Академический Документы
Профессиональный Документы
Культура Документы
Layers I – III (Molecular, Numerous stellate cells, which indicate that these three layers are
External Granular, External important for association and higher functions such as memory,
Pyramidal) interpretation of sensory input, and certain discriminative
Layer I also contains Horizontal functions.. Receives association and commissural fiber inputs;
cells of Cajal; Pyramidal cells in Pyramidal cells from these layers also send efferents to other
various layers cortical areas as association and commissural fibers. Layers I – IV
also receive non-specific afferents (reticular afferents and afferent
inputs from midline/intralaminar thalamic nuclei).
Layer V Primarily efferent layers that contain nerve cell bodies whose axons
and VI (Internal Pyramidal and enter the corticospinal tract (descending fibers).. Martinotti cells in
Layer VI sends afferents to superficial layers. Main Projection
Multiform/ Fusiform Layer)
neurons to subcortical structures are pyramidal, plus fusiform cells.
In motor cortex, Betz cells are the large pyramidal cells located here
here.
II Association/ commisural
inputs; Inter-hemispheric
III Information sharing
(Layers I – III)
Nonspecific afferent inputs
IV (Layers I – IV)
Efferent layers
VI (Layer V, VI)
Cortico-Thalamic connections,
Thalamo-
corticospinal, corticobulbar
Cortical connections
2
B. How the Various Cortical Regions are Interconnected with each other, and
with subcortical regions: Through Association, Commisural and Projection
Fibers
PARIETAL
FRONTAL LOBE
LOBE
OCCIPITAL
LOBE
Association fibers are nerve fibers that interconnect cortical regions of the same
cerebral hemisphere.
Commisural fibers cross the midline and interconnect similar cortical regions in the
two cerebral hemispheres.
Projection fibers connect cortical areas of the cerebrum with subcortical regions.
Below are major association and commissural fibers of the cerebrum.
What are the functions of the three major association areas ? [There are other models showing
more elaborate subdivisions of the different sensory, motor, and association cortices. For more, see
section VI. ANNEX, Major Functional Areas of the Cerebral Cortex.
a) Prefrontal association area (also known as the frontal lobe association area, anterior
association area or prefrontal cortex)– rostral to the premotor area; concerned with motor
planning, language production, judgement (including control of emotions). Also known as a
central executive for working memory and other coordinating functions, including receiving
inputs from the rest of the cerebral cortex.
b) Parietal-occipital-temporal association area– (also known as the posterior association
area) between the somesthetic and visual cortices, extending into posterior portion of
temporal lobe; links several sensory modalities for visuo-spatial perception
(representational hemisphere mainly) and language (categorical hemisphere mainly).
c) Limbic association area (sometimes called also as the temporal association area) also
known as the “limbic cortex” – along the medial edge of the cerebral hemisphere, from the
lower portion of the temporal lobe to the limbic system; concerned with emotions and
memory formation. This area is associated with the limbic system (see Neurobiology of
Instincts and Emotions, previous topic.)
Supplementary
An dPrem otor
Areas
ary ic
ot ry
Primesthet
M ima
or
Pr
Som Parieto- B.
A.
Occipito-
Prim ary Tem poral
Prefronta l
auditory Association
Asso ciatio n
Area Area
Prima ry
V isua l
C. Limbic
Association
Area
4
Perisylvian
Language
Zone
2nd component:
For Expression
Left temporal
lobe
Area 38 (L) - Lesions: Inability to retrieve names of places and
persons . (but preserves ability to retrieve common nouns,
verbs and adjectives)
Areas 18, 20, 21 Part of a ventral (inferior - Lesions: Object agnosia –especially on left hemisphere.
(L) temporal) pathway
Two Left Left frontal lobe – Forms of Acalculia (impairment of mathematical ability)
hemisphere areas concerned with number facts arising from lesions in left (or right) hemisphere:
found associated and exact calculations. (1) Left frontal lobe lesions results in a selective
with mathematical impairment of mathematical ability .
ability Bilateral Intraparietal sulci (2) Bilateral lesions of intraparietal sulci: Another
(parietal lobe) – concerned impairment of mathematical ability also results .
with visuospatial
representations of numbers
and finger counting.
* Note:Stereognosis functions also exist in the left posterior parietal cortex (somatosensory association area) for the
contralateral side of body, with corresponding deficits (astereognosis) after lesions.
Which structures concerned with Which structures concerned with
EXPRESSIVE FUNCTIONS of LESIONS RECEPTIVE FUNCTIONS of
Language ? Language
WHAT IS
GLOBAL
APHASIA ?
6
Broca’s
Anterior
area is a inferior frontal
premotor cortex (Left H)
area for
language
TAKE NOTE that the Right (representational) hemisphere is concerned with the affective
component of language, called prosody (see next section) . What is prosody ? What is
expressive aprosodia ? See Section III, below. What is receptive aprosodia ?
Left /Categorical Hemisphere - helps processes attentional focus on details of an image (local
shifts in attention); lesions will result in loss of this ability. (Compare with the visuo-spatial
processing functions of right hemisphere).
GENERALLY, the RIGHT HEMPISPHERE is involved in spatial abilities, face recognition, visual
imagery, music (although recent researchers say that musical functions shared by both
hemispheres.), as well as the affective components (prosody) of language (prosody- elements of
stress, pitch and rhythm).
Representational Hemisphere: “Non-dominant” (in majority, the Right hemisphere). Noted below
are major functions as far as higher cortical association visuo-spatial processing (object
recognition) is concerned , as well as some affective components / emotional comprehension of
language. In general, though not discussed here in detail, the right hemisphere seem to exercise
dominance over emotions and all aspects of social-emotional intelligence . This is due to its
stronger connections to the limbic system.The neurological literature is rich in information about
other effects (note that effects on other primary motor-sensory functions are not included). Other
authors may have slightly different locations for the lesions.
7
Below is a table showing a number of observed lesion effects of some right hemisphere cortical
association areas showing some resulting agnosias, as well as effects on affective components
(prosody) of language (right hemisphere). Fore brevity, only a few agnosias affecting some of the
sensory association areas are shown. A listing of various apraxias (inability to voluntarily carry out
actions upon command, with intact primary sensory and motor pathways) have not been included in
the table. [Agnosia - inability/ difficulty recognizing certain features of a sensory stimuli, despite
intact primary sensory cortex and specific ascending pathways. ]
Areas 18, 20, 21 (L) (Naming, using, recognizing Lesions: object agnosia – especially on left
* real objects) hemisphere.
Lesions: agnosia for drawings
Areas 18, 20, 21 (R ) Recognition for drawn Lesions: agnosia for drawings.
objects
Parietal lobe
(Left and right Stereognosis – ability to Lesions (Areas 5, 7): Astereognosis/ tactile agnosia
posterior parietal identify objects by feeling arise from lesions of the somesthetic association area.
lobe, parts of areas them with contralateral Different forms of apraxia also result due to
5, 7 – the hands, while blindfolded. disconnections of the somatosensory association area
somatosensory from the motor association areas of the frontal lobe
association area) (especially with premotor and supplementary motor
areas).
Mainly right Attention to left and right Lesions :Hemineglect – inattention to contralateral
posterior, inferior hemispace, including one’s (left) part of the body (also specifically known as
parietal lobule body and extracorporeal hemiasomatognosia or hemisomatagnosia),
space. (Note that there is a inattention to stimuli on contralateral (left) side, and
(More below for dorsal (parietal) pathway neglect of contralateral hemi-space (spatial neglect). If
right posterior of the visual system for the patient is hemiplegic arising from lesions of right
parietal cortex *) discerning motion, depth, frontal lobe areas, and additional lesions to right
and spatial information = posterior parietal (inferior) areas, anosognosia (failure
the “where pathway”.) After to recognize own hemiplegia) may result.
right hemisphere lesions,
only left hemisphere
functions focusing
dominate.
Right frontal cortex Gives emotional quality Expressive aprosodia/ or dysprosody – flat tone or
(approximately of voice/ gestures of one’s own voice and gestures; no emotional feelings
mirroring Broca’s (prosody) in speech or gestures
area on the
contralateral side)
Right posterior Comprehend prosody of Inability to comprehend prosody (emotional tone ) of
parietal cortex* other people’s voice/ other people’s voice or gestures (Receptive or
(approximately gestures sensory aprosodia/ dysprosody)
mirroring Wernicke’s
area on the
contralateral side)
8
Representational or right hemisphere – also involved in processing mathematical
operation; effects of lesions on the angular gyrus- also produces Acalculia.
INABILITY
TO
UNDERSTAND
RIGHT EMOTIONAL
POSTERIOR TONE OF
PARIETAL SPEECH
LESIONS
( others: temporal-parietal
Areas)
Inability to
comprehend
jokes
2.Majority OF ADULT population– left Majority of adult population use -right hemisphere as the
hemisphere is the categorical (language) hemisphere representational hemisphere..
3. Concerned with cognitive aspects of Language and Concerned with prosody of Language; laughter and
Speech capabilities (review aphasias arising from lesions affective components of language (expressive and
of various language-related areas of left hemisphere) . receptive prosody)
Compare with right hemisphere the following:
a) Lesions in left frontal cortex (Broca‟s) result in Compare effects with left hemisphere lesions.
expressive or motor aphasia (nonfluent aphasia) a) Lesions in right frontal cortex expressive or
b) Lesions in Wernicke‟s area result in receptive or motor aprosodia
sensory aphasia (fluent aphasia ) b) Lesions in right posterior parietal cortex receptive
or sensory aprosodia
9
REPRESENTATIONAL (RIGHT) HEMISPHERE for
CATEGORICAL (LEFT ) HEMISPHERE for affective components of language; global aspects
cognitive aspects of language; details of visuo- of visuo-spatial processing
spatial processing
4. Categorize spatial relations (above, below, left, right): Concerned with attention on more than one attribute of a
focused on one attribute of a stimulus at a time, which stimulus (e.g. color and size) ; attention on one attribute
also mobilizes the representational hemisphere; when mobilizes both hemispheres. When intact, attention to
intact, attention to only right hemispace. both left and right hemispace.
Object identification in contralateral side of body in general Object identification (gnosia) in general using various
using various sensory modalities; it is the neural substrate sensory modalities; neural substrate for stereognosis –
for stereognosis. For example, tactile perception. ability to identify objects by feeling them (parietal lobe).
Both L and R: Posterior parietal lesion (somatosensory Both L and R: Posterior parietal lesion (somatosensory
association cortex) astereognosis/ tactile agnosia to association cortex) astereognosis/ tactile agnosia to
contralateral side. contralateral side.
Visual agnosias arising from lesions Visual agnosias arising from lesions
1. Both or right side lesions (inferior temporal lobe) 1. Both or right side lesions (inferior temporal lobe)
stronger than left: lesions prosopagnosia stronger than left: lesions prosopagnosia
(prosophenosia) , which is the inability to recognize faces. (prosophenosia) , which is the inability to recognize faces.
2. Specific: some form of visual agnosia unique for the 2. Specific: Lesion (right posterior parietal lobe)
left hemisphere arises from lesions of the angular gyrus, Hemineglect or inattention to contralateral (left) side)
which results in pure word blindness (alexia/ dyslexia) results ; also manifested as hemiasomatognosia, spatial
found in anomic aphasia (inability to understand written neglect, and/ or anosognosia (see previous table).
language or pictures).
3. Specific: Lesions (areas 18, 20, 21) object 3. Specific: Lesions (areas 18, 20, 21, temporal lobe)
agnosia, which is the inability to recognize real objects agnosia for drawings.
reported in left hemisphere.
5.a. Normal fcn: Encodes high-spatial frequencies –the a. Normal fcn: Encodes low-spatial frequencies – the
“details” of Image” --- local shifts “global view;” overall pattern of image.
b. Effects of lesion below: b. Effects of lesion below:
Note: In the intact, normal mental state, there is a “check-and-balancing” actions of both the left and right hemispheres as they
receive, process, and send response signals . Lesions, neurotransmitter imbalances, conduction failure or disconnections, arising from
various causes, can lead to derailment of hemispheric complementation and specializations. General principle of lesion studies:
example, when lesions occur in right hemisphere, the functions of the left hemisphere becomes more apparent, while the functions of
the lesioned hemisphere diminishes. This is true for the reverse. Sometimes both hemispheres contribute equally to a certain higher
mental function. Degree of structural damage is manifested in the magnitude or degree of mental functional dysfunction.
10
Basal Ganglia: The caudate nucleus, possibly because of its frontal cortical connections, have
some cognitive roles. Lesions of the caudate nucleus disrupt performance on tests involving
object reversal and delayed alternation. The right caudate nucleus seem to be involved in
language processing, as shown by evidence where lesions produce a dysarthric form of aphasia
that resembles but different from Wernicke’s aphasia.`
Cerebrocerebellum (neocerebellum): involved in planning and programming movements,
together with the motor cortex and associated frontal areas.
The cerebellum seem to be also involved with pure cognitive tasks independent of
motor functions: a patient damaged in the right cerebellum (due to a blocked posterior inferior
cerebellar artery) could not learn a word association task. Also, it was observed in other subjects
using magnetic resonance brain imaging technique that the dentate nucleus increased its
activity when subjects were required to evaluate sensory information consciously.