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Cerebral
Cortex
Won Taek Lee, M.D. Ph.D.
Departmentof Anatomy,
Yonsei University College ofMedicine
 The layer of gray matter covering
the entire surface of cerebral hemisphere
 Migration of neurons from inner mantle layer of
neural tube
 Accommodates enormous number of neurons
- Large surface area accommodates
more neurons than deep nuclei
- Gyri and sulci also increase surface area
- Laminar organization also accommodates
enormous number of neurons
Cerebral Cortex
Numerical Data
 Total surface area: 2200 cm2 (2.5 ft2)
about 1/3 ------ surface area
about 2/3 ------ hidden in the sulci
 Thickness: 1.5 mm (V I) - 4.5 mm (M I)
Generally, thickest over the crest of the convolution
and, thinnest in the depth of sulci
 Weight: 600 gm (40 % of total brain weight)
180 gm --------- neurons
420 gm --------- glial cells
Cerebral Cortex
Numerical Data
 Number of neuronal cells in cerebral cortex
neurons ----------- 10-15 billion
glial cells ---------- 50 billion
 Estimation of number of cortical neurons
von Economo and Koskinas (1925) 14.0 billion
Shariff (1953) 6.9 billion
Sholl (1956) 5.0 billion
Pakkenberg (1966) 2.6 billion
Cerebral Cortex
Subdivision of Cerebral Cortex
Allocortex
Archicortex (Archipallium)
Palaeocortex (Paleopallium)
Isocortex
Neocortex (Neopallium)
cf. mesocortex, juxtallocortex, mesallocortex
Isocortex – typical 6 layered cortex
I. Molecular Layer
II. External Granular Layer
III. External Pyramidal Layer
IV. Internal Granular Layer
V. Internal Pyramidal Layer
VI. Polymorphic Layer
Histological Organization
Cellular Elements
1. Pyramidal Cell - output neuron
giant pyramidal cell of Betz
2. Fusiform Cell --- modified pyramidal cell
3. Granular (Stellate) Cell
basket cell, double bouquet cell, bipolar cell,
chandlier cell, neurogliform cell
4. Horizontal Cell of Cajal (Retzius-Cajal cell)
5. Cells of Martinotti
Cerebral Cortex
1. Pyramidal Cell
2. Fusiform Cell
3. Granular (Stellate) Cell
4. basket cell
5. double bouquet cell
6. chandlier cell
7. neurogliform cell
8. Horizontal Cell of Cajal
9. Cells of Martinotti
a: axon
Cerebral Cortex
I. Molecular Layer
II. External Granular Layer
III. External Pyramidal Layer
Line of Kaes-Bechterew
IV. Internal Granular Layer
Outer band of Baillarger
- Line of Gennari in area 17
V. Internal Pyramidal Layer
Giant pyramidal cell of Betz
Inner Band of Baillarger
VI. Polymorphic Layer
Golgi Nissl Weigert
1. corticocortical fiber
association fiber
commissural fiber
2. thalamocortical fiber - specific and non-specific
3. extrathalamic subcortical fiber
cholinergic fiber - acetylcholine
basal nucleus of Meynert
mesolimbic dopaminergic fiber - dopamine
ventral tegmental area
serotonergic fiber – serotonine - raphe nuclei
norepinephrinergic fiber - norepinephrine
nucleus locus ceruleus
Cortical Afferent Fiber
Cortical Afferent Fiber
1. association fiber
2. commissural fiber
3. specific
thalamocortical fiber
4. non-specific
thalamocortical fiber
1. Corticofugal Fiber - Projection Fiber
corticostriate fiber
corticothalamic fiber
corticorubral fiber
corticotectal fiber
corticopontine fiber
cortico-olivary fiber
corticobulbar fiber
corticospinal fiber
2. Corticocortical Fiber
Association fiber
Commissural fiber
Cortical Efferent Fiber
5. association fiber
6. commissural fiber
7. corticostriate fiber
8. corticorubral fiber
corticopontine fiber
corticobulbar fiber
9. corticospinal fiber
corticotectal fiber
10. corticothalamic fiber
Cortical Efferent Fiber
A. pyramidal neuron
B. excitatory
granular cell
C. inhibitory
granular cell
1. afferent fiber
2. efferent fiber
3. corticothalamic fiber
Columnar Cortical Unit and Cortical Circuitary
A. Homotypical isocortex
------- association cortex
B. Heterotypical isocortex
1. granular cortex
--- primary sensory cortex
V I (17), S I (3), A I (41)
2. agranular cortex
--- motor cortex
M I (4), PM (6)
Regional Variation of Cortical Lamination
Von Economo’s classification of cortical types
1. agranular, 2. frontal, 3. parietal, 4. polar, 5. granular
1. agranular, 2. frontal, 3. parietal, 4. polar, 5. granular
 Phrenology of Gall and Spurzheim
 Clinical evidences
Broca’s area (1861)
Jacksonian epilepsy (1864)
 Experimental evidences
Fritsch and Hitzig (1870) --- motor cortex
von Gudden (1870) ---- visual cortex
Ferrier (1873) ---- auditory cortex
Functional Localization of Cerebral Cortex
Albertus Magnus
(1206-1280)
Phrenology of Gall (1758-1828)
and Spurzheim (1776-1832)
PET (positron emission tomography) scan
 based on cytoarchitectonic studies
 Campbell (1905) -------- about 20 areas
 Brodmann (1909) ------ 47 areas
- most popular
 Vogt and Vogt (1919) - over 200 areas
 von Economo (1929) -- 109 areas
Morphological Classification of Cortical Areas
Brodmann’s cytoarchitectorial map (Lateral surface)
Brodmann’s cytoarchitectorial map (Lateral surface)
Sensory area
primary sensory area
secondary sensory area
Motor area
primary motor area
secondary motor area
supplementary motor area
Association area
parietal, occipital and temporal cortex
- conceptual elaboration of sensory data
prefrontal (frontal) cortex
- judgement, foresight
Functional Localization of Cerebral Cortex
Somesthetic Area (Somesthesia) S I, S II
Visual Area (vision) V I, V II
Auditory Area (Hearing) A I, A II
Vestibular Area (Equilibrium)
Gustatory Area (Taste)
Olfactory Area (Smell)
Sensory Areas
S I ----- 3, 1, 2 (postcentral gyrus)
afferernts: ventrobasal complex (VPLc, VPM)
discrimination of position and intensity of sensation
S II ---- superior bank of lateral fissure
no clinical disorders
Somesthetic Association Cortex
------- 5, 7 (parietal lobule, precuneus)
afferents: S I, LP of thalamus
integration of geneal sensation with past experience
tactile agnosia, astereognosis
Somesthetic Area
Sensory Homunculus
Thalmocortical
connection
(VPLc  S I)
Central region
--- cutaneous (3b, 1)
Peripheral region
--- deep (3a, 2)
Primary
Somesthetic
Area
Secondary
Somesthetic
Area (SII)
superior bank of
lateral fissure
V I ----- 17 (striate cortex - line of Gennari)
greatly thickened outer band of Baillarger
heterotypical isocortex
afferent: LGd of thalamus
visual field defect:
homonymous quadranopsia and macular sparing
V II ---- 18, 19 (visual association area)
afferents: V I, pulvinar of thalamus
integration of vision with past experience
visual agnosia
cf. occipital eye field
Visual Cortex
Visual
Areas
V4
(color) Face
recognition
Perceive
Facial Expression
Visual
association
areas
A I ----- 41, 42 (trannsverse temporal gyrus of Heschl)
heterotypical isocortex
afferents: MGv of thalamus - core projection
slight diminution in auditory acuity
A II ---- 22 (Wernike's area of original connotaion)
not well-defined
afferents: non-laminar part (MGm, MGd) – belt projection
A I
auditory agnosia - sensory aphasia
Auditory Cortex
Auditory
Areas
Planum
temporale
Auditory
Areas
A I ----- 41, 42
A II ---- 22
Vestibular Area
Area 3a and 2v of S I
afferents: VPLo
[superior temporal gyrus anterior to A I]
Gustatory Area
Area 43 (inferior end of postcentral gyrus)
afferents: VPMpc
Olfactory Area
Piriform Lobe - Limbic System
Other Primary Sensory Areas
primary Motor Area (M I)
Premotor Area (PM)
Supplementary Motor Area (SMA)
Frontal Eye Field
Motor Areas
Motor Homunculus
M I ------- 4
precentral gyrus of lateral surface
anterior part of paracentral lobule
heterotypical agranular cortex
giant pyramidal cell of Betz
afferents: premotor area, SMA, S I
VLc, VPLo of thalamus
Motor Homunculus
Upper Motor Neuron (UMN) syndrome
Primary Motor Area
Premotor Area (PM) ------ lateral surface of 6
afferents: VLc, VPLo of thalamus from cerebellum
Supplementary Motor Area (SMA)
-------------------------- medial surface of 6
afferents: VLo, Vapc of thalamus from basal ganglia
Frontal Eye Field ---------- 8
voluntary tracking movement
Other Motor Areas
Brodman’s Map of Motor and Sensory Areas
Language Areas ----- 22, 39, 40, 44, 45
Posterior Parietal Association Area
------ 5, 7 (39, 40)
body image
Temporal Association Area
------ 20, 21, 37, 38 (22)
multisensory integration, conceptual ideation
Prefrontal Association Area
----- 9, 10, 11, 12, 46, 47 (44, 45)
judgement, foresight, personality
Association Areas
Order of Cortical Maturation
1
2
3
3
3
2
1
1
 Agnosia
Tactile agnosia
Visual agnosia
Alexia
Auditory agnosia
 Apraxia
 Aphasia
Wernicke’s (receptive) aphasia
Broca’s (Motor) aphasia
conduction aphasia
global aphasia
Disorders of Association Cortex
Apraxia
The inability to execute a voluntary motor movement despite
being able to demonstrate normal muscle function.
Sensory Language Area (Wernike's area) ---- 22, 39, 40
Receptive Aphasia - area 22
defect in comprehension, good spontaneous speech
Anomic Aphasia - word finding difficulty
Jargon aphasia - fluent, but unintelligiable jargon
39 (supramarginal gyrus), 40 (angular gyrus)
Superior Longitudinal Fasciculus
Conduction Aphasia
good comprehension, good spontaneous speech
poor repetition, poor response
Motor Language Area (Broca’s area) --- 44, 45
Motor Apahsia
good comprehension, no speech
Language Areas
Language Areas (Geschwind Model)
Photograph of the brain
of Paul Broca’s patient
called “Tan” (real name
is Leborgne).
Broca’s Area
Pars triangularis and
pars opercularis of the
inferior frontal gyrus of
dominant hemisphere.
Paul Broca (1824-1880) Carl Wernicke (1848-1905)
PET (positron emission tomography) scan
Composite radioisotope brain scan
Cerebral Dominance (Lateralization, Asymmetry)
Dominant Hemisphere
Language
– speech, writing
Calculation
Non-dominant Hemisphere
Spatial Perception (3D subject)
Singing
Playing musical instrument
Language
Speech
Writing
Calculation
3D perception
Singing
Playing Musical
instrument
Roger Sperry
(1913-1994)
1981 Nobel
Laureate
Split Brain
Commissuratomy
(split corpus callosum)
Two minds in one brain?
 Frontal Granular Cortex
Lateral Prefrontal Association Area
------ 9, 10, 46
judgement, foresight, problem solving
Orbitofrontal Cortex
------ 11, 12, 47
emotion, olfaction, personality
 Case of Phineas Gage
 Prefrontal Leucotomy of Moniz and Freeman
Prefrontal Association Areas
Phineas Gage
(1823-1861, accident in 1848)
Phineas Gage’s lesion reconstructed
(H. Damasio and R. Frank, 1992)
Prefrontal Leucotomy
(Frontal Lobotomy)
Antonio Egas Moniz
Conceptual Framework of Cerebral Function

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Cortex 1

  • 1. Cerebral Cortex Won Taek Lee, M.D. Ph.D. Departmentof Anatomy, Yonsei University College ofMedicine
  • 2.  The layer of gray matter covering the entire surface of cerebral hemisphere  Migration of neurons from inner mantle layer of neural tube  Accommodates enormous number of neurons - Large surface area accommodates more neurons than deep nuclei - Gyri and sulci also increase surface area - Laminar organization also accommodates enormous number of neurons Cerebral Cortex
  • 3. Numerical Data  Total surface area: 2200 cm2 (2.5 ft2) about 1/3 ------ surface area about 2/3 ------ hidden in the sulci  Thickness: 1.5 mm (V I) - 4.5 mm (M I) Generally, thickest over the crest of the convolution and, thinnest in the depth of sulci  Weight: 600 gm (40 % of total brain weight) 180 gm --------- neurons 420 gm --------- glial cells Cerebral Cortex
  • 4. Numerical Data  Number of neuronal cells in cerebral cortex neurons ----------- 10-15 billion glial cells ---------- 50 billion  Estimation of number of cortical neurons von Economo and Koskinas (1925) 14.0 billion Shariff (1953) 6.9 billion Sholl (1956) 5.0 billion Pakkenberg (1966) 2.6 billion Cerebral Cortex
  • 5. Subdivision of Cerebral Cortex Allocortex Archicortex (Archipallium) Palaeocortex (Paleopallium) Isocortex Neocortex (Neopallium) cf. mesocortex, juxtallocortex, mesallocortex
  • 6. Isocortex – typical 6 layered cortex I. Molecular Layer II. External Granular Layer III. External Pyramidal Layer IV. Internal Granular Layer V. Internal Pyramidal Layer VI. Polymorphic Layer
  • 7. Histological Organization Cellular Elements 1. Pyramidal Cell - output neuron giant pyramidal cell of Betz 2. Fusiform Cell --- modified pyramidal cell 3. Granular (Stellate) Cell basket cell, double bouquet cell, bipolar cell, chandlier cell, neurogliform cell 4. Horizontal Cell of Cajal (Retzius-Cajal cell) 5. Cells of Martinotti Cerebral Cortex
  • 8. 1. Pyramidal Cell 2. Fusiform Cell 3. Granular (Stellate) Cell 4. basket cell 5. double bouquet cell 6. chandlier cell 7. neurogliform cell 8. Horizontal Cell of Cajal 9. Cells of Martinotti a: axon Cerebral Cortex
  • 9. I. Molecular Layer II. External Granular Layer III. External Pyramidal Layer Line of Kaes-Bechterew IV. Internal Granular Layer Outer band of Baillarger - Line of Gennari in area 17 V. Internal Pyramidal Layer Giant pyramidal cell of Betz Inner Band of Baillarger VI. Polymorphic Layer Golgi Nissl Weigert
  • 10. 1. corticocortical fiber association fiber commissural fiber 2. thalamocortical fiber - specific and non-specific 3. extrathalamic subcortical fiber cholinergic fiber - acetylcholine basal nucleus of Meynert mesolimbic dopaminergic fiber - dopamine ventral tegmental area serotonergic fiber – serotonine - raphe nuclei norepinephrinergic fiber - norepinephrine nucleus locus ceruleus Cortical Afferent Fiber
  • 11. Cortical Afferent Fiber 1. association fiber 2. commissural fiber 3. specific thalamocortical fiber 4. non-specific thalamocortical fiber
  • 12. 1. Corticofugal Fiber - Projection Fiber corticostriate fiber corticothalamic fiber corticorubral fiber corticotectal fiber corticopontine fiber cortico-olivary fiber corticobulbar fiber corticospinal fiber 2. Corticocortical Fiber Association fiber Commissural fiber Cortical Efferent Fiber
  • 13. 5. association fiber 6. commissural fiber 7. corticostriate fiber 8. corticorubral fiber corticopontine fiber corticobulbar fiber 9. corticospinal fiber corticotectal fiber 10. corticothalamic fiber Cortical Efferent Fiber
  • 14. A. pyramidal neuron B. excitatory granular cell C. inhibitory granular cell 1. afferent fiber 2. efferent fiber 3. corticothalamic fiber Columnar Cortical Unit and Cortical Circuitary
  • 15. A. Homotypical isocortex ------- association cortex B. Heterotypical isocortex 1. granular cortex --- primary sensory cortex V I (17), S I (3), A I (41) 2. agranular cortex --- motor cortex M I (4), PM (6) Regional Variation of Cortical Lamination
  • 16. Von Economo’s classification of cortical types 1. agranular, 2. frontal, 3. parietal, 4. polar, 5. granular
  • 17. 1. agranular, 2. frontal, 3. parietal, 4. polar, 5. granular
  • 18.  Phrenology of Gall and Spurzheim  Clinical evidences Broca’s area (1861) Jacksonian epilepsy (1864)  Experimental evidences Fritsch and Hitzig (1870) --- motor cortex von Gudden (1870) ---- visual cortex Ferrier (1873) ---- auditory cortex Functional Localization of Cerebral Cortex
  • 19. Albertus Magnus (1206-1280) Phrenology of Gall (1758-1828) and Spurzheim (1776-1832)
  • 20. PET (positron emission tomography) scan
  • 21.  based on cytoarchitectonic studies  Campbell (1905) -------- about 20 areas  Brodmann (1909) ------ 47 areas - most popular  Vogt and Vogt (1919) - over 200 areas  von Economo (1929) -- 109 areas Morphological Classification of Cortical Areas
  • 24. Sensory area primary sensory area secondary sensory area Motor area primary motor area secondary motor area supplementary motor area Association area parietal, occipital and temporal cortex - conceptual elaboration of sensory data prefrontal (frontal) cortex - judgement, foresight Functional Localization of Cerebral Cortex
  • 25. Somesthetic Area (Somesthesia) S I, S II Visual Area (vision) V I, V II Auditory Area (Hearing) A I, A II Vestibular Area (Equilibrium) Gustatory Area (Taste) Olfactory Area (Smell) Sensory Areas
  • 26. S I ----- 3, 1, 2 (postcentral gyrus) afferernts: ventrobasal complex (VPLc, VPM) discrimination of position and intensity of sensation S II ---- superior bank of lateral fissure no clinical disorders Somesthetic Association Cortex ------- 5, 7 (parietal lobule, precuneus) afferents: S I, LP of thalamus integration of geneal sensation with past experience tactile agnosia, astereognosis Somesthetic Area
  • 28. Thalmocortical connection (VPLc  S I) Central region --- cutaneous (3b, 1) Peripheral region --- deep (3a, 2) Primary Somesthetic Area
  • 30. V I ----- 17 (striate cortex - line of Gennari) greatly thickened outer band of Baillarger heterotypical isocortex afferent: LGd of thalamus visual field defect: homonymous quadranopsia and macular sparing V II ---- 18, 19 (visual association area) afferents: V I, pulvinar of thalamus integration of vision with past experience visual agnosia cf. occipital eye field Visual Cortex
  • 33. A I ----- 41, 42 (trannsverse temporal gyrus of Heschl) heterotypical isocortex afferents: MGv of thalamus - core projection slight diminution in auditory acuity A II ---- 22 (Wernike's area of original connotaion) not well-defined afferents: non-laminar part (MGm, MGd) – belt projection A I auditory agnosia - sensory aphasia Auditory Cortex
  • 35. Auditory Areas A I ----- 41, 42 A II ---- 22
  • 36. Vestibular Area Area 3a and 2v of S I afferents: VPLo [superior temporal gyrus anterior to A I] Gustatory Area Area 43 (inferior end of postcentral gyrus) afferents: VPMpc Olfactory Area Piriform Lobe - Limbic System Other Primary Sensory Areas
  • 37.
  • 38. primary Motor Area (M I) Premotor Area (PM) Supplementary Motor Area (SMA) Frontal Eye Field Motor Areas
  • 40. M I ------- 4 precentral gyrus of lateral surface anterior part of paracentral lobule heterotypical agranular cortex giant pyramidal cell of Betz afferents: premotor area, SMA, S I VLc, VPLo of thalamus Motor Homunculus Upper Motor Neuron (UMN) syndrome Primary Motor Area
  • 41. Premotor Area (PM) ------ lateral surface of 6 afferents: VLc, VPLo of thalamus from cerebellum Supplementary Motor Area (SMA) -------------------------- medial surface of 6 afferents: VLo, Vapc of thalamus from basal ganglia Frontal Eye Field ---------- 8 voluntary tracking movement Other Motor Areas
  • 42. Brodman’s Map of Motor and Sensory Areas
  • 43. Language Areas ----- 22, 39, 40, 44, 45 Posterior Parietal Association Area ------ 5, 7 (39, 40) body image Temporal Association Area ------ 20, 21, 37, 38 (22) multisensory integration, conceptual ideation Prefrontal Association Area ----- 9, 10, 11, 12, 46, 47 (44, 45) judgement, foresight, personality Association Areas
  • 44. Order of Cortical Maturation 1 2 3 3 3 2 1 1
  • 45.  Agnosia Tactile agnosia Visual agnosia Alexia Auditory agnosia  Apraxia  Aphasia Wernicke’s (receptive) aphasia Broca’s (Motor) aphasia conduction aphasia global aphasia Disorders of Association Cortex
  • 46. Apraxia The inability to execute a voluntary motor movement despite being able to demonstrate normal muscle function.
  • 47. Sensory Language Area (Wernike's area) ---- 22, 39, 40 Receptive Aphasia - area 22 defect in comprehension, good spontaneous speech Anomic Aphasia - word finding difficulty Jargon aphasia - fluent, but unintelligiable jargon 39 (supramarginal gyrus), 40 (angular gyrus) Superior Longitudinal Fasciculus Conduction Aphasia good comprehension, good spontaneous speech poor repetition, poor response Motor Language Area (Broca’s area) --- 44, 45 Motor Apahsia good comprehension, no speech Language Areas
  • 49. Photograph of the brain of Paul Broca’s patient called “Tan” (real name is Leborgne). Broca’s Area Pars triangularis and pars opercularis of the inferior frontal gyrus of dominant hemisphere.
  • 50. Paul Broca (1824-1880) Carl Wernicke (1848-1905)
  • 51. PET (positron emission tomography) scan
  • 53. Cerebral Dominance (Lateralization, Asymmetry) Dominant Hemisphere Language – speech, writing Calculation Non-dominant Hemisphere Spatial Perception (3D subject) Singing Playing musical instrument
  • 55. Roger Sperry (1913-1994) 1981 Nobel Laureate Split Brain Commissuratomy (split corpus callosum) Two minds in one brain?
  • 56.  Frontal Granular Cortex Lateral Prefrontal Association Area ------ 9, 10, 46 judgement, foresight, problem solving Orbitofrontal Cortex ------ 11, 12, 47 emotion, olfaction, personality  Case of Phineas Gage  Prefrontal Leucotomy of Moniz and Freeman Prefrontal Association Areas
  • 58. Phineas Gage’s lesion reconstructed (H. Damasio and R. Frank, 1992)
  • 60. Conceptual Framework of Cerebral Function