| Term 
 
        | In general, a unilateral lesion a cerebellar hemisphere manifests itself on the ___ side as the damage |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | lesions along midline of cerebellum cause: |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | lesions in lateral cerebellum result in: |  | Definition 
 
        | symptoms involving extremeties |  | 
        |  | 
        
        | Term 
 
        | lesions in lateral cerebellum result in: |  | Definition 
 
        | symptoms involving extremeties |  | 
        |  | 
        
        | Term 
 
        | the primary output (afferents) from the cerebellum is through the ___ ___ ___. The primary input (efferents) to the cerebellum is through the ___ and ___ ___ _____. |  | Definition 
 
        | - superior cerebellar peduncle - middle and inferior cerebellar peduncles
 |  | 
        |  | 
        
        | Term 
 
        | ___ cells are the only excitatory cells in the cerebellar cortex. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Purkinje cells are ____ neurons in the cerebellar cortex and project to and ___ the deep cerebellar nuclei. |  | Definition 
 
        | - GABAergic - inhibit
 - deep cerebellar nuclei= dentate, globos, vestibuli
 |  | 
        |  | 
        
        | Term 
 
        | the cerebellum integrates activity from the following centers: |  | Definition 
 
        | - muscle spindles on the spinal level - vestibular receptors from the head region
 
 The cerebellum integrates and processes this information and then transmits signals back to these areas to make a smooth, well coordinated movement
 |  | 
        |  | 
        
        | Term 
 
        | the cerebellum forms the : |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Since the cerebellum is above the 4th ventricle, mass lesions, swelling, or compression can lead to ____. |  | Definition 
 
        | - hydrocephalous 
 examples: medulloblastomas, astrocytomas, hypertensive hemorrhages, cerebelar infarcts
 |  | 
        |  | 
        
        | Term 
 
        | the tentorium cerebelli is a fold of __ matter that separates the cerebellum from the ___ lobe. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | cerebellum fills the ___ fossa of skull |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | purkinje cells are in ___ matter of cerebellum, while nuclei are in ___ matter. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | composition of the cerebellum (cross section) |  | Definition 
 
        | 1. Cerebellular cortex (cell bodies, a.k.a.(gray matter) 
 2. Cerebellular fiber tracts, a.k.a. white matter (“arbor vitae”)
 
 3. The deep cerebellular
 nuclei  are located
 amongst the white matter.
 Note: they are also known
 as roof nuclei, since they
 are located near the roof
 of the fourth ventricle
 |  | 
        |  | 
        
        | Term 
 
        | cerebellar peduncles attach the ___ to the ___. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | the cerebellar peduncles are located above and around what? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | what main input (afferents) to the cerebellum enter through the inferior cerebellar peduncle: |  | Definition 
 
        | - dorsal spinocerebellar tract- ipsilateral proprioceptive inputs from the body |  | 
        |  | 
        
        | Term 
 
        | a lesion in the inferior cerebellar peduncle would injur what and result in what? |  | Definition 
 
        | - lesion to dorsal spinocerebellar tract resulting in ipsilateral loss of proprioception |  | 
        |  | 
        
        | Term 
 
        | what afferent pathway enters the cerebellum via the superior cerebellar peduncle? |  | Definition 
 
        | - ventral spinocerebellar tracts from the spional cord that decussate to the contralateral hemisphere upon entry into the cerebellumOUt |  | 
        |  | 
        
        | Term 
 
        | List the types of afferent fibers to the cerebellum: |  | Definition 
 
        | - Climbing fibers - Mossy fibers
 - Aminergic fibers
 |  | 
        |  | 
        
        | Term 
 
        | describe climbing fibers: |  | Definition 
 
        | 1. originate in inferior olive 2. synapse on purkinje cells
 3. send collaterals to deep cerebellar nuclei
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | - originate from a variety of tracts - synapse on granule cells
 - sends collateral to deep nuclei
 |  | 
        |  | 
        
        | Term 
 
        | describe aminergic fibers: |  | Definition 
 
        | - locus ceruleus (noradrenergic) - raphe nucleus (serotonergic)
 |  | 
        |  | 
        
        | Term 
 
        | both climbing and mossy fibers provide ___ input. The aminergic modulate the ___ activity. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | excitatory climbing fibers synapse on ___ cells which then ___ deep nuclei |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | excitatory mossy fibers synapse on ___ cells, which then excite ___ cells. |  | Definition 
 
        | - granule cells - purkinje cells
 |  | 
        |  | 
        
        | Term 
 
        | look at slide 22 of this lecture for good table |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | granule cells are the only ___, ___ neurons in the the cerebellar cortex. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Purkinje cells provide primary inhibitory input (GABAergic) to the ipsilateral deep cerebellar nuclei, especially the dentate nucleus. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | layers of cerebellar cortex : |  | Definition 
 
        | Molecular Layer a. Stellate cells
 b. Basket cells
 c. Dendrites from Purkinje cells
 d. Bifurcated (T-shaped) parallel fibers
 from granule cells
 (synapse on Purkinje cell dendrites)
 e. Dendrites of Golgi cells
 
 Purkinje Cell Layer
 a. Purkinje cells (cell bodies)
 b. Basket cell projections
 
 Granule Cell Layer
 a. Granule cells
 b. Golgi cells (cell bodies)
 c. Mossy fiber (glomeruli)
 synaptic connections
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Coordination of voluntary motor activity by inflencing muscle activity: A. Fine skilled movements
 B. Gross propulsive movements (i,e,, walking)
 Maintenance of posture and balance (equilibrium) via connections with the vestibular system.
 Maintenance of muscle tone via connections to pathways that control the spinal gamma motor neurons.
 Motor learning and memory (e.g., stereotyped movements
 |  | 
        |  | 
        
        | Term 
 
        | The  vermis and medial portion of the hemispheres controls coordination of muscle tone of the trunk 
 The hemispheres control muscle coordination and tone on the ipsilateral side of the body
 |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | - sign of cerebellar dysfunction, but could also be from LMN lesion or myopathy - diminished muscle tone
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | - could be due to problem with cerebellum - loss of coordinated muscle contraction resulting in uncoordinate movements, staggering gait, tendency to fall to ipsilateral side
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | - could be due to cerebellar dysfunction - failure to place an extremity at a precise point in space, like touching heel to shin or a finger tip to nose
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | - failure to make rapid alternating movements - could be due to cerebellar problem
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | normal loss checks of agonist and antagonist muscle - example: if you a patients arm away from chest but they are pushing towards chest, when you let go, they fly towards chest
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | - could be to cerebellum problem - tremors that occur when attempting a voluntary movment (when reaching for a glass)
 NOTE : tremors occur at rest with parkinsons, so if see problem with tremors at rest then its not cerebellum, may be parkinsons
 |  | 
        |  | 
        
        | Term 
 
        | a unilateral cerebellum lesion will have ___ manifestations. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | degeneration of the ___ in alcoholics is ___. |  | Definition 
 
        | - vermis - bilateral
 and has bilateral effects
 |  | 
        |  | 
        
        | Term 
 
        | the spinocerebellar tract is in the ___ and medial part of hemisphere in the ____. Normally it is associated with ___ ___ ___ like ___. If there is a lesion here you will see ___ ___ aka___ __ |  | Definition 
 
        | - vermis - cerebellum
 - sterotyped propulsive movments
 - walking
 - truncal ataxia
 - drunken gait
 |  | 
        |  | 
        
        | Term 
 
        | past pointing is the inability to do what? |  | Definition 
 
        | - touch finger to nose, or heel to shin bone |  | 
        |  | 
        
        | Term 
 
        | medulloblastoma specifically affects the ____  and results in ___ and ____. |  | Definition 
 
        | - vestibulocerebellum - falling
 - nystagmus
 |  | 
        |  |