axons project to in the brain
Definition
Probably everywhere: cortex, amygdala, hippocampus, striatum, thalamus, hypothalamus
Term
NE: general roles
Definition
Arousal & acute stress response
Term
NE: stimulates what trophic hormone release
Definition
CRH
Term
NE: exaggerated may contribute to
Definition
Mania
Term
NE: depletion implicated in
Definition
Depression
Term
Rate-limiting step of NE synthesis: ___ → ___ by what enzyme
Definition
Tyr → L-DOPA by tyrosine hydroxylase (TH)
Term
Too little ___ in the diet can deplete NE and predispose toward ___
Definition
Phe/Tyr; depression
Term
NE: receptors are what kind of receptor
Definition
GPCR
Term
α1-adrenergic antagonist has what effect (2)
Definition
1) Lower BP, 2) reduce PTSD
Term
α2-adrenergic agonists have what effects (3)
Definition
1) Lower BP, 2) reduce ADHD, 3) suppress NE release
Term
Where are β1-adrenergic receptors found
Definition
Cerebral cortex & heart
Term
Where are β2-adrenergic receptors found
Definition
Cerebellum & lungs
Term
β-adrenergic antagonist has what effects (3)
Definition
Reduction of: 1) tremor, 2) agitation, 3) aggression
Term
NE reuptake inhibitors inhibit what
Definition
NE reputake transporter (NET)
Term
Examples of NET inhibitors (5)
Definition
1) Tricyclics, 2) ritalin, 3) cocaine, 4) MDMA, 5) amphetamines
Term
MAO inhibitors have what effect
Definition
Anti-depressant
Term
Wine, cheese, chocolate, soy sauce, and other fermented foods can have what effect
Definition
Raise blood pressure via competition of tyramine with MAO that puts NE back into the synapse
Term
In general, inhibition of NE production or transport or release or receptors has what effect
Definition
Depressant
Term
In general, stimulation of NE release or inhibition of metabolism or inhibition of reuptake has what effect
Definition
Anti-depressant
Term
Dopamine pathways (4)
Definition
1) Nigrostriatal, 2) mesolimbic, 3) mesocoritical, 4) tuberoinfundibular
Term
Which dopamine pathway goes to the basal ganglia
Definition
Nigrostriatal
Term
Which dopamine pathway goes to nucleus accumbens & amygdala
Definition
Mesolimbic
Term
Which dopamine pathway goes to cerebral cortex
Definition
Mesocortical
Term
Which dopamine pathway goes to the pituitary
Definition
Tuberoinfundibular
Term
Which dopamine pathway plays a critical role in movement
Definition
Nigrostriatal
Term
Which dopamine pathway plays a key role in pleasure & addiction
Definition
Mesolimbic
Term
Which dopamine pathway is involved in "positive" symptoms of schizophrenia
Definition
Mesolimbic
Term
Which dopamine pathway is involved in "negative" symptoms of schizophrenia
Definition
Mesocortical
Term
Which dopamine pathway is involved in antipsychotics leading to prolactin release
Definition
Tuberinfundibular
Term
What's interesting about D2 antipsychotics and their potency
Definition
Antipsychotic potentcy correlates with D2 receptor binding affinity (i.e., lower potency → higher dosage)
Term
Dopamine reuptake inhibitors inhibit what
Definition
Dopamine reuptake transporter (DAT)
Term
DAT inhibitors (2)
Definition
1) Cocaine, 2) amphetamines
Term
DAT inhibition effects
Definition
Psychosis (paranoia, delusions)
Term
In general, inhibition of dopamine production or vesicularization or receptor blockage will have what effect
Definition
Anti-psychotic
Term
In general, stimulation of dopamine production or vesicularization or reuptake inhibition will have what effect
Definition
Psychosis
Term
What is a side-effect of anti-Parkinson's drugs that may necessitate withdrawal of said drugs
Definition
Psychosis
Term
Cortical localization of function started with what study
Definition
Phrenology
Term
Who started the clinicoanatomical correlation
Definition
Broca
Term
Gross functional subdivisions of the brain (4)
Definition
1) Motor, 2) sensory, 3) association, 4) limbic
Term
What gross function subdivision of the brain takes up an increasingly larger percentage of the cerebral cortex as brain size increases
Definition
Association
Term
Major neuronal cell morphologies (2)
Definition
1) Pyramidal, 2) granule
Term
Most common type of neuron in cerebral cortex
Definition
Pyramidal
Term
Pyramidal cells found in which layers
Definition
All but I
Term
Pyramidal cells dominant in which layers
Definition
III & V, and somwhat in II
Term
Axon of pyramidal cell goes where
Definition
Through cortex into white matter
Term
Pyramidal cells receive majority of contact where
Definition
Dendritic spines [spines specifically, not shaft]
Term
Interneurons: pyramidal or granular
Definition
Granular
Term
What neurotransmitter for most granular cells
Definition
GABA
Term
Layer I aka
Definition
Plexiform layer
Term
Layer II aka
Definition
Outer granular layer
Term
Layer III aka
Definition
Outer pyramidal layer
Term
Lyaer IV aka
Definition
Inner granular layer
Term
Layer V aka
Definition
Inner pyramidal layer
Term
Layer VI aka
Definition
Multiform layer
Term
Plexiform layer aka
Definition
Layer I
Term
Outer granular layer aka
Definition
Layer II
Term
Outer pyramidal layer aka
Definition
Layer III
Term
Inner granular layer aka
Definition
Layer IV
Term
Inner payrmidal layer aka
Definition
Layer V
Term
Multiform layer aka
Definition
Layer VI
Term
Which layer is superficial: Layer I or VI
Definition
Layer I
Term
Horizontal fibers running in layer V
Definition
Inner band of Baillarger
Term
Horizontal fibers running in layer IV
Definition
Outer band of Baillarger
Term
Stria of Genari: inner or outer band of Baillarger
Definition
Outer
Term
Neocortex has how many layers
Definition
6
Term
Archicortex has how many layers
Definition
3
Term
Paleocortex has how many layers
Definition
3
Term
Are layers of the same thickness everywhere
Definition
Heck no, that would be way too simple: neuroscientist job security
Term
Brodmann's map based on what
Definition
Histological similarities/differences
Term
Diameter of columns
Definition
1 mm
Term
Columns in sensory area will have what in common
Definition
Same receptive field or modality
Term
Interhemispheric axons arise from which layer
Definition
III (outer pyramidal layer)
Term
Short association axons arise from which layer
Definition
II (outer granular layer)
Term
Long association axons arise from which layer
Definition
III & V (pyramidal layers)
Term
Local circuit axons are chemically unique how
Definition
Peptidergic
Term
Corticothalamic axons arise from which layer
Definition
VI (multiform layer)
Term
Corticobulbar axons arise from which layer
Definition
III & V (pyramidal layers)
Term
Corticospinal axons arise from which layer
Definition
III & V (pyramidal layers)
Term
Corticostriate axons arise from which layer
Definition
V (inner pyramidal layer)
Term
Corticopontine axons arise from which layer
Definition
V (inner pyramidal layer)
Term
Which projection axons arise from the same layers as long association fibers
Definition
CST & CBT
Term
Majority of thalamocortical axons end in which layer
Definition
IV (inner granular layer)
Term
Monoaminergic axons end in which layers
Definition
All
Term
What neurotransmitter for most pyramidal cells
Definition
Glutamate
Term
Betz cells are __ cells found in layer __
Definition
Pyramidal in layer V (inner pyramidal layer)
Term
Are the bands of Baillarger always visible
Definition
No, only under certain stain(s) (e.g., Weigert stain)
Term
Somatotopic map of internal capsule: anterior or posterior limb
Definition
Posterior limb
Term
Somatotopic map of internal capsule: near genu represents what
Definition
Motor
Term
Somatotopic map of internal capsule: near retrolental part represents what
Definition
Sensory
Term
Somatotopic map of internal capsule: anterior to posterior: face → arm → leg or leg → arm → face
Definition
Face (anterior) → arm → leg (posterior)
Term
Which monoamine is involved in neuroblast migration
Definition
NE
Term
Which cortical layer is formed first
Definition
Trick question? Layer I (plexiform) prior to any neuronal migration, otherwise layer VI is the first to form from migration
Term
Which cortical layer is formed last
Definition
Trick question? Layer II (layer I is already there so II is the last to form)
Term
Where do cortical interneurons migrate from
Definition
Medial ganglionic eminence
Term
Polymicrogyria: what can you say about cortical layers
Definition
Poorly organized
Term
Lissencephaly: what can you say about cortical layers
Definition
Absence of II, and reduction of III & IV
Term
Lissencephaly: genetic association with proteins that do what
Definition
Interact with microtubules
Term
Cortical dysplasia/dyslexia is a developmental disorders in what area
Definition
Wernicke's
Term
6 primary areas of the cortex
Definition
1) Somatosensory, 2) olfactory, 3) auditory, 4) visual, 5) gustatory, 6) motor
Term
How many modalities do primary cortical areas deal with
Definition
One
Term
How many modalities do secondary cortical areas deal with
Definition
One
Term
How many modalities do association cortical areas deal with
Definition
More than one
Term
Notable thalamic nucleus to association cortex
Definition
Pulvinar
Term
How many minicolumns per hemispher
Definition
120 million
Term
How many minicolumns per hypercolumn
Definition
80-100
Term
Order in terms of organization: module, minicolumn, hypercolumn
Definition
Minicolumn → hypercolumn → module
Term
Do cortical module connectivity match Brodmann's map: yes or no
Definition
No
Term
Cognitive functions (7)
Definition
1) Intellectual, 2) spatial/construction, 3) speech/language, 4) learning/memory, 5) recognition, 6) emotion/self/personality, 7) executive
Term
__% of right-handed have language on left
Definition
90-95%
Term
__% of left-handed have language on left
Definition
60-70%
Term
Verbal: left or right
Definition
Left
Term
Non-verbal: left or right
Definition
Right
Term
Spatial: left or right
Definition
right
Term
Objects/entities: left or right
Definition
Left
Term
Negative emotions: left or right
Definition
Right
Term
Corpus callosum connects hemispheres except which parts (2)
Definition
1) Visual, 2) auditory
Term
Callostomy of corpus callosum: minor or major deficits
Definition
Minor ["surprisingly subtle deficits"]
Term
Which area of the visual field maps to the occipital pole
Definition
Fovea
Term
Which area of the visual field maps to the cuneus gyrus
Definition
Inferior field
Term
Which area of the visual field maps to the lingual gyrus
Definition
Superior field
Term
Name type of visual field defect: complete lesion of the optic nerve
Definition
Monocular blidnness
Term
Name type of visual field defect: incomplete lesion of the optic nerve
Definition
Diffuse visual field defect
Term
Name type of visual field defect: incomplete lesion of the lateral optic radiation
Definition
Superior quadrantanopia
Term
Name type of visual field defect: complete lesion of the optic radiation
Definition
Homonymous hemianopia
Term
Blind spot aka
Definition
Scotoma
Term
Lesion anterior to optic chiasm: ipsilateral or contralateral
Definition
Ipsilateral
Term
Lesion posterior to optic chiasm: ipsilateral or contralateral
Definition
Contralateral for BOTH eyes
Term
Dorsal V3 responds to: large scale motion or object recognition
Definition
Large scale motion [concerned with "where"]
Term
Ventral V3 responds to: large scale motion or object recognition
Definition
Object recognition [concerned with "what"]
Term
Dorsal V3 gets input from what
Definition
V1 & V2
Term
Ventral V3 gets input from what
Definition
V2
Term
Balint's syndrome is lesion where
Definition
Dorsal visual stream
Term
Left area V4 processes what
Definition
Color, texture, shapre, and writing symbols
Term
Right area V4 processes what
Definition
Holistic, non-verbal perception; face recognition
Term
Visual form agnosia
Definition
Inability to recognize objects due to lesion of ventromedial occipitotemporal cortex
Term
Alexia & agraphia result from lesion to where
Definition
Left posterior inferior temporal lobe
Term
Prefrontal function
Definition
Interaction of emotion and executive
Term
Which areas of the cortex mature last
Definition
Multimodal areas
Term
Which area is last to get myelinated: sensorimotor, parietal assoc., temporal associ., preforontal cortex
Definition
Prefrontal cortex
Term
Ventromedial prefrontal cortex damage: problem is interaction, knowledge, movement
Definition
Interaction: lack of concern/empathy, imapired emotional regulation/judgment/reactions
Term
Dorsolateral prefrontal cortex damage: problem is interaction, knowledge, movement
Definition
Knowledge: cognitive intellect and working memory
Term
Superior medial prefrontal cortex damage: problem is interaction, knowledge, movement
Definition
Movement and emotional expression: supplemental motor area
Term
How does akinetic mutism differ from aphasia
Definition
People with aphasia demonstrate an intent to speak: gesturing, writing, etc.; akinetic mutism will look and eat, but not express any intent
Term
Difference in left or right superior medial PFC lesion: yes or no
Definition
No
Term
Which is generally worse: PFC damage in child or adult
Definition
Child: disruption of critical social learning processes
Term
Emotions exhibit what differences from other psychological states/functions (3)
Definition
1) Embodied, 2) less voluntary control, 3) less encapsulated
Term
Executive & frontal lobe functions (8)
Definition
1) Plannin, 2) decision making, 3) judgment, 4) social conduct, 5) moral reasoning, 6) self-perception/awareness, 7) creativity/artistic expression, 8) "fluid" intelligence, 9) memory
Term
Frontal lobe areas/sectors (3)
Definition
1) Ventromedial, 2) dorsolateral, 3) medial superior
Term
Damage to this area would affect which: interaction, knowledge, movement
Definition
Ventromedial sector: interaction
Term
Damage to this area would affect which: interaction, knowledge, movement
Definition
Ventromedial sector: interaction
Term
Oribital PFC lesions associated with (8)
Definition
1) Blunted emotion experience & control, 2) apathy, 3) indecisveness, 4) poor judgment, 5-7) lack of planning, initiative, insight, 8) social inappropriateness
Term
Diminished capacity to respond to punishment: ventromedial, dorsolateral, superior medial sector lesion
Definition
Ventromedial
Term
Damage to this area would affect which: interaction, knowledge, movement
Definition
Ventromedial sector: interaction
Term
Common sites of traumatic brain injury (2)
Definition
1) Ventromedial PFC, 2) temporal lobe
Term
Damage to this area would affect which: interaction, knowledge, movement
Definition
Dorsolateral sector: knowledge
Term
Damage to this area would affect which: interaction, knowledge, movement
Definition
Medial superior sector: movement
Term
Likely to recover: yes or no
Definition
No
Term
Likely to recover: yes or no
Definition
Yes, this patient did after 3 months
Term
Memory can be divided into (2)
Definition
Explicit & implicit memory
Term
Explicit memory can be divided into (2)
Definition
Semantic & episodic memory
Term
Episodic memory can be divided into (2)
Definition
Short- & long-term memory
Term
Long term memory can be divided into (2)
Definition
Anterograde & retrograde memory
Term
Anterograde memory can be divided into (2)
Definition
Verbal & spatial memory
Term
Implicit memory can be divided into (2)
Definition
Procedural & priming memory
Term
Vocabulary is an example of what memory
Definition
Semantic memory
Term
What you had for breakfast is an example of what memory
Definition
Episodic memory
Term
What you remembered 10 years ago is an example of what memory
Definition
Long term memory
Term
How to ride a bicycle is an example of what memory
Definition
Implicit memory
Term
Performing a specific motor task is an example of what memory
Definition
Procedural memory
Term
Recognizing a specific sound a second time is an example of what memory
Definition
Priming memory
Term
Reading a phone # from paper and typing it in a phone is an example of what memory
Definition
Short-term memory
Term
Anterograde & retrograde require what
Definition
A point in time (e.g., a stroke) to differentiate which is forward (anterograde) and backward (retrograde) in time
Term
Orientation to and action upon selected sensory percepts and cognitive operations
Definition
Attention
Term
Attention requires interaction with what
Definition
Sensory, sensory processing, memory, & executive function
Term
At neuronal level, learning & memory involve (2)
Definition
Alterations in: 1) firing patterns, 2) cellular morphology
Term
Herpes simplex encephalitis (medial temporal lobe amnesia) impairs what memories (3)
Definition
1) Long-term memory, 2) anterograde completely impaired, 3) graded retrograde impairment
Term
Herpes simplex encephalitis (medial temporal lobe amnesia) does not affect what (8)
Definition
1) Sensory, 2) motor, 3) perception, 4) attention, 5) language, 6) intellect, 7) short-term memory, 8) implicit memory
Term
What type of memory impairment: have to repeat a name many times to remember it
Definition
Moderate anterograde verbal memory impairment
Term
Wernicke-Korsakoff syndrome involves what circuit
Definition
Papez circuit
Term
Temporal taggin deficit means
Definition
Confusion of events in time: confusing today's breakfast with 10 years ago and favorite breakfast and from a TV show and……
Term
Hippocampus important for long term memory: yes or no
Definition
No
Term
Bilateral damage in posterior cortical regions, tempral, parietal, and occipital lobes
Definition
Progressive semantic dementia
Term
Is working memory normal in temporal lobe amnesia: yes or no
Definition
Yes
Term
Does implicit memory require consciousness: yes or no
Definition
No
Term
Does Alzheimer's preserve procedural memory: yes or no
Definition
Yes
Term
Does amnesia preserve procedural memory: yes or no
Definition
Yes
Term
How is implicit memory stored
Definition
It is embedded in the neural circuitry that produces the behavior, hence "implicit"
Term
Dimensions of memory impairment classification (3)
Definition
1) Cognitive context, 2) content or domain, 3) onset and course
Term
Which memory impairment clasification: is the amnesia isolated?
Definition
Cognitive context
Term
Which memory impairment clasification: verbal or spatial?
Definition
Content or domain
Term
Which memory impairment clasification: sudden, gradual, or stepwise onset
Definition
Onset & course
Term
Which memory impairment clasification: subsequent course been stable, resolving, progressive, or fluctuating
Definition
Onset & course
Term
Which amnesia syndrome: leaving a car running
Definition
Frontal dysexecutive amnesia
Term
Which amnesia syndrome: missing appointments
Definition
Frontal dysexecutive amnesia
Term
Which amnesia syndrome is pictured on the right (normal on left) showing atrophy of hippocampus
Definition
Amnesia due to anoxia
Term
Which amnesia syndrome: sudden retro- & anterograde amnesia with duration <24 hours
Definition
Transient global amnesia
Term
What can cause/precipitate transient global amnesia (3)
Definition
1) Emotional events, 2) stress, 3) physical activity
Term
DDx list for gradual/chronic progressive amnesia (5)
Definition
1) Alzheimer's, 2) dementias, 3) tumor, 4) multiple sclerosis, 5) medications, 6) epilepsy [a somewhat abbreviated list]
Term
Memory aids for those with amnesia
Definition
1) Organization, 2) alarms, 3) environmental cues, 4) notebook
Term
Memory strategies for those with amnesia (3)
Definition
1) Education, 2) procedural learning, 3) hyperspecific learning [abbreviated list]
Term
Rotary pursuit is an example of what memory
Definition
Procedural memory
Term
Lexicon
Definition
Dictionary of words that denote meanings
Term
Semantics
Definition
Conceptual meanings of words
Term
Syntax
Definition
Grammatical structure of sentences
Term
Word morphology
Definition
Combination of phonemes that results in a word
Term
Key characteristics of language (4)
Definition
1) Infinitely generative, 2) large lexicon, 3) linked to nonverbal contex & meaning, 4) must apply/use rules [abbreviated list]
Term
Children learn __ words/day
Definition
10 words/day
Term
Which comes first: L1 or R1
Definition
L1: when lips open
Term
Voice onset time = L1-R1 or R1-L1
Definition
VOT = R1-L1 = phonation - lips open
Term
Acquired disturbance of the comprehension & formulation of verbal messages
Definition
Aphasia
Term
Impairment in coherence of thought
Definition
Psychosis
Term
Avolitional state with no attempt to initiate speech
Definition
Mutism
Term
Speech not articulated clearly due to central or peripheral motor defect
Definition
Dysarthria
Term
No articulation due to central motor defect
Definition
Aphemia
Term
What paraphasia: "hot" for "wet"
Definition
Verbal/semantic
Term
What paraphasia: "taber" for "table"
Definition
Phonemic paraphasia
Term
What paraphasia: production of novel words, likely due to multiple phonmeic errors
Definition
Neologism
Term
What paraphasia: inappropriate repitititition
Definition
Perseveration
Term
What paraphasia: repitition of last word of a sentence
Definition
Echolalia
Term
What paraphasia: fluent, highly paraphasic speech
Definition
Jargon aphasia
Term
Broca's or Wernicke's aphasia: non-fluent speech
Definition
Broca's
Term
Broca's or Wernicke's aphasia: fluent speech
Definition
Wernicke's
Term
Broca's or Wernicke's aphasia: easily initiated
Definition
Wernicke's
Term
Broca's or Wernicke's aphasia: paraphasic errors
Definition
Both
Term
Broca's or Wernicke's aphasia: reptition & naming
Definition
Both
Term
Broca's or Wernicke's aphasia: comprehension preserved
Definition
Broca's
Term
Broca's or Wernicke's aphasia: alexia & agraphia
Definition
Wernicke's
Term
Severe impairment in nearly all speech & linguistic capacities
Definition
Global aphasia
Term
Severe impairment of verbatim repitition with near normal spontaneous speech w/phonemic errors
Definition
Conduction aphasia
Term
Like Wernicke's aphasia but verbatim repetition is more spared
Definition
Transcoritcal sensory aphasia
Term
Like Broca's aphasia but verbatim repetition is more spared
Definition
Transcortical motor aphasia
Term
Aphasia resulting from damage to left inferotemporal region
Definition
Anomic aphasia
Term
Aphasia resulting from damage to left basal ganglia (caudate nucleus in particular)
Definition
Subcortical/atypical aphasia
Term
Progressive fluent aphasia
Definition
Progressive atophy of left temporal polar cortex sparing Heschl's gyrus
Term
Diseases that cause aphasia
Definition
1) MCA stroke, 2) trauma, 3) tumor, 4) neurodegeneration (Alzheimer's, Pick's, Creutzfeldt-Jakob, others)
Term
What aspects should be assesed to get initial diagnosis of aphasia (3)
Definition
1) Fluency, 2) repetition, 3) aural comprehension [know Venn diagram in lecture notes and attached to this card]
Term
Which tends to recover more with aphasia: comprehension or production
Definition
Comprehension
Term
General neuronal organization (type, organization, & orientation)
Definition
Large pyramidal neurons in vertical columns with apical dendrite perpendicular to surface
Term
EEG orientation, negative deflection is: upward or downward
Definition
Upward
Term
EPSP: Na or Cl
Definition
Na
Term
IPSP: Na or Cl
Definition
Cl
Term
EPSP: positive or negative EEG deflection
Definition
Negative
Term
IPSP: positive or negative EEG deflection
Definition
Positive
Term
EPSP: depolarizing or hyperpolarizing
Definition
Depolarizing
Term
IPSP: depolarizing or hyperpolarizing
Definition
Hyperpolarizing
Term
Glutamate: excitatory or inhibitory
Definition
Excitatory
Term
GABA: excitatory or inhibitory
Definition
Inhibitory
Term
In hippocampus, GABA interneurons oppose what
Definition
Excitatory phyramidal cell output
Term
Thalamo-cortical circuit: between what is the GABA neuron
Definition
Interlaminar thalamic cell → thalamic relay neuron (TRN)
Term
Bursting activity of thalamic relay neurons is mediated by __ channels
Definition
Calcium channels
Term
Neurotransmitters of reticular activating system (2)
Definition
ACh, NE
Term
Function of nucleus basalis of Meynert
Definition
Modulates consciusness & attention
Term
One EEG electrode covers __ cm²
Definition
6 cm²
Term
What EEG characteristic: awake
Definition
Alpha rhythm
Term
What EEG characteristic: N1 sleep
Definition
Vertex sharp waves
Term
What EEG characteristic: N2 sleep (3)
Definition
1) Sleep spindles, 2) K-complexes, 3) postiive occipital sharp transients (POST)
Term
What EEG characteristic: N3 sleep
Definition
Slow wave sleep
Term
What EEG characteristic: REM sleep
Definition
Low voltage EEG, no muscle tone, REMs, saw tooth waves
Term
What is depicted in this EEG
Definition
Alpha rhythm
Term
What feature is depicted in this EEG pointed by arrows
Definition
Vertex sharp wave
Term
What feature is depicted in this EEG pointed by arrows
Definition
Positive occipital sharp transients (POST)
Term
What feature is depicted in this EEG
Definition
K-complex
Term
What feature is depicted in this EEG
Definition
Sleep spindles
Term
What is depicted in this EEG
Definition
Slow wave sleep
Term
What feature is depicted in this EEG within the boxes
Definition
REM
Term
What feature is depicted in this EEG within the oval
Definition
Saw tooth waves
Term
Reticular activating system dysfunction would classified as
Definition
Slow, generalized
Term
Spikes or spike-waves would be classified as
Definition
Paroxysmal
Term
What EEG feature is depicted
Definition
Spike
Term
What EEG feature is depicted
Definition
Polyspike
Term
What EEG feature is depicted
Definition
Spike & wave
Term
What EEG feature is depicted
Definition
Polyspike & wave
Term
__% of the US will have at least 1 seizure
Definition
10%
Term
__% of the US will have recurrent seizures
Definition
4%
Term
__% lifetime risk of epilepsy in the US
Definition
3%
Term
__% of the US currently have active pilepsy
Definition
0.60%
Term
Partial seizure aka
Definition
Focal seizure
Term
Simple: generlized or focal
Definition
Focal
Term
Complex: generlized or focal
Definition
Focal
Term
Atonic, tonic, clonic, tonic-clonci, myoclonic: generlized or focal
Definition
Generalized
Term
Absence: generlized or focal
Definition
Generalized
Term
Dormant basket cell hypothesis
Definition
Loss of GAB inhibition in thalamus leading to unopposed excitation
Term
Mossy fiber sprouting hypothesis
Definition
Mossy fibers synapse on themselves producing positive feedback and ustained depolarization
Term
Complex partial seizure: "short" or "long"
Definition
Long [few minutes]
Term
Absence seizure: "short" or "long"
Definition
Short
Term
Ictal EEG means what
Definition
EEG taken during a seizure
Term
Absence seizure pathophysiology
Definition
Hyperexcitable cortex & thalamus produce an excessive reverberating loop
Term
Which seizure is depicted: complex or absence
Definition
Complex: longer and focal [compared to absence seizure]
Term
Which seizure is depicted: complex or absence
Definition
Absence: shorter and generalized [compared to complex seizure]
Term
Absence seizure has what EEG feature
Definition
Spike-wave
Term
Which is acquired: complex or absence seizure
Definition
Complex
Term
Which is genetic: complex or absence seizure
Definition
Absence
Term
Complex or absence seizure: staring, unresponsive, often automatic movement
Definition
Complex
Term
Complex or absence seizure: staring, unresponsive, no aura, no post-ictal confusion
Definition
Absence
Term
Preferred treatment for partial seizures (4)
Definition
1) Inhibit excitation, 2) promote inhibition, 3) vagal stimulation, 4) surgery
Term
Preferred treatment for absence seizures
Definition
Inhibit hyperpolarization on intralaminar thalamic neurons with Calcium antagonists
Term
What is the incidence of Alzheimer's expected to do in the future: decrease, same, increase
Definition
Increase through increased life eexpectancy
Term
65% of demetia is due to what
Definition
Alzheimer's
Term
Acquired new impairments in several aspects of thinking that interfere with dialy life
Definition
Dementia
Term
Particular difficulties with dementia (2)
Definition
1) Proper names, 2) problem solving
Term
Is dementia inevitable outcome of aging: yes or no
Definition
No, dementia is more than normal loss due to aging
Term
Causes of dementia (10)
Definition
1) Alzheimer's, 2) vascular, 3) Parkinson's, 4) Pick's, 5) medications, 6) depression, 7) alcohol, 8) drugs, 9) tumors, 10) hydrocephalus [Alzheimer's is but one cause of dementia]
Term
Sporadic Alzheimer's: lowly or highly heritable
Definition
Low: 0.2-0.3 heritability factor
Term
Difference observed by Alzheimer between neurosyphilis and, what is now, Alzheimer's disease
Definition
Lack of fever in Alzheimer's
Term
Hisopathological features of Alzheimer's (2)
Definition
1) Plaques, 2) neurofibrillary tangles
Term
Age-related, irreversible, gradual/insidious decline in thinking due to death of brain cells
Definition
Alzheimer's
Term
Average survival post-diagnosis
Definition
8-10 years, up to 20
Term
Clinically, can you definitively make an Alzheimer's diagnosis: yes or no
Definition
No, brain biopsy and histological staining required; clinical Dx is "probable Alzheimer's"
Term
Image shows what histopathological feature of Alzheimer's
Definition
Neurofibrillary tangles
Term
Image shows what histopathological feature of Alzheimer's
Definition
Neuritic plaques
Term
Abnormally phosphrylated tau protein form what
Definition
Neurofibrillary tangles
Term
What is left of a neuron after neurofibrillary tangle has its effect
Definition
Tombstone/ghost tangle
Term
Spherical, amyloid core, granular deposits and remants of neuronal processes
Definition
Neuritic plaques
Term
Is social conversation normally intact in Alzheimer's: yes or no
Definition
Yes
Term
Neurofibrillary tangles are largely found where
Definition
Anterior parahippocampal gyrus, specifically entorhinal cortex
Term
Neurofibrillary tangles typically found in entorhinal cortex: yes or no
Definition
Yes
Term
Neurofibrillary tangles typically found in precentral gyrus: yes or no
Definition
No
Term
Neurofibrillary tangles typically found in postcentral gyrus: yes or no
Definition
No
Term
Neurofibrillary tangles typically found in Heschl's gyrus: yes or no
Definition
No
Term
Neurofibrillary tangles typically found in visual cortex: yes or no
Definition
No
Term
Neurofibrillary tangles typically found in frontal association cortex: yes or no
Definition
Yes
Term
Neurofibrillary tangles typically found in inferior parietal lobule: yes or no
Definition
Yes
Term
Neurofibrillary tangles typically found in lateral surface of temporal lobe: yes or no
Definition
Yes
Term
Neuritic plaques are heavily found where
Definition
Parietal & temporal lobes
Term
Neuritic plaques heavily found in entorhinal cortex: yes or no
Definition
No, very little is found there
Term
Which is better correlated with dementia: neurofibrillary tangles or neuritic plaques
Definition
Neurofibrillary tangles
Term
Which layers are neurotangular tangles found in entorhinal cortex
Definition
II & IV
Term
Primary genes implicated in Alzheimer's (4)
Definition
APP, PS1, PS2, APOE
Term
APP, PS1, PS2 are implicated more in: familial or non-familial Alzheimer's
Definition
Familial
Term
APOE is implicated more in: familial or non-familial Alzheimer's
Definition
Non-familial
Term
Cholinesterase inhibitor
Definition
Block ACh degradation to maintain ACh in synapses
Term
AMDA antaognist vs. cholinesterase inhibitor
Definition
NMDA antagonist has fewer side effects
Term
Pharmacological treatment of Alzheimer's (4)
Definition
1) Chilinesterase inhibitor, 2) NMDA antagonist, 3) neuroprotection (e.g., vitamin E), 4) IVIg targeting β-amyloid
Term
NMDA antagongist act on which neurotransmitter
Definition
Glutamate
Term
Order of memory loss in Alzheimer's
Definition
Recent → anterograde → retrograde (more recent) → retrograde (older)
Term
Why do we move our eyes
Definition
Keep image stable at the fovea
Term
Types of eye movements (5)
Definition
1) Fixation, 2) vestibular, 3) saccade, 4) smooth pursuit, 5) vergence
Term
Saccadic eye movements start where in the cortex
Definition
Frontal eye fields
Term
Pursuit eye movements start where in the cortex
Definition
Posterior parietal lobe
Term
Which is likely ipsilateral: saccadic or pursuit
Definition
Pursuit
Term
Which is likely contralateral: saccadic or pursuit
Definition
Saccadic
Term
Saccidic & pursuit pathways meet where
Definition
PPRF & riMLF
Term
Control of horizontal gaze is where
Definition
PPRF & riMLF
Term
Control of vertical gaz is where
Definition
riMLF
Term
Does the vestibulo-ocular reflex go through the PPRF: yes or no
Definition
No
Term
Parinaud's syndrome due to lesion where
Definition
Posterior commissure
Term
Parinaud's syndrome features (4)
Definition
1) Supranuclear loss of upgaze, 2) light-near dissociation of the pupillary light reflex, 3) convergence-retraction nystagmus, 4) lid retraction
Term
PPRF aka
Definition
Paramedian pontine reticular formation
Term
riMLF aka
Definition
Rostral intersitial nucleus of the MLF
Term
Which palsy is pictured
Definition
CN III
Term
Aneurysm of the posterior communicating can lead to what palsy
Definition
CN III
Term
Oculomotor nucleus lesion: MR paresis: ipsilateral, contralateral, bilateral
Definition
Ipsilateral
Term
Oculomotor nucleus lesion: SR paresis: ipsilateral, contralateral, bilateral
Definition
Bilateral
Term
Oculomotor nucleus lesion: IR paresis: ipsilateral, contralateral, bilateral
Definition
Ipsilateral
Term
Oculomotor nucleus lesion: IO paresis: ipsilateral, contralateral, bilateral
Definition
Ipsilateral
Term
Oculomotor nucleus lesion: unreactive dilated pupils: ipsilateral, contralateral, bilateral
Definition
Bilateral
Term
Oculomotor nucleus lesion: eyelid ptosis: ipsilateral, contralateral, bilateral
Definition
Bilateral
Term
Trochlear nucleus lesion: SO paresis: ipsilateral, contralateral, bilateral
Definition
Contralateral
Term
Abducens nucleus lesion: conjugate horizontal gaze: ipsilateral or contralateral
Definition
Ipsilateral
Term
CN III lesion: hypertropia, hypotropia, esotropia, exotropia
Definition
Hypotropia & exotropia [down & out]
Term
CN IV lesion: hypertropia, hypotropia, esotropia, exotropia
Definition
Hypertropia [eye points upward]
Term
CN VI lesion: hypertropia, hypotropia, esotropia, exotropia
Definition
Esotropia [eye points inward]
Term
Which palsy is pictured
Definition
CN IV
Term
CN IV palsy: head tilted __ [ipsi- or contralateral] to lesion
Definition
Ipsilateral
Term
FAT scan good for finding what palsy
Definition
FAT=family album tomotgraphy [look for head tilt in pictures]; CN IV palsy
Term
Which palsy is pictured
Definition
CN VI
Term
Change in intracranial pressure can lead to which palsy
Definition
CN VI due to stretching [Kellie-Munroe doctrine]
Term
Wernicke's encephalopathy can lead to which palsy
Definition
CN VI
Term
Clivus chordoma can lead to which palsy
Definition
CN VI
Term
Neuronal pathway between PPRF and extraocular muscle (3)
Definition
Omnipause → burst → ocular motor
Term
Burst neurons fire when: desire to move eye or not
Definition
Burst neurons fire when desire to move eye
Term
Omnipause neurons fire when: desire to move eye or not
Definition
Omnipause neurons fire continuously until desire to move eye then they stop
Term
Burst neurons are found where
Definition
PPRF & riMLF
Term
Omnipause neurons are found where
Definition
Pontine reticular formation
Term
Neural integrators for saccades are found where for horizontal movement (2)
Definition
Nucleus prepositus hypoglossi & medial vestibular nucleus
Term
Neural integrators for saccades are found where for vertical movement
Definition
Interstitial nucleus of Cajal
Term
Horizontal saccade palsy: what is the palsy
Definition
PPRF lesion and cannot voluntarily saccade
Term
Horizontal saccade palsy: how to overcome
Definition
Horizontal vestibulocular reflex can overcome it
Term
Saccadic palsy
Definition
Frontal or parietal eye field lesion: inability to send the commands to make saccades
Term
What palsy is pictured
Definition
Saccadic palsy [frontal eye fields lesions]
Term
What deficiency is pictured
Definition
Internuclear ophthalmoplegia [left MLF lesion]
Term
What deficiency is pictured
Definition
Internuclear ophthalmoplegia [left MLF lesion]
Term
What palsy is pictured
Definition
Vertical saccadic palsy [riMLF lesion]
Term
Onset of polyglutamine disease
Definition
Middle age
Term
Polyglutamine disease features (4)
Definition
1) Ataxia, 2) chorea, 3) loss of cognition, 4) psychiatric disabilities
Term
Polyglutamine disease cause
Definition
CAG repeats
Term
Polyglutamine disease: most common
Definition
SCA3 [SpinoCerebellar Ataxia] aka Machado-Joseph disease
Term
SCA3: what is the protein involved
Definition
Ataxin-3
Term
SCA3: __ to __ repeats is normal; over __ is disease causing
Definition
12-40 repeats normal; 55-86 is disease causing
Term
Parkinson's onset of
Definition
60+ years old
Term
Parkinson's cases are usually: sporadic or familial
Definition
Sporadic
Term
Parkinson's features (4)
Definition
1) Tremor, 2) slow movement, 3) rigidity, 4) poor balance
Term
Which is more prevalent: polyglutamine or Parkinson's
Definition
Parkinson's
Term
Lewy bodies
Definition
Cytoplasmic inclusions composed of insoluble fibrils formed form α-synuclein
Term
What histopathological feature is circled in red
Definition
Lewy bodies
Term
Parkinson's: α-synuclein (SNCA) has what genetic inheritance pattern
Definition
Dominant
Term
Parkinson's: LRRK2 has what genetic inheritance pattern
Definition
Dominant [KNOW THIS ONE]
Term
Parkinson's: parkin has what genetic inheritance pattern
Definition
Recessive [E3 ubiquitin ligase]
Term
Parkinson's: PINK1 has what genetic inheritance pattern
Definition
Recessive
Term
Parkinson's: DJ-1 has what genetic inheritance pattern
Definition
Recessive [Oxidative stress]
Term
Monogenetic accounts for __ to __% of Parkinson's cases
Definition
3-5%
Term
Role of mitochondria in Parkinson's
Definition
Not sure, but mitochondrial dysfunction with autophagy are thought to have a role in the etiology
Term
Many genetic links are found for Parkinson's, is environment important: yes or no
Definition
Yes
Term
__% of Alzheimer's are sporadic
Definition
90%
Term
Alzheimer's: when does synapse loss occur
Definition
Synapse loss precedes neuronal loss
Term
Aβ induced neurotoxicity requires what protein
Definition
Tau
Term
APP is on which chromosome
Definition
21
Term
APP does what
Definition
Unknown
Term
APP cleavage yields what (2)
Definition
sAPP & Aβ
Term
Aβ aka
Definition
β-amyloid protein
Term
α-secretase cleavage of Aβ: produces Aβ or not
Definition
Not
Term
γ-secretase cleavage of Aβ: produces Aβ or not
Definition
Produces Aβ
Term
Mutations in α-secretase cleavage of Aβ: produces Aβ or not
Definition
Produces Aβ
Term
Do you want Aβ42 or not
Definition
No, worst peptide for causing Alzheimer's
Term
Mutations in PS1 have what effect
Definition
Earlier age of onset
Term
PS1 is on which chromosome
Definition
14
Term
PS2 is on which chromosome
Definition
1
Term
Function of PS1/2
Definition
8 transmembrane-bound aspartyl protease that is a part of the γ-secretase
Term
Where is PS1/2 found
Definition
Membranes of ER and Golgi
Term
Mutations of PS1/2 are generally: loss- or gain-of-function
Definition
Gain of function
Term
APOE function
Definition
Lipid transport
Term
Tau function
Definition
Associated with microtubules
Term
What detaches tau from microtubules
Definition
Hyperphosphorylation
Term
Is tau unique to Alzheimer's disease
Definition
No, Alzheimer's, Down's, Pick type C, and many others
Term
An unusual feature of tau splicing and it's pathogenicity
Definition
Both exon and intron mutations can lead to pathology
Term
In APP mouse models, what is the relationship been visible plaque formation and memory deficits, and what does that mean
Definition
Memory deficits precede visible plaque meaning Aβ oligomers has a role
Term
If tau is knocked out in APP mouse model, is this __ [neuroprotective or neurotoxic] in this mouse
Definition
Neuroprotective
Term
Tauopathy model in Drosophila: did that require tangle formation: yes or no
Definition
No
Term
Tauopathy model in Drosophila: relation to the cell cycle
Definition
Cell cycle progression required, absence of mutation when cdk2 inhibited
Term
APP+tau+PS1 mutant shows what with respect to estrogen
Definition
Estrogen depletion worsens pathology
Term
APP+tau+PS1 mutant shows what with respect to androgens
Definition
Androgen depletion accelerates pathology
Term
APP+tau+PS1 mutant shows what with respect to Aβ-antibodies
Definition
Early antibody use clear Aβ deposits, but late use could not
Term
Types of stroke (2)
Definition
Ischemic or hemorrhagic
Term
__% of strokes are ischemic
Definition
80%
Term
Collaterals of the brain (3)
Definition
1) External-internal carotid through the eye, 2) circle of willis, 3) pia anastamoses (ACA & MCA)
Term
PACI aka
Definition
Partial anterior circulation infarct
Term
LACI aka
Definition
Lacunar infarct
Term
TACI aka
Definition
Total anterior circulation infarct
Term
POCI aka
Definition
Posterior circulation infarct
Term
__ + __ = __ [fill in with PACi, LACI, TACI, POCI]
Definition
PACI + LACI = TACI
Term
PACI is infarction to what
Definition
Cortex & deep white matter
Term
LACI is infarction to what
Definition
Deep cortical & white matter
Term
POCI is infarction to what
Definition
Brain stem & cerebellum
Term
Which has/have no loss of consciousness: PACi, LACI, TACI, POCI
Definition
PACI & LACI
Term
Which has/have stunned/coma: PACi, LACI, TACI, POCI
Definition
TACI
Term
Which has/have impaired conciousness: PACi, LACI, TACI, POCI
Definition
POCI
Term
What cognition problems for PACI
Definition
Aphasia if on dominant side; neglect on non-dominant side
Term
What cognition problems for LACI
Definition
Aphasia if on dominant side; neglect on non-dominant side
Term
What cognition problems for TACI
Definition
Aphasia if on dominant side; neglect on non-dominant side
Term
What cognition problems for POCI
Definition
None
Term
Ocular motility problems for PACI
Definition
Eyes toward lesion
Term
Ocular motility problems for LACI
Definition
None
Term
Ocular motility problems for TACI
Definition
Eyes toward lesion
Term
Ocular motility problems for POCI
Definition
Ipsilateral to lesion
Term
Visual field problems for PACI
Definition
Contralateral: homonymous & hemianopia
Term
Visual field problems for POCI
Definition
None
Term
Motor impairment for PACI
Definition
Face = arm != leg
Term
Motor impairment for LACI
Definition
Face = arm = leg
Term
Motor impairment for TACI
Definition
Face = arm = leg
Term
Motor impairment for POCI
Definition
Ipsilateral face != contralateral arm = contralateral leg
Term
Cerebellar impairment for PACI
Definition
None
Term
Cerebellar impairment for LACI
Definition
None
Term
Cerebellar impairment for TACI
Definition
None
Term
Cerebellar impairment for POCI
Definition
Ipsilateral to lesion
Term
Articulation impairment for PACI [aphasia & dysarthria]
Definition
Mild
Term
Articulation impairment for LACI [aphasia & dysarthria]
Definition
Worse than PACI
Term
Articulation impairment for TACI [aphasia & dysarthria]
Definition
Worse than LACI
Term
Articulation impairment for POCI [aphasia & dysarthria]
Definition
Severe
Term
Three questions to ask about stroke
Definition
Where? What? Why?
Term
If consciousness is severely impaired or is affected early, where does that suggest
Definition
Brain stem
Term
if disturbances of cognition are present, where does that suggest
Definition
Cerebrum, probably cortex
Term
If visual field defect is present, where does that suggest
Definition
Contralateral hemisphere
Term
If unilateral paralysis is present, where does that suggest
Definition
Contralateral hemisphere
Term
If difference in sensory modality loss, where does that suggest
Definition
Brain stem [pain/temp is dorsolateral; vibration is medial]
Term
Midline cranial nerves (4)
Definition
III, IV, VI, XII
Term
Lateral cranial nerves (6)
Definition
V, VII, VIII, IX, X, XI
Term
Midbrain cranial nerves (1)
Definition
III
Term
Pontine cranial nerves (2)
Definition
VI, VII
Term
Pontomedullary junction cranial nerves (1)
Definition
VIII
Term
Medullary cranial nerves (4)
Definition
IX, X, XI, XII
Term
Pontine/medullary cranial nerves (1)
Definition
V
Term
Non-brain stem cranial nerves (2)
Definition
I, II
Term
Classic midbrain vascular syndrome has what features (2)
Definition
1) III palsy, 2) contralateral hemiperesis
Term
Classic pons vascular syndrome has what features (3)
Definition
1) VI palsy, 2) VII palsy, 3) contralateral hemipersis
Term
Classic medulla vascular syndrome has what features (5)
Definition
1) V palsy, 2) X palsy, 3) cerebellar signs, 4) Horner's, 5) contralateral limb pain/temp loss
Term
Ataxia suggests where
Definition
Cerebellum
Term
Waddling appears in what condition
Definition
Muscular dystrophy
Term
Dorsum of hand forward and swing leg around suggests what
Definition
Hemiparesis
Term
Apraxia is what
Definition
Lost skill of walking
Term
Festinating is what
Definition
Slowly building steps build toward a run with inability to slow down
Term
Limp aka
Definition
Antalgic
Term
Do muscle diseases tend to affect proximal or distal muscles
Definition
Proximal
Term
Things that affect the neuromuscular junction (2)
Definition
1) Myasthenia gravis, 2) nerve gases/toxins
Term
Fasciculations: LMN or UMN sign
Definition
LMN
Term
Hyporeflexia: LMN or UMN sign
Definition
LMN
Term
Hypotonia: LMN or UMN sign
Definition
LMN
Term
Common cause of mononeuropathy
Definition
Trauma
Term
Common causes of plexopathy (2)
Definition
Cancer & trauma
Term
Common cause of root LMN problem
Definition
Disc herniation
Term
Common causes of anterior horn cell problems (2)
Definition
ALS & polio
Term
Hyperreflexia: LMN or UMN sign
Definition
UMN
Term
Hypertonia: LMN or UMN sign
Definition
UMN
Term
Babinski: LMN or UMN sign
Definition
UMN
Term
Dissociated sensory loss means what
Definition
Loss of some modalities but not others
Term
If dissociated sensory loss, then where can NOT the lesion be
Definition
Cortex, thalamus, or rostal brain stem
Term
Wide base when walking suggests where
Definition
Cerebellum
Term
Truncal ataxia suggests where
Definition
Midline cerebellum
Term
Dysmetria means what
Definition
Inability to touch finger to nose
Term
Dyssynergia means what
Definition
Loss of opposing muscle synergy (biceps vs. triceps → jerky arm movements)
Term
Dysarthria means what
Definition
Slurred speech, scanning speech
Term
Temporal eye field is about __°
Definition
100°
Term
Nasal eye field is about __°
Definition
60°
Term
Superior eye field is about __°
Definition
60°
Term
Inferior eye field is about __°
Definition
75°
Term
EYE ANATOMY: REVIEW PREVIOUS HOS & NEURO [NOT COVERED HERE AGAIN]
Definition
EYE ANATOMY: REVIEW PREVIOUS HOS & NEURO [NOT COVERED HERE AGAIN]
Term
Where are rods absent or nearly so (2)
Definition
1) Fovea, 2) optical disc
Term
Method of mapping visual field
Definition
Perimetry [review notes for how this is done]
Term
Glaucoma affects what part of the eye
Definition
Optic disc
Term
Papilledema affects what part of the eye
Definition
Optic disc
Term
Optic neuritis affects what part of the eye
Definition
CN I
Term
Compressive & toxic neuropatheis affects what part of the eye
Definition
CN I
Term
Dopaminergic input to the ventral striatum comes from (2)
Definition
1) Medial part of pars compacta (of substantia nigra), 2) ventral tegmental area
Term
Neurons in the medial pars compacta & ventra tegmental area show respones to
Definition
Positive reward
Term
Output of ventral pallidum (2)
Definition
1) Ventral pallidum, 2) pars reticulata
Term
Ventral pallidum & pars reticulata send output projections to
Definition
MD nucleus
Term
What do the MD outputs to cortices have in common with the ventral striatum
Definition
Same cortices: forms a circuit (cortex → ventral striatum → ventral pallidum/pars reticulata → MD → cortex)
Term
Activation of orexin neurons in the lateral hypothalamus linked to
Definition
Food & drug (only those) rewards
Term
Habenula __ [inhibits or stimulates] dopamine release
Definition
Inhibits
Term
Habenula response to what type of inputs (2)
Definition
1) Negative/unpleasant, 2) non-reward/disappointment
Term
Depression: hypo- or hyperfrontality
Definition
Hyperfrontality
Term
Hallucinations & delusions: hypo- or hyperfrontality
Definition
Hypofrontality
Term
Heroine, nicotine, & alcohol act where
Definition
Mesolimibc dopaminergic system
Term
Amphetamines & cocaine act where
Definition
Nucleus accumbens
Term
Which is more in the magnocellular system: ACh or GABA
Definition
GABA by 2:1
Term
Medial septum/vertical diagonal band outputs to where
Definition
Hippocampus
Term
Horizontal diagonal band outputs to where
Definition
Olfactory bulb
Term
Nucleus basalis of Meynert outputs to where
Definition
Cerebral cortex & amygdala
Term
ACh from magnocellular innervates which cortical layers
Definition
All
Term
GABA from magnocellular innervates which cortical layers
Definition
Inhibitory cortical neurons
Term
Inputs to the magnocellular system (5)
Definition
1) Various cortices, 2) ventral putamen & nucleus accumbens, 3) amygdala, 4) ventral tegmental area, 5) locus ceruleus
Term
GABAergic inputs from ventral putamen & nucleus accumbens innervate which magnocellular neurons: cholinergic or GABAergic
Definition
Cholinergic
Term
Excitatory inputs from cortices innervate which magnocellular neurons: cholinergic or GABAergic
Definition
GABAergic
Term
Increased dopamine into nucleus accumbens changes ACh output of the magnocelular how
Definition
Increases ACh release in the cortex [so, more dopamine = more ACh through a double-inhibition]
Term
Decreased cortical ACh is associated with: impairment of attention or hypervigilance
Definition
Impairment of attention
Term
Increased cortical ACh is associated with: impairment of attention or hypervigilance
Definition
Hypervigilence
Term
Is magnocellular system lost in Alzheimer's: yes or no
Definition
Yes, extensive loss
Term
Hypervigilence with excessive focusing on inappropriate stimuli is seen in what condition
Definition
Schizophrenia
Term
Why would nicotine withdrawal be accompanied by poor concentration
Definition
Return to normal levels of ACh receptors that were elevated due to nicotine
Term
V5 is involved in what (2)
Definition
1) Motion perception, 2) assemblage of objects in space
Term
Balint's syndrome features
Definition
1) Simultanagnosia, 2) optic ataxia, 3) ocular apraxia
Term
Balint's syndrome can result from what kind of infarction
Definition
Watershed between MCA & PCA
Term
Left auditory belt does which: temporal or spectral aspects
Definition
Temporal aspects (sequence, duration of sounds, intervals between sounds)
Term
Right auditory belt does which: temporal or spectral aspects
Definition
Spectral aspects (frequency, pitch, harmonics)
Term
Sensory aphasia due to damage of
Definition
Wernicke's area
Term
Sensory aprosodia due to damage of
Definition
Right side "Wernicke's area"
Term
Which side is important for retrieval of names of objects: left or right
Definition
Left [caudal=common names; anterior=proper names]
Term
Which side is important for retrieval of non-verbal information about objects: left or right
Definition
Right
Term
On the postcentral gyrus, deep in the central sulcus is: proprioception or touch+pressure+vibration
Definition
Touch+pressure+vibration
Term
On the postcentral gyrus, superficial in the central sulcus is: proprioception or touch+pressure+vibration
Definition
Proprioception
Term
Lesions of postcentral gyrus lead to (2)
Definition
1) Agraphesthesia, 2) astereognosis
Term
Lesions to parietal operculum lead to (2)
Definition
1) Constructional apraxia [right dorsomedial], 2) tactile agnosia [ventromedial]
Term
Right inferior parietal lobule damage is a common reesult of what storke
Definition
MCA
Term
Right inferior parietal lobule damage lead to (2)
Definition
1) Contralateral limb neglect, 2) contralateral loss of visual awareness
Term
Left inferior parietal lobule damage lead to (4)
Definition
1) Agraphia, 2) acalculia, 3) finger agnosia, 4) right-left disorientation [=Gerstmann's syndrome]
Term
Medial parietal lobule has a probable role in
Definition
Consciousness
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