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FUNCTIONAL ANATOMY OF
THE CEREBRAL HEMISPHERES
                   Dr.Mohammed Sadiq Azam
           Postgraduate, Prof.Siraj’s unit, M:I
           Deccan College of Medical Sciences
BRAIN - ANATOMY
BRAIN - ANATOMY
BRAIN - ANATOMY
BRAIN – FUNCTIONAL ANATOMY
HISTOLOGY
Six layers:


I: Molecular layer
II: External granular layer
III: Small pyramidal cell layer
IV: Internal granular layer
V: Large pyramidal cell layer
VI: Layer of fusiform or
polymorphic cells
SOMATOSENSORY CORTEX
SENSORY HOMUNCULOUS
SOMATOSENSORY CORTEX
• SSA 1 & SSA 2
• Amorphsynthesis – forgets one half
MOTOR CORTEX
MOTOR HOMUNCULOUS
MOTOR AREAS
ROLE OF BRAIN STEM IN MOTOR
FUNCTION:
• Way station for “command signals”
• Important in movement & equilibrium
• Reticular nuclei and vestibular nuclei
• Vestibular nuclei: M, K, S
VISUAL CORTEX
VISUAL CORTEX
VISUAL CORTEX
CONTROL OF EYE MOVEMENTS
•   EOM:
•   Medial & Lateral recti
•   Inferior & Suerior recti
•   Superior & Inferipr oblique

• MLF
CONTROL OF EYE MOVEMENTS
• Fixation eye movements
 • Voluntary fixation mechanism
 • Involuntary fixation mechanism
• Role of superior colliculi in involuntary fixation
 • Continuous tremor
 • Slow drift
 • Flicking movts
• Saccadic eye movements
• Pursuit movements
AUDITORY
CORTEX
AUDITORY CORTEX
• Determination of direction of entry of sound:
 • Time lag between entry of sound into one ear and the other
 • Difference between the intensities of the sounds in the two
   ears.
• Neural mechanism:
• Superior olivary nucleus
OLFACTORY CORTEX
• Very old – Medial olfactory area
 • Hypothalamus & limbic cortex


• Less old olfactory area
 • Limbic cortex & Paleocortex


• Newer pathway
 • Dorsomedial thalamic nucleus
 • Lateropasterior quadrant of the orbitofrontale cortex
ASSOCIATION AREAS
ASSOCIATION AREAS
• Parietooccipitotemporal association area:
 •   Spatial co-ordinates
 •   Language comprehension (Wernicke’s area)
 •   Visual comprehension (Angulate gyrus - Dyslexia)
 •   Naming objects


• Prefrontal association area:
 • Sequential and parallel inputs of motor function
 • Planning of motor activity (thought process)
 • Working memory
ASSOCIATION AREAS
WERNICKE’S AREA:
• = GENERAL INTERPRETIVE AREA
• = GNOSTIC AREA
• = KNOWING AREA
• = TERITARY ASSOCIATION AREA


• Single greatest role of any part of the cerebral cortex
  for the function of intelligence.
• Highly developed on the dominant hemisphere in the
  posterior part of the superior temporal lobe.
ANGULAR GYRUS
• Most inferior portion of posterior parietal lobe.
• Visual comprehension
• Dyslexia
FACE RECOGNITION
• Medial undersides of both occipital lobes
• Prosophenosia
SPEAKING A HEARD WORD
SPEAKING A WRITTEN WORD
NON DOMINANT HEMISPHERE
• Interpretation of music
• Nonverbal visual experiences (patterns)
• Spatial relationships between person and environment
• Body language, intonation of voices
• Somatic experiences from limbs and hands
Gerstmann syndrome
• Lesion at angular and supramarginal gyri near
  parietotemporal junction
• Dysgraphia
• Dyscalculia
• Finger agnosia
• Left right disorientation
THANK YOU

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