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By the end of this section, you will be able to:
  • Describe the relationship of mental status exam results to cerebral functions
  • Explain the categorization of regions of the cortex based on anatomy and physiology
  • Differentiate between primary, association, and integration areas of the cerebral cortex
  • Provide examples of localization of function related to the cerebral cortex

In the clinical setting, the set of subtests known as the mental status exam helps us understand the relationship of the brain to the body. Ultimately, this is accomplished by assessing behavior. Tremors related to intentional movements, incoordination, or the neglect of one side of the body can be indicative of failures of the connections of the cerebrum either within the hemispheres, or from the cerebrum to other portions of the nervous system. There is no strict test for what the cerebrum does alone, but rather in what it does through its control of the rest of the CNS, the peripheral nervous system (PNS), and the musculature.

Sometimes eliciting a behavior is as simple as asking a question. Asking a patient to state his or her name is not only to verify that the file folder in a health care provider’s hands is the correct one, but also to be sure that the patient is aware, oriented, and capable of interacting with another person. If the answer to “What is your name?” is “Santa Claus,” the person may have a problem understanding reality. If the person just stares at the examiner with a confused look on their face, the person may have a problem understanding or producing speech.

Functions of the cerebral cortex

The cerebrum is the seat of many of the higher mental functions, such as memory and learning, language, and conscious perception, which are the subjects of subtests of the mental status exam. The cerebral cortex is the thin layer of gray matter on the outside of the cerebrum. It is approximately a millimeter thick in most regions and highly folded to fit within the limited space of the cranial vault. These higher functions are distributed across various regions of the cortex, and specific locations can be said to be responsible for particular functions. There is a limited set of regions, for example, that are involved in language function, and they can be subdivided on the basis of the particular part of language function that each governs.

The basis for parceling out areas of the cortex and attributing them to various functions has its root in pure anatomical underpinnings. The German neurologist and histologist Korbinian Brodmann, who made a careful study of the cytoarchitecture    of the cerebrum around the turn of the nineteenth century, described approximately 50 regions of the cortex that differed enough from each other to be considered separate areas ( [link] ). Brodmann made preparations of many different regions of the cerebral cortex to view with a microscope. He compared the size, shape, and number of neurons to find anatomical differences in the various parts of the cerebral cortex. Continued investigation into these anatomical areas over the subsequent 100 or more years has demonstrated a strong correlation between the structures and the functions attributed to those structures. For example, the first three areas in Brodmann’s list—which are in the postcentral gyrus—compose the primary somatosensory cortex. Within this area, finer separation can be made on the basis of the concept of the sensory homunculus, as well as the different submodalities of somatosensation such as touch, vibration, pain, temperature, or proprioception. Today, we more frequently refer to these regions by their function (i.e., primary sensory cortex) than by the number Brodmann assigned to them, but in some situations the use of Brodmann numbers persists.

Questions & Answers

what is meant by control center?
Freeman Reply
what is anatomy
Ajibola Reply
is the study of the structure of the body and their relationship to each refers to the shapes iyo sizes
Khadar
what is a blastomere?
Toluba Reply
In biology, a blastomere is a type of cell produced by cleavage (cell division) of the zygote after fertilization and is an essential part of blastula formation.
Adnan
what is cell
Shivaani
Cells are the basic building blocks of all living things. The human body is composed of trillions of cells. They provide structure for the body, take in nutrients from food, convert those nutrients into energy, and carry out specialized functions. ... Cells have many parts, each with a different
Adnan
function
Adnan
cell is a membrane bound unit that contains the fundamentals molecules of life
Sushma
A1
Adnan
excellent
Adnan
movement,reproduction, excretion, respiration ,growth ,nutrition, response to external stimuli.
Sushma
good
Adnan
sister excellent
Adnan
questions pushy ja sukty hy kya
Maryam
jwab forun milta hy ya ak do din k bad
Maryam
Maryam Riaz sister what you say
Adnan
i want to say that k kush questions k answer mil sukty hy mjhy
Maryam
inshallah
Adnan
zaror mere behen
Adnan
question kari
Adnan
hn mil mil sakte h na esly
Ziya
Which muscle of the gluteal region originates from lumber spine? a. Gluteus medius b. Psoas major c. Iliacus d. Gluteus maximus
Maryam
sweet sister's
Adnan
question tu kari Inshallah Allah behtar kariga
Adnan
to mcqs kia to hy
Maryam
answer ni mila abhi
Maryam
wait sister
Adnan
what is the functional unit of kidneys
Khadar
nephron is the functional unit of kidney
Maryam
Maryam Riaz sister option. d. gluteus maximus
Adnan
thanks
Maryam
sorry Maryam Riaz sister
Adnan
option b. psoas major
Adnan
right answer this one
Adnan
nephron is the functional unit of kidney
Ihsan
I discussed with to my teachers
Adnan
d
Ihsan
d. is right option bro
Adnan
yes
Ihsan
what is cell
Shilpa
cell is the smallest unit of life
Maryam
ok
Shilpa
Cells are the basic building blocks of all living things. The human body is composed of trillions of cells. They provide structure for the body, take in nutrients from food, convert those nutrients into energy, and carry out specialized functions. ... Cells have many parts, each with a different
Adnan
function
Adnan
Maryam Riaz sister I m clear option d. also right thank you ihan bro
Adnan
type structure function origin insertion action of muscles
DAMINI Reply
oxygn amount in our body
Tg Reply
A normal level of oxygen is usually 95% or higher. Some people with chronic lung disease or sleep apnea can have normal levels around 90%. The “SpO2” reading on a pulse oximeter shows the percentage of oxygen in someone's blood
Adnan
What is the difference between cytoplasmic and endoplasmic
Ajibola Reply
The cytoplasm is 90℅ water and 10℅ of organic and inorganic compounds. The cytoplasm contains mitochondria. ... Lysosomes of Cytoplasm contains 50 different enzymes that digest proteins, lipids, and nucleic acids. The endoplasmic reticulum produces process and transport proteins, lipids for all the
Adnan
tarsal are cube shaped broad and long whiles metatarsal they are longer than they are wide
Priscilla Reply
articular cartilage serve as shock absorber and also reduces friction
Priscilla
articular cartilage serve as shock absorber and also reduces friction
Priscilla
when a bone joint with another bone
Priscilla
to know how you body function to know the relationship between the body parts to know specific functions of a certain body parts
romeo Reply
To know our body function we shd know chemical secretion of our glands, we can map all the function of our body and also relation ship between the body parts.
KUSUMA
that z it kusuma
kanaku
can you get fungi infection by seating on a public toilet?
Calls Reply
explain how blood acts as a connective tissue in the body
Rymz Reply
how does blood act as a connective tissue in the body
Rymz
what is anatomy
Victoriah Reply
fat deficiency in the body
Agbor Reply
Explain how body exercise regulates blood pressure
dranimva Reply
thank you
Thelma
what is cillia and flangella
Kalah Reply
what are the proceduers of condactive system ?
Salua Reply

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Source:  OpenStax, Anatomy & Physiology. OpenStax CNX. Feb 04, 2016 Download for free at http://legacy.cnx.org/content/col11496/1.8
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