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Functional Neuroanatomy Brian J. Piper, Ph.D.

Pathophysiology: Neuroanatomy Part II

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This presentation was given to first year pharmacy students as part of a course on medical physiology and pathophysiology.

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Page 1: Pathophysiology: Neuroanatomy Part II

Functional Neuroanatomy

Brian J. Piper, Ph.D.

Page 2: Pathophysiology: Neuroanatomy Part II

Goals

• Sensory– Vision– Audition– Touch

• Emotion• Motor• Language

Page 3: Pathophysiology: Neuroanatomy Part II

Major Subdivisions of Brain

Page 4: Pathophysiology: Neuroanatomy Part II

Sulci & Gyri

Page 5: Pathophysiology: Neuroanatomy Part II

Gyri of the Cerebral Cortex (Lateral Surface)

Page 6: Pathophysiology: Neuroanatomy Part II

Vision

Retina -> Optic Nerve -> Thalamus -> Occipital Cortex

Page 7: Pathophysiology: Neuroanatomy Part II

Implications of Visual Wiring1. optic nerve

2. optic chiasm

3. optic tract

4. optic radiation

A. unilateral blindness

B. bitemporal hemianopsia

C. left homonymous hemianopsia

Page 8: Pathophysiology: Neuroanatomy Part II

Beyond Occipital

where pathway

what pathway

Page 9: Pathophysiology: Neuroanatomy Part II

AuditoryCochlea: Coiled, bony, fluid-filled tube in the inner ear that transforms sound vibrations to auditory signals.Carpet Explanation

http://www.youtube.com/watch?NR=1&feature=fvwp&v=FjbcAH3dL0s

Page 10: Pathophysiology: Neuroanatomy Part II

Localization of Sound

1. Intensity differences2. Time differences

Page 11: Pathophysiology: Neuroanatomy Part II

Vestibular

• Semicircular Canals: mediate balance & movement of head

Page 12: Pathophysiology: Neuroanatomy Part II

Taste

Traditionally, taste sensations consisted of sweet, salty, sour, and bitter tastes.

Recently, receptors for a fifth taste have been discovered called “Umami”.

Sweet Sour Salty Bitter Umami(Fresh

Chicken)

Page 13: Pathophysiology: Neuroanatomy Part II

Gustatory Receptors

• Sweet: sucrose• Sour: pH• Saltiness: NaCl• Bitter: organic (carbon)• Umami: Monosodium Glutamate• Fat: ?

Page 14: Pathophysiology: Neuroanatomy Part II

Gustatory Pathways

Page 15: Pathophysiology: Neuroanatomy Part II

SmellLike taste, smell is a chemical sense.

Odorants enter the nasal cavity to stimulate 5 million receptors to sense smell. Unlike taste, there are many different forms of

smell.

Page 16: Pathophysiology: Neuroanatomy Part II

Touch & Motor Function

M S

Page 17: Pathophysiology: Neuroanatomy Part II

Motor Homunculus

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Motor Neurons

Medial Column Lateral Column

Brodal (2010). Central Nervous System. p. 282.L/M images from: http://quizlet.com/4690758/neuro-lab-flash-cards/

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Sensory Homunculus

Phantom Limbs (0 to 4 min): http://www.youtube.com/watch?v=1mHIv5ToMTM

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Limbic System: Emotional Brain

hypothalamus (#2)

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Hypothalamus & Aggression

Stimulation of Medial Hypothalamus Stimulation of Perifornical Nucleus of Hypothalamus

Page 22: Pathophysiology: Neuroanatomy Part II

Hypothalamus & Hunger

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Amygdala Lesions: Kluver-Bucy Syndrome

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Positron Emission Tomography

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“Only left-handers are in their right mind.”

Right Left

Left 95%

Right 5%

Handedness

LanguageCenter

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Left-handers are more likely to have their language center in their right cortex

Right Left

Left 95% 70%

Right 5% 30%

Handedness

LanguageCenter

Page 28: Pathophysiology: Neuroanatomy Part II

Summary

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Insula

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Lesions of Insula

• Smoking following brain damage was examined in patients with insula damage.

Naqvi et al. (2007). Science, 315, 531-534.

Page 31: Pathophysiology: Neuroanatomy Part II

Lesions of Insula

• Smoking following brain damage was examined in patients with insula damage.

• He quit because his “body forgot the urge to smoke”

Naqvi et al. (2007). Science, 315, 531-534.