NSC 4354 Exam 4: Complex Brain Functions Review PDF

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brain function cognitive functions neurology psychology

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This document reviews complex brain functions, including the association cortex, frontal cortex, and memory. It also includes case studies, such as Phineas Gage, in which specific brain areas are examined. The document delves into the effects of lesions and other functions of the PFC.

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NSC 4354 Exam 4: Complex Brain Functions Review Review video: https://youtu.be/V3DDjB7x954 Review slides: Cognitive Functions ● Association cortex ○ The association cortex integrates information from multiple modalities - sensory, motor, emotional ○ Parietal association cortex analyzes space, genera...

NSC 4354 Exam 4: Complex Brain Functions Review Review video: https://youtu.be/V3DDjB7x954 Review slides: Cognitive Functions ● Association cortex ○ The association cortex integrates information from multiple modalities - sensory, motor, emotional ○ Parietal association cortex analyzes space, generates attention, and transmits sensory information to the motor system ○ Temporal cortex (hippocampus) organizes declarative memory, also involved in higher-order visual and auditory processing, language ○ Frontal association cortex governs “executive functions” - plans behavior, facilitates working memory, inhibits responses ● (pre-) Frontal cortex ○ Prefrontal cortex = Dorsolateral and orbital frontal cortex ● Phineas Gage ○ In 1848, Mr. phineas Gage’s left frontal lobe was destroyed when a metal rod passed through his head after a freak explosion. ○ First documented personality change due to frontal lobe damage. ○ Before the accident he was described as hard-working, responsible and popular with his coworkers; after the accident he lost all social skills, was impatient, obstinate and unfocused. ● Overview - Functions of PFC ○ Effects of PFC lesions in primates by sub-region ○ Orbital ■ Inability to suppress distracting stimuli ■ Impaired decision making ■ Flattened affect ■ Impairec social behavior ○ Medial ■ Inability to focus attention ■ Apathy, loss of attention to surroundings ○ Dorsolateral ■ Inability to sustain attention ■ Lack of motivation and awareness ■ Deficits in working memory ■ Deficits in (motor) planning (temporal organization of behavior) ● Dorsolateral PFC Executive Functions: ○ Attention ○ Working memory ○ Planning ○ Response inhibition ● “Planning neurons” ○ Delayed response task ■ Monkey watches experimenter place food in 1 or 2 wells ■ Followed by a delay period (screen lowered) ■ Monkey gets one chance to choose well containing food ○ Bilaterally lesion prefrontal cortex ■ Diminished/abolished ability to locate food ○ Neurons in the prefrontal cortex specifically fire to delay response task ○ Maximally active during short delay period ■ As if their firing represented information about the location of the food morself maintained from the presentation part of the trail ○ Same neurons have reduced activity during the motor response ■ Indicates neurons are active in short-term memory and planning, rather than the actual movement itself ● Orbital cells encode reward valence ○ Activity of an OFC neuron in response to different types of reward ■ The monkey first accepts Raisins as a reward and firing during the delay is enhanced ■ When other, “better” rewards (Potato and Cabbage) become available the monkey refuses the Raisin and the cell stops firing during these trials ■ The cell continues firing during “Potato” and “Cabbage” rewarded trials ■ Later, whe the animals accepts Raisins agai, firing returns. ■ The behavioral performance (reaction time) also changes. ● The Pepsi Coke Challenge ○ Subjective preference for Coke vs. Pepsi (expressed as “Coke” selections) activates the orbitofrontal PFC Cortial States Memory ● Memory - types and temporal categories ● ● ● ● ● ● ● ○ Increasing the digital span by practice and the development of associatinal strategies ○ The normal human capacity for remembering relatively meaningless information is surprisingly limited ■ String of 7 to 9 numbers ○ A person’s digit memory span can be increased dramatically with practice Associations: the role of previous knowledge and/or motivation ○ Motivated memory: ■ Hungry subjects scored better on a test of recognition memory (“have you seen this picture before?”) when they had to identify food-related items The case of patient H.M. ○ Henry Molaison (H.M.) underwent bilateral temporal surgery for the treatment of epilepsy in 1953, at age 27 ○ H.M. died in 2008 (age 82) - never again formed another conscious memory ■ Anterograde amnesia ○ Ablations involved hippocampus, parahippocampal gyrus, and amygdala ○ H.M. had severe (complete) deficits in acquiring new declarative memory ■ Episodic (Personal/autobiographical knowledge) ■ Semantic (Facts/knowledge) ○ Old declarative memory (events before the surgery) remained intact ○ However, non-declarative (implicit) memory remained largely intact → Improved/learned performance on a motor task even though he never remembered that he had performed the task before Areas involved in declarative memory - the hippocampus Testing hippocampal function in animals ○ Spatial learning in the Morris water maze - Hippocampus and parahippocampal gyrus are needed to encode and consolidat memories The hippocampus in London taxi drivers ○ Posterior hippocampus appears to be particularly useful in remembering spatial information ○ Larger in London taxi drivers than in age-matched control subjects Conditioned Learning ○ Learning - classical conditioning (Pavlov) (686) ■ Occurs when an innate reflex is modified by associating its normal trigger with an unrelated stimulus; by repeated association, the unrelated stimulus eventually triggers the original response. ○ Learning - operant conditioning (Skinner) (686) ■ Form of learning in which an individual’s behavior is modified by its consequences; the behavior may change in form, frequency, or strength ■ Reinforcement is a consequence that causes behavior to occur more often ■ Punishment is a consequence that causes a behavior to occur less frequently ■ Extinction is caused by the lack of any consequence following a behavior (687) Emotion ● Emotions as a subjective feeling ○ Emotions are expressed via the ‘emotional motor system’: ■ Visceral motor changes ● Involve activation of sympathetic ANS (fight or flight) ■ Somatic motor responses (facial expression) ● Recruited lower motor neurons ■ Subjective “feeling” ● Limbic system, amygdala, cortical regions ● Hypthothalamus: Critical Center for Integration ○ Philip Bard (1928) removed cerebral hemispheres (front half of brain) in cats, which elicited spontaneous rage he termed ‘sham rage’ → No obvious target (705) ■ Cerebral cortex was cut out ○ Altered visceral motor component = increased blood pressure and heart rate, pupil dilation, piloerection of hairs ○ Altered somatic motor component = arched back, extended claws, tail lashing, snarling ○ ‘Sham rage’ only occurred if the hypothalamus was intact ○ No ‘sham rage’ if the hypothalamus was completely removed ○ “Uninhibited hypothalamic discharge” has 3 known causes in humans: ■ Hypothalamic lesions ■ Carbon monoxide poisoning ■ Hypoglycemia (low blood sugar level) ○ The experience of emotion may depend on the cerebral cortex, but the expression of emotion depends on the connection between the hypothalamus and brainstem ○ Duchenne de Boulogne, 1862 ○ Contrive, voluntary smile ■ “Pyramidal smile” → Motor cortex via pyramidal tract ○ Spontaneous, emotional smile ■ “Duchenne smile” → Anterior cingulate via reticular formation ○ The lesion in descending projection from the motor cortex: Difficulty in producing voluntary movement/ smile ● ● ● ● ○ The lesion in the extrapyramidal motor pathway: inability to produce an “emotional” smile The Limbic Lobe ○ 1850s: Paul Broca used the term limbic lobe to refer to the part of the cerebral cortex that forms a rim around the corpus callosum ○ Two prominent components: ■ Cingulate gyrus ■ Parahippocampal gyrus Modern conception of the limbic system (708) ○ The concept of a forebrain circuit has been revised over time to include: ■ Amygdala ■ Parts of the orbital and medial prefrontal cortex ■ Ventral parts of the basal ganglia ■ The mediodorsal nucleus of the thalamus The amygdala (710) ○ The amygdala links cortical sensory regions with the hypothalamus and brainstem ○ There are 3 major functional and anatomical subdivisions: ■ Central (CeA) = connections with hypothalamus and brainstem (expression of emotion) ■ Medial (MeA) = extensive connections with olfacy bulb and cortex ■ Basolateral (BLA) = major connections with orbital/medial prefrontal cortex, associational cortex of anterior temporal lobe (sensory convergence, emotional significance) Fear and the Human Amygdala (713-714) ○ Patient S.M. suffers from a rare condition called Urbach-Wiethe disease ■ Bilateral calcification and atrophy of the anterior-medial temporal lobes, including the amygdala ○ Asked to rate intensity of emotion in photographs ■ Cannot recognize the emotion of fear ○ Patient S.M. encounters with snakes, spiders, haunted house, scary movies = no fear ○ No self reports of fear in daily life over 3 months, all other emotions reported ● Speech and Language ● The major brain areas involved in the comprehension and production of language ○ Linguistic abilities depend on the integrity of several specialized areas located primarily in the association cortices of the left temporal, parietal and frontal lobes ○ The loss of language has such devastating consequences that neurosurgeons make every effort to identify and preserve those cortical areas involved in its comprehension and production ● Language: Wernicke and Broca ● ● ● ● ○ Broca’s area (frontal cortex): Language/speech production ■ Broca’s aphasia: ■ Expressive aphasia; slow, laborious, non-fluent speech ● Patients “know what they want to say, they just cannot get it out” ● Problems with fluency, articulation, word-finding, word repetition, and producing and comprehending complex grammatical sentences, both orally and in writing ● Typically able to comprehend words, and sentences with a simple syntatic structure, but are more or less unable to generate fluent speech ■ Motor planning deficits - Lesions in the left posterior frontal lobe ○ Wernicke’s area: understanding of written and spoken language ■ Wernicke's aphasia: ■ Sensory or receptive aphasia - impairment of language comprehension (written and spoken) ● Speech is phonetically and grammatically normal, but meaningless ● Inability to convert thoughts into words ● Often accompanied by denial of deficit Lateralization of language - Roger Sperry ○ Split brain patients: transection of the corpus callosum and anterior commissure as a treatment for epilepsy ■ Right hand or right visual field (left hemisphere) → Able to name object ■ Left hand or left visual field (right hemisphere) → Problem naming object ○ Stereognosis: the ability to perceive and recognize the form of an object in the absence of visual information ○ Stereognosis (exploration by hand) or brief exposure in one of the visual fields Variability of language representation (left hemisphere) ○ Stimulation of these areas interfered with speech (original studies by Wilder Penfield) ○ Stimulation of these areas interfered with speech production and perception (Numbers are out of 117 patients) ○ Highly variable between subjects! ○ In bilingual subjects areas for the same function may differ across languages Language-related regions of the left hemisphere ○ Language tasks such as listening to words and generating word associations elicit activity in Broca’s and Wernicke’s areas ■ Also activity in primary and association sensory and motor areas ○ Language processing involves many cortical regions in addition to the classic language areas The critical period for language learning ○ Becoming fluent requires linguistic experience relatively early in life ○ Decline in fluency of non-native speakers as a function of age ○ Children can usually learn to speak a 2nd language without accent and with fluent grammar until about age 7-8 ○ After this age, performance gradually declines no matter what the extent of practice or exposure Sleep ● Sleep ○ Sleep is a naturally recurring state characterized by reduced or absent consciousness, relatively suspended activity, and inactivity of all voluntary muscles ○ Occurs in all mammals =, birds, and most reptiles, amphibians, fish ○ Governed by brainstem nuclei with diffuse projections to the brain and spinal cord ■ Brain similarly active during sleep and wake ○ Humans spend roughly ⅓ of their lives, or 7.5 hours per day sleeping ● Measuring sleep ○ Electroencephalography (EEG) = scalp recording of electrical activity. ○ Low spatial resolution = frontal, temporal, central, parietal, and occipital leads ○ Measure the signal of thousands of cells ○ Sleep is a cortical brain state. We see electrical activities slow during sleep. ● Sleep is important, but why? ● Possible functions of sleep ○ Ecological adaptation ■ Hunting/avoiding predators is difficult when relying on vision at night ○ Energy conservation and restoration ■ Sleep deprivation compromises the immune system ■ Glycogen levels fall during the day = replenishing brain glycogen ■ Metabolism decreases during sleep = reduces heat loss in colder night ○ Memory consolidation ■ Increase strength of synaptic connections induced by experiences during waking hours ■ Studies of remembered spatial location in rodents = ensembles of hippocampal neurons activated during a spatial memory task are reactivated during sleep ■ Humans show sleep-dependent improvement in learning ● Whatever the reason - sleep is essential! ○ Experimental rate kept awake = EEG triggers movement of the cage floor ○ The control animal can sleep intermittently (sleeps while the experimental rat is awake and the floor is still) ○ Loss of body weight despite increased food intake ○ Total sleep deprivation in rats leads to death in 3-4 weeks ● Effects of Sleep deprivation ○ Irritability ○ Cognitive Impairment ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ Memory lapses or loss Impaired moral judgment Severe yawning Hallucinations Symptoms similar to ADHD Impaired immune system Risk of diabetes type 2 Increased heart rate variability Risk of heart disease Increased reaction time Decreased accuracy Tremors Aches Other: ■ Growth suppression ■ Risk of obesity ■ Decreased temperature ● Sleep is a Highly Conserved Behavior ○ Sleep = period of physiological inactivity, BUT the brain remains active ○ Predatory animals (humans) typically have a single long period of nocturnal or diurnal sleep ○ Prey maintain vigilance = sleep in short intervals (minutes) ○ Dolphins and seals: ■ Sleep alternates between 2 hemispheres ■ One hemisphere exhibits (EEGs) signs of wakefulness ■ The other hemisphere “sleeps” ● First hour of sleep = non - REM sleep ○ Occurs in 4 stages within the first hour of going to sleep: ■ Stage I: drowsy period; decrease in frequency, slight increase in amplitude of EEG waves ■ Stage II: light sleep; decrease frequency, increase amplitude, intermittent spike clusters ■ Stage III: moderate to deep sleep; decrease frequency, increase amplitude ■ Stage IV: deep sleep; low frequency, high amplitude delta waves ● Rapid eye movement (REM) sleep periods ○ Follows non-REM sleep ● ● ● ● ○ First period of REM sleep lasts about 10 minutes then cycles back through the four non-REM stages ○ Usually about 5 periods of REM sleep/night, each period gets longer as sleep continues ○ EEG recordings of REM sleep are remarkably similar to the awake state Synchronous Activity of Delta Waves = Deep Sleep ○ Alpha and beta waves = wake ○ Theta and delta waves = sleep ○ Brain controls switch between waves ○ Deep sleep is characterized by synchronous activity in pyramidal cortical neurons ○ Synchronization = increased amplitude of EEG waves as in deep sleep delta waves Physiological changes during sleep states ○ A: EEG shows REM sleep increases from 10 min to 50 min in the final cycle; stage 4 non-REM sleep is only present in the first 2 cycles ○ B: Electrooculogram (EOG) shows eye movement in REM; electromyogram (EMG) shows muscle movement at the onset of sleep and just before waking ○ C: Heart rate and respiration slow in non-REM and increase in REM When does dreaming occur? ○ REM sleep is characterized by dreaming = experience not related to corresponding sensory stimuli arising from the present environment of memory and hallucinations ○ Sleepwalking and sleep-talking occur during non-REM sleep; they are not usually accompanied or motivated by dreams ○ About 2 hours each night (both REM and non-REM sleep) ○ Study: wake subjects during REM or non-REM sleep and ask about dreams ○ During REM sleep: elaborate, vivid, emotional (sometimes bizarre and emotional) ○ During non-REM sleep: fewer dreams, more conceptual, less vivid, less emotional, related to everyday activities, and more thought-like (Sigmund Freud’s “day residue”: events and conflicts of the day) Why does dreaming occur? ○ Consolidation of memories ■ Dreams may help consolidate learned tasks, perhaps by further strengthening synaptic changes associated with recent experiences ○ To dispose of unwanted memories ■ Dreams might reflect a mechanism for expunging ‘parasitic’ modes of thought that would otherwise become overly intrusive (as in compulsive thought disorders) ○ Activation synthesis theory: dreams are caused by the random firing of neurons in the cerebral cortex during the REM period. The forebrain then “creates a story” in an attempt to make sense of the nonsensical sensory information → that explains the irrationality of the mind during REM sleep. ○ REM sleep deprivation for as much as 2 weeks has little or no obvious effect on behavior ■ Individuals taking SSRIs have markedly less REM sleep Questions: ● True or False: “Planning neurons” fire at their maximal rate (are most active) during the delay period between a cue presentation and the subsequent behavioral response. ○ True ● True or false: A clinician or behaviorist will only use one behavioral test to determine whether a given function is impaired, as secondary tests would be redundant. ○ False ● Reward activity in the orbitofrontal cortex and the VTA _____. ○ Fire most strongly when the reward is given at first, then shift their activity to fire in anticipation of a reward after learning has occurred. ● Which of the following is not a deficit produced when Phineas Gage lost his prefrontal cortex? ○ Disruption of speech comprehension ○ Damage to the ventromedial prefrontal cortex produced erratic behavior demonstrating that activity in the (ventral) orbitofrontal cortex provides inhibitory control over behavior (impulse control) ● The Wisconsin Card sorting task is designed to test which frontal cortex-dependent cognitive definition ○ Working Memory ● The histological hallmarks of Alzheimer’s disease ○ Amyloid plaques ○ Tau Tangles ● True or False: “Phylogenetic memory” refers to innate behaviors hard-wired into a species behaviors from birth ○ True ● Working memory, short term memory and long-term memory can be subjected to the process of forgetting. ● The phenomenon of improving memory acquisition by applying a set of rules to simplify a complex problem is referred to as _____. ○ Chunking ● Stored declarative memories are spread out throughout the cortex ● The amygdala is most associated with fear ● An individual feeling happiness, but genuinely smiles, their face droops and the emotional context of their facial expression is unclear. Which system is lesioned? ○ The extrapyramidal motor pathways ● Which of the following is not a symptom of Kluver-Bucy Syndrome? ○ Reduce emotional reactions ○ Increased emotional reactions ○ Hyperphagia ○ Hypersexuality ● The specific area of the temporal lobe that is responsible for speech is called Wernicke’s area, and it is usually located in the left hemisphere. ● A patient presents with impaired speech production and sentence repetition. Their comprehension is normal and they can identify and name objects with ease. What temporal lobe structure is likely damaged? ○ Broca’s area ● True or False: Cortical responses to speech sounds in individuals with Autism Spectrum Disorder are both weaker and slower compared to neurotypical patients. ○ True ● True or False: Sign language production and recognition follows the same pattern as verbal language production and recognition ○ True ● Recognition of the emotional content of someone’s verbal communication is performed by language centers in ○ The right hemisphere ● Declarative memory is stored in the cortex ○ The hippocampus is responsible for the generation of declarative memories, but the actual long-term storage is occurring in the cortex.Hippocampus can be destroyed, but stored memories can remain intact because that process is independent of the hippocampus. ● The pairing of a neutral stimulus with an unconditioned stimulus, which leads to the neutral stimulus eliciting the same response as the unconditioned stimulus (becoming a conditioned response) is called ○ Classical conditioning ● The form of memory that includes motor skills and puzzle solving abilities is called ____ ○ Non-declarative memory ● The surgical practice of leukotomoy was used to destroy which part of the brain, resulting in “alleviation” of psychotic symptoms by removing their physical substrate? ○ Frontal cortex ● The area od the cortex, found in the temporal lobe, that is responsible for understanding of language is ○ Wernicke’s area ● The area of the cortex that houses the neurons which are responsive to facial features, or “recognition neurons” is ○ The temporal cortex

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