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Voluntary motor
Auditory area
Sensorimotor hierarchy
1ry sensory area
(Perception)
- > 90% of population is right handed; so, has left dominant hemisphere. - Dominance become fixed only after the 1st decade. - Corpus callosum transports information received in one hemisphere to the other half.
1. Occipital lobe
Lateral view
Hemianopia
Site
Function
Effect of lesion
Homonymous hemianopia.
On each side of - Perception of pictures. the calcarine - Input from thalamus S.& extends (Lateral Geniculate slightly laterally. Body = L.G.B.). - Project to the visual association area. Around area 17 - Understanding the & rest of the meaning & importance occipital lobe. of the pictures seen. - Color & movement vision. - Stereoscopic depths.
2. Temporal lobe
Lateral view
3. Parietal lobe
1ry somesthetic area
(area 3,1,2)
Lateral view
5, 7 40 39
Lateral
Medial
Site
temporal g. (Heschls g.).
Function
- Perception of sounds. - Input from thalamus (Medial Geniculate Body =M.G.B.) Understanding the meaning & importance of sounds.
Effect of lesion
Incomplete (slight) bilateral deafness.
Inability to know the meaning of sounds (word deafness, = auditory agnosia). Difficulty in recognizing faces (prospagnosia).
(area 39,40)
Site
Postcentral g. + paracentral lobule (sensory leg area)
Function
- Proprioceptive sensations. - Cutaneous sensations. - Vestibular sensation.
(from opposite of body)
Effect of lesion
Contralateral hemiansthesia. (pain is slightly affected) - Difficulty in understanding of the meaning of various sensory information (= agnosia). - Asteriognosis. Receptive (sensory aphasia).
- Center of Steriognosis.
(area 39,40)
- Inf. parietal lobule. - Post. parts of middle & inf. temporal gyri. (Only in the dominant hemisphere).
- Understanding of spoken (auditory)& written (visual) language. - Integration of different senses that allows for understanding a single concept. Brocas area.
1. Precentral area
2.
4. Frontal lobe
Frontal eye field
- Area 8 - Part of area 6
Premotor area (area 6) & supplementary motor area 1ry motor area
(area 4)
Prefrontal Cortex
(PFC)
Brocas area
(area 4)
It is a map of body
Lateral
Medial
Site
Precentral g. + paracentral lobule (leg area). In front of area 4.
Function
Initiate voluntary skillful movements (pyramidal tract), except eye. - Planning of movement design area 4. - Main extra-pyramidal area for posture & muscle tone. Planning complex sequence of movements & their coordination in both hands. Initiate voluntary eye movements to the opposite side (conjugate lateral movements). Speech production by projection to area 4 (larynx, tongue, lips (vocalization).
Effect of lesion
Contralateral hemiplegia (except eye).
- Increased muscle tone & reflexes. - Disturbed skillful movements. - Reappearance of grasp reflex. Impaired selection of a particular movement sequence.
In front of area 6
- Inability to direct eye to the opposite side. - Deviation of both eyes to the affected side. Expressive (motor aphasia) Inability to express language.
(area 44,45)
Anatomy of Speech
Speech
1- Words are seen in the visual cortex, or heard in the auditory cortex. 2- Information concerning the word is interpreted in Wernikes area.
Aphasia: absent or defective speech or language comprehension. Wernikes aphasia: = (sensory, receptive aphasia) no comprehension & failure
to convey meaning.
Lesion: (traumatic, tumors, lobectomy & ADD) - short attention span & loss of recent memory. - becomes careless of his appearance (behavior). - mood changes (emotionally labile). - loss of social inhibition & impulsive responses.
Site
- Lower end of the postcentral g. - Insula. - Postcentral g.
Function
Taste (gustatory sensation). Sensation of position & movements of the head in space. - Coordination of the movements for speech. - Taste sensation. Smell sensation.
Insula
Olfaction
- 1ry olfactory area (periamygdaloid & prepiriform areas). - 2ry olfactory area.
Limbic lobe
(cortical part of the limbic system).
- Short-term memory. - Control of endocrine system. - Reactions of fear, anger& emotions associated with sexual behaviors.
Taste area
Vestibular area
Insula
Olfactory area
1. Cingulate g.
4. Uncus
Limbic lobe