Chp. 14 The Brain They are not all alike 1 The Brain Introduction ● The other organ of the CNS ● The “supercomputer” of the body ● ● ● Cellular activities of brain neural tissue are responsible for the above functions ● ● ● Primary integration center Carries out motor, sensory, association, and higher order functions Personality, emotions, and dreaming Learning, memory, planning, social judgement, and language are considered some higher order functions We know very little about 2 Major Brain Landmarks ● Rostral (toward the forehead) and caudal (toward the spine) are commonly used, and used differently depending on the reference point ● ● Anterior/posterior and superior/inferior are still acceptable and I prefer these terms Main regions are the brainstem, cerebrum, and cerebellum 3 Major Brain Landmarks Continued ● The cerebrum makes up 83% of brain volume and is divided into two lateral hemispheres ● Cerebral hemispheres possess many folds called gyri (plural), which are separated by grooves called sulci ● ● Gyrus and sulcus – singular Cerebellum is the second largest portion of the brain at 10% ● ● ● 50% of the brain’s neurons though!! Separated rostrally (superiorly) by a transverse cerebral fissure Also possess folds (folia) and sulci ● Brain stem is comprised of medulla oblongata, pons, midbrain, and diencephalon (caudally to rostrally) ● Brain is often described as looking like a mushroom ● Brainstem is the stalk while the cerebrum is the cap 4 Gray and White Matter Organization ● From Chapter 12 of BI 231, recall what structures comprise gray matter ● ● What structures comprise white matter? ● ● Called cortex which means bark or rind All three regions of the brain possess collections of gray matter called nuclei ● ● ● Why does it appear white? Gray matter of cerebrum and cerebellum is primarily superficial ● ● Why does it have a gray appearance Neuron cell bodies with chromatophilic substance (Nissl bodies) Deep and completely surrounded by white matter White matter is found everywhere else ● ● Arranged in bundles of axons called tracts (fasciculi) as in spinal cord Specific types of brain tracts discussed later 5 Cranial Meninges ● Neural tissue is quite delicate ● Meninges, along with cranial bones, CSF, and brain barrier system protect the brain ● Same three layers as spine with similar function ● ● Mostly continuous with spinal meninges One major difference is that cranial dura mater consists of two layers ● Periosteal layer is next to inner layer of compact bone of cranial bones ● ● No epidural space in cranium Meningeal layer forms falx cerebri, tentorium cerebelli, and falx cerebelli ● Is also continuous with spinal meninges, as where periosteal layer is not 6 Cranial Meninges Continued ● Two dura mater layers form dural sinuses in areas where they separate ● ● ● Main one is the superior sagittal sinus Transverse sinus is another large one Contains venous blood that drains into internal jugular veins 7 Meningitis ● What does the suffix “-itis” mean?? ● Primarily affects young people, typically three months to two years ● Can be bacterial, viral, or fungal ● ● ● ● Often enter through nose or throat Bacterial is usually more dangerous and caused by Streptococcus, Escherichia, Listeria, and Neisseria Viral usually resolves in one to two weeks Infection can spread from arachnoid and pia mater to nervous tissue ● Can result in fatal cerebral edema and hemorrhaging ● Lumbar puncture used to collect CSF for diagnosis ● Drowsiness, intense headache, stiff neck, 8 vomiting, rash (in some), photophobia, phonophobia, and high fever The Central Cavity ● Series of hollow spaces and tubes within the brain that is continuous with the central canal of spine ● One large lateral ventricle in each cerebral hemisphere ● ● ● Third ventricle ● ● ● Deep inside diencephalon Connects to fourth ventricle via cerebral aqueduct, which runs through the midbrain Fourth ventricle ● ● ● Separated medially by septum pellucidum Connect to third ventricle via interventricular foramina Between posterior pons and anterior cerebellum Continuous with central canal Each ventricle contains one choroid plexus ● ● Collection of capillaries covered with ependymal cells Ependymal cells also line other parts of central 9 Cerebrospinal Fluid ● 100 – 160ml of clear liquid present in central cavity, central canal, and subarachnoid space ● Ependymal cells of choroid plexuses, lining central cavity, and subarachnoid space produce it ● Produced from blood plasma, which is modified by ependymal cells ● ● ● More sodium and chloride Less potassium, calcium, and protein Many functions: ● Increases brain buoyancy, reducing weight of brain from 3lbs to 50g ● ● Uninfected CSF Infected CSF ● ● ● Weight of brain would otherwise kill neural tissue Absorbs shock when skull is hit Transports gases, wastes, and nutrients Maintains appropriate environment for action potentials 10 to thermoregulate Even helps brain Cerebrospinal Fluid Circulation ● 500ml CSF produced per day ● Produced and drained at same rate ● Capillaries of choroid plexuses are fenestrated (porous), and thus, lots of blood plasma reaches the surrounding ependymal cells ● Ependymal cells refine blood plasma to produce CSF, which they then secrete into the central cavity and subarachnoid space ● Cranial blood pressure pulses and ependymal cilia cause CSF to circulate ● CSF leaves central cavity and enters subarachnoid space ● ● Through two lateral apertures and one median aperture in walls of fourth ventricle CSF enters superior sagittal sinus ● ● Space formed between the two layers of cranial dura mater Arachnoid granulations (collections of arachnoid villi) allow CSF to drain into superior sagittal sinus 11 12 Hydrocephalus ● Occurs when too much CSF is produced, tube of central cavity becomes blocked, or not enough CSF drains across arachnoid granulations ● Interventricular foramen blockage is most common ● Caused by tumor, inflammation (such as meningitis), injury, hemorrhage, or developmental malformation ● Pressure inside central cavity increases, and fluid compresses brain tissue, killing neurons ● Entire head can enlarge in infants ● Inserting a tube into central cavity and connecting to a vein in neck, abdomen, or subarachnoid space in order to drain corrects this 13 Cranial Blood Flow ● Internal carotid arteries deliver blood to brain ● ● O2 and glucose deprivation causes syncope within 10 seconds, and neuronal death within 4min ● ● ● Lysosomes release contents Starts positive feedback loop that kills even more neurons Cerebral arterial circle (circle of Willis) provides redundant blood flow to brain ● ● Brain receives roughly 15% of blood supply, and uses 20% of glucose and O2 Allows for alternate routes of flow in case there is a blockage Blood returns to venous circulation and leaves head via internal jugular veins 14 Brain Barrier System (BBS) ● System of two barriers between fluid compartments ● ● ● Protects brain by regulating passage of materials from blood into tissue fluid of brain nervous tissue, and from blood into the CSF ● ● ● ● Bacteria, viruses, antibiotics, and cancer drugs have a hard time crossing Glucose, water, O2, CO2, alcohol, nicotine, caffeine, and anesthetics cross easily Important to understand BBS when prescribing medications Blood-brain barrier (BBB) regulates passage of materials from blood plasma into neural tissue ● ● ● Blood-brain barrier (BBB) Blood-CSF barrier Capillaries in brain tissue have endothelium with tight junctions so that materials must pass through endothelial cells (transcellularly), instead of between cells (paracellularly) Perivascular feet of astrocytes also contribute Blood-CSF barrier regulates passage of materials from blood plasma into central cavity ● ● Comprised of tight junctions between ependymal cells of choroid plexuses Not present at ependymal cells of rest of central cavity and canal, so that wastes 15 can diffuse from nervous tissue into CSF 16 Circumventricular Organs ● Small collections of tissue surrounding third and fourth ventricles ● ● Have homeostatic roles ● ● ● Don’t worry about most of the specific names, but they are: area postrema, posterior pituitary gland, median eminence, organum vasculosum laminae terminalis (OVLT), subfornical organ, pineal gland, and subcommissural organ Delivering sensory information regarding blood osmolarity, glucose levels, temperature, and pressure Play a role in hormonal regulation Highly permeable capillaries – weak spots in BBS ● ● Allows protein-hormones in and out of brain tissue Also allows HIV, some other viruses and bacteria, a way into brain tissue 17 Brain Stem Gray and White Matter ● Central canal of spinal cord is surrounded by gray matter while white matter is superficial ● ● ● Formed as a result of neural tube and is filled with CSF Central canal is continuous with the central cavity As proceed rostrally, gray matter surrounds central cavity in brain stem ● ● Doesn’t completely surround ventricles White matter is still superficial ● Brainstem also possess scattered nuclei ● 18 locations, and Recall the names, functions of the spinal cord The Brainstem ● Consists of the medulla oblongata, pons, midbrain, and diencephalon (caudal to rostral) ● Each structure about an inch long ● Structurally more complex than spinal cord, but not as complex as cerebrum and cerebellum ● ● ● ● Central cavity surrounded by gray matter White matter contains tracts Other nuclei embedded within white matter (spine lacks this) No cortex ● Crucial link between rest of brain tissue, and spine ● Also contains nuclei for 10 of the 12 pairs of cranial nerves 19 20 Medulla Oblongata ● Commonly referred to as medulla ● Most inferior portion of brainstem ● ● ● Continuous with spinal cord but slightly wider All sensory and motor communication between brain and spinal cord must travel through medulla Two bulges of white matter called pyramids located on anterior aspect ● ● Contain corticospinal tracts descending fibers from primary motor cortex of cerebrum 21 Medulla Oblongata Continued ● Sensory information ascends posterior medulla via the gracile and cuneate fasciculi ● ● ● ● Most sensory fibers decussate at some point ● ● Fasciculus also known as?? First order fibers synapse at respective nuclei…nucleus gracilis and cuneatus Second order fibers leave nuclei and decussate at medial lemniscus of the medulla, and synapse at thalamus Either in spinal cord or brainstem Understand the implications of crossing over in loss of sensory and/or motor 22 function in the event of a Medulla Oblongata Continued ● Inferior olivary nuclei are relay stations between brain/spinal cord, and cerebellum ● ● Olives are bulges on lateral aspects of medulla Thus, medulla plays a role in equilibrium ● Medulla also serves the body’s life support system ● Contains important nuclei that regulate heart rate, blood vessel diameter, and respiratory rate via the ANS ● ● Cardiac center, vasomotor center, and respiratory centers, respectively These nuclei belong to the reticular formation (more on 23 this later) Medulla Oblongata Continued ● Cochlear nucleus for hearing is in the medulla ● Signals arrive via cochlear branch of vestibulocochlear nerve (VIII) ● Spinal gating of pain is in part dependent on chemicals released by reticular formation neurons of the medulla (more on this with chapter 16) ● The glossopharyngeal, (IX), vagus (X), accessory (XI), and hypoglossal (XII) nerves all start or stop here ● Specific functions of these nerves (and thus, medullary function) discussed later 24 Pons ● Bulbous structure of brain stem, just rostral (superior) to medulla ● Major communication center consisting mostly of tracts ● ● Middle cerebellar peduncles are transverse tracts that connect cerebellum to pons ● ● ● Name means “bridge” Inferior cerebellar peduncles pass through pons and connect medulla and cerebellum Superior cerebellar peduncles connect midbrain and cerebellum Also contains respiratory nuclei which work with medulla oblongata 25 to regulate respiration Pons Continued ● Contains nuclei of trigeminal (V), abducens (VI), facial (VII), and vestibulocochlear (VIII) nerves ● ● ● ● Many functions as a result of cranial nerves ● ● Vestibular nucleus of VIII Trigeminal nerve arises from anterior pons Other three arise from anterior groove between pons and medulla Specifics discussed later Urinary nuclei are located 26 27 Midbrain ● Rostral to pons, caudal to diencephalon ● Ventral aspect contains tracts called cerebral peduncles ● ● ● Descending (motor) fibers that go from primary motor cortex to superior cerebellar peduncles of pons Signals go on to cerebellum Components of reticular formation also 28 found in midbrain Midbrain Continued ● Contains two pairs of sensory nuclei on dorsal aspect collectively called the corpora quadrigemina ● One pair of superior colliculi ● ● ● Visual reflex centers that coordinate head and eye movements when we visually track an object Allow us to blink Also causes one to turn head in response to movement ● ● Visual startle reflex One pair of inferior colliculi ● ● Relay auditory sensory info to thalamus Important in startle reflex when hear loud noise 29 Midbrain Continued ● Cerebral aqueduct passes through midbrain ● Nuclei for oculomotor (III) and trochlear nerves (IV); functions discussed later ● Red nucleus is found in cerebral peduncles and contains lots of blood vessels and thus iron ● ● Fibers leaving nucleus go to cerebellum and help to smooth out fine motor movements Substantia nigra is dark because it contains melanin ● ● ● Produces precursor to dopamine, and dopamine inhibits the thalamus and basal nuclei This prevents unwanted muscle contractions Degeneration of these neurons has implications in Parkinson disease 30 Reticular Formation ● Numerous, small, scattered nuclei in medulla, pons, midbrain, and hypothalamus that have motor and sensory functions ● Fibers leaving some nuclei form the reticulospinal tracts of the spine, which adjust balance, posture, and muscle tone ● Cardiac, vasomotor, and respiratory nuclei are part of the reticular formation ● Reticular formation nuclei also have sensory functions ● Send visual and auditory info to cerebrum, along with visual, equilibrium, and proprioceptive signals to cerebellum ● Reticular formation nuclei and fibers participate in spinal gating of pain signals 31 Reticular Activating System ● Reticular activating system (RAS) is the group of reticular formation nuclei that play role in wakefulness and alertness ● Many stimuli result in sensory signals along RAS: ● ● ● Stimulation of RAS nuclei causes them to release orexin, which causes thalamus to become more active ● ● ● Position of head and limbs, visual and auditory cues, pain, pressure, touch, and mental activities Not olfaction!! More action potentials reach cerebral cortex Implications of orexin in narcolepsy Damage to results32in coma, or a state of unconsciousness without Cerebellum ● Name means “small brain” ● Second largest part of brain at 10% of brain mass but contains 50% of brain neurons ● Inferior to occipital lobes of cerebrum and dorsal to pons/medulla ● Vermis is a sagittal constriction that separates into left and right cerebellar hemispheres 33 Cerebellum Continued ● All input arriving goes to its cortex of gray matter ● Folds of which are called folia that are separated by sulci ● Arbor vitae (“tree of life”) is tree-like pattern of white matter than connects to cerebellar peduncles of pons ● Each hemisphere has four deep nuclei, and all output from cerebellum arises from these ● Purkinje cells are large neurons lined up near junction of cerebellar gray and white matter 34 Cerebellum Continued ● Cerebellum receives information from several sources ● ● ● Proprioceptive info from spine reaches cerebellum via inferior cerebellar peduncles Information from motor cortices, eyes, and inner ear reach cerebellum via middle cerebellar peduncles Purkinje cells compare motor performance with sensory information, and if motor performance does not match the intent, they send action potentials to deep nuclei of cerebellum 35 Cerebellum Continued ● ● ● Cerebellum next sends motor signals via superior cerebellar peduncles to two destinations: ● Skeletal muscles to smooth out and improve coordination of movements ● Also sends signals to motor association area to improve muscle memory Cerebellar functions in general: ● Receives proprioceptive, visual, and equilibrium sensory information ● Provides blueprint for movement to motor areas ● Results in smooth and coordinated skeletal muscle movements, along with proper posture and balance ● Some spatial perception of 3D objects and interpreting textures of objects by feel alone ● Timekeeping and rhythm ● Some roles in hearing and language, such as judging between pitches of sound Damage to or alcohol can impair cerebellar 36 Diencephalon ● Everything between the fornix and the midbrain, and is composed of the thalamus, hypothalamus, and epithalamus ● Thalamus makes up 80% of diencephalon ● ● ● ● Two egg-shaped halves, the left and right thalamus Mostly gray matter that contains at least 23 nuclei Third ventricle situated medial to the two halves Thalamic functions: ● Relay station primarily for almost all general and special sensory info travelling to cerebral cortex ● ● ● ● Damage to causes improper routing of sensory action potentials Filters sensory information Memory and emotions through participation in the limbic system Motor control by communicating with cerebral cortex, cerebellum, and basal nuclei 37 Thalamic Nuclei Groups ● Know basic functions of various groups of nuclei ● Limbic system discussed later ● Prefrontal cortex is in charge of most higher-order functions ● Somesthetic means “general senses” and association areas discussed later ● Postcentral gyrus interprets general sensory information 38 Diencephalon Continued ● Hypothalamus is located inferior to thalamus and forms the floor of the third ventricle ● Mostly gray matter and like the thalamus contains a great deal of nuclei 39 Diencephalon Continued ● Maintains homeostasis of almost all body systems through regulation of the endocrine system and autonomic nervous system (ANS) ● Is the “master endocrine gland” ● Produces two important hormones that get stored in posterior pituitary ● Monitoring of body temperature and activation of physiological mechanisms for thermoregulation ● Communicates with pontine and medullary nuclei to regulate ANS functions such as heart rate, blood vessel diameter, and respiration ● Part of the limbic system and plays a role in memory, emotions, and “drives” ● Thirst, hunger, and satiation centers are here ● Sleep and circadian rhythm 40 Know infundibulum, anterior/posterior pituitary, optic chiasma, anterior nucleus, arcuate nucleus, mammillary nuclei (bodies), paraventricular nucleus, preoptic nucleus, suprachiasmatic nucleus, and supraoptic nucleus 41 The Cerebrum ● Formed from two cerebral hemispheres ● ● ● 83% of brain mass You already know the name of the groove that separates left from right Comprised of three primary portions: ● ● ● Cerebral cortex White matter Basal nuclei ● ● Deep gray matter located near lateral ventricles Major functions: ● ● ● ● Processing motor and sensory information Emotions Personality Higher order functions such as learning, memory, planning, 42 and language Lobes of the Cerebrum ● Certain sulci divide the cerebral hemispheres into the following lobes: ● ● ● A central sulcus separates the frontal and parietal lobe on each hemisphere Lateral sulcus separates each temporal lobe from the parietal and frontal lobes Parieto-occipital sulcus separates each parietal lobe from its neighboring occipital lobe ● Lobes are named according to overlying cranial bones ● Frontal lobe functions in voluntary movement, memory, planning, emotion, mood, social 43 judgment, and aggression Central Sulcus Parietooccipital Sulcus Lateral Sulcus 44 Lobes of the Cerebrum Continued ● Parietal lobe functions in perception of general sensation (somatic and visceral), perception of gustation (taste), and some vision association (processing) ● Occipital lobe functions in vision perception and visual association ● Temporal lobe functions in hearing, olfaction, language, and some visual association ● A deep lobe, known as the insula can be seen by retracting the lateral sulcus or cutting part of the temporal lobe away ● Not much is known about, but proposed roles 45 in understanding language, gustation, and risk-taking 46 Cerebral White Matter ● Deep to cortex ● Tracts of myelinated fibers, along with glial cells ● Commissural tracts allow two hemispheres to be linked ● Corpus callosum is largest collection of commissural tracts ● Association tracts connect different parts of same hemisphere ● Projection tracts connect cortex to47lower CNS 48 The Cerebral Cortex ● Superficial layer of gray matter (2-3 mm thick) over entire cerebrum ● High degree of folding provides three times more surface area than if cerebrum were smooth, and allows skull and brain to be smaller ● Already know definitions of gyri and sulci ● Where the majority of the processing power of cerebrum is ● Possesses pyramidal cells, which are multipolar neurons ● ● Axons leave cerebral cortex and synapse with neurons in other parts of CNS Stellate cells have dendrites that project short distances in all directions ● ● Anaxonic and info travels locally in any direction Saves lots of space because doesn’t require 49 large numbers of unidirectional neurons Limbic System ● Your emotional brain ● Collection of nuclei and gyri located medially and deep within cerebrum ● One per hemisphere ● Loop-pattern consisting of cingulate gyrus, hippocampus, and amygdala, among others ● Emotions such as pain, pleasure, affection, anger ● Also plays a role in formation of memories, especially olfactory memory ● Nucleus accumbens is a gratification (reward) center, and amygdala plays a role in aversion (fear) ● Neurons of hippocampus have some ability to undergo mitosis! 50 51 Basal Nuclei ● Three collections of gray matter surrounded by white matter of cerebrum ● Lateral to thalamus ● Globus pallidus, putamen, and caudate nucleus ● Regulate initiation and termination of movements, suppressing unwanted movements, and regulate muscle tone ● Communicates with substantia nigra of midbrain ● Implications in Parkinson 52Disease already discussed Integrative Brain Functions ● Many portions of the brain participate in multiple functions ● The brain has “systems” within it ● Integrative functions we will cover: sleep, cognition (association), memory, sensation, motor control, and language ● Various research mechanisms for studying the brain: ● ● ● Positron emission tomography (PET) is where use of radioactively labeled glucose by a tissue is measured Functional magnetic resonance imaging (fMRI) measures increased blood flow to an area of brain due to increased astrocyte activity Electroencephalography measures brain waves 53 54 Cognition ● Cognition - mental processes by which we gain and use knowledge ● ● Judgment, reasoning, personality, sensory perception, thinking, memory, and imagination Most of brain (about 75%) is association areas where sensory and motor information is integrated ● ● Most of cerebral cortex Damage to these association areas (as in brain lesions due to cancer, stroke, or trauma) affects cognition ● ● ● Parietal lobe damage can result in contralateral neglect syndrome, where the patient becomes unaware of one half of their body Temporal lobe damage can result in agnosia (inability to recognize objects) or prosopagnosia (inability to recognize faces) Frontal lobe damage can cause personality problems, such Phineas Gage • Accidental lobotomy occurred in Vermont in 1848 • Powder tamper working on railroad • Tamping rod shot through medial aspect of both frontal lobes • Damaged his prefrontal cortex (also called frontal association area) • Crucial in planning, moral judgment, and emotional control • Personality change to an “irreverent, profane and fitful person” Learning and Memory ● Learning is gaining new skills and/or information through experience or instruction ● Memory is the storage and retrieval of information one has learned ● Brain lesions or trauma can result in aterograde amnesia (unable to store new information) or retrograde amnesia (recall things prior to the injury) ● Forgetting things is as equally important as remembering ● ● Occurs in –part during consolidation of REM sleep Hanging on to trivial info harms reading comprehension and produces difficulty deciphering 57 what details are important, and which are not Memory Continued ● Structures involved in memory: ● ● ● ● ● Association areas of cerebral cortex for sensory/motor/higher order function Hippocampus of limbic system for long-term memory Amygdala of limbic system for emotional memories Cerebellum for learning motor skills Conversion of short-term to long-term memory is known as long-term potentiation (LTP) ● ● ● ● Number of dendritic branches at a synapses may increase Number and size of axon terminals may increase Release of more neurotransmitter, sometimes constant Changes in gene expression and up/down-regulation of receptors 58 59 Functional Organization of Cerebrum ● Sensory areas ● ● ● ● Motor areas ● ● ● Involved in your conscious awareness of a sensation, your perception Apply to general (somatic and visceral) and special senses In general, posterior half of cerebrum Control your voluntary movements In general, anterior cerebrum Association areas ● ● Found all over and work with sensory and motor areas Responsible for (examples): ● ● ● Your memory of a particular smell Recognizing a friend’s face Muscle memory as a result of practicing a sport 60 Primary Somatosensory Cortex ● Also called the primary sensory cortex ● Posterior to the central sulcus ● ● Receives general sensory information such as pain, pressure, touch, vibration, and temperature ● ● ● Perception of the stimulus occurs here Somatic and visceral sensation Impulses arrive at thalamus typically through trigeminal nerves or spinothalamic tracts ● ● Postcentral gyrus Go to postcentral gyrus from thalamus 61 Sensory info from special sense Sensory Homunculus ● A map of the cortical region where a sensory signal from a specific general receptor arrives ● Proportional to how many receptors are located in that body part ● Face on homunculus appears huge because there are many more receptors ● Thus, larger portion of the cortex is devoted to sensations of the face and hands 62 Somatosensory Association Area ● Just posterior to post-central gyrus ● We make sense of what it is we are feeling here and memories of general senses stored here ● Examples – kinesthetic memories, memories of pain, temperature changes, etc. Special Sensory Areas ● Vision ● Primary visual cortex is at the posterior occipital lobe ● ● Visual association area is at the anterior occipital, posterior parietal, and inferior temporal lobes ● ● ● Receives visual signals and perception of image occurs here Interpretation of what we are looking at Ability to recognize objects and faces Hearing ● Primary auditory cortex is at the superior temporal lobe and insula ● ● Where perception of sounds occurs Auditory association area is also on superior temporal lobe ● Memories of sounds, recognizing voices, remembering songs 64 you’ve heard, etc. 65 Special Sensory Areas Continued ● Taste ● Primary gustatory cortex is located at inferior portion of post-central gyrus and part of anterior insula ● ● Association area for gustation is the orbitofrontal cortex at the anterior/inferior frontal lobe ● ● ● Also acts as association area for olfaction, and even takes into account visual signals Memories of the smells, tastes, and appearances of different foods are stored and recalled from here Smell ● Primary olfactory cortex is primarily at the medial temporal lobe ● ● ● Perception of taste molecules Perception of odorant molecules Orbitofrontal cortex is the association area for olfaction What about equilibrium? 66 67 Motor Association Area ● Also called the premotor area (cortex) ● Posterior half of the frontal lobe ● Comes up with a blueprint for an intended movement and sends to the primary motor cortex ● Correct neurons fire at the appropriate rate and in the appropriate sequence ● “Muscle memories” such as playing an instrument or typing stored here 68 69 Primary Motor Cortex ● Also called primary motor area and is at the precentral gyrus ● Long axons of these upper motor neurons synapse with lower motor neurons in brain stem and spinal cord ● Lower motor neurons control skeletal70muscle Motor Homunculus ● Motor homunculus depicts which body regions are controlled by which collections of upper motor neurons ● Size of the cortical area and homunculus pictures (face, hands, etc.) is proportional to the number of motor units that innervate a region ● Different muscles have different numbers of motor units and different numbers of fibers per unit ● More motor units equals fine control 71 Language ● Speaking, understanding words, reading, signing, and writing are all important to language ● Wernicke area is located just posterior to lateral sulcus, usually on left hemisphere ● ● ● Crucial to recognition of spoken and written words Produces a plan for what we intend to say and sends to Broca area Broca area is found on the inferior prefrontal cortex, on the same hemisphere as Wernicke area ● Generates the motor blueprint for the facial and laryngeal 72muscles used to speak Aphasia • Aphasia—any language deficit from lesions in same hemisphere (usually left) containing the Wernicke and Broca areas • Nonfluent (Broca) aphasia • Lesion in Broca area • Slow speech, difficulty in choosing words, using words that only approximate the correct word • Fluent (Wernicke) aphasia • Lesion in Wernicke area • Speech normal and excessive, but uses senseless jargon • Cannot comprehend written and spoken words • Anomic aphasia • Can speak normally and understand speech, but cannot identify written words or pictures 14-73