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Neurology

Foundational concepts: The cerebellum, introduced by Loca, the pug who couldn't run

When we look at it from the outside, the brain appears to be composed of two major regions: the larger cerebrum and the smaller cerebellum.

In this brain photograph--which, if it were still connected to its eyes, you would see that you are viewing it from the left side--the cerebrum is the larger region, superior to (above) the smaller cerebellum, which has been stained a light purple color.

Orientation

Source: http://upload.wikimedia.org/wikipedia/commons/a/a7/Cerebellum_NIH.png accessed 16 December 2012

 

The cerebrum controls the processing of sensory input, complex cognitive processes such as using language and decision-making (such as consciously deciding to move skeletal muscles), and memory, among many other things. We'll talk about it later in its own dedicated post.

The cerebellum, on the other hand, tends to operate with different aspects of movement than the cerebrum does, at an involuntary or unconscious level. Its most well-understood function is in controlling aspect of movement that we don't think about consciously, such as coordination, balance, and motor control.

Loca, the pug who couldn't run, shows what happens when the cerebellum is damaged or otherwise impaired--what you see in this video appears to be some kind of damage to the cerebellum that permits her to walk relatively normally, but severely disrupts her running.

You can use Loca as a mnemonic (a memory aid) to remember the functions of the cerebrum compared to those of the cerebellum--watch her movement, coordination, balance, and motor control as she tries to run, and you'll see what happens to those functions when the cerebellum doesn't work quite right.

Yet, as far as we can see from the video, there is no indication of any disorder of the cerebrum--she decides to run at appropriate times, when other dogs are running and playing.

The decision to run--made in Loca's cerebrum--seems perfectly normal, at least, as far as we can tell from a short movie.

It's the non-voluntary parts of the running, such as her balance and her coordination, where the difficulty lies. And those non-voluntary aspects of movement go back to her cerebellum.

Scope of practice note

I cannot diagnose, but as a anatomy/physiology teacher, Loca's movement disorder looks to me like cerebellar damage or impairment of some kind.

I checked with my cats' veterinarian, Dr. Davis, to make sure that I wasn't overlooking something that a clinician would see right away.

As an ethical practitioner, she would never definitively diagnose any animal only at a distance through a video alone, without an examination and a thorough history, but she agrees that--as far as we can see from the small sample contained in this video--the way that Loca runs is certainly consistent with some type of condition in which the cerebellum is damaged.

Cultural note

There is a word used for emphasis in the video which is a very strong and emphatic curse or swear word in American English.

In Irish English, on the other hand, the word "feckin" is used much more easily and casually by many people, and is not nearly so shocking as the American English equivalent is in context.

You should know that before you listen to the video, or show it to someone else, so that if strong language is something you want to avoid, you're not taken by surprise.

 

 

cheers, to Anne Davis, and to Loca and her family!

Substantia nigra and striatum

Substantia nigra and striatum

[Note that, technically, this particular mnemonic (memory aid) poem is not a limerick. smiley --RST]

Substantia nigra: "An area of the midbrain involved in the smooth initiation of movement" (p. 75, Bernstein, D. A., Penner, L. A., Clarke-Stewart, A., & Roy, E. J. (2006). Psychology (7 ed.). Boston: Houghton Mifflin.)

Substantia nigra means "black substance."


Striatum: "A structure within the forebrain that is involved in the smooth initiation of movement" (p. 75, Bernstein, D. A., Penner, L. A., Clarke-Stewart, A., & Roy, E. J. (2006). Psychology (7 ed.). Boston: Houghton Mifflin.).

The striatum gets its name from its striped appearance.

Copyright of Christopher A. Moyer.


Oh! Sadness, despair,

I’m stuck here in this chair

My SUBSTANTIA NIGRA has departed!

I don’t need you for much

So won’t you please get in touch

With my STRIATUM so we can finally get started.

 

Source: Substantia nigra is in black in the image above; striatum is in blue, http://upload.wikimedia.org/wikipedia/commons/9/9e/Basal_ganglia_circuits.svg accessed 5 October 2012

Locus coeruleus

Locus coeruleus

A small nucleus in the reticular formation involved in attention, sleep, and mood" (p. 74, Bernstein, D. A., Penner, L. A., Clarke-Stewart, A., & Roy, E. J. (2006). Psychology (7 ed.). Boston: Houghton Mifflin.).

Locus coeruleus means "blue spot."

Though small, it is extensively connected.

Copyright Christopher A. Moyer.


Oh! Small spot that is blue

What a great thing that you do

So many connections

You direct my attention

And are part of the Reticular Formation, too.

 

Source: http://academic.reed.edu/biology/professors/srenn/pages/teaching/web_2006/djdaec061204/images/locusCoeruleous.jpg accessed 5 October 2012

Suprachiasmatic nuclei

Suprachiasmatic nuclei

"Nuclei in the hypothalamus that generate biological rhythms" (p. 76, Bernstein, D. A., Penner, L. A., Clarke-Stewart, A., & Roy, E. J. (2006). Psychology (7 ed.). Boston: Houghton Mifflin.).

This part of the brain receives information from the retinae concerning the amount of light in the environment.

Copyright of Christopher A. Moyer.


Would you be as charismatic

Without the SUPRACHIASMATIC?

This clock in your head

Tells you: "Ready for bed"

And there’s no need to wind it - It’s automatic.

 

Source: http://upload.wikimedia.org/wikipedia/commons/5/55/Circadian_rhythm_labeled.jpg accessed 5 October 2012

Hippocampus (limbic system structure)

Hippocampus

H.M. is an actual person whose hippocampus was surgically removed to prevent seizures. Tragically, since its removal, he is unable to form new conscious memories.

"A structure in the forebrain associated with the formation of new memories" (p. 76, Bernstein, D. A., Penner, L. A., Clarke-Stewart, A., & Roy, E. J. (2006). Psychology (7 ed.). Boston: Houghton Mifflin.).

Copyright of Christopher A. Moyer.


There once was a man named H.M.

Whose HIPPOCAMPUS was taken from him

He didn’t notice the loss

Though it came at great cost

So don’t give yours up on a whim.

 

Source: http://upload.wikimedia.org/wikipedia/commons/9/99/Hippocampus.gif accessed 5 October 2012

Thalamus

Thalamus

A structure "that relays signals from most sense organs to higher levels in the brain and plays an important role in processing and making sense out of your this information" (p. 76, Bernstein, D. A., Penner, L. A., Clarke-Stewart, A., & Roy, E. J. (2006). Psychology (7 ed.). Boston: Houghton Mifflin.).

Olfaction, your sense of smell, is NOT routed through the thalamus.

Copyright of Christopher A. Moyer.


The highest levels of brain, in the end

Rely on a well-connected friend

It would be quite calamitous

To have no THALAMUS

And just let sensations dead-end.

 

Source: http://upload.wikimedia.org/wikipedia/commons/7/78/Thalamus_small.gif accessed 5 October 2012

Hypothalamus (limbic system structure)

Hypothalamus

A structure in the forebrain that regulates hunger, thirst, and sex drives" (p. 76, Bernstein, D. A., Penner, L. A., Clarke-Stewart, A., & Roy, E. J. (2006). Psychology (7 ed.). Boston: Houghton Mifflin.).

The prefix "hypo-" tells us that the hypothalamus is located beneath the thalamus.

Copyright Christopher A. Moyer.


THALAMUS preceded by HYPO-

Is definitely not just a typo

Of sex, food, or drink

I doubt we would think

Without it to give us our drive-O.

 

Source: http://www.news-medical.net/image.axd?picture=2010%2F2%2Fbrainside_lg1.jpg accessed 5 October 2012

Cerebellum

Cerebellum

"The part of the hindbrain whose function is to control finely coordinated movements and to store learned associations that involve movement"

"The human cerebellum has grown more than any other brain structure, tripling in size during the last million years" (p. 75, Bernstein, D. A., Penner, L. A., Clarke-Stewart, A., & Roy, E. J. (2006). Psychology (7 ed.). Boston: Houghton Mifflin.).

Copyright of Christopher A. Moyer.


Your CEREBELLUM keeps you balanced and smooth

So your walking and talking stay in the groove

It’s grown over eons

So we’re no longer peons

Who can’t talk, control impulses, or move.

 

Source: "A human brain, with the cerebellum colored in purple" http://upload.wikimedia.org/wikipedia/commons/a/a7/Cerebellum_NIH.png accessed 5 October 2012

Medulla

Medulla

"An area in the hindbrain that controls blood pressure, heart rate, breathing, and other vital functions" (p. 73, Bernstein, D. A., Penner, L. A., Clarke-Stewart, A., & Roy, E. J. (2006). Psychology (7 ed.). Boston: Houghton Mifflin.).

When we rise, our blood pressure begins to drop due to the effect of gravity on our blood. The medulla makes the adjustment for us.

Copyright Christopher A. Moyer.


Thanks to my MEDULLA

I can leap up from a stool-a

Circulation and breathing adjust

The way that they must

So I don’t pass out like a fool-a.

 

Source: http://upload.wikimedia.org/wikipedia/commons/6/6b/Illu_pituitary_pineal_glands.jpg accessed 5 October 2012

Amygdala (limbic system structure)

Amygdala

PTSD stands for Post-Traumatic Stress Disorder; the activity of the amygdala may be altered in persons with this anxiety disorder.

"A structure in the forebrain that, among other things, associates features of stimuli from two sensory modalities" (p. 76, Bernstein, D. A., Penner, L. A., Clarke-Stewart, A., & Roy, E. J. (2006). Psychology (7 ed.). Boston: Houghton Mifflin.).

Copyright of Christopher A. Moyer.


Paired senses, emotions, and fear?

Your AMYGDALA says: "Right here!

If you have PTSD

You might blame it on me

Because I help it appear."

 

Source: modified from http://www.memorylossonline.com/glossary/images/amygdala.jpg accessed 5 October 2012 [rotated to maintain consistent direction of orientation with all other images in this series]

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