The Frontal Lobes

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Created by:

naujcd66  on February 2, 2012

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Dr. Quinn

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The Frontal Lobes

What is the frontal cortex comprised of? Prefrontal?
Frontal-Primary Motor Cortex, supplemental Motor
Prefrontal-Dorsolateral prefrontal, Medial Frontal, Orbital Frontal
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Definitions

What is the frontal cortex comprised of? Prefrontal? Frontal-Primary Motor Cortex, supplemental Motor
Prefrontal-Dorsolateral prefrontal, Medial Frontal, Orbital Frontal
What does ontogeny follow? Phylogeny (embryo development follows evolution)
What is the basal ganglia composed of? Caudate, Putamen, Globus Pallidus, Subthalamic nucleus and substantia nigra.
What is the circuit for dorsolateral prefrontal cortex? DL prefrontal cortex to DL caudate to Lateral DM Globus Pallidus to VA and MD Thalamus
What is the circuit for Lateral Oribital cortex? Lateral Orbital Cortex to VM Caudate to MDM Globus Pallidus to the VA MD Thalamus
What is the circuit for Medial Frontal (Anterior Cingulate) cortex? Anterior Cingulate Cortex-Nucleus Accumbens-Rostrolateral GP-to the MD Thalamus
What functionally is the medial frontal circuit for? Motivation and deciding
What functionally is the orbital frontal circuit for? Social Behavior and Reward/punishment assessment
What functionally is the Dorsolateral prefrontal circuit for? Planning, problem solving, working memory
What does the indirect pathway do? Direct? Indirect-Inhibits
Direct-disinhibits
What circuit do behavioral circuits mirror? Motor circuit
What kind of syndrome is associated with the dorsolateral? Describe it. What are tests? Dysexecutive syndrome-Scarecrow-poor visual/spacial/motor organization/planning, Reduced fluency, poor focus, Poor shifting/maintaining set, Poor hypothesis generation, poor problem solving, poor short term memory
Tests-Wisconsin card sorting, Trail Making, Clock Drawing, Fist-edge-pal
What kind of syndrome is associated with the medial frontal? Describe it. What are tests? Apathy Syndrome-Tin Man-Absence of motor/psychic initiative, indifference to pain, thirst, and hunger, No spontaneous speech/movement, Lack of desire, Flat affect-Most sever form is Mutism followed by akinesia, Lack of persistance
Tests-Paper test
What kind of syndrome is associated with the orbitofrontal? Describe it. What are tests?Disinhibition Syndrome-The Lion-lack of social comportment, inappropriate behavior, impulsivity, Lack of concern, Irresponsibility. Superficial jocularity
Tests-Tests of judgement (EXIT-25), Go/No-Go tasks, Alternating sequence tasks (Finger-Nose-Finger, Chop-slap-fist, touch-raise, echopraxia probes, Stroop interference task

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