00:01
So let's talk
a little bit more about
the cerebellar lobes.
00:04
That's the important
and clinically relevant
part of this case.
00:07
There are three cerebellar lobes:
the vermis, the hemispheres,
and the flocculonodular lobe.
00:13
The vermis
is that midline structure,
right on the
middle of the cerebellum.
00:17
It is important in controlling
the trunk.
00:20
Truncal balance and coordination,
our ability to sit upright
and to walk in a straight line.
00:26
As we'll learn this,
the vermis receives input
from the spine
to understand how our spine,
arms, and legs are moving,
and then sends output
back to the spine
to modulate our posture
and our ability to walk.
00:40
The second are the hemispheres.
00:42
Those are the largest areas
of the cerebellum.
00:45
There's an anterior hemisphere
and a poster hemisphere
on both sides of the brain.
00:50
The hemispheres are involved
in controlling coordination
of the arms and legs.
00:55
Appendicular balance,
and coordination of language,
and cognitive roles as well.
01:01
The hemispheres received
their input from the brain
as well as
a little bit from the spine,
modulate that signal,
and then send it back to the brain
to coordinate our
arm and leg movement
and all the rest of those important
cognitive and language functions.
01:16
And then the last lobe
is the flocculonodular lobe
which is composed of both
the flocculus and the nodulus.
01:22
This is important for coordination
of eye and head movements,
including vestibular tracking,
that's moving the head
and along with the eyes,
coordination of the eyes
and problems
with the flocculonodular lobe
can produce nystagmus.
01:36
And in postural and motor memory,
important and coordinating
the ears and the eyes
down to the rest of the spine
and the posture of the body.
01:46
So we talked about
the three important lobes
of the cerebellum,
the hemisphere, the vermis,
and the flocculonodular lobe.
01:53
And each of those is connected
to the rest of the nervous system
through a pathway.
01:57
So we also think about and
we'll learn about three pathways.
02:01
The cerebellum is
connected to the brain,
to the spinal cord and trunk,
and to the spinal cord and eyes.
02:07
And each of those pathways
will correspond
with one of the hemispheres,
one of the lobes of the cerebellum.
02:16
The three pathways that
we're going to learn about
are the cerebro-cerebellar pathway,
the spinocerebellar pathway, and
the vestibulocerebellar pathway.
02:25
The cerebro-cerebellar pathway
is important
in connecting the brain
to the cerebellum,
and that pathway will relay
primarily with the hemispheres
of the cerebellum.
02:35
The spinocerebellar pathway
is important for postural tone,
keeping ourselves upright
and in the straight line.
02:41
And we'll see that that relays
with the vermis and the paravermis
that area of the cerebellum
just next to the midline.
02:48
And the vestibulocerebellar pathway
is important in controlling
eye movement and postural tone.
02:53
And so we'll see relays
through the flocculonodular lobe.
02:57
When we're thinking about
each of these pathways,
the cerebro-cerebellum
is primarily involved
in the motor and
non-motor coordination.
03:04
The spinocerebellar pathway
with descending postural control
and the vestibulocerebellum
with head and eye movements.