Encoding Pt 1 - Association Cortices

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33 Terms

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Key terms

  • Cortex vs Lobe 

  • Sulcus (plural sulci) 

  • Gyrus (plural gyri) 

  • Brodmann Area 

  • White Matter Tracks 

  • Laterality 

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<p>Sulci and Gyri</p>

Sulci and Gyri

Gyri - Grooves

Sulci - Fissures

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Central Sulcus

Separates Parietal and Frontal Cortices

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<p>Insula (Insular Cortex)</p>

Insula (Insular Cortex)

The insula is important for the feeling of disgust

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Brodmann Areas

  • 'Map' of the cortex 

  • First mapped by Korbinian Brodmann in 1909 

  • Based upon areas of similarity in histology 

  • Still widely used today 

  • 52 regions, some subdivided 

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Posterior Parietal Cortex – Attending to stimuli 

  • Broadmann area 5,7,39,40 

Important for attention  

  • Especially spatial attention 

  • Integrates visual, auditory and somatosensory info 

  • Damage results in 'neglect' 

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Neglect

  • A sign of posterior Parietal cortex damage

  • Sensory neglect – Incoming sensory information from the contralateral hemispace is ignored 

  • Conceptual neglect – neglect of the body and the external world in the contralateral hemifield  

  • Hemiasomatognosia – patient denies that affected side of body belongs to them 

  • Motor neglect – fewer movements in the contralateral space 

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Temporal Cortex

Identifying the nature of stimuli (what is it?) 

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Agnosia

non-knowledge, or loss of knowledge, is an inability to recognise sensory stimuli and a sign of Temporal Cortex damage 

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Inferior Temporal Cortex damage

  • Visual agnosia (psychich blindness)  

Patient can see, but no identify 

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Fusiform gyrus

  • Prosopagnosia (face blindness)

Inability to recognise individuals from their faces. Patients can describe the constituent parts of the face and can identify the subject by voice, clothes and other cues 

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Middle Temporal cortex damage

  • Movement agnosia 

Cannot distinguish between moving and stationary 

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Integration of sensory streams

Allow us to assemble one coherent perspective on the world 

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The McGurk effect

  • It happens, even when you know its happening 

  • In humans, vision is the dominant sense (ish) 

  • Large variation in how people experience it 

  • Reduced in Dyselxia, Autism 

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<p>Integrating audio and visual information in speech processing</p>

Integrating audio and visual information in speech processing

Superior Temporal Sulcus

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Frontal Cortex – Selecting and planning an appropriate response (What to do about it?) 

Prefrontal cortex 

  • Rostral to Primary Motor Cortex 

  • Very large in humans 

  • Develops very late 20-20 – is why many mental health conditions develop late 

  • Dorsal – thoughts, attention 

  • Ventral – emotion 

 

  • Restraint – Judgement, foresight, inhibiting appropriate actions, concentration 

  • Initiative – drive, creativity, curiosity, personality, flexibility 

  • Order – planning, abstract reasoning, working memory, attention 

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Frontal cortex damage

  • Difficulty planning sequence needed to complete a task (e.g., making a cup of tea) - requires working memory 

  • Loss of spontaneous interactions  

  • Loss of flexibility in thought 

  • Perseveration – persistence of a single thought or action 

  • Inability to focus on the task in hand 

  • Emotional lability  

  • Abulia – passivity, apathy 

  • Socially inappropriate behaviour 

  • Personality change  

  • Difficulty with problem solving 

  • Expressive aphasia 

  • Hemiplegia 

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Executive function –resides in the prefrontal cortex 

  • Long-term planning 

  • Withholding impulsive behaviour 

  • 'Cognitive control' 

Important in many pathologies 

  • Addiction 

  • Personality Disorders 

  • Dementia 

Important in everyday behaviours 

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White Matter Tracts

Connect the Association Cortices  

Not really visible by physical exam, CT or static MRI 

  • Poorly understood 

  • Use diffusion tensor imaging to map – tactography, a form of MRI 

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<p>Association fibres</p>

Association fibres

  • Connect cortical areas in the same hemisphere 

Superior Longitudinal Fasciculus – An example of an Association tract 

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<p>Commisural fibres</p>

Commisural fibres

  • Connect across hemispheres 

Corpus Callosum (connect hemispheres) 

An example of a Commisural tract 

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<p>Projection fibres</p>

Projection fibres

  • Connect cortex to other brain regions

Corticospinal (motor) and Corona-radiata - examples of projection tracts

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<p>Language</p>

Language

Cortical areas working together

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Speech difficulties - How do they arise?

Dysarthria 

  • Difficulty moving the muscles of the face + tongue that mediates speaking 

Aphasia 

  • Difficulty in naming objects, repetition of words is impaired 

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Wernicke’s Area - Understanding language

Wernicke's Aphasia 

  • Unable to understand language 

  • Fluent speech, but makes no sense (assuming Broca's area intact), little repetition, adequate syntax and grammar, contrived or inappropriate speech 

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Which Brodmann Area(s) is Wernicke’s Area located in?

Brodmann Area 22

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Which Brodmann Area(s) is the Auditory Cortex located in?

Brodmann 41+ 42

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Damage to Wernicke’s Area

  • Often as a result of a stroke 

  • Also called fluent, sensory or receptive aphasia 

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Broca’s Area

Brodmann 44 + 45

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Broca’s Aphasia

  • Few problems understanding language – assuming Wernicke's area intact 

Difficulty constricting their own 

  • Halting speech 

  • Repetitive 

  • Disordered syntax + grammar 

  • Disordered structure of individual words 

  • Also called non-fluent, motor, expressive or production aphasia 

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Damage to Broca’s Area

  • Often as a result of stroke 

  • (Different) branches of the Middle Cerebral Artery 

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Aphasias

  • Recognition of 'conversation cues' seems ok 

  • Affects other forms of language: reading, writing, sign language 

  • Many other forms of aphasia 

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Arcuate Fasciculus

Connects Broca’s + Wernicke’s Areas