RMR Profile picture
Nov 21 13 tweets 6 min read
Frontal lobe: anatomy, history, Edgar Allan Poe and beyond, why not?
🧠📝✍️🕵️

Part 1: gross anatomy

"All that we see or seem is but a dream within a dream." - E. A. Poe.

#Neurology #Anatomy #Teaching #EndNeurophobia #Neurotwitter

1/🧵 Phineas Gage
⚠️Disclaimer:
Due to the complexity of this structure, this tweetorial will be composed of three main parts.

1️⃣ Gross anatomy and microscopic anatomy (sort of)
2️⃣ Areas and connections
3️⃣ Clinical Syndromes and curiosities

Hope you enjoy!

2/🧵
⚠️Before we begin, a great quote about this amazing part of the human brain. 👇⬇️

3/🧵
What is the frontal lobe?🤔🤨

- Biggest cerebral lobe 🧠
- It occupies 1/3 of all the content inside the skull 💀
- It has multiple complex connections between structures 🥅

4/🧵
Limits ⛔

- Superior: Central Sulcus, Frontal Pole, Sylvian Fissure 🆙
- Lateral: Frontal Pole, Sylvian Fissure 💠
- Medial: Medial Portion of the Central Sulcus, Frontal Pole, Cingulate sulcus🛣️

5/🧵
Fissures give rise to different Gyri in the frontal 🧠. As 🥼🩺is much more easier and practical to learn functional areas, but as #AnatomyLovers it is important to know most of these concepts.

6/🧵
What about the cortex?🧠

- Neocortex in the brain has six layers 🧅
- The diffrerence between the thickness of these six layers is what makes a difference in function

A few examples:👇
7/🧵
Now that I mentioned function and functional areas. 🤓
We all know Brodmann, right?🤔

His model is based on the cytoarchitectonic structure of the cerebral cortex. 🔬

8/🧵
More recent studies using fMRI have discovered that areas are not the same for everyone and what it used to be a well divided map is now changing. 🤯🤯

As every human is different, it makes sense that functional areas are not exactly the same for everyone. 🤔

9/🧵
Below is a more "updated" map of the Functional Areas of the Frontal Lobe👇⬇️🔽

10/🧵
🤓Enough of Gross anatomy, but before we leave...🤪🤓
Do you know what is Exner's area function❓

Answer in the next thread.
Sources:
1.- Psychopathology. 2015;48(4):222-9.
doi: 10.1159/000381986
2.- Fitzgerald MJ, Greuner G, Mtui E. Clinical Neuroanatomy and Neuroscience,2012
3.- Handb Clin Neurol. 2019;163:95-122.
doi: 10.1016/B978-0-12-804281-6.00006-9
Sources:
4.- Science. 2017 Oct 27;358(6362):478-482.
doi: 10.1126/science.aan8868
5.- Brain. 2018 Nov 1;141(11):3262-3278.
doi: 10.1093/brain/awy273

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with RMR

RMR Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @MedinaRiojaMD

Nov 19
#TweetorialsCollection

Feel free to share, use or download them if you find them useful!

I'll keep sharing what I learn/read, as long as I can.

Kaizen: continuously improve.

🧠

#Neurology #EndNeurophobia

👇🔽
Read 23 tweets
Nov 16
Anatomy of the cerebellum: the arbor vitae and more. 🧠🌳

🤔🧑‍🏫

#Neurology #Neurotwitter #Anatomy #Teaching #EndNeurophobia

Image from Bolk's "Das Cerebellum der Säugetiere" (1906)

1/🧵
Introduction

Part of the brain in charge of integration of massive sensory and other inputs from many regions of the brain and spinal cord.

Also called "little brain" due to it's etimological origin. 🧠

2/🧵
Introduction

👷‍♂️ Functions?

- Motor coordination 💪👀🤹‍♀️
- Motor planning 🤔
- Cognitive functions (visuospatial, executive, etc)
- Speech 🗣️

3/🧵
Read 28 tweets
Nov 11
Higher-Level Gait Disorders (HLGD): a brief overview.
🚶🧠🦵

#Neuro #Neurotwitter #Neurology #Gait #Movement #Teaching

1/🧵
"It is likely possible to learn more about neurologic status from watching a patient walk than from any other single procedure, and observation of gait should always be part of a neurologic examination."
🧐🧠🥸

2/🧵
Gait is a sensory-motor function, which needs the adequate interaction between major systems for:

1⃣ Generating force
2⃣ Orientation in space
3⃣ Refine force
4⃣ Collate and interpret sensory information; select and modify motor programs

3/🧵
Gait in a "nutshell" (sort of) 👇
Read 15 tweets
Nov 9
Seizure semiology and localization: not everything is generalized onset tonic-clonic. 🧠⛈️

Part 4: postictal features🗣️

Last one, finally.

🤔

#Neurology #neurotwitter #Teaching #Education #EndNeurophobia

1/🧵
🚨
This tweetorial is based on:
Epilepsy Behav. 2005 Aug;7(1):1-17.
doi: 10.1016/j.yebeh.2005.04.004
This paper was written using the previous classification system and some data may need an update, nevertheless I find it useful when teaching about seizure semiology. 📓

2/🧵
1⃣ Todd's palsy

Sx: postictal paresis.

Where? Contralateral primary motor areas.

3/🧵
Read 14 tweets
Nov 8
Right hemisphere and language. 🧠🗣️📢

Three lessons🧑‍🏫

#language #Neurology #NeuroTwitter #education

1⃣ Right inferior frontal and right mediodorsal
thalamus activity increase during executive processing.

1/🧵 Image
2⃣Executive processing is required for sentence comprehension.

3⃣ Right frontal activity increases during sentence comprehension.

2/🧵
Other right hemisphere functions:

1⃣ Perceiving sarcasm

2⃣ Integrating context (metaphor, humor)

3⃣ Expressing affective or emotional prosody (changes in pitch, rhythm, rate, and loudness that
convey emotions)

3/3 Image
Read 4 tweets
Nov 7
Seizure semiology and localization: not everything is generalized onset tonic-clonic. 🧠⛈️

Part 3: language features🗣️

🤔

#Neurology #neurotwitter #Teaching #Education #EndNeurophobia

1/🧵
Intro
The following symptoms are frequently seen in focal epilepsies.

2/🧵 Image
🚨
This tweetorial is based on:
Epilepsy Behav. 2005 Aug;7(1):1-17.
doi: 10.1016/j.yebeh.2005.04.004
This paper was written using the previous classification system and some data may need an update, nevertheless I find it useful when teaching about seizure semiology. 📓

3/🧵 Image
Read 10 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us on Twitter!

:(