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The following statements concern the structure of the cerebellum: (a) the cerebellum consists of two cerebellar hemispheres joined by a narrow median vermis anxiety 4am order imipramine 25 mg without prescription. The following statements concern the structure of the cerebellar cortex: (a) the cortex is folded by many vertical fissures into folia. The following statements concern the intracerebellar nuclei: (a) the nuclei are found within the superficial layers of the white matter. The following statements concern the cerebellar peduncles: (a) In the superior cerebellar peduncle, most of the fibers are afferent and arise from the neurons of the spinal cord. The following statements concern the afferent fibers entering the cerebellum: (a) the mossy fibers end by making synaptic contacts with the dendrites of the Purkinje cells. The following statements concern the functions of the cerebellum: (a) the cerebellum influences the actions of muscle tendons. The following statements concern the cerebellum: (a) the afferent climbing fibers make single synaptic contacts with individual Purkinje cells. The following statements concern the cerebellum: (a) the cerebellar cortex has a different microscopic structure in different individuals. Following thrombosis of the posterior inferior cerebellar artery, a patient presents the numbered signs and symptoms listed below; match the signs and symptoms with the appropriate lettered structures involved. Hypotonicity of the muscles on the right with a tendency to fall to the right (a) Right reticulospinal tract (b) Right inferior cerebellar peduncle (c) None of the above Directions: Match the numbered nerve tracts listed below with the lettered pathways by which they leave the cerebellum. Corticopontocerebellar Cuneocerebellar Cerebellar reticular Cerebellar rubral (a) Superior cerebellar peduncle (b) Corpus callosum (c) Striae medullaris (d) Inferior cerebellar peduncle (e) Middle cerebellar peduncle (f) None of the above Directions: Each case history is followed by questions. A 45-year-old man, who was an alcoholic, started to develop a lurching, staggering gait even when he was not intoxicated. The condition became slowly worse over a period of several weeks and then appeared to stabilize. Friends noticed that he had difficulty in walking in tandem with another person and tended to become unsteady on turning quickly. A thorough physical examination of this patient revealed the following findings except: (a) the patient exhibited instability of trunk movements and incoordination of leg movements. The cerebellum is separated from the occipital lobes of the cerebral hemisphere by the tentorium cerebelli (see p. The anterior lobe is separated from the middle (posterior) lobe by the primary fissure.

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