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Aphasia Midterm
All the anatomy stuff for the midterm
107
Other
Post-Graduate
10/14/2010

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Cards

Term
What's in the diencephalon?
Definition
Hypothalamus and Thalamus
Term
Where is the hypothalamus and thalamus?
Definition
Diencephalon
Term
What is in the mesencephalon?
Definition
the midbrain
Term
Where is the midbrain?
Definition
mesencephalon
Term
Where is the medulla?
Definition
mylencephalon
Term
What's in the myencephalon?
Definition
medulla
Term
Whats in the metencephalon?
Definition
cerebelum and pons
Term
where is the cerebellum and pons?
Definition
metencephalon
Term
Whats the toughest membrane layer protectinve the central nervous system?
Definition
Dura matter (tough mother)
Term
What are the three membranes (the meninges) from outermost to innermost?
Definition

dura matter

arachnoid matter

pia matter 

Term
What does the arachnoid membrane look like?
Definition
a spider web
Term
Where is the pia mater?
Definition

it clings directly to the brain and spinal cord

(delicate mother)

Term
where are dorsal and ventral most used?
Definition
outside of the brain
Term
What are the 5 ..cephalons?
Definition

telencephalon

diencephalon

metencephalon

mesencephalon

myelencephalon

Term

Where to blood vessels enter the brain through? (they come through this layer)

What is it composed of?

Definition

The Subarachnoid space

(contains blood vessels and arteries and cerebral spinal fluid)

Term
What are the characteristics of the pia mater?
Definition
very thin and delicate
Term
What are the functions of the CSF?
Definition

supports nourishes and cushions brain

 

Term
What happens when there is a loss of CSF?
Definition

extremely painful

stabbing pains each time head moved 

Term
What are the 4 ventricles?
Definition

2 lateral ventricles

the third ventrical (centally located)

fourth ventrical (small in hindbrain)

Term
Where are the tho large lateral ventricles?
Definition
cerebral hemisphere
Term
How do the 3rd and 4th ventricle communicate?
Definition
through the cerebral aqueduct (a narrow channel that runs through the midbrain)
Term
What are the ventricles continuous with?
Definition

the subarachnoid space

central canal of spinal chord

Term
Where is the CSF made? what makes it?
Definition

in the ventricles

via Choroid plexuses

Term
What ventricle connects the system to the subarachnoid space?
Definition
4th ventricle
Term
Where are the choroid plexuses?
Definition
the walls of all the ventricles
Term
[image]
Definition
know it
Term
What type of matter largely makes up the cortex?
Definition
grey matter
Term
What to convolutions do for the brain (and what types are there)
Definition

increases the amount of storage space we have in the brain

(sulci, fissures, gyri)

Term
What separets the brain into four main divisions/lobes?
Definition
sulci, fissure and gyri
Term
What are the 3 main fissures?
Definition
central, lateral, longitudinal
Term
lateral fissure separates what?
Definition
Temporal lobe below (separates from frontal and parietal)
Term
What does the central fissure separate?
Definition
the frontal and parietal lobes
Term
The Sylvian Fissures is also called waht?
Definition
the lateral fissure
Term
What sucli/fissures are assoc with the frontal lob?
Definition

central sulcus (sep parietal)

lateral fissure (sep temporal)

Term
What are the L and R hemispheres separated by?
Definition
interhemispheric fissure
Term
What are Brodmanns Areas?
Definition

numbered areas of the brain

-numbered based on cell types and organization

Term
What is area #6
Definition
secondary motor
Term
What is area #
Definition
Primary motor
Term
What is area #44
Definition
Brocas
Term
What is area #22
Definition
Wernickes
Term
What is #39
Definition
Angular Gyrus
Term
What is area #40
Definition
Supramarginal gryus
Term
How do you locate the supramarginal gyrus?
Definition
its right above the angular gyrus
Term
know 4,5,1,2,3,44,40,41,42,22,39,19,18,17
Definition
Term
What important things are in the frontal lobe?
Definition

primary motor cortex

primary olfactory cortex

Term
What important stuff is in the parietal lobe?
Definition

primary somatosensory cortex

primary gustatory cortex

Term
What important stuff is in the temporal lobe?
Definition
primary auditory cortex
Term
What important things are in the occipital lobe?
Definition
primary visual cortex
Term
Within the functional divisions of the brain (lobes) what other divisions are there?
Definition

primary and secondary (of motor and sensory)

association areas (for higher mental processing)

Term
Where is the sensory cortex?
Definition

immediately posterior to the central sulcus

(in the parietal lobe)

Term
Where is the primary auditory cortex?
Definition
posterior superior temporal gyrus
Term
What are the functions of the primary motor cortex?
Definition

-rep of human body (humunculous)

-specifica area for speech, hand, finger, and eye-hand coord

 

Term
Where is the primary motor cortex?
Definition

anterior to the central sulcus

(the precentral gyrus)

Brodmanns area 4

Term
What would damage to the primary motor cortex do?
Definition
hemiplegia 
Term
What does the premotor cortex do?
Definition
guides voluntary body movements and integrates sensory input
Term
Where is the premotor cortex? (secondary motor)
Definition

anterior to primary motor strip

Brodmanns areas #6

allows info to be further processed, draws on move information

Term
Where is the supplemetary motor cortex?
Definition
dorsal to premotor cortex
Term
What does the supplementary motor cortex do?
Definition
planning of complex motor movements and movements under internal control
Term
What issues can you get with lesions to the motor areas?  (premotor, supplementary, primary)
Definition

paralyses

apraxia

production

Term
What do the association areas do?
Definition

attention shifted

planning occurs

things remembered

Term
what is the function of th primary sensory and motor areas?
Definition

most sensory info first arrives here

primary motor area sends commands to muscles

Term
What are the association areas?
Definition
prefrontal, limbic, parietal-temporal-occipital areas (language processing)
Term
What happens in the prefrontal cortex?
Definition

loc in ant frontal lobe

its an association area - higher aspects of motor control and planning/execution of behavoir and other cognitive functions (control of behavior, abstract thinking and reasoning)

Term
What will lesions to the prefrontal lobe do?
Definition

lack of inhibition behaviors including speech

may have normal intelligence and memory but personality changed

bilateral lesion - reduced or cessation of behavior

Term
Where is Broca's area located?
Definition

Brodmann 44

in front of the area of the primary motor cortex that conntrols jaw, lip, tongue and vocal cord movements 

Term
Where is the angular gyrus? why is it important?
Definition

posterior inferior parietal lobe (just post to wernickes)

Broadmans area #39

involved with processing of auditory and visual input and language comprehension

processes letters with corresponding sounds

imp for reading, writing, abstract thinking and calculation

Term
Where is the supramarginal gyrus? why is it important?
Definition

inferior lateral parietal lobe

broadmans area #30

involved in reading (meaning and phonology)

symbolic integration for writing

Term
What could a right parietal lobe lesion do?
Definition
Balint's syndrome
Term
What could a left parietal lobe lesion do?
Definition
Gerstmann's Syndrome
Term
What is important in the temporal lobe?
Definition

- speech comprehension (semantic processing)

-intergation of written and oral symbols to make them meaningful

- has primary auditory cortex and secondary auditory cortex

- imp for memory (medial areas)

Term
Where is the primary auditory cortex?
Definition

Heschl's convolutions 

Broadman 41 and 42

dorsal surface of superior temporal gyrus (also buried within sylvian fissure)

 

Term
What type of impairment would be cause by a lesion to the primary auditory cortex?
Definition

pure word deafness

(inability to understand words but preserved recog of non-verbal sounds)

Term
Where is Wernicke's area?
Definition

left posterior portion of superior temporal gyrus

encircles the auditory cortex on sylvian fissure

Broadman areas 22

Critical to understanding of language

Term
What happens when we repeat a heard word?
Definition

acoustic signal to wernickes/primary auditory then to motor cortex/brocas

 then word executed

Term
What are some characteristics of Wernicke's aphasia?
Definition
- impaired language comprehension but speech meaningless, but maintain natural rhythm and syntax relatively intact (fluent jargon)
Term
What could a right temporal lesion do?
Definition

affects appreciation of music and rhythm

non verbal memory

Term
What are the three gyri of the frontal lobe?
Definition

superior (first convolution)

middle (second)

inferioir (third)

Term
What could a lesion to the parietal-temporal-occipital association areas do?
Definition

colour agnosia

movement agnosia

agraphia 

Term
What are the three types of white fibers?
Definition

projection

association

commissural

Term
Where are the projection fibres?
Definition

sensory and motor fibres that travel vertically from cortex to brainstem and spinal cord

(through internal capsule)

Term
What are association fibres?
Definition

the most numerous ones

confined within a hemisphere

the arcuate fasiculus - connects broca's and wernicke's

Cingulum 

Inferior longitudinal fasciculus - connects temp and occip

Term
What are commissural Fibers?
Definition

ones that run horizonally and connect corresponding areas of both hemispheres

(through corpus callosum & anterior commissure)

Term
What does Broca's area do?
Definition
motor planning for articulation
Term
What does the motor strip do?
Definition
activates muscles for articulation
Term
What does the acrurate fasciculus do?
Definition
transmits info anteroir to posterior areas
Term
What does Wernicke's area do?
Definition
comprehension of oral language
Term
What does the Angular gyrus do?
Definition
integrates visual, auditory and tactile info (its an association area)
Term
What does the supramarginal gyrus do?
Definition
symbolic integration for writing
Term
What does the corpus callosum do?
Definition
communicates between hemispheres
Term
What ares the subcortical areas for in the language model?
Definition

thalamic naming and memory mechanisms

insular,capsular and striatal language and speech mechanisms

 

Term
What  arteries carry bloor to the brain?
Definition

2 Carotid arteries - carry blood to anterior system

2 Vertebral arteries - carry blood to posterior system

Term
Describe the carotid arterial (anterior) system
Definition

carotid artery enters carotid canal thru cavernous sinus

thru dura, arachnoid matter

goes along subarachnoid space,

exist and ascents to split into anterior cerebral artery and larger middle cerebral artery

Term
Describe the vertebrobasilar (posterior system)
Definition

vertebral arteries enter skull thru foramen magnum

- they join at pons/medulla to form basilar artery

 

basialr artery ascents to pons/midbrain where it splits into the two post cerebral arteries

 

 

 

Term

What does the posterior cerebral artery supply?

 

Definition

inf part of temporal lobe and occipital lobe

(connects with the posterioir communicating arteries to complete the circle of willis)

Term
What is the circle of willis?
Definition

network of blood vessels at the base of the brain

formed by proximal parts of the two anterior cerebral arteries

and proximal parts of posterioir cerebral arteries

 

All bllood from 2 internal carotids and basilar system comes together here and then gets redistributes by ant,middle and cerebral arteries  here

Term
How much of the body's blood supply does the brain recieve?
Definition
20%
Term
What are the 3 cerebral arteries?
Definition

anterior

middle 

posterior

Term
the posterior cerebral artery does the blood supply to what parts of the brain?
Definition

the inferior temporal gyrus

the occipital lobe

primary visual area

occulusion of this can cause blindness and cerebellar issues

Term
What does the middle cerebral artery supply?
Definition

a lot of the brain

areas lateral

main vessel is within sylvian fissure

 

Most involved with speech (supplies, somatosensory cortex, motor cortex, broca's area, heschl's gyrus, wernicke's area, angular and supramarginal gyrus)

Term
Where does the anterior cerebral artery supply?
Definition

the medial portions of the cortex

(issues here will affect, motor to lower extremities, prefrontal lobe syndrome

Term
What is an ischemic stroke?
Definition

Occurs when there is a blockage in the blood supply to the brain

most common form (85%)

examples are: thrombosis, embolism, transient ischemic attacks (TIAs)

 

Term
What is a hemorrhagic type of stroke?
Definition

3 types:

Intracerebral: rupture of intracranial artery (get blood accumulation)

Subdural: traumatic injury and blood vessels in arachnoid tissue)

Aneurysm: weakness in blood vessel wall)

Term
How can an arteriorvenous malformation cause a stroke?
Definition

its a congenital condition where there are bad conncetions between arteries

-susceptible to hemorrhaging

 

Term
What causes an ischemic vs a hemorrhagic stroke?
Definition

ischemic - blood clot blocks an artery, disrupting flow to the brain

hemorrhagic - blood vessel in the brain bursts and damages nearby tissue

Term
What are the two important principles of functioning for understanding the effects of brain lesions on cognitive processes
Definition

contralaterality (left controls right)

hemispheric specialization (lang more in left)

Term
What are some examples of lateralization for language?
Definition

left - speech, reading, writing, math, language related sounds

right - non verbal aspects of language, prosody, narrative, inference, spatial, perceptual info processing

Term
What are the methods by which the structure and function of the brain can be investigated
Definition

behavioral assessment

medically based techniques (lesions, direct stimulation)

Imaging techniques

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