Some of you have asked for more specifics regarding the activity where
students are given various neurological symptoms and then are asked to
identify and locate the area of the brain that is most likely involved.  I
will provide more detail but it could be improved upon, as I certainly
plan on doing.
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Each item provides an image of the left cerebral hemisphere, right
cerebral hemisphere and cross-sectional perspective of the brain.  As is
made clear, they will use the cross-sectional image if a sub-cortical
nerve center or the left or right hemisphere if as area of the cerebral
cortex is relevant.

1. Julia had a brain infection and a high fever at age 2.  By age 10 she
began having spells of terrible fright, sometimes accompanied by
aggression. Locate her brain lesion on one of the following diagrams:
(locate amygdala on cross-sectional diagram)

2. John received a head injury in an automobile accident several months
ago.  For a while he had a great deal of motor paralysis on the left side
of his body, but most of this paralysis has abated.  He now only
experiences a mild paralysis of his left hand.  Show the probably location
of the damage causing this paralysis (motor cortex in right hemisphere).

3. An astronaut reported seeing mysterious flashes of light during one of
the shuttle missions.  The visual display results from high energy
particles penetrating through this portion of his brain (occipital lobe of
either of the cerebral hemispheres).

4. After an apparent overdose of drugs and alcohol, Karen Quinlan stopped
breathing for several minutes, incurring extensive brain damage.  She
recovered her ability to breath but remained in a very prolonged and deep
coma, remaining in a fetal position with no response to outside stimuli
for over 11 years.  What part of her brain was damaged that prevented her
from regaining consciousness?  (Pons in brain stem)

5. Mary has epileptic seizures that involve the sensation of something
touching her right leg.  This information gives the neurologist (and you!)
a clue as to the area of her brain that is experiencing spontaneous
seizures.  Where is her epileptic activity likely to be occurring?
(parietal lobe in the left cerebral hemisphere)

6.  Harry is a 53 year old man who suffered a stroke that left him with
the inability to speak.  He can still understand others when they are
talking with him but cannot produce any words, regardless of how much he
tries.  The stroke cut blood supply and therefore damaged what area of his
brain?  (Broca's area in his left hemisphere)

7. Henry had a rare and sever form of epilepsy that could not be
controlled by sedatives.  Therefore, his neurologist decided to perform
surgery that effectively stopped his seizures without interfering with his
functioning.  However, when in a laboratory setting, he is unable to name
common objects that are placed in his left hand, hidden from view. 
Indicate the location of the surgical lesion.  (corpus callosum in
cross-sectional image; why?--right hemisphere can't inform left hemisphere
about what object is in his right hand so left hemisphere can't "name" the
object.)


8. During Jim's brain surgery to remove scarred tissue, the surgeon
stimulated a part of his brain with an electrode that resulted in Jim
hearing music.  Where was the electrode placed?

9. Due to anoxia during birth, Kevin has cerebral palsy, which results in
rather uncoordinated and jerky movements.  His brain damage is probably
located here:  (cerebellum--cross-sectional image)

10. The character, Lenny, from the classic film, "Memento," was assaulted
during a drug bust and now is unable to form new memories.  He remembers
his name, his former job as well as the deep love he felt for his now
deceased wife.  What part of his brain was damaged as a result of the
physical assault?  (hippocampus: cross-sectional image)

11.  One of Oliver Sacks case studies, Dr. P, shows a severe deficit in
recognizing three dimensional objects. He has started to "talk to door
knobs . . . and pats the tops of fire hydrants as if they were children." 
When Sacks shows him a glove, he has no recognition of what it is but can
describe its parts as 'a continuous surface infolded on itself . . with
five outpouchings.'  They discovered that a tumor is developing in what
area of his brain?  (occipital lobe in right hemisphere)


There are many other possibilities and clearly this can be adapted
relative to the knowledge base of the students.

Joan
[email protected]


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