Академический Документы
Профессиональный Документы
Культура Документы
OL
Function:Vision:perceptionofform,movementandcolor.
Separatedfromparietallobeby:
Parietooccipitalsulcus.
WithintheOL3landmarks:
Calcrinefissure:Div.Theupper
andlowerhalvesofthevisual
world.
LingualGyrus:V2&VP
FusiformGyrus:V4
SubdivisionsoftheOL
(6+Areas)
1. V1
2. V2
PrimaryVisual
Cortex
3. V3
4. V3A
5. V4
6. V5
SecondaryVisual
Cortex
OL
OL
Connections
V1Largestarea,calledstriatecortex.
V1
Receivesthelargestinputfromthe
LGNandprojectstoALLotheroccipital
regions.1stprocessinglevel.
V2Alsoprojectstoallotheroccipitalareas.
SegregatesinfofromV1.
V2
V2
V3(A)
V4
V5
V1
V3(A)
V4
V5
OL
Connectionscont
2Pathwaysintothevisualbrain
1. Geniculostriatesystem
2. Tectopulvinarsystem
1
LGN
Dorsal(ParL)
HoworWhere
VisualGuidenceofmov.
V1V2
Eye
Tectum
l
dia
e
M
Pulvinar
(SupColli)
(Thal)
Ventral(TempL)
La
te
ral
What
Obj.perception&recog.
BeyondtheOcc.L
VisualprocessinginhumansdoesNOTculminateinthe
Secondaryvisualares(V3,V4,V5)butcontinueswithinmultiple
visualregionsintheparietal,temporalandfrontallobes.
OL
OL
TheoryofO.LFunction
V1&V2functionlikemailboxes:segregatinginfotootherareas
involvedintheperceptionof:Color/Form/Motion
V3 Dynamicform(dancing)
V3A Justform
V4 Color&Shape
V5 Perceptionofmotion
SelectiveLesionsAffectspecificfunctions
V1 Ifeverythingelseintact,Ssactlikeiftheywereblind
butvisualinputstillgetsthroughtheotherareas(V2)
BlindSight
V2 LikeV1butlesssevere
V3 Perceptionofformisaffected
V4 Visioningrayshades
V5 Cantperceiveobjectsinmotion
TheoryofO.LFunctionCont
OL
5Typesofvisualfunctions
Visionforaction:Visualprocessing
requiredtodirectspecific
movements.
Actionforvision:Activesearchof
thetargetobject.Selectiveattention.
Grandma!
VisualRecognition:Ventralstreaminfo
tothetemporallobespecializedin
recognitionoffaces
Grandmothercells
TheoryofO.LFunctionCont
5Typesofvisualfunctions
. VisualSpace:Visualinfocomesformspecificlocationinspace.
Objectshavealocationrelativetoanindividual(egocentric),
ortooneanother(allocentric).
. VisualAttention:Processoffeaturesofthevisualworld(otherwise
itwouldbetoomuch!).
OL
Dorsal&Ventralstreamfunctions
OL
Milner&Goodalestudies
PatientDF:Blindbutdorsalstream
intact,sopatientshapedherhand
Appropriatelywhilereaching.
Unconsciouslyseelocation
sizeandshape.
PatientVK:Ventralstreamintact,
Canseeobjectsbutcantreach
Accuratelyorshapethehand.
SymptomsofOLDamage
1. ObjectAgnosia
a)Apperceptive
b)Associative
1.Agnosias
2.MonocularBlindness
3.BitemporalBlindness
4.NasalHemianopia
5.HomonymousHemianopia2. OthervisualAgnosias
Alexia
6.Quadrantanopia
Visualspatialagnosia
7.Scotoma
Prosopagnosia:
OL
SymptomsofOLDamageCont
ObjectAgnosia
a)Apperceptiveagnosia:Cantrecognizeanobjectalthoughbasic
visualfunctions(color,motionetc.)arepreserved.Cantcopyor
matchsimpleobjects.Canseeonethingatatime:Simultagnosia.
DiffusebilaterallesionintheventralstreaminOL.
b)Associativeagnosia:Cantrecognizeobjectsinspiteofbeing
toperceivethem.Subjectscandescribetheobject,knowwhatit
isfor,copyit,butcantidentifyit.LesioninventralstreaminTL.
OL
OL
Summary:
FunctionofOLisvision,perceptionofformmovementandcolor.
Threemajorroutes:ventrallyintothetemporallobe,dorsallyintothe
parietallobe,andamiddleroutegoingtotheSTS.
Ventralstreamforstimulusrecognition,dorsalstreamforguidance
ofmovementsinspace.
Someoccipitalregionsarefunctionallyasymmetrical:word
recognitionontheleftandfacialrecognitionandmentalrotationon
theright.
THEPARIETALLOBE
Function:Processesandintegratessomatosensoryandvisualinfo
withregardtothecontrolofmovement.
Separatedfromthefrontallobe
Bythecentralfissure,fromthe
TemporallobebytheSylvian
Fissureandfromtheoccipital
Lobebytheparietooccipital
Sulcus.
PL
SubdivisionsofthePL
WithinthePL:
Postcentralgyrus(B.A.1,2,3)
ParOperculum(B.A.43)
SuperiorParLobule(B.A.5,7)
Supramarginalgyrus(B.A.40)
Angulargyrus(B.A.39)
AnteriorZone:Includes:
PostcentralgyrusandParOperculum
Called:Somatosensorycortex.Processes
Somaticsensationandperception.
PosteriorZone:Includes:
SuperiorParLobule,supramarginal&
angularareas.Called:PosteriorParietal
Cortex.Processescontrolofmovementwithsomaticand
visualinfo.
PL
PL
Connections
1.ThesomatosensorycortexprojectstoPE,primarymotorcortex,
Supplementaryandpremotorareas.Fortactilerecognition,sensory
infoaboutlimbpositioninthecontrolofmovement.
vonEconomosmaps3PPareas:
PE,PF,PG
S1
PE
M1
SupM
PreM
PL
Connectionscont
2.PEoutputtoM1toguidemovementwithtactileinformation,input
fromS1(1,2,3).
3.PFoutputtoM1toguidemovementwithtactileandvisualinfo
inputfromS1throughPE.
4.PGoutputtoFL.Maindorsalstream,visionforactioncontrolof
spatiallyguidedbehavior.Inputfrom
visual,somesthetic,proprioceptive,
auditory,vestibular,oculomotor
andcingulate.
Connectionscont
5.PGoutputtoparalimbicformemoryofmovements
6.PG&PFoutputtoPFCforSTMofvisualguidedmovements.
7.PGoutputtotemporalforprocessingtheshapeofobjects
So,theAPCprocessessomaticsensation
andperceptionandthePPCintegrates
sensoryinputfromthesomaticandvisualregionsforthecontrol
ofmovement.
PL
TheoryofP.LFunction
PL
Theremustbeaspatial(internal)representationofthings.Thereisa
maporseveralmapsthat:
Makemovementstodifferentobjects
Discriminatesimilarobjects
Makemovementsrelativetobodyposition
Orderthemovements
Attendtosomeobjectsandignoreothers
OtheraspectsofPLfunction:
1. Arithmetic:Mathhasquasispatialnature,youhavetomanipulate
numbersinspace.Lefttempoparietal.
2. Language:Alsoquasispatialdemands:tappatsameletters
differentspatialorganization
3. Understandingsequencesofmovement
Somatosensorysymptoms
PL
(anteriorzone,areas1,2,3,43)
1. Somatosensorythresholds:
2.PerceptualDisorders
3. Blindtouch
4. Somatosensoryagnosias:
2.SimultaneousExtinction:
objectscanonlybeperceived
ifpresentedoneatatimeR>L
PosteriorParietalSymptoms
(PE,PF,PG)
1. Balintssyndrome
2. Contralateralneglect
3.Objectrecognition:
4.Gerstmannsyndrome
5.Languagedeficits
6.Apraxia:a.Ideomotor
b.Constructional
7.Recalldeficits
8.Acopia
9.SpatialAttention
10.SpatialCognition
11.Attentionalshiftforaction
12.Mentalimaging
NeglectfollowsaRPPLxbecausetheintegration
ofthespatialpropertiesofstimulibecomes
disturbed.Althoughstimuliareperceived,their
locationisuncertaintotheCNS=ignoreit.
PL
PL
NeuropsychologicalAssessment
THETEMPORALLOBE
Function:Processesvisualandauditoryinformation,andintegrates
themforemotion,spatialnavigationandspatialandobject
recognition.
Includesallthetissuethatliesbelow
theSylviansulcusandanteriortothe
OL.Includessubcorticalstructures:
limbiccortex,amygdala,and
hippocampus.
TL
SubdivisionsoftheTL
WithintheTL:
SuperiorTemporalGyrus:multimodal
receivinginputsfromauditory,visual
andsomaticregionsaswellasfrom
theFC,PCandparalimbiccortex.
MiddleTemporalGyrus:(Limbic
cortex).Includestheamygdala,uncus,
hippocampus,subiculum,entorhinal
andperirhinalcorticesandthe
fusiformgyrus.
InferiorTemporalGyrus:(Visual
regions).Includesthefusiform
gyrus,calledTE.
TL
Connections
TheTLreceivesafferentsfromthesensorysystems,andsends
efferentstoparietal,frontal,limbicsystemandbasalganglia.
5distincttypesofcorticocorticalconnections:
.Hierarchicalsensorypathway:Fromprimaryandsecondaryvisual
andauditoryareas.Ventralstream.Forstimulusrecognition.
.Dorsalauditorypathway:FromauditoryareastoPPC.Fordetecting
spatiallocalizationofauditoryinputs.
3.PolymodalPathway:parallelprojectionsfromthevisualand
auditoryassociationareasintotheSTS.Forstimuluscategorization.
TL
Connectionscont
MedialTemporalprojection:fromthevisualandauditoryassociation
areasintothemedialtemporalorlimbic.Called:perforantpathway.
Forlongtermmemory.
AAperirhinal entorhinal hippocampus amygdala
Frontallobeprojection:fromthevisualandauditoryassociation
areasintotheFL.Formovementcontrolandshorttermmemory.
TL
TheoryofTLFunction
Onthebasisofcorticalanatomy3basicsensoryfunctions:
. Processingofauditoryinput
. Visualobjectrecognition
. Longtermstorageofsensoryinput(memory)
TheTLisaWHATsystemforauditoryandvisualinfothatisgoingto:
. Identify
. Categorize
. Store
. Giveaffect
TL
TheoryofTLFunctioncont
TheSTSandbiologicalmotions:speciestypicalmovements,
necessaryforsocialperception.E.g.dogssniffingeachothersbutt
TheSTSanalyzesthesetypeofmovements.Necessaryforsocial
Cognition=thedevelopmentofhypothesesabouttheintentions
ofotherSs.=TheoryofMind
SswithRTLcantdotheoryof
Mindandtheirpersonalities
aresticky:egocentricand
negative.
TL
SymptomsofTLDamage
1.
2.
3.
4.
5.
6.
7.
8.
9.
Disturbanceofauditorysensationandperception
Disordersofmusicperception
Disordersofvisualperception
Disordersintheselectionofvisualandauditoryinput
Impairedorganizationandcategorizationofsensoryinput
Inabilitytousecontextualinformation
ImpairedLTM
Alteredpersonalityandaffectivebehavior
Alteredsexualbehavior
TL
SymptomsofTLDamagecont
1.Disturbanceofauditorysensationandperception
Formants:Frequencyorsoundwavesspecificto
eachvowelsound.BaGaDa
A.Language
Context:Duckanddeerweperceiveitasthe
samealthoughtheformantisdifferent.
Speed:Languageisfast,wecategorizethesounds
LeftTLLxmoreaffected
2.Disordersofmusicperception
Thebrainhasneuralnetworksdedicatedtotheprocessingof
languageandmusic=botharebiologicalprocesses.
Proof:neanderthalflute,infantshavepreferencesformusic,
congenitalamusia(tonedeafness).
RTLLxmoreaffected,RTLisnecessarytodistinguishmelodies.
TL
TL
NeuropsychologicalAssessment