Greg Detre
Wednesday, 24 May, 2000
Rolls B&B IV
Reading - Kolb & Whishaw � Fundamentals of
Neuropsychology 4th ed
Chapter 14 �
The frontal lobes
Connections
of the prefrontal areas
A theory of
frontal lobe function
Functions of
the prefrontal cortex
Asymmetry of
frontal lobe function
Symptoms of
frontal lobe lesions
Chapter 19 �
Spatial behaviour � The frontal cortex
Prefrontal cortex������������������������������������������������������ 166
see also: frontal lobe
anatomy of����������������������������������������� 305-307
in apraxia����������������������������������������������������� 483
lesions of, symptoms of������� 31-328, 311t
memory and����������������������������������������������� 378
parietal projections to�������������������� 267-268
projections of������������������������������������ 307-308
Orbital frontal cortex, emotion and��������� 423-424
Frontal lobe
connections of������������������������ 306-307, 308
cortex of������������������������������������������������������ 166
evolution of��������������������������������������� 475-476
functions of��������������������������������������� 307-310
historically, frontal lobes = elevated status, seat of highest intellect
frontal lobes = all the tissue in front of the central sulcus (20% of the neocortex)
3 functionally distinct categories: motor, premotor and prefronal
premotor cortex - lateral area 6
lateral premotor area has expanded as Broca�s area (44) has developed
supplementary motor cortex - medial area 6
frontal eye field � area 8
supplementary eye field - area 8a
curious name � Rose + Woolsey�s observation that it received projections from the dorsomedial nucleus of the thalamus
primates 3 regions:
dorsolateral prefrontal cortex (areas 9, 46)
inferior (or ventral) prefrontal cortex (areas 11, 12, 13, 14)
= orbital frontal cortex (11, 13, 14) because the orbit (socket) of the eye
medial frontal cortex (areas 25, 32)
= sometimes considered part of the anterior cingulate region rather than prefrontal cortex
2 multimodal areas of the frontal lobe = the lateral premotor cortex (area 6) and area 46
prefrontal areas � endpoints of the dorsal + ventral visual streams
Felleman & van Essen included the prefrontal as part of the visual cortex
dorsolateral prefrontal area (areas 9 + 46)
reciprocal connections with the posterior parietal areas and the superior temporal sulcus
extensive connections to the same areas the posterior parietal projects to, incl:
the cingulate cortex, basal ganglia and superior colliculus
inferior frontal area (areas 11-14)
receives its main afferents from:
the temporal lobe (incl the auditory regions of the superior temporal gyrus), the visual regions of TE, and the superior temporal sulcus, and amygdala
there are also connections from:
the somatosensory cortex (area 43), gustatory cortex (in the insula), and olfactory regions of the pyriform cortex
the gustatory + olfactory connections are localised in the orbital cortex
the visual, auditory + somatosensory connections go largely to area 12
projects subcortically to the amygdala and hypothalamus
this provides a route for influencing the autonomic system (important in emotional responses)
receive a significant input from dopaminergic cells in the tegmentum
(plays an important role in regulating how prefrontal neurons react to stimuli, incl stressful ones) � abnormalities in this projection play a central role in schizophrenia
example of: shopping for various ingredients to cook a meal for friends after work in a hurry
frontal lobe injury cannot manage this. fundamental requirements are:
plan behaviour in advance, selecting from many options
time constraint, so ignore stimuli and persists in the taks at hand
keep track of where we have been and done
general function of the frontal lobe:
behavioural requirements = temporal organisation of behaviour
motor cortex: responsible for making movements
premotor cortex: selects movements
prefrontal cortex: controls the cognitive processes so that appropriate movements are selected at the correct time + place
this selection may be controlled by internalised information, or may be made in response to context
the internalised record of what has just occurred is independent of the existing sensory information = the STM
temporal memory = neural record of recent events
events = either things or places
thus information is derived from the object-recognition or spatial streams of sensory processing
(both project to the prefrontal cortex, though to different parts)
i.e. spatial + object information are stored in temporal memory � but localised in different places in the frontal cortex
dorsolateral areas = especially involved in the selection of behaviour based on temporal memory (if defective, become dependent on environmental cues)
so frontal lobe injury �/span> difficulty inhibiting behaviour directed to external stimuli, as opposed to being controlled by internalised knowledge
behaviour = context-dependent
Goodall: the current make-up of the social group dictates the behaviour of each chimpanzee (e.g. bold + relaxed vs quiet + nervous with a different group of animals)
can be serious consequences in wrongly evaluating context
primates: highly social, hence the need for large frontal lobe
choice of behaviour in context requires detailed sensory information:
conveyed to the inferior frontal cortex from the temporal lobe
amygdala supplies the affective context
inferior frontal lesoins �/span> difficulty with context, especially in social situations
functional asymmetry in parietal + temporal association cortex � similar in frontal lobes
left: preferential role in language-related movements, incl speech
right: greater role in other movements, e.g. facial expression
however, both frontal lobes play roles in nearly all behavoiur
laterality of function = relative, not absolute
Most probable symptom |
Lesion site |
Basic reference |
Disturbances of motor function |
|
|
loss of fine movements loss
of strength poor
movement programming poor
voluntary eye gaze poor
corollary discharge Broca�s
aphasia |
area
4 areas
4, 6; dorsolateral premotor dorsolateral frontal
eye fields dorsolateral,
premotor area
44 |
Kyupers,
1981 Leonard
et al., 1988 Roland
et al., 1980 Kolb
& Milner, 1981 Guitton
et al., 1982 Teuber,
1964 Brown,
1972 |
Loss of divergent thinking |
|
|
reduced spontaneity poor
strategy formation |
orbital dorsolateral? |
Jones-Gotman
and Milner, 1977 Shallice
& Evans, 1978 |
Environmental control of behaviour |
|
|
poor response inhibition risk-taking
and rule-breaking impaired
associative learning |
prefrontal prefrontal dorsolateral |
Milner,
1964 Milner,
1985 Petrides,
1982 |
Poor temporal memory |
|
|
poor recency memory poor
frequency estimate poor
self-order recall poor
delayed response |
dorsolateral dorsolateral dorsolateral dorsolateral |
Milner,
1974 Smith
& Milner, 1985 Petrides
and Milner, 1982 Freedman
& Oscar-Berman, 1986 |
Impaired social behaviour |
orbital; dorsolateral |
Blumer & Benson, 1975 |
Altered sexual behaviour |
orbital |
Walker & Blumer, 1975 |
Impaired olfactory discrimination |
orbital |
Potter & Butters, 1980 |
Disorders associated with damage to the face area |
face |
Taylor, 1979 |
frontal lobe � endpoint for the spatial and object-recognition functions initiated in the occiptal lobe
the frontal lobe�s function = to select behaviours with respect to context and internalised knowledge
3 distinct functional zones:
motor cortex � responsible for making movements
premotor cortex � selects movements
lateral � selects behaviours in response to environmental cues
supplementary � selects behvaiorus on the basis of internalised knowledge
prefrontal cortex � controls the cognitive processes so that appropriate movements are selected at the right time and place
dorsolateral zone � selects behvaoiur with respect to temporal memory
inferior � selects behaviour with respect to context (current + based on knowledge)
frontal cortex = important for spatial discriminations
Nakamura � monkeys: spared all the visual areas of the posterior cortex, but removed all the cortex anterior to it
the monkeys failed to show any signs of vision, but recordings of single cell activity in the visual areas showed the cells to be functioning normally
i.e. removal of the frontal cortex �/span> chronically blind, even though the visual system is functioning
restricted lesions in the visual cortex �/span> more selective impairments:
Haaxma & Kuypers: if the finger area of the motor cortex is disconnected from the visual centers
then a monkey cannot use the pincer grasp to pick up food
difficult to distinguish: impairments object detection from impairments of memory
Goldman-Rakic: rhesus monkeys, lesions in the frontal cortex along the principal sulcus
the monkeys were trained to direct their gaze and fixate on a spot of light flashed in their visual field, once the spot had disappeared
unilateral lesions: could only direct their gaze to direct when no delay, not even with short delays
selective deficits in different parts of the visual field (by varying the location of the lesion)
demonstrates that:
the principal sulcus contains a mechanism for guiding responses on the basis of stored information, when there are no external cues
the memory for the location of objects may be mapped in visuospatial coordinates
parallel set of experiments: monkeys have to reach to a target
lesions to the principal sulcus:
delayed-response taks: location of the object is the relevant task variable
�/span> impairments after short delays
but other discrimination tasks that don�t require memory are not impaired
Passingham rhesus monkeys with principal sulcus lesions:
monkeys trained to retrieve peanuts from behind 25 different doors in the shortest number of trials, without returning to a door twice
tested spatial memory for doors it had opened
monkeys with lesions: severely impaired
Petrides & Milner: patients presented with a set of pages containing the same array of visual stimuli, but varied positions on the page
point to one of the stimuli on each page, but not to the same place twice
needed to remember the selections they had made previously
frontal lobe damage �/span> impairments
frontal cortex has important connections with the basal ganglia
perhaps expected: basal ganglia lesions �/span> similar spatial memory impairments
Ingle & Hoff: frogs impaired in this way
visible barrier placed beside frog, then removed,
delay, then large dark object looms towards frog, which leaps away
normal frogs avoided leaping into or around the barrier�s previous location
frogs with basal ganglia lesions: behaved as if they failed to remember where the barrier had been, though they avoided it when it was present