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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

Pls give me a brief description of vetebra
Deborah Reply
7 cervical (c1 atlas and c2 axis help the neck rotate) 12 thoracic 5 lumbar 1 sacral and 2 coccyx
Anna
breakfast at 7, lunch at 12, and dinner at 5. sacrum holds 5, coccyx holds 4
Patrick
really there's just one coccyx and sacrum
Patrick
atlas like the Greek God holds the weight of the world on top of him
Patrick
elasticity of the vagina
Mariam Reply
The vagina is an elastic muscular wall
antouman
*organ
antouman
It has I think squamous cuboidal or maybe columnar epithelium designed for secretion, expansion and friction.
Patrick
how can you remember the integumentary system
Naomi Reply
integumentary system is the skin the skin is protection all the body and contain deid cells
Drs
how can you remember the formation of bone?
Maame
the largest organ of the body
Toni
skin is largest organ
Zara
what is the best way to remember the cranial bones or any other bones ?
Savannah
skeletal system?
Savannah
look at the diagram structure and then remember it considering it your own body i memorise like that
Zara
hi guys! do you have to remember ALL the structures of the bones- I mean every single hole, depression or tuberosity?
Kristina
tuborisity
Zara
hey guz i hv to remember Immune antibodies and antigens how? i found it difficult
Zara
well, they are all grouped, aren't they? I mean they all come in series like H1, H2A, H2B and so on. In this case I learn the common part first and then that what's different
Kristina
nd what about IgG , IgE etc.
Zara
the majors
Toni
the thin skin does not have stratum lucidium I believe
Patrick
acronyms
Patrick
if u know the bones, the muscle has part of the name of the bone in it
Patrick
epidermis, I believe epi means on top. dermis in the middle and hypodermis, hypo meaning below. the hypodermis is actually considered not part of the skin or int system
Patrick
big sweet guys love candy = basale, spinosum, granulosum, lucidum ( only in thick skin), corneum
Anna
I love it ☝🏾
Savannah
thank you Zara !
Savannah
can anyone send diet plan for asthma patients
waseem
blood is a connective tissue which transport oxygen and other nutrients to body
Zara Reply
which type of protein is blood?
Zara
what is blood?
Masthan Reply
blood is a connective tissue which transport oxygen and nutrients to body
Zara
which type of protein is blood?
Zara
haemoglobin
Rashid
and what about its structure i think its Quartenary structure 🤔💭
Zara
yes it is
Rashid
it is globular
Rashid
a vascular structure compose of vessels.
Toni
what is the functions of lymph
moula Reply
what is plasma
Chukwu Reply
A plasma is a hot ionized gas consisting of approximately af a equal number of positive ly charged ionized and negative ly charged electron is called plasma.
Muhammad
what is an atomical position?
Madinatu
military position, body erect where by the body will be up straight..the cephalic and thoracic are straight
Mwita
functions of plasma membrane
Dinyando Reply
what is heparin
Lawrence Reply
why is it anatomy
Tenacious Reply
hello
ASIMENU
hi
asare
hws life
Tenacious
anatomy is the scientific study of the body's structure
Lawrence
great
Lawrence
good night
Kaaya
anatomy is the study of form, physiology is the study of function
Patrick
anatomy is the study of the structure of the body and the physical relationship between it constituent part
Florence
what is heparin
Lawrence
what is the trunk
Tenacious
trunk is define as a person's or animal's body apart from the limp and head
Lawrence
The trunk is part of the axial skeleton
Patrick
hellow friends
mickson
hi friends
mickson
Hi
REEMA
hii
sampath
hi
Inayat
am fine
Ematai
supine or dorsal position is used in clinical setting when patient is placed in position, to examine what?
Dinyando Reply
what do nurses/doctors detect when a patient is placed on dorsal position?
Dinyando
What is coroid process?
kelvin Reply
describe special situation with implications in medical ethics.
kelvin
what is the difference between anatomy and physiology
Dinyando Reply
anatomy is the study of human body . and physiology is the study of the brain
Maryiam
ok
Varun
hi friends
Varun
hi!
kelvin
hello
Maryiam
anatomy is the study of the human body,its form and it physical relations Whiles Physiology is the Study of the functions of the various part of the body
Madinatu
yes
Yeboah
hi friends
mickson
sorry I cant see the full question
Jessica Reply
what was the question?
evelyna
what is spine as a bone marking?
John
similar to a crest but raised more
evelyna
pointed process
evelyna
slender
evelyna
pointed projection i meant
evelyna
what fills the hallow space in the middle of bones? thanks
John
marrow
evelyna
bone marrow
evelyna
hey you gotta read a book
evelyna
i just happen to take this bone chapter in my book last week so i remember
evelyna
yeah i should. how about the correct match of the number of tarsal, metatarsal and phalanges?
John
10, fingers and toes, u know this
Patrick
what is the difference between basal laminal and basal membrane
Nartey Reply
I think they r the same
Patrick

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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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