Cortical Association Areas Flashcards

1
Q

Tell me about where the cortex inputs and outputs from.

A

The cortex has VI layers before white matter

Inputs to layer IV from:

  • Motor and sensory cortices
  • Thalamus
  • Brainstem
Outputs:
From layer V and VI to:
- Hippocampus
- Basal ganglia
- Cerebellum
- Thalamus
From layers I, II and III to:
- Other cortical association areas
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2
Q

What are association areas of the lobes?

A

Frontal lobe:

  • Higher intellect
  • Personality
  • Mood
  • Social conduct
  • Language

Parietal lobe:

  • Dominant hemisphere - language calculation
  • Non-dominant hemisphere - visuospatial functions

Temporal lobe:

  • Memory
  • Language

Occipital lobe:
- Vision

They all work together for single thought or understanding

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3
Q

What problems occur in a frontal lobe lesion?

A

Diverse

Personality and behavioural changes
Inability to solve problems

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4
Q

What problems occur in a parietal lobe lesion?

A

Attention deficits

e.g. right hemisphere damage > contralateral neglect syndrome

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5
Q

What problems occur in temporal lobe lesions?

A

Recognition deficits:
agnosias

e.g. prosopagnosia > failure to recognise faces

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6
Q

What problems occur in global lesions?

A

Dementia> cognitive deficits

e.g. Alzheimer’s, cerebrovascular disease

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7
Q

What is meant by lateralization in the brain?

A

Different hemispheres are more specialised in different functions

Dominant hemisphere (95% left hemisphere)

Language: 
- Spoken/heard
- Written/read
- Gestured/Seen
Maths
Logic
Motor skills (handedness)
Non-Dominant hemisphere
Emotion of language
Music/Art
Visuospatial
Body awareness
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8
Q

What connects the two hemispheres? And what problems occur with lesions to this?

A

Corpus callosum (anterior commissure)

Lesion of corpus callosum:
Two separate conscious portions - dominant side could elicit response from written word without non-dominant knowing why

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9
Q

What areas are involved of the lateralisation of language?

A

Two important areas:
Wernicke’s area
- Interpretation of written and spoken words

Broca’s area
- Formulation of language components, sends info to motor cortex

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10
Q

What is the pathway for speaking a heard word?

and speaking a written word

A
Primary auditory area
then
Wernicke's area (via Arcuate fasciculus, to)
Broca's area
Then
Motor cortex

For a written word, it starts off in primary visual cortex, then via angular gyrus to Wernicke’s area and so on.

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11
Q

What is Wernicke’s aphasia?

A

Receptive, sensory or central aphasia

Dominant side:

  • Disorder of comprehension
  • Fluent but intelligible speech - jargon aphasia
  • Loss of mathematical skills
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12
Q

What is Broca’s aphasia?

A

Expressive or motor aphasia

Poorly constructed sentences, dis-jointed speech
Comprehension is fine.

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13
Q

Name some other aphasias.

A

Conduction
Nominal/amnesic
Global or total

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14
Q

How are memories stored?

A

Memories are stored throughout the cortex
Declarative or procedural
Synaptic changes
Are a consequence of neuronal plasticity

Declarative:
hippocampus and various cortical regions

Procedural:
Cerebellum, pre-motor cortex, basal ganglia

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15
Q

How are memories formed?

A

Senses > cortical sensory areas > amygdala and hippocampus > diencephalon, basal forebrain, pre-frontal cortex > cortical sensory areas

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16
Q

What does destruction of hippocampus cause?

A

Anterograde amnesia

Failure to form new memories

17
Q

What is amnesia?

A

Different forms of memory loss or ability to make memories.

Vascular interruption, tumours, trauma, infections vitamin B deficiency (Korsakoff’s syndrome), ECT

Retrograde amnesia:
Failure to retrieve old memories (Alzheimer’s)
Transient global amnesia (TIA)