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Law Offices of Stephen L. Gerdes
Special Emphasis on Head 
        Injury Cases
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Brain Anatomy & Function

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Function Observed problems

Frontal Lobe

awareness

inability to focus on task

attention & concentration

impaired recent memory

memory

difficulty learning new information

cognition

problem solving difficulty

motivation

inability to plan sequence of tasks

judgment

changes in social behavior

voluntary movement

loss of simple movement

expressive language

inability to express language (Broca's Aphasia)

memory for habits & motor activities

loss of flexibility in thinking

emotional control & impulse control

mood changes (emotional lability)

word associations

persistence of a single thought (perseveration)

ability to follow instructions


decision making


personality

changes in personality

assigns meanings to words we choose

loss of spontaneity



     

Parietal lobes

visual attention

inability to focus on visual attention

awareness of spatial relationships


touch

inability to name an object (Anomia)

recognition of faces

difficulty in distinguishing right from left

goal-directed voluntary movements

inability to locate the words for writing (Agraphia)

manipulation of objects

problems with reading (Alexia)

integration of different senses that allows for understanding a single concept

difficulty with drawing objects


difficulty in doing mathematics (Dyscalculia)


lack of awareness of certain body parts and/or surrounding space (Apraxia)


inability to attend to more than one object at a time


difficulties with eye and hand coordination



     

Occipital lobe

visual perception

defects in vision

visual input

difficulty with locating objects in environment


difficulty with identifying colors (Color Agnosia)


production of hallucinations


inaccurately seeing objects

reading (perception & recognition of words)

inability to recognize words


difficulties with reading and writing

movement of eyes

inability to recognize the movement of an object (Movement Agnosia)


difficulty in recognizing drawn objects



     

Temporal lobes

hearing, music, & receptive language

difficulty in understanding spoken words (Wernicke's Aphasia)

comprehension of language


memory acquisition

short-term memory loss

memory for non-verbal events

disturbance with selective attention to what we hear & see

information retrieval

interference with long term memory

some visual perceptions

difficulty with identification of and visualization about objects

categorizations of objects

inability to categorize objects

expressed behavior

increased aggressive behavior, agitation, irritability & childish behavior


increase or decrease in sexual behavior


difficulty in recognizing faces (Prosopagnosia)


right lobe damage can cause persistent talking

     

Cerebral cortex

higher cortical functions


Cerebral cortex



     

Limbic system

emotions

loss of emotional control

Limbic system

learning

loss of recent memory

sense of smell

loss of sense of smell



     

Diencephalon



     

Thalamus

processing center of the cerebral cortex

altered level of consciousness

sensory relay--coordinates & regulates all functional activity of the cortex by integrating all nerve inputs (except smell) to the cortex

loss of perception

contributes to affectual expression




     

Hypothalamus

integrates the Autonomic Nervous System (body temperature & endocrine function)

hormonal imbalances

parasympathetic function

inability to control temperature

sympathetic function (flight or fight)

diabetes insipidus

physical expressions of behavior


feeding center


pleasure center




     

Internal capsule

motor tracts

paralysis on the opposite side of the body

Internal capsule
     

Reticular activating system

attention, eating, wakefulness, & arousal from sleep

altered level of consciousness

Reticular activating system
     

Brain Stem

breathing

decreased vital capacity in breathing

heart rate

swallowing food & water (Dysphagia)

swallowing

difficulty with organization & perception of environment

reflexes to seeing & hearing (startle reflex)

problems with balance and movement

controls sweating, blood pressure, digestion, temperature (Autonomic Nervous System)

dizziness & nausea

affects level of alertness

sleeping difficulties (insomnia, sleep apnea)

ability to sleep


sense of balance (vestibular function)




     

Midbrain

nerve pathways of cerebral hemispheres


auditory & visual reflex centers


oculomotor nerve (III) eye movement


trochlear nerve (IV) controls muscle that rotates eye down & out




     

Pons

respiratory center


trigemenal nerve (V)--facial skin, tongue, teeth, mastication


abducens nerve (VI) controls muscle that rotate eye outward


facial nerve (VII) controls muscles of expression


acoustic nerve (VIII) hearing & balance




   

Medulla oblongata

crossing of motor tracts


cardiac center


respiratory center


vasomotor (nerves that control muscles of walls of blood vessels)


cough, gag, swallow, & vomit


glossopharyngeal nerve (IX) (pharynx & tongue)


vagus (X) pharynx, larynx, heart, lungs & stomach


accessory nerve (XI) rotation of head and shoulder


hypoglossal (XII) intrinsic muscles of the tongue




     

Cerebellum

coordination of voluntary movement

loss of ability to coordinate fine movements

balance & equilibrium

loss of ability to walk

some memory for reflex motor acts

inability to reach out and grab objects


tremors


dizziness (vertigo)


slurred speech


inability to make rapid movements


nystagmus



   

Right hemisphere

holistic processing of multi-sensory input


Right Hemisphere

visual spatial skills


memory stored in auditory, visual, & spatial modes


remembering non-verbal material


color discrimination




     

Left hemisphere

analytic & sequential thinking


Left Hemisphere

language


mathematics


abstraction & reasoning


ability to name objects & their attributes


memory stored in language format


clear



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