Upload
christopher-baldwin
View
215
Download
1
Tags:
Embed Size (px)
Citation preview
Nervous Circuits
Reverend Dr David C.M. TaylorSchool of Medicine
[email protected]://www.liv.ac.uk/~dcmt
To use our understanding of the case to Be able to distinguish between upper and
lower motor neuron lesions To gain an understanding of the spinal reflexes To start to understand the control of
movement
Our objectives in this plenary
Experienced one-sided weakness in her arm and face In principle the problem could lie in the
periphery (spinal motor neurones etc.,) Or it could lie centrally (with the motor
neurones or pathways that control the spinal motor neurones)
Mrs Webster
We need to distinguish between upper and lower motor neurones.
Upper motor neurones are in the motor cortex
Lower motor neurones are in the spinal cord - think about the knee jerk reflex
So?
The descending fibres cross in the medulla en route to the spinal cord
Upper motor neurones
This image of an homunculus has been removed to avoid breach of copyright
Pathway
This image of descending motor pathways has been removed to avoid breaching copyright
Click on the black box to view video
Knee jerk reflex
stretch receptorin muscle
contraction of muscle
spinal motor neurone
Tap tendon just below patella
stretch muscle activate receptors
extensor contracts extensor mn
Renshaw cellinhibitory
interneuronesflexor relaxes flexor mn
Monosynaptic Reflex
Simple withdrawal reflex
More fully…
Full crossed extensor reflex
Simple scheme
Plan Execute
Cortical associationareas
MovementIdea Premotor andmotor cortex
Overview of control
Plan Execute
Basal ganglia
Cortical associationareas
Lateral cerebellum
intermediatecerebellum
MovementIdea Premotor andmotor cortex