Neuroscience: Motor Areas and Anatomy Quiz

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Questions and Answers

A lesion in the motor-hand area would primarily cause what deficit?

  • Weakness of the hand on the same side of the lesion.
  • Weakness of the leg on the same side of the lesion.
  • Weakness of the leg on the opposite side of the lesion.
  • Weakness of the hand on the opposite side of the lesion. (correct)

Which artery primarily supplies the motor-hand area?

  • Anterior communicating artery
  • Middle cerebral artery (correct)
  • Posterior cerebral artery
  • Anterior vertebral artery

Where is the area for the legs and feet located in the precentral gyrus (PCG)?

  • Anterior to the motor-hand area.
  • Near the motor-hand area, towards the vertex. (correct)
  • In between the motor-hand area and the trunk area.
  • Posterior to the motor-hand area.

Which of the following describes the location of the superior frontal gyrus?

<p>Runs parallel to the interhemispheric fissure. (C)</p> Signup and view all the answers

The superior frontal sulcus forms what, in conjunction with the precentral sulcus, when trying to locate the motor-hand area?

<p>An imaginary arrow (C)</p> Signup and view all the answers

What is the visible appearance of cerebrospinal fluid (CSF) in a T1-weighted MRI scan?

<p>Black (D)</p> Signup and view all the answers

Which area of the precentral gyrus is primarily responsible for controlling movements of the mouth and tongue?

<p>Ventrolateral region (A)</p> Signup and view all the answers

Which motor fibers are the most direct to internal capsule without any obstacle course?

<p>Hand motor fibers (B)</p> Signup and view all the answers

What is the centrum semiovale mainly formed by?

<p>White matter converging motor fibers (D)</p> Signup and view all the answers

Which of the following best describes the spatial arrangement of the motor fibers?

<p>Arranged in a logical order representing the body (C)</p> Signup and view all the answers

Where do the face and tongue motor fibers primarily target?

<p>Brainstem cranial nerves. (C)</p> Signup and view all the answers

What anatomical structure must face and tongue motor fibers arch to reach the internal capsule?

<p>The insula. (A)</p> Signup and view all the answers

What becomes black in a T1 weighted MRI scan?

<p>Gray matter (A)</p> Signup and view all the answers

What consequence may occur if blood pressure gets high in the area described?

<p>Bleeding and paralysis of the arm, legs, and face (A)</p> Signup and view all the answers

Which area is allocated for the arms and legs according to the description?

<p>Most posterior (B)</p> Signup and view all the answers

What types of tracts are described for the arms and head?

<p>Corticospinal for arms and corticobulbar for head (A)</p> Signup and view all the answers

What is noted about the distribution of motor functions among individuals?

<p>Variations can lead to different levels of control over the mouth and face (C)</p> Signup and view all the answers

What is the significance of the fibers twisting in the internal capsule?

<p>It represents the arrangement of different motor areas for better efficiency (D)</p> Signup and view all the answers

What happens to the muscle controlled by a destroyed lower motor neuron?

<p>The muscle shrinks and atrophies. (B)</p> Signup and view all the answers

Where is the oculomotor nucleus complex located?

<p>In the midbrain beneath the aqueduct of Sylvius. (B)</p> Signup and view all the answers

What is a plausible cause of the electric fan propeller not spinning if no external damages are visible?

<p>There could be internal mechanical failure. (D)</p> Signup and view all the answers

Which cranial nerve nucleus is responsible for motor control of the tongue?

<p>Hypoglossal nucleus (CN 12) (D)</p> Signup and view all the answers

What anatomical structure denotes the diamond shape at the level of the pons?

<p>Fourth ventricle. (D)</p> Signup and view all the answers

Which anatomical structure is responsible for both pain perception and balance?

<p>Pons (D)</p> Signup and view all the answers

What is the primary function of the diencephalon in relation to the nervous system?

<p>All forms of sensory integration (C)</p> Signup and view all the answers

Lesions interrupting long tracts will have different effects depending on their location. Which location will likely affect visual perception?

<p>Cerebral Cortex (A)</p> Signup and view all the answers

Which statement regarding decussation is correct?

<p>Decussation refers to connections crossing over to the opposite side. (D)</p> Signup and view all the answers

Which region is responsible for autonomic functions such as swallowing and phonation?

<p>Medulla (A)</p> Signup and view all the answers

What is the consequence of a lesion occurring before the decussation of long tracts?

<p>Ipsilateral sensory deficits (B)</p> Signup and view all the answers

Which of the following observations is essential in assessing an unconscious patient?

<p>Check the pupils and extraocular movements (A)</p> Signup and view all the answers

In the context of neurological lesions, what does Occam's razor suggest about diagnosis?

<p>The simplest explanation is usually the correct one. (C)</p> Signup and view all the answers

What is the primary function of the corticospinal tract?

<p>Control of essential muscle functions (A)</p> Signup and view all the answers

Where does the majority of the corticospinal tract fibers decussate?

<p>At the cervicomedullary junction (A)</p> Signup and view all the answers

What percentage of corticospinal fibers descend uncrossed?

<p>10% (A)</p> Signup and view all the answers

In which portion of the body are the arm fibers located relative to the leg fibers in the corticospinal tract?

<p>Lateral to the leg fibers (D)</p> Signup and view all the answers

Which structure is part of the lower motor neuron pathway impacted by the corticospinal tract?

<p>Brainstem (C)</p> Signup and view all the answers

What type of movements does the lateral corticospinal tract primarily control?

<p>Limbs movements (C)</p> Signup and view all the answers

Why is it important for the corticospinal tract to have a degree of redundancy?

<p>To maintain consistent muscle innervation (C)</p> Signup and view all the answers

What should be assessed when evaluating problems in muscle function?

<p>Function of upper or lower motor neurons (B)</p> Signup and view all the answers

Which part of the corticospinal fibers descends as the anterior corticospinal tract?

<p>Uncrossed fibers (A)</p> Signup and view all the answers

Which type of muscle activity is least likely to be paralyzed due to corticospinal tract control?

<p>Swallowing (B)</p> Signup and view all the answers

Flashcards

Superior Frontal Gyrus

Located in the frontal lobe, in front of the precentral sulcus, this gyrus is responsible for higher-order cognitive functions like planning, working memory, and decision-making.

Superior Frontal Sulcus

A deep groove that separates the superior frontal gyrus from the middle frontal gyrus. This sulcus helps divide the frontal lobe into different functional areas.

Motor-Hand Area

This area of the brain is responsible for controlling voluntary movements of the hand. Damage to this region can result in weakness or paralysis of the hand on the opposite side of the body.

Precentral Sulcus

A deep groove that marks the boundary between the frontal lobe and the parietal lobe. This sulcus is important for motor control and sensory processing.

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Lesions in the Motor-Hand Area

Damage to specific areas within the motor-hand area can cause weakness in the hand on the opposite side of the body. This is because the motor cortex controls voluntary movements on the contralateral (opposite) side of the body.

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Precentral Gyrus (Mouth and Tongue Motor Control Area)

A region in the brain responsible for controlling voluntary movements of the mouth and tongue, crucial for speech and swallowing.

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Internal Capsule

The space between the brain's hemispheres, containing myelinated nerve fibers that carry signals between different regions.

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Centrum Semiovale

A large bundle of white matter found in the brain, responsible for connecting the cortex with lower brain regions.

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Corona Radiata

A large bundle of white matter fibers that radiate from the internal capsule to the cerebral cortex. It's the main pathway for information between the brain and the rest of the body.

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Motor Homunculus

A simplified map of the human body within the brain. The larger areas on the map correspond to regions of the body with finer motor control.

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Face and Tongue Motor Fibers

The motor fibers responsible for controlling the face and tongue.

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Hand Motor Fibers

The motor fibers responsible for controlling the hands.

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Corticobulbar Tract

A set of nerve pathways that carry signals from the cerebral cortex to the brainstem.

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Motor Cortex

The area in the brain responsible for controlling voluntary movements of the face, arms, and legs.

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Corticospinal Tract

The path taken by nerve fibers connecting the motor cortex to the spinal cord, responsible for carrying signals that initiate voluntary movement.

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Motor Cortex Vulnerability

Blood vessels in the motor cortex are delicate and prone to damage. High blood pressure can cause rupture, leading to paralysis or weakness in the affected body parts.

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Lower Motor Neuron Lesions: Flaccid Paralysis

Damage to a lower motor neuron in the spinal cord results in muscle weakness or paralysis, known as flaccid paralysis. This occurs because the signal from the brain cannot reach the muscle, leading to a loss of control.

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Lower Motor Neurons (LMNs): The Final Common Pathway

The final common pathway for voluntary movements. They receive signals from the brain and transmit them to skeletal muscles.

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Broken Electric Fan Analogy for Lower Motor Neuron Lesions

A useful analogy to understand lower motor neuron lesions: Imagine a broken electric fan that makes noise when turned on but doesn't spin. The problem is localized to the fan's motor (the lower motor neuron), not the power source (the brain) or the wiring (upper motor neurons).

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Lower Motor Neuron Lesions: Muscle Atrophy

Lesions at the level of the lower motor neuron result in muscle atrophy because the muscle is no longer receiving signals to contract and maintain its size.

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Lower Motor Neuron Lesions: Decreased Reflexes

Lower motor neuron lesions are characterized by decreased or absent reflexes, as the signal from the brain is interrupted, leading to a lack of reflex response.

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What does the corticospinal tract do?

The corticospinal tract carries signals from the motor cortex to the spinal cord for voluntary movement.

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How are the fibers of the corticospinal tract organized?

The corticospinal tract fibers are organized in a specific way in the internal capsule and crus cerebri. The arm fibers are located anterior to the leg fibers.

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What happens to the corticospinal tract at the cervicomedullary junction?

The corticospinal tract decussates, meaning most of its fibers cross over to the opposite side at the cervicomedullary junction.

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What are some of the muscles controlled by the corticospinal tract?

The corticospinal tract controls muscles that are essential for life, such as chewing and swallowing.

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What is the lateral corticospinal tract?

The crossed fibers of the corticospinal tract descend as the lateral corticospinal tract, which primarily controls limb movements.

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What is the anterior corticospinal tract?

The uncrossed fibers of the corticospinal tract descend as the anterior corticospinal tract, which controls axial muscles.

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What is the significance of the anterior corticospinal tract?

The anterior corticospinal tract can potentially compensate for damage to the lateral corticospinal tract, allowing some movement even in cases of paralysis.

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What type of neuron pathway is the corticospinal tract?

The corticospinal tract is an upper motor neuron pathway, meaning that it originates in the brain and carries signals to lower motor neurons.

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What can happen if the corticospinal tract is damaged?

Damage to the corticospinal tract can result in weakness, paralysis, or spasticity.

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What is a key consideration when evaluating a patient with a movement disorder?

When evaluating a patient with a movement disorder, it is important to determine if the problem is due to a muscle or nerve issue, and if it's an upper or lower motor neuron problem.

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Decussation

The point where nerve pathways from the brain cross over to the opposite side of the body.

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Exclusively Intracranial Lesion

A specific type of lesion that primarily affects the brain and its structures.

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Occam's Razor

A principle used in diagnosing, meaning the simplest explanation is often the most likely.

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Localization Approach to the Unconscious

Assessing pupils, eye movements, response to pain, and breathing patterns to pinpoint the location of a neurological problem.

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Lesion Interrupting Long Tracts

The way a neural signal's location becomes disrupted by a lesion, depending on if it occurs before or after the signal crosses in the brain.

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Proprioception

This refers to the sensation of where the body is positioned, a sense lost if a lesion affects the appropriate path

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Triangulating Neurological Lesions

A common method used to pinpoint where a neurological issue is localized.

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Study Notes

Overview of Motor Cortex Anatomy

  • The corticospinal and corticobulbar tracts originate in the sensorimotor cortex, located on the banks of the central sulcus.
  • 55% of the fibers originate in the frontal lobe, and 35% from the parietal lobe.
  • The precentral gyrus (PCG) has a 1:1 representation of body muscles.
  • Fine motor movements involve more neurons than gross movements.
  • More important movements have more neurons assigned.
  • The PCG is part of the frontal lobe, responsible for voluntary muscle activation and connected to the corticospinal tract.
  • It runs transversely from the brain's apex towards the Sylvian fissure.
  • The central sulcus is a helpful landmark for identifying the PCG.
  • The motor-hand area is often seen as a "knob" or bump within the PCG (an inverted omega).
  • The shape of the PCG can vary between individuals (inverted omega or epsilon shaped).

Corticospinal and Corticobulbar Tracts

  • Corticospinal tracts contain upper motor neuron axons controlling arm and leg muscles. They end in the spinal cord.
  • Corticobulbar fibers originate in the sensorimotor complex (face, eye, mouth, tongue areas) and end on brainstem motor nuclei.
  • Corticobulbar fibers control muscles in the head and neck.
  • Approximately 50% of corticobulbar fibers decussate, synapsing on the opposite side lower motor neurons in the brainstem.
  • The remaining 50% stay ipsilateral.
  • Corticospinal fibers decussate (cross) at the cervicomedullary junction to form the lateral corticospinal tract (controlling limbs).
  • 10% of corticospinal fibers descend uncrossed as the anterior corticospinal tract (controls axial muscles).

Lower Motor Neurons

  • Lower motor neurons are organized, with specific nuclei controlling specific muscles.
  • Brainstem nuclei include the oculomotor (eye), trochlear (superior oblique), abducens (lateral rectus), hypoglossal (tongue), and ambiguus (swallowing) nuclei.
  • Different spinal cord areas control different movement types: medial columns for posture and axial muscles; lateral columns for finer movements in the limbs.
  • Damage to lower motor neurons results in flaccid paralysis.

Lesions and Clinical Correlations

  • Damage to specific areas can cause weakness in corresponding body parts.
  • Upper motor neuron lesions result in contralateral weakness or paralysis.
  • Lower motor neuron lesions result in ipsilateral weakness.
  • Strokes in different artery regions affect different body parts.
  • Anterior cerebral artery stroke affects legs, middle cerebral artery stroke affects face and hands.
  • Stroke localization is crucial for determining the cause of weakness or paralysis.
  • Assessment of reflexes (hyporeflexia, hyporeflexia, or areflexia) is important in diagnosing upper/lower motor neuron issues.

Tracts and Pathways

  • Corticospinal and corticobulbar axons follow specific pathways (centrum semiovale, corona radiata, internal capsule, cerebral peduncles) to reach their target muscles.
  • These pathways' arrangement maintains a spatial representation of the body (homunculus).
  • Lateral ventricles, caudate nucleus, putamen, and globus pallidus are important structures for corticospinal tract fibers.
  • Leg fibers are furthest back in the internal capsule; hand fibers are middle; and face and tongue fibers are closest to the genu and more medial.
  • There are "back-up" fibers in these tracts, which may help recovery from some types of damage.

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