Higher Functions (Langauge and Memory)

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    Higher functions

    HaythamEloqayli

    http://info.just.edu.jo/just.jpg
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    sensation (somatic, vision, and hearing)

    motor

    primary areas (primary motor area, primarysensory areas)

    the secondary areas (secondary sensory areas,

    premotor and supplementary motor areas )

    association areas

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    The most important association areas are

    (1) the parieto-occipitotemporal association

    area,

    (2) the prefrontal association area, and

    (3) the limbic association area

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    primary sensory areas detect specificsensations-visual, auditory, or somatic.

    secondary sensory areas analyze the specificsensation (e.g details: shape or texture , color..etc)

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    association areas

    receive and analyze signals simultaneously

    from multiple regions ( both the motor andsensory cortices and from subcorticalstructures)

    Interpretation of the received signals

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    1. Analysis of the Spatial Coordinates of the Body: therelation of the body with the surroundings

    2. Area for Initial Processing of Visual Language(Reading) :feeds the Wernicke's area with the words we read.

    This area called anguler gyrus.3. Area for Naming Objects:names are learned through auditory

    input and visual input4. Area for Language Comprehension (Wernicke's area)

    - interpreting the complicated meanings of the sensoryexperiences (somatic, auditory, visual)

    -use these to form thought

    - choice of word

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    Prefrontal Association Area :

    -plan of motor movements

    -Broca's Area: word formation through the motor control of the

    muscles of speech (mouth, larynx, respiratory system..etc)

    -elaboration of thoughts

    Limbic Association Area: anterior pole of the temporallobe, in the ventral portion of the frontal lobe.

    -behavior, emotions, and motivation

    -aggressiveness and social response

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    Wernicke's (sensory)Aphasia:unable to interpretthe thought

    -auditory receptive aphasiainability to understand the spoken word

    -visual receptive aphasia: inability to understand the written word

    -global aphasia: inability to understand both spoken word andwritten word due to widespread damage to Wernicke's area

    Motor Aphasia:person is capable of deciding what he or shewants to say but cannot say it (cannot form words). results fromdamage to Broca's speech area

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    Same patient with large menengioma (coronal T1+ and T2 which showthe MCA going around the tumor)

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    Malignent Lt. MCA infarction

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    prosophenosiais inability to recognize faces due toextensive damage on the medial undersides of bothoccipital lobes and along the medioventral surfaces ofthe temporal lobes

    dominant hemisphere:the functions of the speech andmotor control areas, are highly developed in onecerebral hemisphere than in the other.

    Lt side in nearly all right handed and in more than 95 %of the Lt handed.

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    Memory and learning

    Learning

    acquisition of knowledge/information

    Memoryretention of learned information

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    memories are stored by changing the basic sensitivityof synaptic transmission (facilitated pathways calledmemory traces)

    Sensitization: facilitationof the synaptic pathways ifthe information is important.

    Habituation: inhibitionof the synaptic pathways if theinformation is unimportant (ignorance or no storageof the memory)

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    (1) short-term memory

    (2) intermediate long-term memories

    (3) long-term memory

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    Declarative memorybasically means memoryof details, thought, verbal.

    Skill memoryis memory of motor activities

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    (1) short-term memory-memories that last for seconds or at most minutes

    -may result from continual neural activity

    (2) intermediate long-term memories,-memories that last for days to weeks

    - result from temporary chemical or physical changes at the level of thesynapse

    (3) long-term memory-lasts weeks to lifetime

    -result from structural changes at the synapse ( at the level of theDNA)

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    Consolidation of Memory

    -Means convertion of short-term memory to into long-

    term memory

    -Rehearsal enhance this process

    -Momories are codified: stored according to similarities

    and differences

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    Anterograde Amnesia: inability to establishintermediate memory or long-term memory(cannotform new memories)

    e.g hippocampus lesionsRetrograde Amnesia

    -Inability to recall Memories from the Past

    -amnesia for recent events is likely to be muchgreater than for events of the distant past

    e.g damage in some thalamic areas

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    Amnesia

    Disorders of memory

    Anterograde amnesia: deficit in learningnew information

    Retrograde amnesia: deficit in recallingpreviously learned information

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    H.M.

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    Lt hippocampus tumor in a patient with epilepsy, difficult to see with T1or T2 and no contrast enhancement but seen with flair (low gradeastrocytoma)

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    hippocampal lesions,

    -Anterograde amnesia but retrograde amnesia can

    occur.

    - Involves declarative memoryand spare the skillmemory.

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