Showing posts with label frontal lobe. Show all posts
Showing posts with label frontal lobe. Show all posts

Monday, June 30, 2014

Neurological Disorders Arising from Cortical Lesions

Neurological Disorders Arising from Cortical Lesions
A brain lesion is an abnormality in part of the brain tissue, often resulting from a stroke, from a traumatic brain injury, or from a tumor or other disease process. Cortical lesions are lesions occurring in the brain’s cortex--- the part of the human brain responsible for higher functions like cognition, as well as for sensory and motor functions. Depending on the location of the lesion, neurological disorders can arise after a stroke or injury in Boston, with the type of problems dependent on the location of the lesion. Different types of neurological disorders arise from lesions in different areas of the brain, with injuries to the frontal lobes, parietal lobes, temporal lobes, or occipital lobes producing different effects that correspond to the functions of the damaged area.

Neurological Disorders from Frontal Lobe Lesions

The brain’s frontal lobes are most strongly associated with what is called “executive function”. This refers to the ability to plan future actions, to contemplate the consequences of possible alternate courses of action, to modulate one’s responses based on what is socially acceptable, and to recognize patterns in systems or events. When a lesion in Boston occurs in the frontal lobes, executive function can become compromised as a result. Various behavioral changes can arise as a result. Sometimes a frontal lobe lesion will decrease a person’s volition and motivation, functions which are largely handled in the frontal lobes. The person can also become less socially inhibited and display inappropriate behaviors, or otherwise become more impulsive than they were before the injury occurred.

Neurological Disorders from Parietal Lobe Lesions

The parietal lobes play an important role in integrating sensory information, as well as in mathematical and spatial reasoning processes. The neurological disorders that result from parietal lobe lesions in Boston often correspond to which hemisphere is affected. Right parietal lesions often compromise mental imagery and the ability to visualize spatial relationships. Sometimes a right parietal lesion can also lead to a neurological condition called “left hemispheric neglect”, in which the person is no longer aware of, or in control of, the left side of their body. Left parietal lobe lesions often cause neurological disorders involving a loss of mathematical, reading, and symbolic reasoning abilities. Other neurological disorders associated with parietal lobe lesions in Boston involve ataxia, a loss of motor coordination ability; amorphosynthesis, a loss of perception of one side of the body, generally the side opposite the side on which the lesion occurred; and Gerstmann syndrome. Gerstmann syndrome is a neurological disorder characterized by loss of the ability to write, loss of the ability to perform mathematical calculations, left-right disorientation, and finger agnosia.

Neurological Disorders from Temporal Lobe Lesions

Among the primary functions of the temporal lobes, which contain a brain structure called the “hippocampus”, is the formation of long-term memories. The temporal lobes are also involved in processing auditory sensory information; establishing object recognition and interpreting the meaning and importance of visual input; and recognizing and processing language. These functions can become impaired in Boston when lesions result from injury or stroke. One common result of temporal lobe lesions is the loss of the ability to remember visual stimuli, called visual agnosia. Another of the neurological disorders associated with temporal lobe lesions in Boston is prosopagnosia, a disorder in which a person loses the ability to recognize faces.

Neurological Disorders from Occipital Lobe Lesions


The occipital lobes, located at the back of the brain, are best known for containing the areas that process various aspects of visual information. Occipital lobe lesions in Boston most often lead to some form of vision loss. Often this take the form of homonymous hemianopsia, in which one side of the visual field is “cut off” in both eyes. Damage to the primary visual cortex in the occipital lobes can cause total cortical blindness. When areas of the occipital lobes adjacent to the temporal or parietal lobes are damaged, phenomena like color agnosia--- a loss of the ability to recognize color--- and movement agnosia--- a loss of the ability to recognize motion--- can occur.

Wednesday, June 18, 2014

Focal Signs in Neurology

Focal Signs in Neurology
There are a range of injuries and symptoms that can arise from concussions and other forms of brain damage in Boston. Concussion treatment often depends on what injuries or deficits have arisen as a result of the injury. Brain damage in Boston can be either diffuse or focal in nature. Focal signs indicate damage in a particular part of the brain, such as a lesion left in the wake of a stroke. Focal signs are of particular interest in neurology; much of what is now known about the function of the lobes of the cerebral cortex was learned by observing what goes wrong when certain areas are damaged. The effects of a focal brain lesion can vary substantially depending on what area of the brain is affected. 

Frontal Lobe Signs in Neurology

The frontal lobes of the brain are associated with executive function, which includes planning, reasoning, motivation, and impulse control. They are also associated with some motor functions. Frontal lobe signs associated with brain damage or injury often include either executive function deficits or motor deficits. Some well-known frontal lobe signs include:

·         Unsteady gait
·         Hypertonia, or abnormal muscular rigidity
·         The paralysis of a limb on one side of the body, opposite to the side of the brain that was injured
·         Paralysis of head and eye movements
·         Expressive aphasia, also called Broca’s aphasia, which is an inability to express oneself with language despite retaining language comprehension abilities
·         Seizures
·         Personality changes, such as abnormal impulsivity
·         Loss of smell
·         Frontal release signs, or the reappearance of primitive reflexes 

Parietal Lobe Signs in Neurology

The parietal lobes integrate sensory information, including navigation and sense of space. Parietal lobe signs in neurology may include:

·         Impaired sense of touch
·         Impaired proprioception, awareness of the body’s location and movement in space
·         Sensory or visual neglect syndromes, in which part of the body’s visual field, proprioception, or other sense is impaired
·         Loss of ability to read, write, or perform mathematical operations
·         Astereognosia, loss of the ability to recognize objects by touch 

Temporal Lobe Signs in Neurology

Temporal lobe signs in neurology often involve deficits in memory or auditory processing. Such deficits often include:

·         Cortical deafness, loss of ability to hear despite the ears themselves being intact
·         Tinnitus, or ringing in the ears
·         Auditory hallucinations
·         Loss of ability to comprehend language (Wernicke’s aphasia) or music (amusia)
·         Memory disturbances
·         Amnesia
·         Complex hallucinations
·         Complex partial seizures 

Occipital Lobe Signs in Neurology

Occipital lobe signs in Boston generally produce deficits in visual capabilities. The occipital lobe is functionally divided into several areas that process different aspects of vision. Signs of occipital injury often include:

·         Cortical blindness, a total loss of vision even though the eyes themselves are functioning normally
·         Anton’s syndrome, a total loss of vision of which the person is not aware
·         Loss of vision on one side of the visual field in both eyes (hemianopsia)
·         Inability to recognize faces, objects, or other visual information (visual agnosias)
·         Visual illusions
·         Visual hallucinations 

Limbic Signs in Neurology

The limbic system is a complex set of brain structures located in the midbrain, below the cortex. This includes the hypothalamus, hippocampus, amygdala, and other structures. This region of the brain is associated with memory and with emotional regulation. Limbic signs in Boston may manifest as:

·         Retrograde amnesia, a loss or confusion of long-term memory prior to the injurious event
·         Anterograde amnesia, an inability to form new memories
·         Loss of emotion
·         Loss of olfactory function
·         Loss of decision-making ability 

Cerebellar Signs in Neurology

Signs of cerebellar injury or dysfunction in Boston generally affect the sense of balance and coordination. This may include:

·         Ataxia, impaired movement of the limbs or torso
·         Inability to coordinate fine motor activities

·         Involuntary left-eye movements

NEUROFEEDBACK IN BOSTON FOR BRAIN INJURY