Neuro Handbook -AKU 2015 FINAL A

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    NEUROANATOMY MODULE

    2015

    Student Handook

    Gross, Functional & Clinical Neuroanatomy

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    General Objectives for the Neurosciences Module

    At the end of the module the students should be able to:

    Identify:

    gross features of spinal cord, brainstem, cerebellum and cerebrum

    microorganisms responsible for meningitis, encephalitis and brain abscess

    Relate:

    organization and development of spinal cord, brain stem, cerebellum, motor &

    sensory cortices (cerebrum) with each other and their blood supply

    structural organization of spinal cord, brain stem, diencephalons, basal

    ganglia, cerebellum and cerebral cortex to sensory and motor systems

    organization of blood supply with the functional demands of different regions

    of CNS

    deficits in blood supply of CNS with clinical feature

    physiological basis of nerve conduction with synaptic transmission

    the physiological basis of electroencephalography (EEG), nerve conduction

    studies and electromyography (EMG) with:

    i. neural membrane depolarization

    ii. re-polarization

    iii. action potential propagation

    biochemistry of neurotransmitters, neuron-peptides, protein infectious agents(prions), receptors, membrane proteins, complex carbohydrates and lipids (in

    particular, glycosphingolipids and glycoproteins metabolism and

    sphingolipidoses) with their role in the nervous system

    metabolic requirements of neurons with their functions

    structural and functional organization of reticular activating system (RAS)

    with maintenance of normal levels of consciousness, arousal and alertness.

    structural organization and composition of human reflex arc with the role of

    muscle spindle in initiating a reflex action

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    pain pathway with its neurobiology

    structural and functional organization of neuronal circuits of limbic system

    with higher mental functions, cognition, memory and emotions

    various disorders of memory with clinical implications (we only discussAlzhiemers)

    the mechanism of injury, mode of transmission, host immune responses and

    penetration of possible etiological agents into blood brain barrier to

    development of meningitis, encephalitis and brain abscess

    site of brain abscess to the possible underlying risk factor and etiologic agent

    the mechanism of injury and repair in the nervous system due to hypoxia,

    abnormal proteins and other physical insults

    role of structural organization of ventricular system, blood brain barrier and

    meninges in maintenance of intracranial pressure and CSF homeostasis

    the organization of ALL cranial nerve nuclei in the brain stem with

    neurological deficits caused due to their (IV, V, VII, IX, X, XI and XII)

    involvement in disease.

    the organization of cranial nerve nuclei III & VI including their

    internuclear connection (MLF) with their neurological deficits

    gross anatomy to the radiological anatomy as seen on Magnetic Resonance

    Imaging and Computerized Tomography scans

    structural and functional organization of sympathetic and parasympathetic

    nervous system with their functions.

    concept of intelligences with various factors influencing intelligence, their

    clinical implications and measurements of intelligence

    principles of associative and complex learning to human behavior

    factors influencing decision making in vegetative, terminally ill and brain dead

    patients with bioethical, economic and social considerations

    Discuss

    molecular mechanisms involved in protein folding and degradation

    biochemical components involved in different stages of memory

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    general characteristics (habitat, morphology, virulence factors, pathogenesis,

    disease, laboratory diagnostic features) of Neisseria meningitidis, Hemophilus

    influenza, Mycobacterium tuberculosis and Herpes simplex virus

    molecular basis of atherosclerosis, thrombosis, embolism (revisit)

    use of the following pharmacological agents with their mechanism of action

    and pharmacokinetics while identifying their important side effects:

    i. Antidepressants ; MAOI (Phenelezine), TCAs (Amitriptyline), SSRIs

    (Fluoxetine), Others like (Venlafaxine, Bupropion)

    ii. Anxiolytics and hypnotics like Benzodiazepines (diazepam,

    alprazolam, triazolam), Barbiturates (pentobarbital) and Anti

    Serotonins (buspirone)

    iii. Drugs for movement disorders like Dopamine Agonists (levodopa plus

    carbidopa, bromocriptine, amantadine) , MAO Inhibitors (selegiline),

    COMT Inhibitors (tolcapone) and Anticholinergics (benztropine)

    iv. Anticonvulsants (carbamazepine, ethosuximide, phenytoin, valproic

    acid, gabapantine, phenobarbitone)

    v. Mood Stabilizers (lithium)

    vi.

    Antipsychotics (chlorpromazine, haloperidol, risperidone)

    vii. Anticholinesterase agents (neostigmine, pyridostigmine, rivastigmine,

    edrophonium)

    viii. NMDA-receptor antagonist (memantine)

    ix. Neuromuscular blockers (tubocurarine, pancuronium, succinylcholine)

    x. Antiplatelets (aspirin ;revisit, dipyridamole; revisit), Anticoagulants

    (warfarin; revisit) and Thrombolytics (alteplase; revisit)

    xi.

    Antihypertensives (revisit)

    xii. Anaesthetics (halothane, enflurane, isoflurane, desflurane, nitrous

    oxide, barbiturates (thiopental, methohexital), etomidate, ketamine,

    propofol)

    basic concepts and principles of screening test: interpret validity of screening

    test

    concepts of assessing validity of a study

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    role of chance, bias & confounding in an epidemiological study and strategies

    to deal with them

    criteria to make causal inferences from epidemiologic studies, know the

    guideline for judging an association to be causal, type of causal relationship

    t-distribution, assumptions, hypothesis testing for one sample paired sample

    data and two independent samples means.

    chi-square distribution, assumptions and the hypothesis testing. Test of

    independence for 2 x 2 and r x c tables.

    nature and psychological consequences of intimate violence

    psychosocial factors that contribute to gender differences in the expression and

    acceptance of violent behavior

    social and ethical issues related to epilepsy and its treatment

    Compute and Interpret

    confidence interval for one sample paired sample data and two independent

    samples t-test based on small samples and its p-value.

    expected cell count, degree of freedom and its p-value

    Differentiate between:

    upper and lower motor neurons on the basis of organization, structure and

    function of the primary motor cortex, internal capsule, spinal tracts, motor

    neurons, peripheral nerves and the neuromuscular junction

    various preventive strategies against agents of meningitis and encephalitis

    bacterial, viral, tuberculous/fungal meningitis on CSF analysis report

    Classify:

    brain tumors according to histogenesis

    Skills:

    obtain a history and perform neurological examination focusing on:

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    higher mental function

    cranial nerves

    motor system

    cerebellar system

    sensory system

    Psychomotor Skills:

    obtain hands-on experience working on comprehensive electrophysiological

    monitoring unit to study electrophysiological properties of the nerves

    observe the changes in the EEG wave pattern and the effects of mental

    activity, opening and closing of eyes in healthy subjects using power lab

    machine

    Integrate

    multiple perspectives on the etiology and perpetuation of a

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    Practical Neuroanatomy sessions

    Lab session 1

    The skull

    Examine the cranial bones & Familiarise yourselves with their names

    Name the paired bones forming the skull

    What type of bone forms the skull?

    Through which mode of ossification does Skull cap develop?

    What types of joints are formed at SUTURES; between various skull bones?

    Name the Unpaired bones forming the skull

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    NORMA FRONTALIS

    Examine the frontal bones

    Locate the paired frontal sinuses

    What is the functional importance of these sinuses?

    Examine the maxillary bone

    Identify the maxillary air sinus

    Where does this sinus open?

    Examine the nasal bones

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    NORMA VERTICALIS

    What is lambda?

    What is Bregma?

    What is anterior fontanelle? What is its functional / clinical significance?

    Name the bones that form the posterior fontanelle.

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    NORMA LATERALIS

    PTERION

    What is significance of PTERION?

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    Name the only synovial joint in the skull?

    NORMAL OCCIPITALIS

    Identify external occipital protuberance

    What are nuchal lines? Mark them on skull

    Examine the cranial cavity; name the 3 cranial fossae.

    State the boundaries / bones forming anterior cranial fossa

    Name the part of the brain located in anterior cranial fossa

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    Name the part of the brain located in anterior cranial fossa

    Name the bones participating in the formation of floor of anterior cranial fossa

    Name the bones participating in the formation of floor of anterior cranial fossa

    State the boundaries / bones forming middle cranial fossa.

    In the figure above; identify & label the different parts of the sphenoid bone

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    Name the key foramina in the middle cranial fossa

    Name the structure that passes through each of these

    Label the optic canal; name the structure that passes through it?

    State the boundaries / bones forming posterior cranial fossa

    Name the part of the brain located here in posterior cranial fossa.

    Identify & label the internal acoustic meatus & name the nerves that pass

    through it

    Name the structures passing through jugular foramen.

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    Through which mode of ossification does Base of skull develop?

    Which part of the skull is prone to fractures & why?

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    The Acute Haematomas

    Acute extradural

    Fractures of skullBlow by a golf or cricket ball

    Dura driven inwards

    Rupture of vessels outside dura over skull

    Lucid interval*

    Changing level conciousness

    Confusion / irritability

    Pressure effects on motor cortexGradual paralysisclot spreadsFace, arm,leg, opposite side

    Acute subdural

    Head injuries

    Thin extensive clotsubdural spaceCerebral oedema / contusion

    Acute Intracerebral

    Least commonRupture of intracerebral vesselCerebral compression

    Laceration, contusion, oedema, necrosis

    PRIMARY EFFECTS / CONSEQUENCES

    Brain oedemaHaematomasCompression of brainHerniation / NecrosisDeterioration of conciousness

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    HAEMATOMAS?

    The brain injury carries more significance BECAUSE of Limited space

    Protected environment / CSF

    Brain neurons-do not regenerate

    Loss of superior control for body functions

    Arteriesare end arteries

    Closely packed neurons

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    The Living Anatomy of the Vertebral Column

    In the figure below; Identify the features of this typical vertebra and bones of the

    Thoracic Cage (Sternum and Ribs)/

    Recap the main bony features of a typical vertebraExamine on skeleton and palpate the spinesof cervical,compare with

    thoracic, and lumbar vertebrae in your subject

    Can you comment on how shapes and direction of spines and tranverse

    processes controls the direction and amount of movement in upper

    cervical spine?

    RECAP the VERTEBRAL LANDMARKS LISTED BELOW

    Surface Anatomy: Landmarks and levels

    (Inspection and Palpation)

    1. External occipital protuberance / Nuchal lines

    2. Spinous process of C7: vertebra prominens

    3. Thoracic spines

    5. Coccyx

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    6. Superior and inferior angle (T7) / borders and spine of the scapula

    7. Iliac crest: L4 vertebra

    8. Dimple for posterior superior iliac spine: S2

    9. Transverse processes of vertebrae

    11. Sacroiliac joints

    Spinous processes of L2-L4 & L5

    Dimple for posterior superior iliac spine: S2

    Transverse processes of vertebrae

    Palpate the spine of 7thcervical vertebra

    Why is it called vertebra prominens?

    Count the number of each. Cervical vertebra

    Examine the transverse processes of cervical, compare with thoracic, and lumbar

    vertebrae

    LOCALISE: transverse process of 1stcervical midway b/w / angle of mandible &

    mastoid process (behind ear lobule)

    List the features of cervical that make them different from thoracic, and lumbar

    vertebrae

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    EXAMINE THE PICTURE ABOVE & State which cervical vertebrae are calledAtypical cervical vertebrae ? and WHY; state 3 reasons

    Names of the first and second cervical vertebra

    Explain the type of articulation of atlas with skull Cervical vertebrae (Atlanto-

    occipital joints)

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    Examine how articular facets are arranged in the cervical vertebrae

    Examine Orientation of facets of joints of cervical vertebrae and state the type and

    degree of movement possible in cervical spine.

    Identify the structure that travels through the hole on either sides / transverse

    processes of cervical vertebrae?

    Blockage / narrowing of vertebral artery can lead to vertebrobasilar

    insufficiency / VBIleading to light-headedness /faintness. Remember

    this when you are examining / assessing the spine in a patient.

    Examine shapes and direction of spines and tranverse processes of cervical vertebrae

    (C1 & C2)

    What does the name ATLAS remind you?

    Name the ligaments that stabilise the atlanto-occipital joint

    (THUS SUPPORT HEAN ON NECK)

    Mark the attachment of following ligaments in cervical spinal column:

    Supraspinous

    Interspinous

    Ligamentum flavum

    Anterior longitudinal and

    Posterior longitudinal ligaments

    Ligamentum nuchae

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    *Movement occurs at two joints together -like a hinge joint

    *Facilitate nodding (flexion) of head

    Atlanto-occipital articulation

    Examine cervical column and mark the attachment of following at

    atlanto-occipital joint

    Two Articular Capsules

    The Anterior Atlantoccipital membrane

    The Posterior Atlantoccipital membrane

    Two Lateral Atlantoccipital ligaments

    Locate / surface mark the Atlantoaxial joint

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    Intervertebral discs have no nerve supply, but a patient with prolapsed /

    herniated discexperiences so much pain; WHY?

    What is tectorial membrane? State its role

    What is its location; mark it on the vertebral column?

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    Atlantoaxial articulation

    -Joint b/w 1st / Atlas and 2nd axis

    -Tooth-like dens / Odontoid of

    axis / C2

    -Articulates with body of atlas

    (C1)

    *facilitates pivoting of the head

    Say No!

    Ligaments supporting joint:

    Two Alar

    The Apical OdontoidThe Membrana Tectoria

    IN FIGURE ABOVE: Examine the Ligaments Connecting Axis withOccipital Bone

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    Clinical Conditions Vert column Trauma; Mechanical injuries Herniated discDONE PREVIOUSLY

    Iinflammatory & other conditions

    Degenerative diseases /Herniated disc

    What is whip lash?

    Whiplaash include injury to intervertebral joints, discs, and ligaments,cervical muscles, and nerve roots.

    1-Spinal Cord TraumaA.

    Results from fracture of 1 or more vertebraeB. Symptoms depend upon severity of trauma and

    vertebrae involveda. cervical - can cause death or tetraplegiab. thoracic - lower limb paraplegiac. lumbar ( cauda equina) loss of lower limb

    function without total paraplegia

    2-Inflammation

    "Spondyloitis, " an inflammation of the vertebrae. Ankylosingspondylitis - inflammation of articular processes

    3-Degenerative disc disease

    Spondylomalacia, - "malacia, " which means soft, forms a softening ofthe vertebrae.

    Spondylolysis - "spondylo, " means vertebra, and "lysis," whichmeans dissolve, and so it means dissolution of a vertebra.

    Ankylosis of the vertebra; often applied nonspecifically to any lesionof the spine of a degenerative nature.

    *Bony replacement of ligaments around the disc spaces of thespine, associated with decreased mobility and eventual fusion;marginal osteophyte.

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    Lab session-2

    Anatomy of the spinal cord

    Gross Anatomy & the functional anatomy of the Spinal cord / Sensory pathways

    /

    What is the level f termination of the spinal cord:

    -In a child

    -in an adult

    Define filum terinale

    Define cauda equina

    What is lumbar punture?

    What is the site of choice for performing lumbar puncture?

    Name the contents of vertebral canal?

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    Examine the prosection / model of the spinal cord and identify / locate in the images

    below

    Grey matter and white matter

    Dorsal and ventral horn

    Dorsal and ventral root

    Spinal nerve

    Dorsal root ganglion

    Name the white matter funniculi in thoracic segment below

    Identify Central canal in lumbar segment

    What is the functional difference between dorsal and ventral roots?

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    Where do ventral and dorsal roots unite to form a spinal nerve?

    Label the parts of a spinal nerve in the figure below

    Draw a cross section of spinal cord and label:

    White mater funniculus & name the tracts located in each one

    Between which of the two vertebra do each of the following spinal nerves leave thevertebral canal

    C4 nerve

    C8 nerve

    L5 nerve

    At which levels of the spinal cord levels are the following present:

    Fasciculus garcilis

    Fasciculus cuneatusLateral grey horns

    What is the functional role of each of these?

    In which funniculus of spinal cord does touch sensation travel?

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    What types of sensory information are carried by posterior column pathway?

    *The fibres of this system run

    a-at the level of spinal cord

    -in nucleus fasciculus gracilis and cuneatus

    b-At the level of the closed medulla

    -in nucleus fasciculus gracilis and cuneatus internal arcuate to medial

    leminiscus

    c-At the level of open medulla

    - Medial leminicus to thalmus

    State the number of neurons involved in this posterior column pathway/

    At what level does this pathway decussate to the opposite side?

    Where does the pathway terminate?

    Does the dorsal column run ipsilaterally or contalaterally within the cord?

    On appropriate drawings / models locate the principal components of spinothalamic

    pathway

    What types of sensory information are carried by the spinothalamic pathway?

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    On appropriate drawings locate the principal components of medial leminiscal

    pathway / dorsal column

    State the number of neurons involved in this pathway/

    At what level does this pathway decussate to the opposite side?

    Where does the pathway terminate?

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    Effects of damage to / deterioration of dorsal column pathwaySensory Ataxia

    Gait (walking) problemsrelated to loss of proprioception following

    degeneration of dorsal columns and/or dorsal roots. caused by:Syphilis Tabes dorsalis Vitamin B-12 deficiencyPeripheral

    neuropathy(e.g. as seen in diabetics and alcoholics)Multiple

    sclerosis.

    *Watches feet while walking, feet tend to slap down; shows a positive

    Rombergs sign (person sways and is unsteady if asked to stand with

    eyes closed)

    Tabes Dorsalis

    Irritation of Sensory Receptors

    Symptom ofposterior column

    As sensory receptors deteriorate, they may malfunction before they stop

    functioning causing paresthesia or dysesthesia. E.g. in tabes dorsalis

    shooting, excruciating, electrical-like or cramp-like pains occur, and in

    peripheral neuropathyunpleasant, abnormal tingling, burning, tightness, &

    pins & needles paresthesias occur.

    Astereognosis

    Another symptom ofposterior column damage. Without fine discriminative

    touch person cannot identify objects or textures by touch. Can happen in

    Multiple Sclerosisif dorsal column loses its myelin

    Syringomyelia

    Disease affecting spinal cord as a whole:

    Enlarged CSF filled cavity within cervical spinal cord, most often associated

    with Chiari malformation (cerebellum bulging through foramen magnum).

    Cavity compresses and damages nearby tissue (like hydrocephalus of

    cord) Cape anesthesia, loss of pain & temp sensation from hands,

    weakness if ventral horns damaged If severe, operate on malformation

    or shunt.

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    Lab session-3

    Anatomy of the Brain (CEREBRUM)

    Identify the main sulci & Gyri of the brain

    Name various poles of the brain in the image below

    Why is it important to know the poles?

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    What is meant by the term primary sensory (or motor) area of cortex?

    Name the locations and functions of primary motor cortex, primary somatosensory

    Observe the grooves on the surface of cerebral hemispheres

    What is the functional importance of these?

    Why can we not feel the weight of brain ?

    Name the major components of diencephlon

    Corpus callosum, thalamus, hypothalamus, basal ganglia / CROSS-SECTION

    Examine the medial surface of one cerebral hemisphere

    Identify & label Thalamus, hypothalamus, corpus callosum, and internal capsule in

    the image below

    *Both thalamus and hypothalamus can be subdivided into a series of functional cell groups or nuclei.

    Some of the thalami nuclei receive input from the general and special senses and project to

    corresponding sensory areas of cortex.

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    Why brain injury carries more significance?

    Limited space

    Protected environment / CSF

    Brain neurons-do not regenerate

    Loss of superior control for body functions

    Arteries are end arteries

    Closely packed neurons

    Neurologic Principles that govern the clinicalpresentations ----

    UMN (upper motor neurons)

    LMN (lower motor neurons)

    End-arteries

    Collateral circulation

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    Lab-session-4

    Blood Supply of the brain

    Examine the arteries supplying the different regions of the brain

    Review the arterial Circle of Willis

    Why is it called Circle of willis?

    SCHEMATIC IM AGE TO SHOW YOU RELATION & LOCATION OF CRICLE

    OF WIL LI S & ITS ARTERIES

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    In the diagram above; or on the models Review, Identify & Label

    o Vertebral arteries

    o The basilar artery

    o

    Pontine branches

    o Posterior cerebral artery

    o Anterior communicating artery

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    So two major causes of a stroke:

    =Blockage of a blood vessel (in the brain or neck) by

    =a blood clot in the brain or neck (this is called a thrombosis)

    =a blood clot from somewhere else that has moved and now

    blocks a blood vessel in the brain or neck (this is called an

    embolism)

    =constriction or narrowing of an artery in the head or neck (this

    is called a stenosis)

    =Bleeding of a blood vessel (this is called hemorrhagic stroke)

    1-Ischemic strokes

    The majority of strokes are caused by a sudden blockage in the

    blood vessels (arteries) supplying the brain, by a blood clot

    (thrombus)??

    The clot may actually form in an artery supplying blood to the

    brain??

    Clots can also form elsewhere in the body and then travel via

    the blood vessels to the brain, where they lodge in an artery and

    cut off the blood supply. This form of clot is called an

    embolism??

    Presentation, Symptoms and Signs of neurologic damage /

    disease

    Depend on

    Location of damage / disease

    Upper motor neurons effected or

    Lower motor neurons effected

    Duration / intensity of trauma or diseaese

    2-Haemorrhagic strokes

    Some strokes are caused by the sudden bursting

    (haemorrhaging) of an artery in the brain, leading to bleeding

    inside the brain much less common.

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    Lab session -5

    Basal Nuclei & extrapyramidal system

    Name the Components of the extrapyramidal system

    Where are the basal nuclei located?

    Name three main extrapyramidal tracts originating from basal nuclei

    Name three key symptoms usually associated with Parkinson's disease

    What is dyskinesia?

    Name two types of dyskinesias

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    Lab session -6

    Anatomy of the cerebellum

    What is the function of cerebellum?

    Can one live without a cerebellum?

    Identify the major morphological features of the cerebellum using a diagram

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    What are the functional roles of superior, middle and inferior cerebellar peduncles?

    Name three Functional Divisions of cerebellum

    Mark as in or Out: Does information travel into or out of cerebellum via

    inferior cerebellar peduncle

    middle cerebellar peduncle

    superior cerebellar peduncle

    To which region of the brain stem does each of above cerebellar peduncleconnect?

    Name three ascending tracts bringing proprioceptive information to

    cerebellum

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    How is grey & white matter organised in cerebellum?

    What is the clinical significance of cerebellar tonsil?

    Name the three major inputs / afferents to cerebellum

    Name the three major outputs / efferents of cerebellum

    So what does cerebellum do for us?

    Damage to the cerebellum can lead to:

    1)

    loss of coordination of motor movement (asynergia),

    2) the inability to judge distance and when to stop (dysmetria)

    3) the inability to perform rapid alternating movements

    (adiadochokinesia)

    4) movement tremors (intention tremor),

    5) staggering, wide based walking (ataxic gait),

    6) tendency toward falling,

    7) weak muscles (hypotonia),

    8) slurred speech (ataxic dysarthria),

    9) abnormal eye movements (nystagmus).

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    Lab session 7

    Anatomy of the Brain Stem, cranial and spinal nerves

    Identify the major features of the brain stem

    Identify the 4thventrilcle

    Identify cerebral aqueduct

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    Identify the twelve pairs of cranial nerves in the models provided

    What function is controlled through cranial nerves; 3rd, 4th, and 6th?

    What function is controlled through cranial nerves; 9th 10th, and 11th?

    Name the nerves related to tongue.

    Examine the area of distribution of 3rd, 4th, 5th, 7th, 9th, 11thand 12thcranial nerves

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    List a few structures innervated by each of these nerves

    Examine the branches of the facial nerve

    Which cranial nerve supplies the muscle of facial expression?

    Which cranial nerve supplies the muscle of mastication?

    Define the upper motor neuron lesion

    If motor component of facial nerve is damaged, what will be the consequence?

    Understand the origin and distibution of the facial nerve?

    What is the consequence of damage to the hypoglossal nerve?

    Which functions are looked after by the superior & inferior colliculi

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    Lab session-8

    CSF & Ventricular system

    Where is CSF produced?

    Describe the circulation of CSF?

    What is choroid plexus?

    What are arachnoid granulations? What is their significance?

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    Lab-9

    Meninges & Dural venous sinuses

    Name the three layers of meninges?

    Name the layers of dura mater?

    What is the primary function of dura?

    What is the role of pia mater?

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    Examine the venous sinuses inside the cranial cavity

    Name the paired venous sinuses.

    Name the unpaired venous sinuses

    What is meant by confluence of sinuses?

    List the important communications of CAVERNOUS SINUS

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    Recommended Textbooks

    Author Year Title

    Richard S. Snell

    (in library)

    Any

    edition

    Clinical Neuroanatomy for Medical

    Students

    Richard Drake, A.

    Wayne Vogl

    Any

    editionGray's Anatomy for Students:

    McMinn Any

    editionFunctional & Clinical Anatomy

    Lange 25th

    EditionOr any

    available

    Clinical Neuroanatomy

    Carpenter

    Any

    editionCarpenter's Human Neuroanatomy

    http://www.amazon.co.uk/exec/obidos/search-handle-url?%5Fencoding=UTF8&search-type=ss&index=books-uk&field-author=Richard%20S.%20Snellhttp://www.amazon.co.uk/exec/obidos/search-handle-url?%5Fencoding=UTF8&search-type=ss&index=books-uk&field-author=Richard%20S.%20Snell
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    Useful Websites & Other Resources and Reading guidelines.

    http://orthoinfo.aaos.org/fact/thr_report.cfm?Thread_ID=232&topcategory=N

    eck

    http://orthoinfo.aaos.org/fact/thr_report.cfm?Thread_ID=185&topcategory=Sp

    ine

    http://quizlet.com/15470575/skull-review-for-osteology-lab-practical-flash-

    cards/

    http://www.biologycorner.com/quiz/qz_skull.html

    http://academic.pgcc.edu/~aimholtz/AandP/PracPrac/2050_Lab11/skull.html

    http://www.getbodysmart.com/ap/skeletalsystem/skeleton/axial/skull/quizzes/a

    nteriorbones/quiz.html

    http://thebrain.mcgill.ca/flash/d/d_01/d_01_cr/d_01_cr_ana/d_01_cr_ana.html

    http://movementdisorders.ufhealth.org/research/3d-brain-atlas-for-dbs/

    http://da.biostr.washington.edu/cgi-bin/DA/imageform

    http://orthoinfo.aaos.org/fact/thr_report.cfm?Thread_ID=232&topcategory=Neckhttp://orthoinfo.aaos.org/fact/thr_report.cfm?Thread_ID=232&topcategory=Neckhttp://orthoinfo.aaos.org/fact/thr_report.cfm?Thread_ID=232&topcategory=Neckhttp://orthoinfo.aaos.org/fact/thr_report.cfm?Thread_ID=232&topcategory=Neckhttp://orthoinfo.aaos.org/fact/thr_report.cfm?Thread_ID=232&topcategory=Neckhttp://orthoinfo.aaos.org/fact/thr_report.cfm?Thread_ID=185&topcategory=Spinehttp://orthoinfo.aaos.org/fact/thr_report.cfm?Thread_ID=185&topcategory=Spinehttp://orthoinfo.aaos.org/fact/thr_report.cfm?Thread_ID=185&topcategory=Spinehttp://orthoinfo.aaos.org/fact/thr_report.cfm?Thread_ID=185&topcategory=Spinehttp://orthoinfo.aaos.org/fact/thr_report.cfm?Thread_ID=185&topcategory=Spinehttp://quizlet.com/15470575/skull-review-for-osteology-lab-practical-flash-cards/http://quizlet.com/15470575/skull-review-for-osteology-lab-practical-flash-cards/http://quizlet.com/15470575/skull-review-for-osteology-lab-practical-flash-cards/http://quizlet.com/15470575/skull-review-for-osteology-lab-practical-flash-cards/http://academic.pgcc.edu/~aimholtz/AandP/PracPrac/2050_Lab11/skull.htmlhttp://www.getbodysmart.com/ap/skeletalsystem/skeleton/axial/skull/quizzes/anteriorbones/quiz.htmlhttp://www.getbodysmart.com/ap/skeletalsystem/skeleton/axial/skull/quizzes/anteriorbones/quiz.htmlhttp://www.getbodysmart.com/ap/skeletalsystem/skeleton/axial/skull/quizzes/anteriorbones/quiz.htmlhttp://www.getbodysmart.com/ap/skeletalsystem/skeleton/axial/skull/quizzes/anteriorbones/quiz.htmlhttp://thebrain.mcgill.ca/flash/d/d_01/d_01_cr/d_01_cr_ana/d_01_cr_ana.htmlhttp://movementdisorders.ufhealth.org/research/3d-brain-atlas-for-dbs/http://da.biostr.washington.edu/cgi-bin/DA/imageformhttp://da.biostr.washington.edu/cgi-bin/DA/imageformhttp://movementdisorders.ufhealth.org/research/3d-brain-atlas-for-dbs/http://thebrain.mcgill.ca/flash/d/d_01/d_01_cr/d_01_cr_ana/d_01_cr_ana.htmlhttp://www.getbodysmart.com/ap/skeletalsystem/skeleton/axial/skull/quizzes/anteriorbones/quiz.htmlhttp://www.getbodysmart.com/ap/skeletalsystem/skeleton/axial/skull/quizzes/anteriorbones/quiz.htmlhttp://academic.pgcc.edu/~aimholtz/AandP/PracPrac/2050_Lab11/skull.htmlhttp://quizlet.com/15470575/skull-review-for-osteology-lab-practical-flash-cards/http://quizlet.com/15470575/skull-review-for-osteology-lab-practical-flash-cards/http://orthoinfo.aaos.org/fact/thr_report.cfm?Thread_ID=185&topcategory=Spinehttp://orthoinfo.aaos.org/fact/thr_report.cfm?Thread_ID=185&topcategory=Spinehttp://orthoinfo.aaos.org/fact/thr_report.cfm?Thread_ID=232&topcategory=Neckhttp://orthoinfo.aaos.org/fact/thr_report.cfm?Thread_ID=232&topcategory=Neck
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    Reading guidelines

    Neuroanatomy Tutorial(University of Utah)is a fairly simple but highlyeffective site for learning gross structure of the brain. Its labeling system isparticularly useful.

    Salamons Neuroanatomy and Neurovasculature Web-Atlas

    Resource (UCLA)is also a great resource covering both anatomy and

    vascularization of the brain.

    The Brain from Top to Bottom (McGill University)hasa fantastic

    overview of the brain. It is a good starting point.

    The Digital Anatomist(University of Washington)is a site useful followingevery neuro LCF :has great gross and histological sections, vascular andpathway diagrams, and MRI animations. There is a self-test for almost everyslide, which is a great way to reinforce the structures and pathways.

    http://library.med.utah.edu/WebPath/HISTHTML/NEURANAT/NEURANCA.htmlhttp://library.med.utah.edu/WebPath/HISTHTML/NEURANAT/NEURANCA.htmlhttp://www.radnet.ucla.edu/sections/DINR/index.htmhttp://www.radnet.ucla.edu/sections/DINR/index.htmhttp://www.radnet.ucla.edu/sections/DINR/index.htmhttp://thebrain.mcgill.ca/flash/index_a.htmlhttp://www9.biostr.washington.edu/da.htmlhttp://www9.biostr.washington.edu/da.htmlhttp://www9.biostr.washington.edu/da.htmlhttp://thebrain.mcgill.ca/flash/index_a.htmlhttp://www.radnet.ucla.edu/sections/DINR/index.htmhttp://www.radnet.ucla.edu/sections/DINR/index.htmhttp://library.med.utah.edu/WebPath/HISTHTML/NEURANAT/NEURANCA.html