Changes in Instrumentally and Classically Conditioned Limb-Flexion Responses Following Inferior Olivary Lesions and Olivocerebellar Tractotomy in the Cat
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The Cerebellum in Sagittal Plane-Anatomic-MR Correlation: 2
667 The Cerebellum in Sagittal Plane-Anatomic-MR Correlation: 2. The Cerebellar Hemispheres Gary A. Press 1 Thin (5-mm) sagittal high-field (1 .5-T) MR images of the cerebellar hemispheres James Murakami2 display (1) the superior, middle, and inferior cerebellar peduncles; (2) the primary white Eric Courchesne2 matter branches to the hemispheric lobules including the central, anterior, and posterior Dean P. Berthoty1 quadrangular, superior and inferior semilunar, gracile, biventer, tonsil, and flocculus; Marjorie Grafe3 and (3) several finer secondary white-matter branches to individual folia within the lobules. Surface features of the hemispheres including the deeper fissures (e.g., hori Clayton A. Wiley3 1 zontal, posterolateral, inferior posterior, and inferior anterior) and shallower sulci are John R. Hesselink best delineated on T1-weighted (short TRfshort TE) and T2-weighted (long TR/Iong TE) sequences, which provide greatest contrast between CSF and parenchyma. Correlation of MR studies of three brain specimens and 11 normal volunteers with microtome sections of the anatomic specimens provides criteria for identifying confidently these structures on routine clinical MR. MR should be useful in identifying, localizing, and quantifying cerebellar disease in patients with clinical deficits. The major anatomic structures of the cerebellar vermis are described in a companion article [1). This communication discusses the topographic relationships of the cerebellar hemispheres as seen in the sagittal plane and correlates microtome sections with MR images. Materials, Subjects, and Methods The preparation of the anatomic specimens, MR equipment, specimen and normal volunteer scanning protocols, methods of identifying specific anatomic structures, and system of This article appears in the JulyI August 1989 issue of AJNR and the October 1989 issue of anatomic nomenclature are described in our companion article [1]. -
Basal Ganglia & Cerebellum
1/2/2019 This power point is made available as an educational resource or study aid for your use only. This presentation may not be duplicated for others and should not be redistributed or posted anywhere on the internet or on any personal websites. Your use of this resource is with the acknowledgment and acceptance of those restrictions. Basal Ganglia & Cerebellum – a quick overview MHD-Neuroanatomy – Neuroscience Block Gregory Gruener, MD, MBA, MHPE Vice Dean for Education, SSOM Professor, Department of Neurology LUHS a member of Trinity Health Outcomes you want to accomplish Basal ganglia review Define and identify the major divisions of the basal ganglia List the major basal ganglia functional loops and roles List the components of the basal ganglia functional “circuitry” and associated neurotransmitters Describe the direct and indirect motor pathways and relevance/role of the substantia nigra compacta 1 1/2/2019 Basal Ganglia Terminology Striatum Caudate nucleus Nucleus accumbens Putamen Globus pallidus (pallidum) internal segment (GPi) external segment (GPe) Subthalamic nucleus Substantia nigra compact part (SNc) reticular part (SNr) Basal ganglia “circuitry” • BG have no major outputs to LMNs – Influence LMNs via the cerebral cortex • Input to striatum from cortex is excitatory – Glutamate is the neurotransmitter • Principal output from BG is via GPi + SNr – Output to thalamus, GABA is the neurotransmitter • Thalamocortical projections are excitatory – Concerned with motor “intention” • Balance of excitatory & inhibitory inputs to striatum, determine whether thalamus is suppressed BG circuits are parallel loops • Motor loop – Concerned with learned movements • Cognitive loop – Concerned with motor “intention” • Limbic loop – Emotional aspects of movements • Oculomotor loop – Concerned with voluntary saccades (fast eye-movements) 2 1/2/2019 Basal ganglia “circuitry” Cortex Striatum Thalamus GPi + SNr Nolte. -
Crossed Cerebellar Atrophy in Patients with Precocious Destructive Brain Insults
ORIGINAL CONTRIBUTION Crossed Cerebellar Atrophy in Patients With Precocious Destructive Brain Insults Ricardo A. Teixeira, MD; Li M. Li, MD, PhD; Sergio L. M. Santos, MD; Veronica A. Zanardi, MD, PhD; Carlos A. M. Guerreiro, MD, PhD; Fernando Cendes, MD, PhD Objective: To analyze the frequency and pathogenetic ciated with the extent of the supratentorial lesion (6 from factors of crossed cerebellar atrophy (CCA) in adult pa- group A, 1 from group B, and none from group C; tients with epilepsy secondary to destructive brain in- PϽ.001). Status epilepticus was present in 6 patients from sults of early development. group A and in none from the other groups. There was an association between the antecedent of status epilep- Methods: We studied 51 adult patients with epilepsy ticus and CCA (PϽ.001). All patients had atrophy of the and precocious destructive lesions. Patients were cerebral peduncle ipsilateral to the supratentorial lesion divided into 3 groups according to the topographic dis- and 4 had contralateral atrophy of the middle cerebellar tribution of their lesions on magnetic resonance imag- peduncle. The duration of epilepsy was not associated ing: group A, hemispheric (n=9); group B, main arterial with the presence of CCA (P=.20). territory (n=25); and group C, arterial border zone (n=17). We evaluated the presence of CCA visually and Conclusions: Our data suggest that in patients with epi- with cerebellar volumetric measurement, correlating it lepsy and destructive insults early in life, the extent of with the clinical data. Other features shown on mag- the supratentorial lesion as well as the antecedent of sta- netic resonance imaging, such as the thalamus, brain- tus epilepticus play a major role in the pathogenesis of stem, and middle cerebellar peduncle, were also care- CCA. -
Bilateral Cerebellar Dysfunctions in a Unilateral Meso-Diencephalic Lesion
J Neurol Neurosurg Psychiatry: first published as 10.1136/jnnp.44.4.361 on 1 April 1981. Downloaded from Journal of Neurology, Neurosurgery, and Psychiatry, 1981, 44, 361-363 Short report Bilateral cerebellar dysfunctions in a unilateral meso-diencephalic lesion D VON CRAMON From the Max-Planck-Institute for Psychiatry, Munich, Germany SUMMARY The clinical syndrome of a 65-year-old patient with a slit-shaped right-sided meso- diencephalic lesion was analysed. A cerebellar syndrome with limb-kinetic ataxia, intention tremor and hypotonicity in all extremities as well as ataxic dysarthria was found. The disruption of the two cerebello-(rubro)-thalamic pathways probably explained the signs of bilateral cere- bellar dysfunction. The uncrossed ascending limb of the right, and the crossed one of the left brachium conjunctivum may have been damaged by the unilateral lesion extending between caudal midbrain and dorsal thalamus. Protected by copyright. Most of the fibres which constitute the superior general hospital where neurological examination cerebellar peduncle leave the cerebellum and showed bilateral miosis, convergent strabism, vertical originate in cells of the dentate nucleus but also gaze paresis on upward gaze with gaze-paretic nystag- arise from neurons of the globose and emboli- mus, flaccid sensori-motor hemiparesis with increased stretch reflexes and Babinski sign on the left side, forme nuclei. The crossed ascending fibres of the and dysmetric movements of the right upper extremity. brachia conjunctiva constitute the major outflow The CT scan showed an acute haemorrhage in the from the cerebellum, they form the cerebello- right mesodiencephalic area. On 19 February 1979 (rubro)-thalamic and dentato-thalamic tracts.' the patient was admitted to our department. -
Internal Structure of the Spinal Cord. White and Grey Matters of the Spinal Cord
Internal structure of the spinal cord. White and grey matters of the spinal cord. A 30 years old patient has been arrived in the neurosurgical department with stab wounds in the area of lowthoracic spine. During the examination was found that the knife blade passed between the procesus spinosus of 10th and 11th thoracic vertebrae and damaged posterior spinal cord. The fibers of which pathways have been damaged in this case? fasciculus gracilis and fasciculus cuneatus fasciculus cuneatus fasciculus gracilis spinocerebellaris dorsalis spinocerebellaris ventralis A. skier dosen’t have knee-jerk after after spinal cord injury. Which segments of the spinal cord were injured? 2-4 lumbar segments of the spinal cord 1-2 cervical segments of the spinal cord 8-9 thoracic spinal cord segments 10-11 thoracic spinal cord segments 5-6 cervical segments of the spinal cord A patient has lost tactile sensitivity, body position sense and vibrations sense. Which pathways were damaged? fasciculus cuneatus et gracilis tractus reticulospinalis tractus spinocerebellares lateralis et ventralis tractus rubrospinalis tractus tectospinalis A 65 years old patient has been diagnosed with bleeding in the anterior horn of the spinal cord. Which, by the function are anterior horns? Motional Sensitive Sympathetic Parasympathetic Mixed A patient has meningitis. The puncture of the arachnoid area was proposed. Determine shells between which it is located: Arachnoid and pia maters. The periosteum and arachnoid membrane. The solid and the arachnoid membranes. The periosteum and dura mater. The dura mater pia mater. A patient has severe headache, stiffness in the neck muscles, repeated vomiting, pain on skull percussion, increased sensitivity to light stimuli. -
Anatomy of Cerebellum Rajasekhar Sajja Srinivasa Siva Naga
Chapter Anatomy of Cerebellum Rajasekhar Sajja Srinivasa Siva Naga Abstract The cerebellum receives inputs from spinal cord, cerebrum, brainstem, and sensory systems of the body and controls the motor system of the body. The Cerebellum harmonizes the voluntary motor activities such as maintenance of posture and equilibrium, and coordination of voluntary muscular activity including learning of the motor behaviours. Cerebellum occupies posterior cranial fossa, and it is relatively a small part of the brain. It weighs about one tenth of the total brain. Cerebellar lesions do not cause motor or cognitive impairment. However, they cause slowing of movements, tremors, lack of equilibrium/balance. Complex motor action becomes shaky and faltering. Keywords: Cerebellum, Spinocerebellar ataxia, Cortex, Medulla, Peduncles, Nuclei 1. Introduction The Cerebellum is the largest part of the hindbrain and develops from the alar plates (rhombic lips) of the metencephalon. It lies between the temporal and occipital lobes of cerebrum and the brainstem in the posterior cranial fossa. It is attached to the posterior surface of the brainstem by three large white fibre bundles. It is attached to the midbrain by superior cerebel- lar peduncle, pons by middle cerebellar peduncle, and medulla by inferior cerebellar peduncle. Cerebellum is concerned with three primary functions: a) coordination of voluntary motor functions of the body initiated by the cerebral cortex at an uncon- scious level, b) maintenance of balance, and posture, c) Maintenance of muscle tone. It receives and integrates the sensory inputs from the cerebrum and the spinal cord necessary for a planning and smooth coordination of the movements [1]. Cerebellar lesions result in irregular and uncoordinated, awkward intentional muscle movements. -
Cerebellum and Thalamus Glioblastoma Multicêntrico Originado Em Dois Locais Incomuns: Cerebelo E Tálamo
J Bras Patol Med Lab, v. 49, n. 2, p. 134-138, abril 2013 CASE REPORT Multicentric glioblastoma arising in two unusual sites: cerebellum and thalamus Glioblastoma multicêntrico originado em dois locais incomuns: cerebelo e tálamo Eduardo Cambruzzi1; Karla Lais Pêgas2; Mariana Fernandez Simão3; Guilherme Stüker3 ABSTRACT Multicentric glioblastomas (MGBM) arising in infra/supratentorial regions are uncommon lesions. The authors report a case of MGBM in a 61 year-old female patient, who presented a sudden onset of left hemiplegia. The magnetic resonance imaging (MRI) showed two expansive large lesions affecting cerebellum and thalamus, with strong contrast enhancement. The patient underwent resection of the cerebellar lesion. Microscopy revealed a high grade glial neoplasm exhibiting high mitotic index, areas of necrosis and microvascular proliferation. The neoplastic cells showed positive immunoexpression for glial fibrillary acidic protein (GFAP). The morphological findings were consistent with glioblastoma (GBM). The patient was referred to radiotherapy, with discrete signs of tumor regression after a 60-day clinical follow-up. Key words: glioblastoma; central nervous system neoplasms; pathology; brain neoplasms; cerebellum; thalamus. INTRODUCTION CASE REPORT Glioblastomas (GBM) are the most frequent primary brain tumors, A 61 year-old female patient was admitted at the emergency accounting for approximately 12%-15% of all intracranial neoplasms service presenting a sudden onset of left hemiplegia. On physical and 60%-75% of astrocytic tumors(8, 10, 14). The process affects mainly examination, the other organs and systems did not show any adults with a peak incidence within 45 and 75 years of age. Most GBM changes, as there was no previous history of relevant disease. -
Pathogenesis of Chiari Malformation: a Morphometric Study of the Posterior Cranial Fossa
Pathogenesis of Chiari malformation: a morphometric study of the posterior cranial fossa Misao Nishikawa, M.D., Hiroaki Sakamoto, M.D., Akira Hakuba, M.D., Naruhiko Nakanishi, M.D., and Yuichi Inoue, M.D. Departments of Neurosurgery and Radiology, Osaka City University Medical School, Osaka, Japan To investigate overcrowding in the posterior cranial fossa as the pathogenesis of adult-type Chiari malformation, the authors studied the morphology of the brainstem and cerebellum within the posterior cranial fossa (neural structures consisting of the midbrain, pons, cerebellum, and medulla oblongata) as well as the base of the skull while taking into consideration their embryological development. Thirty patients with Chiari malformation and 50 normal control subjects were prospectively studied using neuroimaging. To estimate overcrowding, the authors used a "volume ratio" in which volume of the posterior fossa brain (consisting of the midbrain, pons, cerebellum, and medulla oblongata within the posterior cranial fossa) was placed in a ratio with the volume of the posterior fossa cranium encircled by bony and tentorial structures. Compared to the control group, in the Chiari group there was a significantly larger volume ratio, the two occipital enchondral parts (the exocciput and supraocciput) were significantly smaller, and the tentorium was pronouncedly steeper. There was no significant difference in the posterior fossa brain volume or in the axial lengths of the hindbrain (the brainstem and cerebellum). In six patients with basilar invagination the medulla oblongata was herniated, all three occipital enchondral parts (the basiocciput, exocciput, and supraocciput) were significantly smaller than in the control group, and the volume ratio was significantly larger than that in the Chiari group without basilar invagination. -
Cerebellar Histology & Circuitry
Cerebellar Histology & Circuitry Histology > Neurological System > Neurological System CEREBELLAR HISTOLOGY & CIRCUITRY SUMMARY OVERVIEW Gross Anatomy • The folding of the cerebellum into lobes, lobules, and folia allows it to assume a tightly packed, inconspicuous appearance in the posterior fossa. • The cerebellum has a vast surface area, however, and when stretched, it has a rostrocaudal expanse of roughly 120 centimeters, which allows it to hold an estimated one hundred billion granule cells — more cells than exist within the entire cerebral cortex. - It is presumed that the cerebellum's extraordinary cell count plays an important role in the remarkable rehabilitation commonly observed in cerebellar stroke. Histology Two main classes of cerebellar nuclei • Cerebellar cortical neurons • Deep cerebellar nuclei CEREBELLAR CORTICAL CELL LAYERS Internal to external: Subcortical white matter Granule layer (highly cellular) • Contains granule cells, Golgi cells, and unipolar brush cells. Purkinje layer 1 / 9 • Single layer of large Purkinje cell bodies. • Purkinje cells project a fine axon through the granule cell layer. - Purkinje cells possess a large dendritic system that arborizes (branches) extensively and a single fine axon. Molecular layer • Primarily comprises cell processes but also contains stellate and basket cells. DEEP CEREBELLAR NUCLEI From medial to lateral: Fastigial Globose Emboliform Dentate The globose and emboliform nuclei are also known as the interposed nuclei • A classic acronym for the lateral to medial organization of the deep nuclei is "Don't Eat Greasy Food," for dentate, emboliform, globose, and fastigial. NEURONS/FUNCTIONAL MODULES • Fastigial nucleus plays a role in the vestibulo- and spinocerebellum. • Interposed nuclei are part of the spinocerebellum. • Dentate nucleus is part of the pontocerebellum. -
THE SYNDROMES of the ARTERIES of the BRAIN AND, SPINAL CORD Part II by LESLIE G
I19 Postgrad Med J: first published as 10.1136/pgmj.29.329.119 on 1 March 1953. Downloaded from - N/ THE SYNDROMES OF THE ARTERIES OF THE BRAIN AND, SPINAL CORD Part II By LESLIE G. KILOH, M.D., M.R.C.P., D.P.M. First Assistant in the Joint Department of Psychological Medicine, Royal Victoria Infirmary and University of Durham The Vertebral Artery (See also Cabot, I937; Pines and Gilensky, Each vertebral artery enters the foramen 1930.) magnum in front of the roots of the hypoglossal nerve, inclines forwards and medially to the The Posterior Inferior Cerebellar Artery anterior aspect of the medulla oblongata and unites The posterior inferior cerebellar artery arises with its fellow at the lower border of the pons to from the vertebral artery at the level of the lower form the basilar artery. border of the inferior olive and winds round the The posterior inferior cerebellar and the medulla oblongata between the roots of the hypo- Protected by copyright. anterior spinal arteries are its principal branches glossal nerve. It passes rostrally behind the root- and it sometimes gives off the posterior spinal lets of the vagus and glossopharyngeal nerves to artery. A few small branches are supplied directly the lower border of the pons, bends backwards and to the medulla oblongata. These are in line below caudally along the inferolateral boundary of the with similar branches of the anterior spinal artery fourth ventricle and finally turns laterally into the and above with the paramedian branches of the vallecula. basilar artery. Branches: From the trunk of the artery, In some cases of apparently typical throm- twigs enter the lateral aspect of the medulla bosis of the posterior inferior cerebellar artery, oblongata and supply the region bounded ventrally post-mortem examination has demonstrated oc- by the inferior olive and medially by the hypo- clusion of the entire vertebral artery (e.g., Diggle glossal nucleus-including the nucleus ambiguus, and Stcpford, 1935). -
University of Groningen Ultrastructural Localisation and Functional
University of Groningen Ultrastructural localisation and functional implications of Corticotropin releasing factor, Urocortin and their receptors in cerebellar neuronal development Swinny, Jerome Dominic IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from it. Please check the document version below. Document Version Publisher's PDF, also known as Version of record Publication date: 2003 Link to publication in University of Groningen/UMCG research database Citation for published version (APA): Swinny, J. D. (2003). Ultrastructural localisation and functional implications of Corticotropin releasing factor, Urocortin and their receptors in cerebellar neuronal development. s.n. Copyright Other than for strictly personal use, it is not permitted to download or to forward/distribute the text or part of it without the consent of the author(s) and/or copyright holder(s), unless the work is under an open content license (like Creative Commons). The publication may also be distributed here under the terms of Article 25fa of the Dutch Copyright Act, indicated by the “Taverne” license. More information can be found on the University of Groningen website: https://www.rug.nl/library/open-access/self-archiving-pure/taverne- amendment. Take-down policy If you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim. Downloaded from the University of Groningen/UMCG research database (Pure): http://www.rug.nl/research/portal. For technical reasons the number of authors shown on this cover page is limited to 10 maximum. Download date: 04-10-2021 CHAPTER 2 The expression of Corticotropin releasing factor in the developing rat cerebellum: a light and electron microscopic study J. -
Cerebellar Control of Cortico-Striatal LTD
Restorative Neurology and Neuroscience 26 (2008) 475–480 475 IOS Press Cerebellar control of cortico-striatal LTD Silvia Rossia,b, Giorgia Matalunia,b, Paola De Bartolob,c, Chiara Prosperettia,b, Francesca Fotib,c, Valentina De Chiaraa,b, Alessandra Musellaa,b, Laura Mandolesib,d, Giorgio Bernardia,b, Diego Centonzea,b,∗ and Laura Petrosinib,c aClinica Neurologica, Dipartimento di Neuroscienze, Universit a` Tor Vergata, Rome, Italy bCentro Europeo per la Ricerca sul Cervello (CERC)/Fondazione Santa Lucia, Rome, Italy cDipartimento di Psicologia, Universita` La Sapienza, Rome, Italy dUniversita` Parthenope, Naples, Italy Abstract. Purpose: Recent anatomical studies showed the presence of cerebellar and basal ganglia connections. It is thus conceivable that the cerebellum may influence the striatal synaptic transmission in general, and synaptic plasticity in particular. Methods: In the present neurophysiological investigation in brain slices, we studied striatal long-term depression (LTD), a crucial form of synaptic plasticity involved in motor learning after cerebellar lesions in rats. Results: Striatal LTD was fully abolished in the left striatum of rats with right hemicerebellectomy recorded 3 and 7 days following surgery, when the motor deficits were at their peak. Fifteen days after the hemicerebellectomy, rats had partially compensated their motor deficits and high-frequency stimulation of excitatory synapses in the left striatum was able to induce a stable LTD. Striatal plasticity was conversely normal ipsilaterally to cerebellar lesions, as well as in the right and left striatum of sham-operated animals. Conclusions: These data show that the cerebellum controls striatal synaptic plasticity, supporting the notion that the two structures operate in conjunction during motor learning.