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CEREBELLUM

BY
PROF. DR. ANSARI
CHAIRPERSON ANATOMY
RAK COLLEGE OF DENTAL SCIENCES
(FOR BDS SEMESTER-II STUDENTS ONLY)
Tuesday, January 07, 2014

1
OBJECTIVES
• Parts of cerebellum
• Cerebellar peduncles
• Blood supply of cerebellum
• Functions of cerebellum

• Cerebellar lesions manifestations
Tuesday, January 07, 2014

2
Parts of cerebellum
• It has right and left cerebellar hemispheres
controlling the ipsilateral side of the body.
• Both hemispheres are connected by superior and
inferior vermis.
• It has three lobes:• (a) Primary lobe/anterior lobe- controls muscle tone
& posture.
• (b) secondary lobe/posterior lobe-this controls
skilled voluntary movements.
• © floculonodular lobe- controls the balance.
Tuesday, January 07, 2014

3
Tuesday, January 07, 2014

4
Tuesday, January 07, 2014

5
There are three fissures on the
surfaces of cerebellum
• Fissura prima/primary fissure- it is between
anterior lobe and posterior lobe
• Fissura secunda/secondary fissure-it is
between posterior and floculonodular lobes
• Horizontal fissure. Runs from one middle
cerebellar peduncle to the other, separating
superior surface from inferior surface of
cerebellum.
Tuesday, January 07, 2014

6
Cerebellum
has three
peduncles

Tuesday, January 07, 2014

7
Superior cerebellar peduncles
It is a connection between cerebellum and
mesencephalon. It is an out flow tract coming
out -efferent's from cerebellum.

Tuesday, January 07, 2014

8
The inferior cerebellar peduncles
• They connect medulla and spinal cord with
the cerebellum.
• They carry mainly the inputs from body.

Tuesday, January 07, 2014

9
ICP
Tuesday, January 07, 2014

10
The middle cerebellar peduncles
• It connects the cerebrum with the pons and
cerebellum.
• The cerebral cortex sends fibers as
cerebropontocerebellar fibers/ corticonuclear
fibers/corticopontocerebellar fibers.
• It is the thickest white fibers bundles joining
the pons with the cerebellum.

Tuesday, January 07, 2014

11
MIDDLE CEREBELLAR PEDUNCLE

Tuesday, January 07, 2014

12
Blood supply of cerebellum
• There are three arteries that supply the
cerebellum:• I) Superior cerebellar artery-SCA.
• 2) Anterior inferior cerebellar artery-AICA.
• 3) Posterior inferior cerebellar artery-PICA.
• These arteries arise from the vertebrobasilar
axis.

Tuesday, January 07, 2014

13
Tuesday, January 07, 2014

14
The dentate nuclei are the deep nuclei of cerebellum, all
efferent from cerebellum comes from deep nuclei

Tuesday, January 07, 2014

15
The deep nuclei of the cerebellum

Tuesday, January 07, 2014

16
The cerebellum is involved in the coordination of
voluntary motor movement, balance and equilibrium
and
muscle
tone.
• Damage to the cerebellum can lead to:
• 1) loss of coordination of motor movement (asynergia),
• 2) the inability to judge distance and when to stop
(dysmetria),
• 3) the inability to perform rapid alternating movements
(adiadochokinesia),
• 4) movement tremors (intention tremor),
• 5) staggering, wide based walking (ataxic gait),
• 6) tendency toward falling,
• 7) weak muscles (hypotonia),
• 8) slurred speech (ataxic dysarthria), and
• 9) abnormal eye movements (nystagmus).
10) titubation
Tuesday, January 07, 2014

17
References
• http://vanat.cvm.umn.edu/NeuroLectPDFs/Le
ctCerebellum.pdf
• http://www.csuchico.edu/~pmccaffrey/syllabi
/CMSD%20320/362unit7.html

Tuesday, January 07, 2014

18
SAMPLE MCQS
The spinocerebellum contains the...

The lateral vestibular nuclei are functionally
analogous to the...

•

•

A. Red nucleus

•

B. Purkinje cells

•

C. Basal ganglia

•

A. vermis and intermediate zone of
the anterior and posterior lobes.
B. Vermal and floccular parts of the
flocculonodular lobe.

•

C. Lateral portions of the cerebellum.

•

D. Thalamus

•

D. Posterior lobe and interposed
nuclei.

•

E. Deep cerebellar nuclei

•

E. Anterior lobe and dentate nuclei.

Tuesday, January 07, 2014

19
MCQS
•

Following a strenuous workout with his neighborhood
team, a right-handed, 52-year-old former professional
basketball player awoke the next morning with
paralysis of the right lower extremity. A neurological
exam revealed an exaggerated stretch reflex. There
was no disturbance of position sense, pain sensation
or tactile discrimination. Where is the problem
localized?
A. Anterior (ventral) horn, right side.

All of the following are
examples of dyskinesia EXCEPT:

•

A. Athetosis

•

•

•

B. Chorea

•

C. Tremors

•

B. Cerebellum, right side.

•

C. Posterior (dorsal) columns of spinal cord, right side.

•

D. Rigidity

•

D. Left motor cortex, lateral (inferior) portion of motor
map.

•

E. Ballismus

•

E. Left motor cortex, medial (superior) portion of
motor January 07, 2014
Tuesday,

20

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Cerebellum

  • 1. CEREBELLUM BY PROF. DR. ANSARI CHAIRPERSON ANATOMY RAK COLLEGE OF DENTAL SCIENCES (FOR BDS SEMESTER-II STUDENTS ONLY) Tuesday, January 07, 2014 1
  • 2. OBJECTIVES • Parts of cerebellum • Cerebellar peduncles • Blood supply of cerebellum • Functions of cerebellum • Cerebellar lesions manifestations Tuesday, January 07, 2014 2
  • 3. Parts of cerebellum • It has right and left cerebellar hemispheres controlling the ipsilateral side of the body. • Both hemispheres are connected by superior and inferior vermis. • It has three lobes:• (a) Primary lobe/anterior lobe- controls muscle tone & posture. • (b) secondary lobe/posterior lobe-this controls skilled voluntary movements. • © floculonodular lobe- controls the balance. Tuesday, January 07, 2014 3
  • 6. There are three fissures on the surfaces of cerebellum • Fissura prima/primary fissure- it is between anterior lobe and posterior lobe • Fissura secunda/secondary fissure-it is between posterior and floculonodular lobes • Horizontal fissure. Runs from one middle cerebellar peduncle to the other, separating superior surface from inferior surface of cerebellum. Tuesday, January 07, 2014 6
  • 8. Superior cerebellar peduncles It is a connection between cerebellum and mesencephalon. It is an out flow tract coming out -efferent's from cerebellum. Tuesday, January 07, 2014 8
  • 9. The inferior cerebellar peduncles • They connect medulla and spinal cord with the cerebellum. • They carry mainly the inputs from body. Tuesday, January 07, 2014 9
  • 11. The middle cerebellar peduncles • It connects the cerebrum with the pons and cerebellum. • The cerebral cortex sends fibers as cerebropontocerebellar fibers/ corticonuclear fibers/corticopontocerebellar fibers. • It is the thickest white fibers bundles joining the pons with the cerebellum. Tuesday, January 07, 2014 11
  • 12. MIDDLE CEREBELLAR PEDUNCLE Tuesday, January 07, 2014 12
  • 13. Blood supply of cerebellum • There are three arteries that supply the cerebellum:• I) Superior cerebellar artery-SCA. • 2) Anterior inferior cerebellar artery-AICA. • 3) Posterior inferior cerebellar artery-PICA. • These arteries arise from the vertebrobasilar axis. Tuesday, January 07, 2014 13
  • 15. The dentate nuclei are the deep nuclei of cerebellum, all efferent from cerebellum comes from deep nuclei Tuesday, January 07, 2014 15
  • 16. The deep nuclei of the cerebellum Tuesday, January 07, 2014 16
  • 17. The cerebellum is involved in the coordination of voluntary motor movement, balance and equilibrium and muscle tone. • Damage to the cerebellum can lead to: • 1) loss of coordination of motor movement (asynergia), • 2) the inability to judge distance and when to stop (dysmetria), • 3) the inability to perform rapid alternating movements (adiadochokinesia), • 4) movement tremors (intention tremor), • 5) staggering, wide based walking (ataxic gait), • 6) tendency toward falling, • 7) weak muscles (hypotonia), • 8) slurred speech (ataxic dysarthria), and • 9) abnormal eye movements (nystagmus). 10) titubation Tuesday, January 07, 2014 17
  • 19. SAMPLE MCQS The spinocerebellum contains the... The lateral vestibular nuclei are functionally analogous to the... • • A. Red nucleus • B. Purkinje cells • C. Basal ganglia • A. vermis and intermediate zone of the anterior and posterior lobes. B. Vermal and floccular parts of the flocculonodular lobe. • C. Lateral portions of the cerebellum. • D. Thalamus • D. Posterior lobe and interposed nuclei. • E. Deep cerebellar nuclei • E. Anterior lobe and dentate nuclei. Tuesday, January 07, 2014 19
  • 20. MCQS • Following a strenuous workout with his neighborhood team, a right-handed, 52-year-old former professional basketball player awoke the next morning with paralysis of the right lower extremity. A neurological exam revealed an exaggerated stretch reflex. There was no disturbance of position sense, pain sensation or tactile discrimination. Where is the problem localized? A. Anterior (ventral) horn, right side. All of the following are examples of dyskinesia EXCEPT: • A. Athetosis • • • B. Chorea • C. Tremors • B. Cerebellum, right side. • C. Posterior (dorsal) columns of spinal cord, right side. • D. Rigidity • D. Left motor cortex, lateral (inferior) portion of motor map. • E. Ballismus • E. Left motor cortex, medial (superior) portion of motor January 07, 2014 Tuesday, 20