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Visual System
Visual System - Neuroanatomy - HST130
| Question | Answer |
|---|---|
| CN II modality | SSA |
| Optic nerve is formed by axons of ___ | retinal ganglion cells |
| Transection of optic nerve causes... | Ipsilateral blindness with no direct pupillary light reflex |
| Cause of binasal hemianopia | Bilateral lateral compression of optic chiasm (ie by calcified internal carotids) |
| Pituitary tumor often causes what visual defect | Compression of optic chiasm, causing bitemporal hemianopia |
| Each optic tract receives fibers from... | Ipsilateral temporal hemiretina and contralateral nasal hemiretina |
| Each optic tract projects to... | Ipsilateral LGN, superior colliculus, & pretectal nuclei |
| Transection of optic tract causes... | Contralateral hemianopia |
| LGN layers come from... | 1,4,6 are crossed (from CL eye). 2,3,5 are uncrossed (from IL eye). |
| Parvocellular system | Layers 3-6. Sense color/form |
| Magnocellular system | Layers 1-2. Sense movement/contrast |
| Upper division of optic radiations projects to ___ | upper bank of calcarine sulcus (Cuneus) |
| Lower division of optic radiations projects to ___ | lower bank of calcarine sulcus (Lingual gyrus) |
| Upper division of optic radiations receives input from which retinal & visual fields? | Upper retinal quadrants, lower visual fields |
| Meyer's loop | Lower division of optic radiations |
| Meyer's loop contains input from which retinal & visual fields? | Lower retinal quadrants, upper visual fields |
| Visual cortex is Brodmann # | 17 |
| Transection of upper division of optic radiations causes... | contralateral lower quadrantanopia |
| Transection of Meyer's loop causes... | contralateral upper quadrantanopia (pie in the sky) |
| Lesions of visual cortex cause... | Contralateral hemianopia with macular sparing |
| Posterior area of striate cortex represents... | macula |
| Homonymous loss | Visual field losses are similar for both eyes |
| Heteronymous loss | Visual field losses are non-overlapping for the 2 eyes |
| Damage to optic nerve causes IL/CL loss | IL |
| Damage to optic chiasm causes ___ loss | Heteronymous |
| Damage behind optic chiasm causes ___ loss | Homonymous |
| Which CNs give afferent and efferent limbs of pupillary light reflex? | Afferent: CNII. Efferent:CNIII |
| Pathway for pupillary light reflex | Ganglion cells --> Optic nerve --> Optic Chiasm --> Optic Tract --> Brachium of Superior Colliculus --> Pretectal nuclei --> Posterior Commissure --> EW Nucleus --> CN III --> Ciliary Ganglion --> Pupillary sphincter |
| Interruption of pupillary dilation reflex results in ___ | Ipsilateral Horner's Syndrome (miosis, ptosis, enophthalmos,) |
| Pathway for pupillary dilation reflex | Paraventricular nucleus of Hypothalamus --> Ciliospinal Ctr of Budge (T1-T2) --> Superior cervical ganglion --> Dilator muscle of iris |
| One-and-a-half syndrome | Bilateral MLF lesions & unilateral lesion to nucleus of VI. The only muscle that works in lateral conjugate gaze is the intact lateral rectus |
| Marcus Gunn pupil | Due to lesion of CN II. Loses pupillary light reflex in that eye. |
| MLF syndrome | Damage to MLF unilateral. Means you won't get medial conjugate gaze in the eye damaged |
| CN III Palsy produces... | down and out |
| One common cause of CN III Palsy | Posterior communicating aneurysm |
| CN VI Palsy presents clinically as... | Ipsilateral eye deviated medially |
| PPRF. Location? | Paramedian Pontine Reticular Formation. Superior to Nuc of VI |
| Saccades pathway | Frontal Eye Field (Brodmann 8) --> CL PPRF --> Nuc of VI --> MLF (crosses) --> Nuc of III |
| Smooth pursuit pathway | Frontal Eye Field --> Pontine Nuclei --> Flocculonodular Lobe --> JRB --> Vestibular Nuclei --> CL Nuc of VI --> MLF (crosses) --> Nuc of III |
| Horizontal vs Vertical saccades are mediated by what motor programs.... | Horizontal - PPRF. Vertical - riMLF |
| riMLF | Rostral interstitial nucleus of MLF (Bilateral fibers for elevator muscles of both eyes) |
| Superior colliculus fxns | Saccades, coordination of head/eye movements |