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    8:30-8:55 Psychosomatic Medicine

    8:55-9:00 Break

    9:00-9:50 Pain

    9:50-10:00 Break10:00-10:25 Behavioral Neuroanatomy

    10:25-10:30 Break

    10:30-10:55 Cultural Diversity

    Afternoon Blackboard Video Exercise #3

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    Behavioral Neuroanatomy

    Anna DePold Hohler, MDAssistant Professor of Neurology

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    Learning Objectives

    Match the regions/divisions of the cerebralcortex to their major functions

    Identify the four structural components ofthe basal ganglia

    Discuss the hemispheric specialization in

    terms of function

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    http://02a53ed.netsolhost.com/eyedocksblog/neuroplasticity-teaching-

    an-old-brain-new-tricks

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    Divisions of the brain and their

    function: Frontal Lobes Four Major Subdivisions:

    Motor strip

    Supplemental Motor Area

    Brocas area- language function, dominanthemisphere (left for most right handed

    people) Prefrontal Cortex

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    Divisions of the brain and their

    function: Prefrontal cortex

    The story of Phineas Gage.

    Orbitofrontal cortex is involved in controlover biological drives

    If damaged it can result in inappropriate

    behavior, poor judgment, and lack ofremorse

    Involved in reward circuit and activatedin drug addicts

    Dorsolateral convexity is involved inplanning for future action

    If damaged it can cause decreasedmotivation, attention and mooddisturbances

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    Divisions of the brain and their

    function: Frontal Lobes Medial cortex is involved in control of

    movement

    If damaged it can result in apathy, decreasedspontaneous movement, and walkingproblems with incontinence

    Schizophrenia and obsessive compulsivedisorders are both associated with decreasedbilateral prefrontal cortical activity asmeasured by functional MRI and PET.

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    Divisions of the brain and their

    function: Frontal Lobes Decreased activity in the left prefrontal

    regions can result in depression, activation

    of this region can result in a positive mood Decreased activity in the right prefrontal

    regions can manifest with elevated mood,

    and activation in this region can result instress.

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    Divisions of the brain and their

    function: Temporal Lobes Help with memory, learning, emotion and

    auditory processing

    Damage can result in impaired memory,aggressive behavior, and inability tounderstand language (Wernickes aphasia

    with a left sided lesion)

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    http://www.themarketoracle.biz/Article2659.html

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    Divisions of the brain and their

    function: Limbic Lobes Amygdala is involved in coordination of emotion

    (anger and aggression) If damaged it can lead to Kluver Bucy syndrome

    (decreased aggression, increased sexuality, andhyperorality), or a decreased conditioned fearresponse, or an inability to recognized facial and vocalexpressions of anger in others

    Hippocampus is involved in memory storage If damaged it can lead to poor new learning

    The volume of limbic structures like the amygdala andthe hippocampus are reduced in patients withschizophrenia.

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    http://www.sofiatopia.org/equiaeon/henotheism.htm

    Papez Circuit

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    Divisions of the brain and their

    function: Parietal Lobes The parietal lobes are responsible for

    sensation and body image

    Damage to the parietal lobes can lead toimpaired intelligence, impaired possessing ofvisual information

    Gerstmanns syndrome can result from a leftparietal lobe lesion and produce fingeragnosia, alexia, agraphia, right left confusion,and acalculia.

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    http://www.dwp.gov.uk/publications/specialist-guides/medical-conditions/a-

    z-of-medical-conditions/stroke/specific-nps-stroke.shtml

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    Divisions of the brain and their

    function: Occipital Lobes Responsible for vision and visual

    processing

    If the occipital lobes are damaged visualhallucinations, illusions or blindness canresult.

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    The basal ganglia Receive information from the

    cerebral cortex and project it to thefrontal lobes via the thalamus. Striatum (caudate nucleus and the

    putamen)

    Pallidum (globus pallidus)

    Substantia nigra

    Subthalamic nucleus

    Translate the desire to executemovement into actual movements.

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    The basal ganglia

    Parkinsons symptoms can be produced byoveractivity of the striatum or damage to thesubstantia nigra

    Huntingtons disease can be produced byunderactivity of the striatum and shrinkage ofthe caudate nucleus

    Tourettes syndrome is associated with damageto the caudate

    Hemiballismus or flailing movements can becaused by damage to the subthalamic nucleus

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    Hemispheric specialization

    The right hemisphere is involved in spatialrelations, body image, recognition of faces andmusic, puzzle solving, map reading, and musicaland artistic abilities.

    The left hemisphere is involved in language(speech, writing, reading). The left hemisphereis dominant in right handed and most lefthanded individuals.

    The connection between the hemisphere is thecorpus callosum and the commissures.

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    Summary of Learning Objectives

    Match the regions/divisions of the cerebralcortex to their major functions

    Identify the four structural components ofthe basal ganglia

    Discuss the hemispheric specialization in

    terms of function

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    Questions

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    8:30-8:55 Psychosomatic Medicine

    8:55-9:00 Break

    9:00-9:50 Pain

    9:50-10:00 Break10:00-10:25 Behavioral Neuroanatomy

    10:25-10:30 Break

    10:30-10:55 Cultural Diversity

    Afternoon Blackboard Video Exercise #3