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CHAPTER 3 - FUNCTIONAL NEUROANATOMY
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In order to best understand this atlas it is important to have a sense of the functional neuroanatomy of the brain. Over the next several pages there is a brief summary of the 5 major brain systems that relate to behavior, along with the general location seen on SPECT of these areas.



Functions
  • sets the emotional tone of the mind
  • filters external events through internal states (emotional coloring)
  • tags events as internally important
  • stores highly charged emotional memories
  • modulates motivation
  • controls appetite and sleep cycles
  • promotes bonding
  • directly processes the sense of smell
  • modulates libido
Problems
  • moodiness, irritability, clinical depression
  • increased negative thinking
  • perceive events in a negative way
  • decreased motivation
  • flood of negative emotions
  • appetite and sleep problems
  • decreased or increased sexual responsiveness
  • social isolation




Functions
  • integrates feeling and movement
  • shifts and smoothes fine motor behavior
  • suppression of unwanted motor behaviors
  • sets the body's idle or anxiety level
  • enhances motivation
  • pleasure/ecstasy
Problems
  • anxiety, nervousness
  • panic attacks
  • physical sensations of anxiety
  • tendency to predict the worst
  • conflict avoidance
  • Gilles de la Tourette's Syndrome/tics
  • muscle tension, soreness
  • tremors
  • fine motor problems
  • headaches
  • low or excessive motivation


The Prefrontal Cortex


dorsal lateral prefrontal cortex
outside view

inferior orbital prefrontal cortex
outside view

inferior orbital prefrontal area
inside view


Functions
  • attention span
  • perseverance
  • judgment
  • impulse control
  • organization
  • self-monitoring and supervision
  • problem solving
  • critical thinking
  • forward thinking
  • learning from experience
  • ability to feel and express emotions
  • influences the limbic system
  • empathy
Problems
  • short attention span
  • distractibility
  • lack of perseverance
  • impulse control problems
  • hyperactivity
  • chronic lateness, poor time management
  • disorganization
  • procrastination
  • unavailability of emotions
  • misperceptions
  • poor judgement
  • trouble learning from experience
  • short term memory problems
  • social and test anxiety




Functions
  • allows shifting of attention
  • cognitive flexibility
  • adaptability
  • helps the mind move from idea to idea
  • gives the ability to see options
  • helps you go with the flow
  • cooperation
Problems
  • worrying
  • holds onto hurts from the past
  • stuck on thoughts (obsessions)
  • stuck on behaviors (compulsions)
  • oppositional behavior, argumentative
  • uncooperative, tendency to say no
  • addictive behaviors (alcohol or drug abuse, eating disorders, chronic pain)
  • cognitive inflexibility
  • obsessive compulsive disorder
  • OCD spectrum disorders
  • eating disorders, road rage




Functions

Dominant Side (usually the left)
  • understanding and processing language
  • intermediate term memory
  • long term memory
  • auditory learning
  • retrieval of words
  • complex memories
  • visual and auditory processing
  • emotional stability
Problems

Dominant Temporal Lobe
  • aggression, internally or externally driven
  • dark or violent thoughts
  • sensitivity to slights, mild paranoia
  • word finding problems
  • auditory processing problems
  • reading difficulties
  • emotional instability

Non-dominant Side (usually the right)
  • recognizing facial expression
  • decoding vocal intonation
  • rhythm
  • music
  • visual learning

Non-dominant Side (usually the right)
  • difficulty recognizing facial expression
  • difficulty decoding vocal intonation
  • implicated in social skill struggles

Either/Both Temporal Lobe Problems
  • memory problems, amnesia
  • headaches or abdominal pain without a clear explanation
  • anxiety or fear for no particular reason
  • abnormal sensory perceptions, visual or auditory distortions
  • feelings of déjà vu or jamais vu
  • periods of spaciness or confusion
  • religious or moral preoccupation
  • hypergraphia, excessive writing
  • seizures


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