Cerebellum
checks the amount, degree, and fluidity of movement that the cerebral cortex gives.
Tentorium Cerebelli
invagination of the meningeal layer of the dura mater that covers and separates the cerebellum from the cerebral cortex.
Vermis
structure that connects and separates the two lobes of the cerebellum.
Cerebellar Cortex
- gray matter
- superficial layer
Cerebellar White Matter
inner layer where you can find subcortical gray matter or nuclei.
Gray Matter
- made of layers
molecular layer
purkinje layer
granular layer
Intercerebellar Nuclei
- embedded within the white matter
fastigial nuclei
globose nuclei
dentate nuclei
emboliform nuclei
Archicerebellum
Paleocerebellum
Neocerebellum
divisions of the cerebellum.
Archicerebellum
concerned with equilibrium because of its connection with the vestibular system.
Paleocerebellum
- found in the anterior portion of the cerebellar hemisphere
- concerned with stereotyped movements (recognizes distinction in gait or posture)
Neocerebellum
- biggest part
- important for coordinated movement
Anterior Lobe
Posterior Lobe
Flocculonodular Lobe
lobes of the cerebellum.
Anterior Lobe
if viewed anteriorly it is v-shaped.
Primary Fissure
divides the anterior lobe from the rest of the lobes.
Posterior Lobe
- middle lobe
- lies between the primary fissure an the uvulonodular fissure
Flocculonodular Lobe
situated posterior to the uvulonodular lobe.
Layers of the Cerebellum
their primary function is to transmit neurotransmitters.
Molecular Layer
Purkinje Layer
Granular Layer
layers of the cerebellum
Molecular Layer
- superficial layer
- contains stellate (outer) and basket (inner) cells
Stellate and Basket Cells
- two cells present in the molecular layer
- receives excitatory input and gives it to the other cells of the cerebellum.
Purkinje Layer
- primary output of the cerebellar cortex
- direction of movement: inside to outside
Purkinje Fibers
- has dendrites that fans towards the cerebellar cortex/molecular layer (1 way transmission)
- inhibits specific part of the cerebellum
Granular Layer
- deepest layer of the cerebellum
- contains parallel fibers
Parallel Fibers
- unmyelinated
- runs perpendicular to the purkinje fibers
- excitatory
Golgi Cell
receives input from parallel and mossy fibers.
Intercerebellar Nuclei
- clusters of nerve cell bodies embedded in the cerebellum
- point of interneuron
- serves as a “stopover” of neurons going in or out of the cerebellum
Dentate Nucleus
the largest of the cerebellar nuclei.
Emboliform Nucleus
is ovoid and is situated medial to the dentate nucleus.
Globose Nucleus
consists of one or more rounded cell groups that lie medial to the emboliform nucleus.
Fastigial Nucleus
lies near the midline in the vermis close to the roof of the fourth ventricle.
Intrinsic Fiber
- fibers that don’t go out of the cerebellum but connects with other regions of the cerebellum
- connection of cerebellar hemisphere
Afferent Fibers
- perceives sensory input to the cerebellum
- goes through the inferior and middle cerebellar peduncles
Efferent Fibers
responsible for motor output.
Mossy Fibers
- clusters of small fibers from different parts of the CNS (outside cerebellum) and terminates in the granular cell
- has different origins (e.g. pons, spinal cord, reticular formation, etc.)
- termination: granular cells
Climbing Fiber
responsible for bringing information from olivary nucleus to the purkinje fibers (inferior to superior).
Cerebellum
functions:
coordinating skilled voluntary movements by influencing muscle activity, and controlling equilibrium and muscle tone
comparator and error correcting mechanism
Superior Cerebellar Peduncles
Middle Cerebellar Peduncles
Inferior Cerebellar Peduncles
peduncles of cerebellum.
Superior Cerebellar Peduncle
peduncle connected to the midbrain.
Middle Cerebellar Peduncle
peduncle connected to the pons.
Inferior Cerebellar Peduncle
peduncle connected to the medulla oblongata.
Cortico-pontocerebellar Pathway
Cerebro-olivocerebellar Pathway
Cerebro-reticulocerebellar Pathway
cerebellar afferent pathways.
Cortico-pontocerebellar Pathway
- from the cerebrum to the pontine nuclei - transverse fibers to the contralateral cerebellar
- gives afferent information from the cerebrum to the cerebellum to control the movement
Cerebro-olivocerebellar Pathway
- from the cerebrum to the paired olivary nucleus to the cerebellum
- subserves both (R) and (L) olivary nucleus
- the ipsilateral olivary nucleus has fibers projecting to the contralateral cerebellum
Cerebro-reticulocerebellar Pathway
- from the cerebrum to the reticular formation to the cerebellum
- subserves ipsilateral cerebellum
Globose emboliform rubral pathway
Dentothalamic pathway
Fastigial reticular pathway
Fastigial vestibular pathway
cerebellar efferent pathways
Globose Emboliform Rubral Pathway
- decussates towards the contralateral red nucleus via the superior cerebellar peduncle
- rubrospinal tract then decussates to the contralteral side. Therefore, GER pathway subserves the ipsilateral side
Dentothalamic Pathway
- decussates on the contalateral VPL thalamus via the superior cerebellar peduncle
- for motor activity
Fastigial Reticular Pathway
from the fastigial nuclei to the reticular formation via the inferior cerebellar peduncle to form the reticulospinal tract ipsilaterally.
Fastigial Vestibular Pathway
- from fastigial nucleus to the vestibular nucleus of both sides via the inferior cerebellar peduncle
- for vestibulospinal tract; for muscle tone
Multiple Sclerosis
common cause of cerebellar pathology.
Multiple Sclerosis
condition that involves the degeneration of the oligodendrocytes.
Guillain Barre Syndrome
condition that involves the degeneration of the Schwann cells.
Asthenia
generalized muscle weakness.
Asynergia
loss of ability to associate muscles together for complex movements.
Delayed reaction time
increased time required to initiate voluntary movement.
Dysarthia
disorder of motor component of speech.
Scanning Speech
prolonging of syllable when speaking/ prolonged pausing before speaking.
Dysdiadochokinesia
impaired ability to perform rapid alternating movement.
Dysmetria
inability to judge the distance or range of movement.
Dyssynergia
movement is performed in a sequence of component parts rather than as single smooth action.
Ataxic Gait
- widen base of support
- flexed hips and knee (low center of gravity)
- no arm swinging
- hesitation on swing phase
Hypotonia
decrease in muscle tone.
Hypermetria
overestimation of distance.
Hypometria
underestimation of distance.
Nystagmus
- rapid, involuntary, oscillatory, back and forth movement of the eye
- two reasons:
cerebellum transfers information to the vestibular nuclei
cerebellum is responsible for coordination of muscle tone due to extraocular muscle
Rebound Phenomenon
inability to halt forceful movements.
Kinetic Tremor
tremor manifests during movement.
Titubation
rhythmic oscillation of the head (axial extremity).