{"id":48,"date":"2019-08-07T16:54:47","date_gmt":"2019-08-07T20:54:47","guid":{"rendered":"https:\/\/pressbooks.bccampus.ca\/psychologyh5p\/chapter\/the-brain-and-spinal-cord\/"},"modified":"2021-07-14T14:08:25","modified_gmt":"2021-07-14T18:08:25","slug":"the-brain-and-spinal-cord","status":"publish","type":"chapter","link":"https:\/\/pressbooks.bccampus.ca\/psychologyh5p\/chapter\/the-brain-and-spinal-cord\/","title":{"raw":"The Brain and Spinal Cord","rendered":"The Brain and Spinal Cord"},"content":{"raw":"<div class=\"textbox textbox--learning-objectives\"><header class=\"textbox__header\">\r\n<p class=\"textbox__title\">Learning Objectives<\/p>\r\n\r\n<\/header>\r\n<div class=\"textbox__content\">\r\n\r\nBy the end of this section, you will be able to:\r\n<ul>\r\n \t<li>Explain the functions of the spinal cord<\/li>\r\n \t<li>Identify the hemispheres and lobes of the brain<\/li>\r\n \t<li>Describe the types of techniques available to clinicians and researchers to image or scan the brain<\/li>\r\n<\/ul>\r\n<\/div>\r\n<\/div>\r\n<p id=\"fs-id1588487\">The brain is a remarkably complex organ comprised of billions of interconnected neurons and glia. It is a bilateral, or two-sided, structure that can be separated into distinct lobes. Each lobe is associated with certain types of functions, but, ultimately, all of the areas of the brain interact with one another to provide the foundation for our thoughts and behaviors. In this section, we discuss the overall organization of the brain and the functions associated with different brain areas, beginning with what can be seen as an extension of the brain, the spinal cord.<\/p>\r\n\r\n<div id=\"fs-id1454246\" class=\"bc-section section\" data-depth=\"1\">\r\n<h1 data-type=\"title\">The Spinal Cord<\/h1>\r\n<p id=\"fs-id1405061\">It can be said that the <span class=\"no-emphasis\" data-type=\"term\">spinal cord<\/span> is what connects the brain to the outside world. Because of it, the brain can act. The spinal cord is like a relay station, but a very smart one. It not only routes messages to and from the brain, but it also has its own system of automatic processes, called reflexes.<\/p>\r\n<p id=\"fs-id1484263\">The top of the spinal cord merges with the brain stem, where the basic processes of life are controlled, such as breathing and digestion. In the opposite direction, the spinal cord ends just below the ribs\u2014contrary to what we might expect, it does not extend all the way to the base of the spine.<\/p>\r\n<p id=\"fs-id1393511\">The spinal cord is functionally organized in 30 segments, corresponding with the vertebrae. Each segment is connected to a specific part of the body through the peripheral nervous system. Nerves branch out from the spine at each vertebra. Sensory nerves bring messages in; motor nerves send messages out to the muscles and organs. Messages travel to and from the brain through every segment.<\/p>\r\n<p id=\"fs-id1513147\">Some sensory messages are immediately acted on by the spinal cord, without any input from the brain. Withdrawal from heat and knee jerk are two examples. When a sensory message meets certain parameters, the spinal cord initiates an automatic reflex. The signal passes from the sensory nerve to a simple processing center, which initiates a motor command. Seconds are saved, because messages don\u2019t have to go the brain, be processed, and get sent back. In matters of survival, the spinal reflexes allow the body to react extraordinarily fast.<\/p>\r\n<p id=\"fs-id1729336\">The spinal cord is protected by bony vertebrae and cushioned in cerebrospinal fluid, but injuries still occur. When the spinal cord is damaged in a particular segment, all lower segments are cut off from the brain, causing paralysis. Therefore, the lower on the spine damage is, the fewer functions an injured individual loses.<\/p>\r\n\r\n<\/div>\r\n<div id=\"fs-id1246653\" class=\"bc-section section\" data-depth=\"1\">\r\n<h1 data-type=\"title\">The Two Hemispheres<\/h1>\r\n<p id=\"fs-id1577830\">The surface of the brain, known as the <span data-type=\"term\">cerebral cortex<\/span>, is very uneven, characterized by a distinctive pattern of folds or bumps, known as <span data-type=\"term\">gyri<\/span> (singular: gyrus), and grooves, known as <span data-type=\"term\">sulci<\/span> (singular: sulcus), shown in. These gyri and sulci form important landmarks that allow us to separate the brain into functional centers. The most prominent sulcus, known as the <span data-type=\"term\">longitudinal fissure<\/span>, is the deep groove that separates the brain into two halves or <span data-type=\"term\">hemispheres<\/span>: the left hemisphere and the right hemisphere.<\/p>\r\n\r\n<div id=\"CNX_Psych_03_04_Cortex\" class=\"bc-figure figure\">\r\n\r\n[caption id=\"\" align=\"aligncenter\" width=\"487\"]<img src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2293\/2017\/08\/01155612\/CNX_Psych_03_04_Cortexn.jpg\" alt=\"An illustration of the brain\u2019s exterior surface shows the ridges and depressions, and the deep fissure that runs through the center.\" width=\"487\" height=\"332\" data-media-type=\"image\/jpg\" \/> The surface of the brain is covered with gyri and sulci. A deep sulcus is called a fissure, such as the longitudinal fissure that divides the brain into left and right hemispheres. (credit: modification of work by Bruce Blaus)[\/caption]\r\n\r\n<\/div>\r\nThere is evidence of some specialization of function\u2014referred to as <span data-type=\"term\">lateralization<\/span>\u2014in each hemisphere, mainly regarding differences in language ability. Beyond that, however, the differences that have been found have been minor. What we do know is that the left hemisphere controls the right half of the body, and the right hemisphere controls the left half of the body.\r\n<p id=\"fs-id1291863\">The two hemispheres are connected by a thick band of neural fibers known as the <span data-type=\"term\">corpus callosum<\/span>, consisting of about 200 million axons. The corpus callosum allows the two hemispheres to communicate with each other and allows for information being processed on one side of the brain to be shared with the other side.<\/p>\r\n<p id=\"fs-id1410562\">Normally, we are not aware of the different roles that our two hemispheres play in day-to-day functions, but there are people who come to know the capabilities and functions of their two hemispheres quite well. In some cases of severe epilepsy, doctors elect to sever the corpus callosum as a means of controlling the spread of seizures. While this is an effective treatment option, it results in individuals who have split brains. After surgery, these split-brain patients show a variety of interesting behaviors. For instance, a split-brain patient is unable to name a picture that is shown in the patient\u2019s left visual field because the information is only available in the largely nonverbal right hemisphere. However, they are able to recreate the picture with their left hand, which is also controlled by the right hemisphere. When the more verbal left hemisphere sees the picture that the hand drew, the patient is able to name it (assuming the left hemisphere can interpret what was drawn by the left hand).<\/p>\r\n\r\n<div id=\"CNX_Psych_03_04_CorpusCall\" class=\"bc-figure figure\">\r\n\r\n[caption id=\"\" align=\"aligncenter\" width=\"975\"]<img src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2293\/2017\/08\/01155616\/CNX_Psych_03_04_CorpusCall.jpg\" alt=\"Illustrations (a) and (b) show the corpus callosum\u2019s location in the brain in front and side views. Photograph (c) shows the corpus callosum in a dissected brain.\" width=\"975\" height=\"259\" data-media-type=\"image\/jpg\" \/> (a, b) The corpus callosum connects the left and right hemispheres of the brain. (c) A scientist spreads this dissected sheep brain apart to show the corpus callosum between the hemispheres. (credit c: modification of work by Aaron Bornstein)[\/caption]\r\n\r\n<\/div>\r\n<p id=\"fs-id1484594\">Much of what we know about the functions of different areas of the brain comes from studying changes in the behavior and ability of individuals who have suffered damage to the brain. For example, researchers study the behavioral changes caused by strokes to learn about the functions of specific brain areas. A stroke, caused by an interruption of blood flow to a region in the brain, causes a loss of brain function in the affected region. The damage can be in a small area, and, if it is, this gives researchers the opportunity to link any resulting behavioral changes to a specific area. The types of deficits displayed after a stroke will be largely dependent on where in the brain the damage occurred.<\/p>\r\n<p id=\"fs-id1445858\">Consider Theona, an intelligent, self-sufficient woman, who is 62 years old. Recently, she suffered a stroke in the front portion of her right hemisphere. As a result, she has great difficulty moving her left leg. (As you learned earlier, the right hemisphere controls the left side of the body; also, the brain\u2019s main motor centers are located at the front of the head, in the frontal lobe.) Theona has also experienced behavioral changes. For example, while in the produce section of the grocery store, she sometimes eats grapes, strawberries, and apples directly from their bins before paying for them. This behavior\u2014which would have been very embarrassing to her before the stroke\u2014is consistent with damage in another region in the frontal lobe\u2014the prefrontal cortex, which is associated with judgment, reasoning, and impulse control.<\/p>\r\n\r\n<\/div>\r\n<div id=\"fs-id1358006\" class=\"bc-section section\" data-depth=\"1\">\r\n<h1 data-type=\"title\">Forebrain Structures<\/h1>\r\nThe two hemispheres of the cerebral cortex are part of the <span data-type=\"term\">forebrain<\/span>, which is the largest part of the brain. The forebrain contains the cerebral cortex and a number of other structures that lie beneath the cortex (called subcortical structures): thalamus, hypothalamus, pituitary gland, and the limbic system (collection of structures). The cerebral cortex, which is the outer surface of the brain, is associated with higher level processes such as consciousness, thought, emotion, reasoning, language, and memory. Each cerebral hemisphere can be subdivided into four lobes, each associated with different functions.\r\n<div id=\"CNX_Psych_03_04_FMHBrain\" class=\"bc-figure figure\">\r\n\r\n[caption id=\"\" align=\"aligncenter\" width=\"487\"]<img src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2293\/2017\/08\/01155619\/CNX_Psych_03_04_FMHBrain.jpg\" alt=\"An illustration shows the position and size of the forebrain (the largest portion), midbrain (a small central portion), and hindbrain (a portion in the lower back part of the brain).\" width=\"487\" height=\"355\" data-media-type=\"image\/jpg\" \/> The brain and its parts can be divided into three main categories: the forebrain, midbrain, and hindbrain.[\/caption]\r\n\r\n<\/div>\r\n<div class=\"bc-section section\" data-depth=\"2\">\r\n<h2 data-type=\"title\">Lobes of the Brain<\/h2>\r\nThe four lobes of the brain are the frontal, parietal, temporal, and occipital lobes. The <span data-type=\"term\">frontal lobe<\/span> is located in the forward part of the brain, extending back to a fissure known as the central sulcus. The frontal lobe is involved in reasoning, motor control, emotion, and language. It contains the <span data-type=\"term\">motor cortex<\/span>, which is involved in planning and coordinating movement; the <span data-type=\"term\">prefrontal cortex<\/span>, which is responsible for higher-level cognitive functioning; and <span data-type=\"term\">Broca\u2019s area<\/span>, which is essential for language production.\r\n<div id=\"CNX_Psych_03_04_Lobes\" class=\"bc-figure figure\">\r\n\r\n[caption id=\"\" align=\"aligncenter\" width=\"487\"]<img src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2293\/2017\/08\/01155622\/CNX_Psych_03_04_Lobes.jpg\" alt=\"An illustration shows the four lobes of the brain.\" width=\"487\" height=\"355\" data-media-type=\"image\/jpg\" \/> The lobes of the brain are shown.[\/caption]\r\n\r\n<\/div>\r\n<p id=\"fs-id1301552\">People who suffer damage to Broca\u2019s area have great difficulty producing language of any form. For example, Padma was an electrical engineer who was socially active and a caring, involved mother. About twenty years ago, she was in a car accident and suffered damage to her Broca\u2019s area. She completely lost the ability to speak and form any kind of meaningful language. There is nothing wrong with her mouth or her vocal cords, but she is unable to produce words. She can follow directions but can\u2019t respond verbally, and she can read but no longer write. She can do routine tasks like running to the market to buy milk, but she could not communicate verbally if a situation called for it.<\/p>\r\nProbably the most famous case of frontal lobe damage is that of a man by the name of Phineas <span class=\"no-emphasis\" data-type=\"term\">Gage<\/span>. On September 13, 1848, Gage (age 25) was working as a railroad foreman in Vermont. He and his crew were using an iron rod to tamp explosives down into a blasting hole to remove rock along the railway\u2019s path. Unfortunately, the iron rod created a spark and caused the rod to explode out of the blasting hole, into Gage\u2019s face, and through his skull. Although lying in a pool of his own blood with brain matter emerging from his head, Gage was conscious and able to get up, walk, and speak. But in the months following his accident, people noticed that his personality had changed. Many of his friends described him as no longer being himself. Before the accident, it was said that Gage was a well-mannered, soft-spoken man, but he began to behave in odd and inappropriate ways after the accident. Such changes in personality would be consistent with loss of impulse control\u2014a frontal lobe function.\r\n<p id=\"eip-221\">Beyond the damage to the frontal lobe itself, subsequent investigations into the rod's path also identified probable damage to pathways between the frontal lobe and other brain structures, including the limbic system. With connections between the planning functions of the frontal lobe and the emotional processes of the limbic system severed, Gage had difficulty controlling his emotional impulses.<\/p>\r\n<p id=\"eip-311\">However, there is some evidence suggesting that the dramatic changes in Gage\u2019s personality were exaggerated and embellished. Gage's case occurred in the midst of a 19<sup>th<\/sup> century debate over localization\u2014regarding whether certain areas of the brain are associated with particular functions. On the basis of extremely limited information about Gage, the extent of his injury, and his life before and after the accident, scientists tended to find support for their own views, on whichever side of the debate they fell (Macmillan, 1999).<\/p>\r\n\r\n<div id=\"CNX_Psych_03_04_GageSkull\" class=\"bc-figure figure\">\r\n\r\n[caption id=\"\" align=\"aligncenter\" width=\"487\"]<img src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2293\/2017\/08\/01155625\/CNX_Psych_03_04_GageSkull.jpg\" alt=\"Image (a) is a photograph of Phineas Gage holding a metal rod. Image (b) is an illustration of a skull with a metal rod passing through it from the cheek area to the top of the skull.\" width=\"487\" height=\"392\" data-media-type=\"image\/jpg\" \/> (a) Phineas Gage holds the iron rod that penetrated his skull in an 1848 railroad construction accident. (b) Gage\u2019s prefrontal cortex was severely damaged in the left hemisphere. The rod entered Gage\u2019s face on the left side, passed behind his eye, and exited through the top of his skull, before landing about 80 feet away. (credit a: modification of work by Jack and Beverly Wilgus)[\/caption]\r\n\r\n<\/div>\r\n<p id=\"fs-id1427701\">The brain\u2019s <span data-type=\"term\">parietal lobe<\/span> is located immediately behind the frontal lobe, and is involved in processing information from the body\u2019s senses. It contains the <span data-type=\"term\">somatosensory cortex<\/span>, which is essential for processing sensory information from across the body, such as touch, temperature, and pain. The somatosensory cortex is organized topographically, which means that spatial relationships that exist in the body are maintained on the surface of the somatosensory cortex. For example, the portion of the cortex that processes sensory information from the hand is adjacent to the portion that processes information from the wrist.<\/p>\r\n\r\n<div id=\"CNX_Psych_03_04_BrainOrg\" class=\"bc-figure figure\">\r\n\r\n[caption id=\"\" align=\"aligncenter\" width=\"649\"]<img src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2293\/2017\/08\/01155628\/CNX_Psych_03_04_BrainOrg.jpg\" alt=\"A diagram shows the organization in the somatosensory cortex, with functions for these parts in this proximal sequential order: toes, ankles, knees, hips, trunk, shoulders, elbows, wrists, hands, fingers, thumbs, neck, eyebrows and eyelids, eyeballs, face, lips, jaw, tongue, salivation, chewing, and swallowing.\" width=\"649\" height=\"495\" data-media-type=\"image\/jpg\" \/> Spatial relationships in the body are mirrored in the organization of the somatosensory cortex.[\/caption]\r\n\r\n<\/div>\r\n<p id=\"fs-id1311528\">The <span data-type=\"term\">temporal lobe<\/span> is located on the side of the head (temporal means \u201cnear the temples\u201d), and is associated with hearing, memory, emotion, and some aspects of language. The <span data-type=\"term\">auditory cortex<\/span>, the main area responsible for processing auditory information, is located within the temporal lobe. <span data-type=\"term\">Wernicke\u2019s area<\/span>, important for speech comprehension, is also located here. Whereas individuals with damage to Broca\u2019s area have difficulty producing language, those with damage to Wernicke\u2019s area can produce sensible language, but they are unable to understand it.<\/p>\r\n\r\n<div id=\"CNX_Psych_03_04_Broca\" class=\"bc-figure figure\">\r\n\r\n[caption id=\"\" align=\"aligncenter\" width=\"487\"]<img src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2293\/2017\/08\/01155631\/CNX_Psych_03_04_Broca.jpg\" alt=\"An illustration shows the locations of Broca\u2019s and Wernicke\u2019s areas.\" width=\"487\" height=\"301\" data-media-type=\"image\/jpg\" \/> Damage to either Broca\u2019s area or Wernicke\u2019s area can result in language deficits. The types of deficits are very different, however, depending on which area is affected.[\/caption]\r\n\r\n<\/div>\r\n<p id=\"fs-id1265338\">The <span data-type=\"term\">occipital lobe<\/span> is located at the very back of the brain, and contains the primary visual cortex, which is responsible for interpreting incoming visual information. The occipital cortex is organized retinotopically, which means there is a close relationship between the position of an object in a person\u2019s visual field and the position of that object\u2019s representation on the cortex. You will learn much more about how visual information is processed in the occipital lobe when you study sensation and perception.<\/p>\r\n&nbsp;\r\n\r\n<\/div>\r\n<div id=\"fs-id1256602\" class=\"bc-section section\" data-depth=\"2\">\r\n<h2 data-type=\"title\">Test Your Understanding<\/h2>\r\n<div class=\"textbox shaded\">\r\n\r\nDrag the labels to the correct part of their corresponding part of the brain.\r\n\r\n&nbsp;\r\n\r\n<span style=\"text-align: initial;font-size: 14pt\">[h5p id=\"183\"]<\/span>\r\n\r\n<\/div>\r\n&nbsp;\r\n\r\n<span style=\"font-family: Helvetica, Arial, 'GFS Neohellenic', sans-serif;font-size: 1em;font-weight: bold\">Other Areas of the Forebrain<\/span>\r\n\r\n<\/div>\r\n<div id=\"fs-id1256602\" class=\"bc-section section\" data-depth=\"2\">\r\n<p id=\"fs-id1384983\">Other areas of the <span class=\"no-emphasis\" data-type=\"term\">forebrain<\/span>, located beneath the cerebral cortex, include the thalamus and the limbic system. The <span data-type=\"term\">thalamus<\/span> is a sensory relay for the brain. All of our senses, with the exception of smell, are routed through the thalamus before being directed to other areas of the brain for processing.<\/p>\r\n\r\n<div id=\"CNX_Psych_03_04_Thalamus\" class=\"bc-figure figure\">\r\n\r\n[caption id=\"\" align=\"aligncenter\" width=\"487\"]<img src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2293\/2017\/08\/01155634\/CNX_Psych_03_04_Thalamus.jpg\" alt=\"An illustration shows the location of the thalamus in the brain.\" width=\"487\" height=\"408\" data-media-type=\"imag\/jpg\" \/> The thalamus serves as the relay center of the brain where most senses are routed for processing.[\/caption]\r\n\r\n<\/div>\r\n<p id=\"fs-id1404734\">The <span data-type=\"term\">limbic system<\/span> is involved in processing both emotion and memory. Interestingly, the sense of smell projects directly to the limbic system; therefore, not surprisingly, smell can evoke emotional responses in ways that other sensory modalities cannot. The limbic system is made up of a number of different structures, but three of the most important are the hippocampus, the amygdala, and the hypothalamus. The <span data-type=\"term\">hippocampus<\/span> is an essential structure for learning and memory. The <span data-type=\"term\">amygdala<\/span> is involved in our experience of emotion and in tying emotional meaning to our memories. The <span data-type=\"term\">hypothalamus<\/span> regulates a number of homeostatic processes, including the regulation of body temperature, appetite, and blood pressure. The hypothalamus also serves as an interface between the nervous system and the endocrine system and in the regulation of sexual motivation and behavior.<\/p>\r\n\r\n<div id=\"CNX_Psych_03_04_Limbic\" class=\"bc-figure figure\">\r\n\r\n[caption id=\"\" align=\"aligncenter\" width=\"487\"]<img src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2293\/2017\/08\/01155640\/CNX_Psych_03_04_Limbic.jpg\" alt=\"An illustration shows the locations of parts of the brain involved in the limbic system: the hypothalamus, amygdala, and hippocampus.\" width=\"487\" height=\"408\" data-media-type=\"image\/jpg\" \/> The limbic system is involved in mediating emotional response and memory.[\/caption]\r\n\r\n&nbsp;\r\n<div id=\"fs-id1256602\" class=\"bc-section section\" data-depth=\"2\">\r\n<h2 data-type=\"title\">Test Your Understanding<\/h2>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<div class=\"bc-section section\" data-depth=\"2\">\r\n<div class=\"textbox shaded\">\r\n\r\nDrag the labels to the correct part of their corresponding part of the brain.\r\n\r\n&nbsp;\r\n\r\n<span style=\"text-align: initial;font-size: 14pt\">[h5p id=\"184\"]<\/span>\r\n\r\n<\/div>\r\n&nbsp;\r\n<h2 data-type=\"title\">The Case of Henry Molaison (H.M.)<\/h2>\r\n<p id=\"fs-id1295408\">In 1953, Henry Gustav <span class=\"no-emphasis\" data-type=\"term\">Molaison<\/span> (H. M.) was a 27-year-old man who experienced severe seizures. In an attempt to control his seizures, H. M. underwent brain surgery to remove his hippocampus and amygdala. Following the surgery, H.M\u2019s seizures became much less severe, but he also suffered some unexpected\u2014and devastating\u2014consequences of the surgery: he lost his ability to form many types of new memories. For example, he was unable to learn new facts, such as who was president of the United States. He was able to learn new skills, but afterward he had no recollection of learning them. For example, while he might learn to use a computer, he would have no conscious memory of ever having used one. He could not remember new faces, and he was unable to remember events, even immediately after they occurred. Researchers were fascinated by his experience, and he is considered one of the most studied cases in medical and psychological history (Hardt, Einarsson, &amp; Nader, 2010; Squire, 2009). Indeed, his case has provided tremendous insight into the role that the hippocampus plays in the consolidation of new learning into explicit memory.<\/p>\r\n\r\n<div id=\"fs-id1510545\" class=\"note psychology link-to-learning\" data-type=\"note\" data-has-label=\"true\" data-label=\"Link to Learning\">\r\n<div class=\"textbox\">\r\n\r\nClive Wearing, an accomplished musician, lost the ability to form new memories when his hippocampus was damaged through illness. Check out the first few minutes of this documentary video for an introduction to this man and his condition: <a href=\"https:\/\/www.youtube.com\/watch?v=ipD_G7U2FcM\">Clive Wearing Living Without Memory.<\/a>\r\n\r\n[embed]https:\/\/www.youtube.com\/embed\/ipD_G7U2FcM[\/embed]\r\n\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<div id=\"fs-id1442672\" class=\"bc-section section\" data-depth=\"1\">\r\n<h1 data-type=\"title\">Midbrain and Hindbrain Structures<\/h1>\r\n<p id=\"fs-id1241142\">The <span data-type=\"term\">midbrain<\/span> is comprised of structures located deep within the brain, between the forebrain and the hindbrain. The <span data-type=\"term\">reticular formation<\/span> is centered in the midbrain, but it actually extends up into the forebrain and down into the hindbrain. The reticular formation is important in regulating the sleep\/wake cycle, arousal, alertness, and motor activity.<\/p>\r\nThe <span data-type=\"term\">substantia nigra<\/span> (Latin for \u201cblack substance\u201d) and the <span data-type=\"term\">ventral tegmental area (VTA)<\/span> are also located in the midbrain. Both regions contain cell bodies that produce the neurotransmitter dopamine, and both are critical for movement. Degeneration of the substantia nigra and VTA is involved in Parkinson\u2019s disease. In addition, these structures are involved in mood, reward, and addiction (Berridge &amp; Robinson, 1998; Gardner, 2011; George, Le Moal, &amp; Koob, 2012).\r\n<div id=\"CNX_Psych_03_04_Midbrain\" class=\"bc-figure figure\">\r\n\r\n[caption id=\"\" align=\"aligncenter\" width=\"487\"]<img src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2293\/2017\/08\/01155643\/CNX_Psych_03_04_Midbrain.jpg\" alt=\"An illustration shows the location of the substantia negra and VTA in the brain.\" width=\"487\" height=\"408\" data-media-type=\"image\/jpg\" \/> The substantia nigra and ventral tegmental area (VTA) are located in the midbrain.[\/caption]\r\n\r\n<\/div>\r\n<p id=\"fs-id1349433\">The <span data-type=\"term\">hindbrain<\/span> is located at the back of the head and looks like an extension of the spinal cord. It contains the medulla, pons, and cerebellum. The <span data-type=\"term\">medulla<\/span> controls the automatic processes of the autonomic nervous system, such as breathing, blood pressure, and heart rate. The word pons literally means \u201cbridge,\u201d and as the name suggests, the <span data-type=\"term\">pons<\/span> serves to connect the brain and spinal cord. It also is involved in regulating brain activity during sleep. The medulla, pons, and midbrain together are known as the brainstem.<\/p>\r\n\r\n<div id=\"CNX_Psych_03_04_Hindbrain\" class=\"bc-figure figure\">\r\n\r\n[caption id=\"\" align=\"aligncenter\" width=\"487\"]<img src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2293\/2017\/08\/01155647\/CNX_Psych_03_04_Hindbrain.jpg\" alt=\"An illustration shows the location of the pons, medulla, and cerebellum.\" width=\"487\" height=\"408\" data-media-type=\"image\/jpg\" \/> The pons, medulla, and cerebellum make up the hindbrain.[\/caption]\r\n\r\n<\/div>\r\n<p id=\"fs-id1404886\">The <span data-type=\"term\">cerebellum<\/span> (Latin for \u201clittle brain\u201d) receives messages from muscles, tendons, joints, and structures in our ear to control balance, coordination, movement, and motor skills. The cerebellum is also thought to be an important area for processing some types of memories. In particular, procedural memory, or memory involved in learning and remembering how to perform tasks, is thought to be associated with the cerebellum. Recall that H. M. was unable to form new explicit memories, but he could learn new tasks. This is likely due to the fact that H. M.\u2019s cerebellum remained intact.<\/p>\r\n\r\n<div class=\"note psychology what-do-you-think\" data-type=\"note\" data-has-label=\"true\" data-label=\"What Do You Think?\">\r\n<div class=\"title\" data-type=\"title\">Brain Dead and on Life Support<\/div>\r\n<p id=\"fs-id1566818\">What would you do if your spouse or loved one was declared brain dead but his or her body was being kept alive by medical equipment? Whose decision should it be to remove a feeding tube? Should medical care costs be a factor?<\/p>\r\n<p id=\"fs-id1313018\">On February 25, 1990, a Florida woman named Terri <span class=\"no-emphasis\" data-type=\"term\">Schiavo<\/span> went into cardiac arrest, apparently triggered by a bulimic episode. She was eventually revived, but her brain had been deprived of oxygen for a long time. Brain scans indicated that there was no activity in her cerebral cortex, and she suffered from severe and permanent cerebral atrophy. Basically, Schiavo was in a vegetative state. Medical professionals determined that she would never again be able to move, talk, or respond in any way. To remain alive, she required a feeding tube, and there was no chance that her situation would ever improve.<\/p>\r\n<p id=\"fs-id1523529\">On occasion, Schiavo\u2019s eyes would move, and sometimes she would groan. Despite the doctors\u2019 insistence to the contrary, her parents believed that these were signs that she was trying to communicate with them.<\/p>\r\n<p id=\"fs-id1362959\">After 12 years, Schiavo\u2019s husband argued that his wife would not have wanted to be kept alive with no feelings, sensations, or brain activity. Her parents, however, were very much against removing her feeding tube. Eventually, the case made its way to the courts, both in the state of Florida and at the federal level. By 2005, the courts found in favor of Schiavo\u2019s husband, and the feeding tube was removed on March 18, 2005. Schiavo died 13 days later.<\/p>\r\n<p id=\"fs-id1426585\">Why did Schiavo\u2019s eyes sometimes move, and why did she groan? Although the parts of her brain that control thought, voluntary movement, and feeling were completely damaged, her brainstem was still intact. Her medulla and pons maintained her breathing and caused involuntary movements of her eyes and the occasional groans. Over the 15-year period that she was on a feeding tube, Schiavo\u2019s medical costs may have topped $7 million (Arnst, 2003).<\/p>\r\n<p id=\"fs-id1293104\">These questions were brought to popular conscience 25 years ago in the case of Terri Schiavo, and they persist today. In 2013, a 13-year-old girl who suffered complications after tonsil surgery was declared brain dead. There was a battle between her family, who wanted her to remain on life support, and the hospital\u2019s policies regarding persons declared brain dead. In another complicated 2013\u201314 case in Texas, a pregnant EMT professional declared brain dead was kept alive for weeks, despite her spouse\u2019s directives, which were based on her wishes should this situation arise. In this case, state laws designed to protect an unborn fetus came into consideration until doctors determined the fetus unviable.<\/p>\r\n<p id=\"fs-id1221666\">Decisions surrounding the medical response to patients declared brain dead are complex. What do you think about these issues?<\/p>\r\n\r\n<\/div>\r\n<\/div>\r\n<div class=\"bc-section section\" data-depth=\"1\">\r\n<h1 data-type=\"title\">Test Your Understanding<\/h1>\r\n<div class=\"textbox shaded\">\r\n\r\nDrag the labels to the correct part of their corresponding part of the brain.\r\n\r\n&nbsp;\r\n\r\n[h5p id=\"185\"]\r\n\r\n<\/div>\r\n&nbsp;\r\n<h1 data-type=\"title\">Brain Imaging<\/h1>\r\n<p id=\"fs-id1372270\">You have learned how brain injury can provide information about the functions of different parts of the brain. Increasingly, however, we are able to obtain that information using <span class=\"no-emphasis\" data-type=\"term\">brain imaging<\/span> techniques on individuals who have not suffered brain injury. In this section, we take a more in-depth look at some of the techniques that are available for imaging the brain, including techniques that rely on radiation, magnetic fields, or electrical activity within the brain.<\/p>\r\n\r\n<div id=\"fs-id1382674\" class=\"bc-section section\" data-depth=\"2\">\r\n<h2 data-type=\"title\">Techniques Involving Radiation<\/h2>\r\n<p id=\"fs-id1318246\">A <span data-type=\"term\">computerized tomography (CT) scan<\/span> involves taking a number of x-rays of a particular section of a person\u2019s body or brain. The x-rays pass through tissues of different densities at different rates, allowing a computer to construct an overall image of the area of the body being scanned. A CT scan is often used to determine whether someone has a tumor, or significant brain atrophy.<\/p>\r\n\r\n<div id=\"CNX_Psych_03_04_CT\" class=\"bc-figure figure\">\r\n\r\n[caption id=\"\" align=\"aligncenter\" width=\"488\"]<img src=\"https:\/\/pressbooks.bccampus.ca\/knowinghome\/wp-content\/uploads\/sites\/1061\/2019\/08\/CNX_Psych_03_04_CT.jpg\" alt=\"Image (a) shows a brain scan where the brain matter\u2019s appearance is fairly uniform. Image (b) shows a section of the brain that looks different from the surrounding tissue and is labeled \u201ctumor.\u201d\" width=\"488\" height=\"275\" data-media-type=\"image\/jpg\" \/> A CT scan can be used to show brain tumors. (a) The image on the left shows a healthy brain, whereas (b) the image on the right indicates a brain tumor in the left frontal lobe. (credit a: modification of work by \"Aceofhearts1968\"\/Wikimedia Commons; credit b: modification of work by Roland Schmitt et al)[\/caption]\r\n\r\n<\/div>\r\n<span data-type=\"term\">Positron emission tomography (PET)<\/span> scans create pictures of the living, active brain. An individual receiving a PET scan drinks or is injected with a mildly radioactive substance, called a tracer. Once in the bloodstream, the amount of tracer in any given region of the brain can be monitored. As brain areas become more active, more blood flows to that area. A computer monitors the movement of the tracer and creates a rough map of active and inactive areas of the brain during a given behavior. PET scans show little detail, are unable to pinpoint events precisely in time, and require that the brain be exposed to radiation; therefore, this technique has been replaced by the fMRI as an alternative diagnostic tool. However, combined with CT, PET technology is still being used in certain contexts. For example, CT\/PET scans allow better imaging of the activity of neurotransmitter receptors and open new avenues in schizophrenia research. In this hybrid CT\/PET technology, CT contributes clear images of brain structures, while PET shows the brain\u2019s activity.\r\n<div id=\"CNX_Psych_03_04_PET\" class=\"bc-figure figure\">\r\n\r\n[caption id=\"\" align=\"aligncenter\" width=\"244\"]<img src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2293\/2017\/08\/01155651\/CNX_Psych_03_04_PET.jpg\" alt=\"A brain scan shows different parts of the brain in different colors.\" width=\"244\" height=\"311\" data-media-type=\"image\/jpg\" \/> A PET scan is helpful for showing activity in different parts of the brain. (credit: Health and Human Services Department, National Institutes of Health)[\/caption]\r\n\r\n<\/div>\r\n<\/div>\r\n<div id=\"fs-id1364899\" class=\"bc-section section\" data-depth=\"2\">\r\n<h2 data-type=\"title\">Techniques Involving Magnetic Fields<\/h2>\r\n<p id=\"fs-id1358546\">In <span data-type=\"term\">magnetic resonance imaging (MRI)<\/span>, a person is placed inside a machine that generates a strong magnetic field. The magnetic field causes the hydrogen atoms in the body\u2019s cells to move. When the magnetic field is turned off, the hydrogen atoms emit electromagnetic signals as they return to their original positions. Tissues of different densities give off different signals, which a computer interprets and displays on a monitor. <span data-type=\"term\">Functional magnetic resonance imaging (fMRI)<\/span> operates on the same principles, but it shows changes in brain activity over time by tracking blood flow and oxygen levels. The fMRI provides more detailed images of the brain\u2019s structure, as well as better accuracy in time, than is possible in PET scans. With their high level of detail, MRI and fMRI are often used to compare the brains of healthy individuals to the brains of individuals diagnosed with psychological disorders. This comparison helps determine what structural and functional differences exist between these populations.<\/p>\r\n\r\n<div id=\"CNX_Psych_03_04_fMRI\" class=\"bc-figure figure\">\r\n\r\n[caption id=\"\" align=\"aligncenter\" width=\"244\"]<img src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2293\/2017\/08\/01155653\/CNX_Psych_03_04_fMRI.jpg\" alt=\"A brain scan shows brain tissue in gray with some small areas highlighted red.\" width=\"244\" height=\"262\" data-media-type=\"iamge\/jpg\" \/> An fMRI shows activity in the brain over time. This image represents a single frame from an fMRI. (credit: modification of work by Kim J, Matthews NL, Park S.)[\/caption]\r\n\r\n<\/div>\r\n<div id=\"fs-id1316664\" class=\"note psychology link-to-learning\" data-type=\"note\" data-has-label=\"true\" data-label=\"Link to Learning\">\r\n<div class=\"textbox\">Visit this <a href=\"http:\/\/openstaxcollege.org\/l\/mri\">virtual lab<\/a> to learn more about MRI and fMRI: <a href=\"https:\/\/web.csulb.edu\/~cwallis\/482\/fmri\/fmri.html\"><span style=\"text-align: initial;background-color: initial;font-size: 0.9em\">FMRI Functional Magnetic Resonance Imaging Lab<\/span><\/a>.<\/div>\r\n<\/div>\r\n<\/div>\r\n<div id=\"fs-id1392432\" class=\"bc-section section\" data-depth=\"2\">\r\n<h2 data-type=\"title\">Techniques Involving Electrical Activity<\/h2>\r\nIn some situations, it is helpful to gain an understanding of the overall activity of a person\u2019s brain, without needing information on the actual location of the activity. <span data-type=\"term\">Electroencephalography (EEG)<\/span> serves this purpose by providing a measure of a brain\u2019s electrical activity. An array of electrodes is placed around a person\u2019s head. The signals received by the electrodes result in a printout of the electrical activity of his or her brain, or brainwaves, showing both the frequency (number of waves per second) and amplitude (height) of the recorded brainwaves, with an accuracy within milliseconds. Such information is especially helpful to researchers studying sleep patterns among individuals with sleep disorders.\r\n<div id=\"CNX_Psych_03_04_EEG\" class=\"bc-figure figure\">\r\n\r\n[caption id=\"\" align=\"aligncenter\" width=\"488\"]<img src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2293\/2017\/08\/01155656\/CNX_Psych_03_04_EEG.jpg\" alt=\"A photograph depicts a person looking at a computer screen and using the keyboard and mouse. The person wears a white cap covered in electrodes and wires.\" width=\"488\" height=\"308\" data-media-type=\"image\/jpg\" \/> Using caps with electrodes, modern EEG research can study the precise timing of overall brain activities. (credit: SMI Eye Tracking)[\/caption]\r\n\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<div class=\"summary\" data-depth=\"1\">\r\n<h1 data-type=\"title\">Summary<\/h1>\r\nThe brain consists of two hemispheres, each controlling the opposite side of the body. Each hemisphere can be subdivided into different lobes: frontal, parietal, temporal, and occipital. In addition to the lobes of the cerebral cortex, the forebrain includes the thalamus (sensory relay) and limbic system (emotion and memory circuit). The midbrain contains the reticular formation, which is important for sleep and arousal, as well as the substantia nigra and ventral tegmental area. These structures are important for movement, reward, and addictive processes. The hindbrain contains the structures of the brainstem (medulla, pons, and midbrain), which control automatic functions like breathing and blood pressure. The hindbrain also contains the cerebellum, which helps coordinate movement and certain types of memories.\r\n<p id=\"fs-id1453549\">Individuals with brain damage have been studied extensively to provide information about the role of different areas of the brain, and recent advances in technology allow us to glean similar information by imaging brain structure and function. These techniques include CT, PET, MRI, fMRI, and EEG.<\/p>\r\n\r\n<\/div>\r\n<div id=\"fs-id1341394\" class=\"review-questions\" data-depth=\"1\">\r\n<h1 data-type=\"title\">Review Questions<\/h1>\r\n<div class=\"textbox shaded\">[h5p id=\"544\"]<\/div>\r\n&nbsp;\r\n\r\n<\/div>\r\n<div id=\"fs-id1228536\" class=\"critical-thinking\" data-depth=\"1\">\r\n<h1 data-type=\"title\">Critical Thinking Questions<\/h1>\r\n<div id=\"fs-id1226073\" class=\"exercise\" data-type=\"exercise\">\r\n<div id=\"fs-id1327755\" class=\"problem\" data-type=\"problem\"><\/div>\r\n<\/div>\r\n<\/div>\r\n<div id=\"fs-id1368292\" class=\"personal-application\" data-depth=\"1\">\r\n<div class=\"textbox shaded\"><details><summary><span style=\"font-size: 14pt\">\u00a0 \u00a0 Before the advent of modern imaging techniques, scientists and clinicians relied on autopsies of people who suffered brain injury with resultant change in behavior to determine how different areas of the brain were affected. What are some of the limitations associated with this kind of approach?<\/span><\/summary>The same limitations associated with any case study would apply here. In addition, it is possible that the damage caused changes in other areas of the brain, which might contribute to the behavioral deficits. Such changes would not necessarily be obvious to someone performing an autopsy, as they may be functional in nature, rather than structural.\r\n\r\n<\/details>&nbsp;\r\n\r\n<details><summary><span style=\"font-size: 14pt\">\u00a0 \u00a0 Which of the techniques discussed would be viable options for you to determine how activity in the reticular formation is related to sleep and wakefulness? Why?<\/span><\/summary>The most viable techniques are fMRI and PET because of their ability to provide information about brain activity and structure simultaneously.\r\n\r\n<\/details>\r\n<\/div>\r\n&nbsp;\r\n<h1 data-type=\"title\">Personal Application Questions<\/h1>\r\n<div id=\"fs-id1473415\" class=\"exercise\" data-type=\"exercise\">\r\n<div id=\"fs-id1574052\" class=\"problem\" data-type=\"problem\">\r\n<p id=\"fs-id1455107\">You read about H. M.\u2019s memory deficits following the bilateral removal of his hippocampus and amygdala. Have you encountered a character in a book, television program, or movie that suffered memory deficits? How was that character similar to and different from H. M.?<\/p>\r\n\r\n<h1>Glossary<\/h1>\r\n[h5p id=\"545\"]\r\n\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<h3>Media Attributions<\/h3>\r\n<ul>\r\n \t<li>\"<span style=\"font-size: 14pt\"><a href=\"https:\/\/www.youtube.com\/watch?v=ipD_G7U2FcM\">Clive Wearing Living Without Memory.<\/a>\" by <a href=\"https:\/\/www.youtube.com\/channel\/UCOgHDx8C45rbDi-5djvwFUQ\">Mike Forte<\/a>. Standard YouTube License.<\/span><\/li>\r\n<\/ul>","rendered":"<div class=\"textbox textbox--learning-objectives\">\n<header class=\"textbox__header\">\n<p class=\"textbox__title\">Learning Objectives<\/p>\n<\/header>\n<div class=\"textbox__content\">\n<p>By the end of this section, you will be able to:<\/p>\n<ul>\n<li>Explain the functions of the spinal cord<\/li>\n<li>Identify the hemispheres and lobes of the brain<\/li>\n<li>Describe the types of techniques available to clinicians and researchers to image or scan the brain<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<p id=\"fs-id1588487\">The brain is a remarkably complex organ comprised of billions of interconnected neurons and glia. It is a bilateral, or two-sided, structure that can be separated into distinct lobes. Each lobe is associated with certain types of functions, but, ultimately, all of the areas of the brain interact with one another to provide the foundation for our thoughts and behaviors. In this section, we discuss the overall organization of the brain and the functions associated with different brain areas, beginning with what can be seen as an extension of the brain, the spinal cord.<\/p>\n<div id=\"fs-id1454246\" class=\"bc-section section\" data-depth=\"1\">\n<h1 data-type=\"title\">The Spinal Cord<\/h1>\n<p id=\"fs-id1405061\">It can be said that the <span class=\"no-emphasis\" data-type=\"term\">spinal cord<\/span> is what connects the brain to the outside world. Because of it, the brain can act. The spinal cord is like a relay station, but a very smart one. It not only routes messages to and from the brain, but it also has its own system of automatic processes, called reflexes.<\/p>\n<p id=\"fs-id1484263\">The top of the spinal cord merges with the brain stem, where the basic processes of life are controlled, such as breathing and digestion. In the opposite direction, the spinal cord ends just below the ribs\u2014contrary to what we might expect, it does not extend all the way to the base of the spine.<\/p>\n<p id=\"fs-id1393511\">The spinal cord is functionally organized in 30 segments, corresponding with the vertebrae. Each segment is connected to a specific part of the body through the peripheral nervous system. Nerves branch out from the spine at each vertebra. Sensory nerves bring messages in; motor nerves send messages out to the muscles and organs. Messages travel to and from the brain through every segment.<\/p>\n<p id=\"fs-id1513147\">Some sensory messages are immediately acted on by the spinal cord, without any input from the brain. Withdrawal from heat and knee jerk are two examples. When a sensory message meets certain parameters, the spinal cord initiates an automatic reflex. The signal passes from the sensory nerve to a simple processing center, which initiates a motor command. Seconds are saved, because messages don\u2019t have to go the brain, be processed, and get sent back. In matters of survival, the spinal reflexes allow the body to react extraordinarily fast.<\/p>\n<p id=\"fs-id1729336\">The spinal cord is protected by bony vertebrae and cushioned in cerebrospinal fluid, but injuries still occur. When the spinal cord is damaged in a particular segment, all lower segments are cut off from the brain, causing paralysis. Therefore, the lower on the spine damage is, the fewer functions an injured individual loses.<\/p>\n<\/div>\n<div id=\"fs-id1246653\" class=\"bc-section section\" data-depth=\"1\">\n<h1 data-type=\"title\">The Two Hemispheres<\/h1>\n<p id=\"fs-id1577830\">The surface of the brain, known as the <span data-type=\"term\">cerebral cortex<\/span>, is very uneven, characterized by a distinctive pattern of folds or bumps, known as <span data-type=\"term\">gyri<\/span> (singular: gyrus), and grooves, known as <span data-type=\"term\">sulci<\/span> (singular: sulcus), shown in. These gyri and sulci form important landmarks that allow us to separate the brain into functional centers. The most prominent sulcus, known as the <span data-type=\"term\">longitudinal fissure<\/span>, is the deep groove that separates the brain into two halves or <span data-type=\"term\">hemispheres<\/span>: the left hemisphere and the right hemisphere.<\/p>\n<div id=\"CNX_Psych_03_04_Cortex\" class=\"bc-figure figure\">\n<figure style=\"width: 487px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2293\/2017\/08\/01155612\/CNX_Psych_03_04_Cortexn.jpg\" alt=\"An illustration of the brain\u2019s exterior surface shows the ridges and depressions, and the deep fissure that runs through the center.\" width=\"487\" height=\"332\" data-media-type=\"image\/jpg\" \/><figcaption class=\"wp-caption-text\">The surface of the brain is covered with gyri and sulci. A deep sulcus is called a fissure, such as the longitudinal fissure that divides the brain into left and right hemispheres. (credit: modification of work by Bruce Blaus)<\/figcaption><\/figure>\n<\/div>\n<p>There is evidence of some specialization of function\u2014referred to as <span data-type=\"term\">lateralization<\/span>\u2014in each hemisphere, mainly regarding differences in language ability. Beyond that, however, the differences that have been found have been minor. What we do know is that the left hemisphere controls the right half of the body, and the right hemisphere controls the left half of the body.<\/p>\n<p id=\"fs-id1291863\">The two hemispheres are connected by a thick band of neural fibers known as the <span data-type=\"term\">corpus callosum<\/span>, consisting of about 200 million axons. The corpus callosum allows the two hemispheres to communicate with each other and allows for information being processed on one side of the brain to be shared with the other side.<\/p>\n<p id=\"fs-id1410562\">Normally, we are not aware of the different roles that our two hemispheres play in day-to-day functions, but there are people who come to know the capabilities and functions of their two hemispheres quite well. In some cases of severe epilepsy, doctors elect to sever the corpus callosum as a means of controlling the spread of seizures. While this is an effective treatment option, it results in individuals who have split brains. After surgery, these split-brain patients show a variety of interesting behaviors. For instance, a split-brain patient is unable to name a picture that is shown in the patient\u2019s left visual field because the information is only available in the largely nonverbal right hemisphere. However, they are able to recreate the picture with their left hand, which is also controlled by the right hemisphere. When the more verbal left hemisphere sees the picture that the hand drew, the patient is able to name it (assuming the left hemisphere can interpret what was drawn by the left hand).<\/p>\n<div id=\"CNX_Psych_03_04_CorpusCall\" class=\"bc-figure figure\">\n<figure style=\"width: 975px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2293\/2017\/08\/01155616\/CNX_Psych_03_04_CorpusCall.jpg\" alt=\"Illustrations (a) and (b) show the corpus callosum\u2019s location in the brain in front and side views. Photograph (c) shows the corpus callosum in a dissected brain.\" width=\"975\" height=\"259\" data-media-type=\"image\/jpg\" \/><figcaption class=\"wp-caption-text\">(a, b) The corpus callosum connects the left and right hemispheres of the brain. (c) A scientist spreads this dissected sheep brain apart to show the corpus callosum between the hemispheres. (credit c: modification of work by Aaron Bornstein)<\/figcaption><\/figure>\n<\/div>\n<p id=\"fs-id1484594\">Much of what we know about the functions of different areas of the brain comes from studying changes in the behavior and ability of individuals who have suffered damage to the brain. For example, researchers study the behavioral changes caused by strokes to learn about the functions of specific brain areas. A stroke, caused by an interruption of blood flow to a region in the brain, causes a loss of brain function in the affected region. The damage can be in a small area, and, if it is, this gives researchers the opportunity to link any resulting behavioral changes to a specific area. The types of deficits displayed after a stroke will be largely dependent on where in the brain the damage occurred.<\/p>\n<p id=\"fs-id1445858\">Consider Theona, an intelligent, self-sufficient woman, who is 62 years old. Recently, she suffered a stroke in the front portion of her right hemisphere. As a result, she has great difficulty moving her left leg. (As you learned earlier, the right hemisphere controls the left side of the body; also, the brain\u2019s main motor centers are located at the front of the head, in the frontal lobe.) Theona has also experienced behavioral changes. For example, while in the produce section of the grocery store, she sometimes eats grapes, strawberries, and apples directly from their bins before paying for them. This behavior\u2014which would have been very embarrassing to her before the stroke\u2014is consistent with damage in another region in the frontal lobe\u2014the prefrontal cortex, which is associated with judgment, reasoning, and impulse control.<\/p>\n<\/div>\n<div id=\"fs-id1358006\" class=\"bc-section section\" data-depth=\"1\">\n<h1 data-type=\"title\">Forebrain Structures<\/h1>\n<p>The two hemispheres of the cerebral cortex are part of the <span data-type=\"term\">forebrain<\/span>, which is the largest part of the brain. The forebrain contains the cerebral cortex and a number of other structures that lie beneath the cortex (called subcortical structures): thalamus, hypothalamus, pituitary gland, and the limbic system (collection of structures). The cerebral cortex, which is the outer surface of the brain, is associated with higher level processes such as consciousness, thought, emotion, reasoning, language, and memory. Each cerebral hemisphere can be subdivided into four lobes, each associated with different functions.<\/p>\n<div id=\"CNX_Psych_03_04_FMHBrain\" class=\"bc-figure figure\">\n<figure style=\"width: 487px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2293\/2017\/08\/01155619\/CNX_Psych_03_04_FMHBrain.jpg\" alt=\"An illustration shows the position and size of the forebrain (the largest portion), midbrain (a small central portion), and hindbrain (a portion in the lower back part of the brain).\" width=\"487\" height=\"355\" data-media-type=\"image\/jpg\" \/><figcaption class=\"wp-caption-text\">The brain and its parts can be divided into three main categories: the forebrain, midbrain, and hindbrain.<\/figcaption><\/figure>\n<\/div>\n<div class=\"bc-section section\" data-depth=\"2\">\n<h2 data-type=\"title\">Lobes of the Brain<\/h2>\n<p>The four lobes of the brain are the frontal, parietal, temporal, and occipital lobes. The <span data-type=\"term\">frontal lobe<\/span> is located in the forward part of the brain, extending back to a fissure known as the central sulcus. The frontal lobe is involved in reasoning, motor control, emotion, and language. It contains the <span data-type=\"term\">motor cortex<\/span>, which is involved in planning and coordinating movement; the <span data-type=\"term\">prefrontal cortex<\/span>, which is responsible for higher-level cognitive functioning; and <span data-type=\"term\">Broca\u2019s area<\/span>, which is essential for language production.<\/p>\n<div id=\"CNX_Psych_03_04_Lobes\" class=\"bc-figure figure\">\n<figure style=\"width: 487px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2293\/2017\/08\/01155622\/CNX_Psych_03_04_Lobes.jpg\" alt=\"An illustration shows the four lobes of the brain.\" width=\"487\" height=\"355\" data-media-type=\"image\/jpg\" \/><figcaption class=\"wp-caption-text\">The lobes of the brain are shown.<\/figcaption><\/figure>\n<\/div>\n<p id=\"fs-id1301552\">People who suffer damage to Broca\u2019s area have great difficulty producing language of any form. For example, Padma was an electrical engineer who was socially active and a caring, involved mother. About twenty years ago, she was in a car accident and suffered damage to her Broca\u2019s area. She completely lost the ability to speak and form any kind of meaningful language. There is nothing wrong with her mouth or her vocal cords, but she is unable to produce words. She can follow directions but can\u2019t respond verbally, and she can read but no longer write. She can do routine tasks like running to the market to buy milk, but she could not communicate verbally if a situation called for it.<\/p>\n<p>Probably the most famous case of frontal lobe damage is that of a man by the name of Phineas <span class=\"no-emphasis\" data-type=\"term\">Gage<\/span>. On September 13, 1848, Gage (age 25) was working as a railroad foreman in Vermont. He and his crew were using an iron rod to tamp explosives down into a blasting hole to remove rock along the railway\u2019s path. Unfortunately, the iron rod created a spark and caused the rod to explode out of the blasting hole, into Gage\u2019s face, and through his skull. Although lying in a pool of his own blood with brain matter emerging from his head, Gage was conscious and able to get up, walk, and speak. But in the months following his accident, people noticed that his personality had changed. Many of his friends described him as no longer being himself. Before the accident, it was said that Gage was a well-mannered, soft-spoken man, but he began to behave in odd and inappropriate ways after the accident. Such changes in personality would be consistent with loss of impulse control\u2014a frontal lobe function.<\/p>\n<p id=\"eip-221\">Beyond the damage to the frontal lobe itself, subsequent investigations into the rod&#8217;s path also identified probable damage to pathways between the frontal lobe and other brain structures, including the limbic system. With connections between the planning functions of the frontal lobe and the emotional processes of the limbic system severed, Gage had difficulty controlling his emotional impulses.<\/p>\n<p id=\"eip-311\">However, there is some evidence suggesting that the dramatic changes in Gage\u2019s personality were exaggerated and embellished. Gage&#8217;s case occurred in the midst of a 19<sup>th<\/sup> century debate over localization\u2014regarding whether certain areas of the brain are associated with particular functions. On the basis of extremely limited information about Gage, the extent of his injury, and his life before and after the accident, scientists tended to find support for their own views, on whichever side of the debate they fell (Macmillan, 1999).<\/p>\n<div id=\"CNX_Psych_03_04_GageSkull\" class=\"bc-figure figure\">\n<figure style=\"width: 487px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2293\/2017\/08\/01155625\/CNX_Psych_03_04_GageSkull.jpg\" alt=\"Image (a) is a photograph of Phineas Gage holding a metal rod. Image (b) is an illustration of a skull with a metal rod passing through it from the cheek area to the top of the skull.\" width=\"487\" height=\"392\" data-media-type=\"image\/jpg\" \/><figcaption class=\"wp-caption-text\">(a) Phineas Gage holds the iron rod that penetrated his skull in an 1848 railroad construction accident. (b) Gage\u2019s prefrontal cortex was severely damaged in the left hemisphere. The rod entered Gage\u2019s face on the left side, passed behind his eye, and exited through the top of his skull, before landing about 80 feet away. (credit a: modification of work by Jack and Beverly Wilgus)<\/figcaption><\/figure>\n<\/div>\n<p id=\"fs-id1427701\">The brain\u2019s <span data-type=\"term\">parietal lobe<\/span> is located immediately behind the frontal lobe, and is involved in processing information from the body\u2019s senses. It contains the <span data-type=\"term\">somatosensory cortex<\/span>, which is essential for processing sensory information from across the body, such as touch, temperature, and pain. The somatosensory cortex is organized topographically, which means that spatial relationships that exist in the body are maintained on the surface of the somatosensory cortex. For example, the portion of the cortex that processes sensory information from the hand is adjacent to the portion that processes information from the wrist.<\/p>\n<div id=\"CNX_Psych_03_04_BrainOrg\" class=\"bc-figure figure\">\n<figure style=\"width: 649px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2293\/2017\/08\/01155628\/CNX_Psych_03_04_BrainOrg.jpg\" alt=\"A diagram shows the organization in the somatosensory cortex, with functions for these parts in this proximal sequential order: toes, ankles, knees, hips, trunk, shoulders, elbows, wrists, hands, fingers, thumbs, neck, eyebrows and eyelids, eyeballs, face, lips, jaw, tongue, salivation, chewing, and swallowing.\" width=\"649\" height=\"495\" data-media-type=\"image\/jpg\" \/><figcaption class=\"wp-caption-text\">Spatial relationships in the body are mirrored in the organization of the somatosensory cortex.<\/figcaption><\/figure>\n<\/div>\n<p id=\"fs-id1311528\">The <span data-type=\"term\">temporal lobe<\/span> is located on the side of the head (temporal means \u201cnear the temples\u201d), and is associated with hearing, memory, emotion, and some aspects of language. The <span data-type=\"term\">auditory cortex<\/span>, the main area responsible for processing auditory information, is located within the temporal lobe. <span data-type=\"term\">Wernicke\u2019s area<\/span>, important for speech comprehension, is also located here. Whereas individuals with damage to Broca\u2019s area have difficulty producing language, those with damage to Wernicke\u2019s area can produce sensible language, but they are unable to understand it.<\/p>\n<div id=\"CNX_Psych_03_04_Broca\" class=\"bc-figure figure\">\n<figure style=\"width: 487px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2293\/2017\/08\/01155631\/CNX_Psych_03_04_Broca.jpg\" alt=\"An illustration shows the locations of Broca\u2019s and Wernicke\u2019s areas.\" width=\"487\" height=\"301\" data-media-type=\"image\/jpg\" \/><figcaption class=\"wp-caption-text\">Damage to either Broca\u2019s area or Wernicke\u2019s area can result in language deficits. The types of deficits are very different, however, depending on which area is affected.<\/figcaption><\/figure>\n<\/div>\n<p id=\"fs-id1265338\">The <span data-type=\"term\">occipital lobe<\/span> is located at the very back of the brain, and contains the primary visual cortex, which is responsible for interpreting incoming visual information. The occipital cortex is organized retinotopically, which means there is a close relationship between the position of an object in a person\u2019s visual field and the position of that object\u2019s representation on the cortex. You will learn much more about how visual information is processed in the occipital lobe when you study sensation and perception.<\/p>\n<p>&nbsp;<\/p>\n<\/div>\n<div id=\"fs-id1256602\" class=\"bc-section section\" data-depth=\"2\">\n<h2 data-type=\"title\">Test Your Understanding<\/h2>\n<div class=\"textbox shaded\">\n<p>Drag the labels to the correct part of their corresponding part of the brain.<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"text-align: initial;font-size: 14pt\"><\/p>\n<div id=\"h5p-183\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-183\" class=\"h5p-iframe\" data-content-id=\"183\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Ch 3 Brain and Spinal Cord - Forebrain Questions\"><\/iframe><\/div>\n<\/div>\n<p><\/span><\/p>\n<\/div>\n<p>&nbsp;<\/p>\n<p><span style=\"font-family: Helvetica, Arial, 'GFS Neohellenic', sans-serif;font-size: 1em;font-weight: bold\">Other Areas of the Forebrain<\/span><\/p>\n<\/div>\n<div id=\"fs-id1256602\" class=\"bc-section section\" data-depth=\"2\">\n<p id=\"fs-id1384983\">Other areas of the <span class=\"no-emphasis\" data-type=\"term\">forebrain<\/span>, located beneath the cerebral cortex, include the thalamus and the limbic system. The <span data-type=\"term\">thalamus<\/span> is a sensory relay for the brain. All of our senses, with the exception of smell, are routed through the thalamus before being directed to other areas of the brain for processing.<\/p>\n<div id=\"CNX_Psych_03_04_Thalamus\" class=\"bc-figure figure\">\n<figure style=\"width: 487px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2293\/2017\/08\/01155634\/CNX_Psych_03_04_Thalamus.jpg\" alt=\"An illustration shows the location of the thalamus in the brain.\" width=\"487\" height=\"408\" data-media-type=\"imag\/jpg\" \/><figcaption class=\"wp-caption-text\">The thalamus serves as the relay center of the brain where most senses are routed for processing.<\/figcaption><\/figure>\n<\/div>\n<p id=\"fs-id1404734\">The <span data-type=\"term\">limbic system<\/span> is involved in processing both emotion and memory. Interestingly, the sense of smell projects directly to the limbic system; therefore, not surprisingly, smell can evoke emotional responses in ways that other sensory modalities cannot. The limbic system is made up of a number of different structures, but three of the most important are the hippocampus, the amygdala, and the hypothalamus. The <span data-type=\"term\">hippocampus<\/span> is an essential structure for learning and memory. The <span data-type=\"term\">amygdala<\/span> is involved in our experience of emotion and in tying emotional meaning to our memories. The <span data-type=\"term\">hypothalamus<\/span> regulates a number of homeostatic processes, including the regulation of body temperature, appetite, and blood pressure. The hypothalamus also serves as an interface between the nervous system and the endocrine system and in the regulation of sexual motivation and behavior.<\/p>\n<div id=\"CNX_Psych_03_04_Limbic\" class=\"bc-figure figure\">\n<figure style=\"width: 487px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2293\/2017\/08\/01155640\/CNX_Psych_03_04_Limbic.jpg\" alt=\"An illustration shows the locations of parts of the brain involved in the limbic system: the hypothalamus, amygdala, and hippocampus.\" width=\"487\" height=\"408\" data-media-type=\"image\/jpg\" \/><figcaption class=\"wp-caption-text\">The limbic system is involved in mediating emotional response and memory.<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<div id=\"fs-id1256602\" class=\"bc-section section\" data-depth=\"2\">\n<h2 data-type=\"title\">Test Your Understanding<\/h2>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"bc-section section\" data-depth=\"2\">\n<div class=\"textbox shaded\">\n<p>Drag the labels to the correct part of their corresponding part of the brain.<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"text-align: initial;font-size: 14pt\"><\/p>\n<div id=\"h5p-184\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-184\" class=\"h5p-iframe\" data-content-id=\"184\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Ch 3.4 The Brain and Spinal Cord Quiz\"><\/iframe><\/div>\n<\/div>\n<p><\/span><\/p>\n<\/div>\n<p>&nbsp;<\/p>\n<h2 data-type=\"title\">The Case of Henry Molaison (H.M.)<\/h2>\n<p id=\"fs-id1295408\">In 1953, Henry Gustav <span class=\"no-emphasis\" data-type=\"term\">Molaison<\/span> (H. M.) was a 27-year-old man who experienced severe seizures. In an attempt to control his seizures, H. M. underwent brain surgery to remove his hippocampus and amygdala. Following the surgery, H.M\u2019s seizures became much less severe, but he also suffered some unexpected\u2014and devastating\u2014consequences of the surgery: he lost his ability to form many types of new memories. For example, he was unable to learn new facts, such as who was president of the United States. He was able to learn new skills, but afterward he had no recollection of learning them. For example, while he might learn to use a computer, he would have no conscious memory of ever having used one. He could not remember new faces, and he was unable to remember events, even immediately after they occurred. Researchers were fascinated by his experience, and he is considered one of the most studied cases in medical and psychological history (Hardt, Einarsson, &amp; Nader, 2010; Squire, 2009). Indeed, his case has provided tremendous insight into the role that the hippocampus plays in the consolidation of new learning into explicit memory.<\/p>\n<div id=\"fs-id1510545\" class=\"note psychology link-to-learning\" data-type=\"note\" data-has-label=\"true\" data-label=\"Link to Learning\">\n<div class=\"textbox\">\n<p>Clive Wearing, an accomplished musician, lost the ability to form new memories when his hippocampus was damaged through illness. Check out the first few minutes of this documentary video for an introduction to this man and his condition: <a href=\"https:\/\/www.youtube.com\/watch?v=ipD_G7U2FcM\">Clive Wearing Living Without Memory.<\/a><\/p>\n<p><iframe loading=\"lazy\" id=\"oembed-1\" title=\"Clive Wearing Living Without Memory\" width=\"500\" height=\"375\" src=\"https:\/\/www.youtube.com\/embed\/ipD_G7U2FcM?feature=oembed&#38;rel=0\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"fs-id1442672\" class=\"bc-section section\" data-depth=\"1\">\n<h1 data-type=\"title\">Midbrain and Hindbrain Structures<\/h1>\n<p id=\"fs-id1241142\">The <span data-type=\"term\">midbrain<\/span> is comprised of structures located deep within the brain, between the forebrain and the hindbrain. The <span data-type=\"term\">reticular formation<\/span> is centered in the midbrain, but it actually extends up into the forebrain and down into the hindbrain. The reticular formation is important in regulating the sleep\/wake cycle, arousal, alertness, and motor activity.<\/p>\n<p>The <span data-type=\"term\">substantia nigra<\/span> (Latin for \u201cblack substance\u201d) and the <span data-type=\"term\">ventral tegmental area (VTA)<\/span> are also located in the midbrain. Both regions contain cell bodies that produce the neurotransmitter dopamine, and both are critical for movement. Degeneration of the substantia nigra and VTA is involved in Parkinson\u2019s disease. In addition, these structures are involved in mood, reward, and addiction (Berridge &amp; Robinson, 1998; Gardner, 2011; George, Le Moal, &amp; Koob, 2012).<\/p>\n<div id=\"CNX_Psych_03_04_Midbrain\" class=\"bc-figure figure\">\n<figure style=\"width: 487px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2293\/2017\/08\/01155643\/CNX_Psych_03_04_Midbrain.jpg\" alt=\"An illustration shows the location of the substantia negra and VTA in the brain.\" width=\"487\" height=\"408\" data-media-type=\"image\/jpg\" \/><figcaption class=\"wp-caption-text\">The substantia nigra and ventral tegmental area (VTA) are located in the midbrain.<\/figcaption><\/figure>\n<\/div>\n<p id=\"fs-id1349433\">The <span data-type=\"term\">hindbrain<\/span> is located at the back of the head and looks like an extension of the spinal cord. It contains the medulla, pons, and cerebellum. The <span data-type=\"term\">medulla<\/span> controls the automatic processes of the autonomic nervous system, such as breathing, blood pressure, and heart rate. The word pons literally means \u201cbridge,\u201d and as the name suggests, the <span data-type=\"term\">pons<\/span> serves to connect the brain and spinal cord. It also is involved in regulating brain activity during sleep. The medulla, pons, and midbrain together are known as the brainstem.<\/p>\n<div id=\"CNX_Psych_03_04_Hindbrain\" class=\"bc-figure figure\">\n<figure style=\"width: 487px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2293\/2017\/08\/01155647\/CNX_Psych_03_04_Hindbrain.jpg\" alt=\"An illustration shows the location of the pons, medulla, and cerebellum.\" width=\"487\" height=\"408\" data-media-type=\"image\/jpg\" \/><figcaption class=\"wp-caption-text\">The pons, medulla, and cerebellum make up the hindbrain.<\/figcaption><\/figure>\n<\/div>\n<p id=\"fs-id1404886\">The <span data-type=\"term\">cerebellum<\/span> (Latin for \u201clittle brain\u201d) receives messages from muscles, tendons, joints, and structures in our ear to control balance, coordination, movement, and motor skills. The cerebellum is also thought to be an important area for processing some types of memories. In particular, procedural memory, or memory involved in learning and remembering how to perform tasks, is thought to be associated with the cerebellum. Recall that H. M. was unable to form new explicit memories, but he could learn new tasks. This is likely due to the fact that H. M.\u2019s cerebellum remained intact.<\/p>\n<div class=\"note psychology what-do-you-think\" data-type=\"note\" data-has-label=\"true\" data-label=\"What Do You Think?\">\n<div class=\"title\" data-type=\"title\">Brain Dead and on Life Support<\/div>\n<p id=\"fs-id1566818\">What would you do if your spouse or loved one was declared brain dead but his or her body was being kept alive by medical equipment? Whose decision should it be to remove a feeding tube? Should medical care costs be a factor?<\/p>\n<p id=\"fs-id1313018\">On February 25, 1990, a Florida woman named Terri <span class=\"no-emphasis\" data-type=\"term\">Schiavo<\/span> went into cardiac arrest, apparently triggered by a bulimic episode. She was eventually revived, but her brain had been deprived of oxygen for a long time. Brain scans indicated that there was no activity in her cerebral cortex, and she suffered from severe and permanent cerebral atrophy. Basically, Schiavo was in a vegetative state. Medical professionals determined that she would never again be able to move, talk, or respond in any way. To remain alive, she required a feeding tube, and there was no chance that her situation would ever improve.<\/p>\n<p id=\"fs-id1523529\">On occasion, Schiavo\u2019s eyes would move, and sometimes she would groan. Despite the doctors\u2019 insistence to the contrary, her parents believed that these were signs that she was trying to communicate with them.<\/p>\n<p id=\"fs-id1362959\">After 12 years, Schiavo\u2019s husband argued that his wife would not have wanted to be kept alive with no feelings, sensations, or brain activity. Her parents, however, were very much against removing her feeding tube. Eventually, the case made its way to the courts, both in the state of Florida and at the federal level. By 2005, the courts found in favor of Schiavo\u2019s husband, and the feeding tube was removed on March 18, 2005. Schiavo died 13 days later.<\/p>\n<p id=\"fs-id1426585\">Why did Schiavo\u2019s eyes sometimes move, and why did she groan? Although the parts of her brain that control thought, voluntary movement, and feeling were completely damaged, her brainstem was still intact. Her medulla and pons maintained her breathing and caused involuntary movements of her eyes and the occasional groans. Over the 15-year period that she was on a feeding tube, Schiavo\u2019s medical costs may have topped $7 million (Arnst, 2003).<\/p>\n<p id=\"fs-id1293104\">These questions were brought to popular conscience 25 years ago in the case of Terri Schiavo, and they persist today. In 2013, a 13-year-old girl who suffered complications after tonsil surgery was declared brain dead. There was a battle between her family, who wanted her to remain on life support, and the hospital\u2019s policies regarding persons declared brain dead. In another complicated 2013\u201314 case in Texas, a pregnant EMT professional declared brain dead was kept alive for weeks, despite her spouse\u2019s directives, which were based on her wishes should this situation arise. In this case, state laws designed to protect an unborn fetus came into consideration until doctors determined the fetus unviable.<\/p>\n<p id=\"fs-id1221666\">Decisions surrounding the medical response to patients declared brain dead are complex. What do you think about these issues?<\/p>\n<\/div>\n<\/div>\n<div class=\"bc-section section\" data-depth=\"1\">\n<h1 data-type=\"title\">Test Your Understanding<\/h1>\n<div class=\"textbox shaded\">\n<p>Drag the labels to the correct part of their corresponding part of the brain.<\/p>\n<p>&nbsp;<\/p>\n<div id=\"h5p-185\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-185\" class=\"h5p-iframe\" data-content-id=\"185\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"The midbrain C3\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<h1 data-type=\"title\">Brain Imaging<\/h1>\n<p id=\"fs-id1372270\">You have learned how brain injury can provide information about the functions of different parts of the brain. Increasingly, however, we are able to obtain that information using <span class=\"no-emphasis\" data-type=\"term\">brain imaging<\/span> techniques on individuals who have not suffered brain injury. In this section, we take a more in-depth look at some of the techniques that are available for imaging the brain, including techniques that rely on radiation, magnetic fields, or electrical activity within the brain.<\/p>\n<div id=\"fs-id1382674\" class=\"bc-section section\" data-depth=\"2\">\n<h2 data-type=\"title\">Techniques Involving Radiation<\/h2>\n<p id=\"fs-id1318246\">A <span data-type=\"term\">computerized tomography (CT) scan<\/span> involves taking a number of x-rays of a particular section of a person\u2019s body or brain. The x-rays pass through tissues of different densities at different rates, allowing a computer to construct an overall image of the area of the body being scanned. A CT scan is often used to determine whether someone has a tumor, or significant brain atrophy.<\/p>\n<div id=\"CNX_Psych_03_04_CT\" class=\"bc-figure figure\">\n<figure style=\"width: 488px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/pressbooks.bccampus.ca\/knowinghome\/wp-content\/uploads\/sites\/1061\/2019\/08\/CNX_Psych_03_04_CT.jpg\" alt=\"Image (a) shows a brain scan where the brain matter\u2019s appearance is fairly uniform. Image (b) shows a section of the brain that looks different from the surrounding tissue and is labeled \u201ctumor.\u201d\" width=\"488\" height=\"275\" data-media-type=\"image\/jpg\" \/><figcaption class=\"wp-caption-text\">A CT scan can be used to show brain tumors. (a) The image on the left shows a healthy brain, whereas (b) the image on the right indicates a brain tumor in the left frontal lobe. (credit a: modification of work by &#8220;Aceofhearts1968&#8243;\/Wikimedia Commons; credit b: modification of work by Roland Schmitt et al)<\/figcaption><\/figure>\n<\/div>\n<p><span data-type=\"term\">Positron emission tomography (PET)<\/span> scans create pictures of the living, active brain. An individual receiving a PET scan drinks or is injected with a mildly radioactive substance, called a tracer. Once in the bloodstream, the amount of tracer in any given region of the brain can be monitored. As brain areas become more active, more blood flows to that area. A computer monitors the movement of the tracer and creates a rough map of active and inactive areas of the brain during a given behavior. PET scans show little detail, are unable to pinpoint events precisely in time, and require that the brain be exposed to radiation; therefore, this technique has been replaced by the fMRI as an alternative diagnostic tool. However, combined with CT, PET technology is still being used in certain contexts. For example, CT\/PET scans allow better imaging of the activity of neurotransmitter receptors and open new avenues in schizophrenia research. In this hybrid CT\/PET technology, CT contributes clear images of brain structures, while PET shows the brain\u2019s activity.<\/p>\n<div id=\"CNX_Psych_03_04_PET\" class=\"bc-figure figure\">\n<figure style=\"width: 244px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2293\/2017\/08\/01155651\/CNX_Psych_03_04_PET.jpg\" alt=\"A brain scan shows different parts of the brain in different colors.\" width=\"244\" height=\"311\" data-media-type=\"image\/jpg\" \/><figcaption class=\"wp-caption-text\">A PET scan is helpful for showing activity in different parts of the brain. (credit: Health and Human Services Department, National Institutes of Health)<\/figcaption><\/figure>\n<\/div>\n<\/div>\n<div id=\"fs-id1364899\" class=\"bc-section section\" data-depth=\"2\">\n<h2 data-type=\"title\">Techniques Involving Magnetic Fields<\/h2>\n<p id=\"fs-id1358546\">In <span data-type=\"term\">magnetic resonance imaging (MRI)<\/span>, a person is placed inside a machine that generates a strong magnetic field. The magnetic field causes the hydrogen atoms in the body\u2019s cells to move. When the magnetic field is turned off, the hydrogen atoms emit electromagnetic signals as they return to their original positions. Tissues of different densities give off different signals, which a computer interprets and displays on a monitor. <span data-type=\"term\">Functional magnetic resonance imaging (fMRI)<\/span> operates on the same principles, but it shows changes in brain activity over time by tracking blood flow and oxygen levels. The fMRI provides more detailed images of the brain\u2019s structure, as well as better accuracy in time, than is possible in PET scans. With their high level of detail, MRI and fMRI are often used to compare the brains of healthy individuals to the brains of individuals diagnosed with psychological disorders. This comparison helps determine what structural and functional differences exist between these populations.<\/p>\n<div id=\"CNX_Psych_03_04_fMRI\" class=\"bc-figure figure\">\n<figure style=\"width: 244px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2293\/2017\/08\/01155653\/CNX_Psych_03_04_fMRI.jpg\" alt=\"A brain scan shows brain tissue in gray with some small areas highlighted red.\" width=\"244\" height=\"262\" data-media-type=\"iamge\/jpg\" \/><figcaption class=\"wp-caption-text\">An fMRI shows activity in the brain over time. This image represents a single frame from an fMRI. (credit: modification of work by Kim J, Matthews NL, Park S.)<\/figcaption><\/figure>\n<\/div>\n<div id=\"fs-id1316664\" class=\"note psychology link-to-learning\" data-type=\"note\" data-has-label=\"true\" data-label=\"Link to Learning\">\n<div class=\"textbox\">Visit this <a href=\"http:\/\/openstaxcollege.org\/l\/mri\">virtual lab<\/a> to learn more about MRI and fMRI: <a href=\"https:\/\/web.csulb.edu\/~cwallis\/482\/fmri\/fmri.html\"><span style=\"text-align: initial;background-color: initial;font-size: 0.9em\">FMRI Functional Magnetic Resonance Imaging Lab<\/span><\/a>.<\/div>\n<\/div>\n<\/div>\n<div id=\"fs-id1392432\" class=\"bc-section section\" data-depth=\"2\">\n<h2 data-type=\"title\">Techniques Involving Electrical Activity<\/h2>\n<p>In some situations, it is helpful to gain an understanding of the overall activity of a person\u2019s brain, without needing information on the actual location of the activity. <span data-type=\"term\">Electroencephalography (EEG)<\/span> serves this purpose by providing a measure of a brain\u2019s electrical activity. An array of electrodes is placed around a person\u2019s head. The signals received by the electrodes result in a printout of the electrical activity of his or her brain, or brainwaves, showing both the frequency (number of waves per second) and amplitude (height) of the recorded brainwaves, with an accuracy within milliseconds. Such information is especially helpful to researchers studying sleep patterns among individuals with sleep disorders.<\/p>\n<div id=\"CNX_Psych_03_04_EEG\" class=\"bc-figure figure\">\n<figure style=\"width: 488px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2293\/2017\/08\/01155656\/CNX_Psych_03_04_EEG.jpg\" alt=\"A photograph depicts a person looking at a computer screen and using the keyboard and mouse. The person wears a white cap covered in electrodes and wires.\" width=\"488\" height=\"308\" data-media-type=\"image\/jpg\" \/><figcaption class=\"wp-caption-text\">Using caps with electrodes, modern EEG research can study the precise timing of overall brain activities. (credit: SMI Eye Tracking)<\/figcaption><\/figure>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"summary\" data-depth=\"1\">\n<h1 data-type=\"title\">Summary<\/h1>\n<p>The brain consists of two hemispheres, each controlling the opposite side of the body. Each hemisphere can be subdivided into different lobes: frontal, parietal, temporal, and occipital. In addition to the lobes of the cerebral cortex, the forebrain includes the thalamus (sensory relay) and limbic system (emotion and memory circuit). The midbrain contains the reticular formation, which is important for sleep and arousal, as well as the substantia nigra and ventral tegmental area. These structures are important for movement, reward, and addictive processes. The hindbrain contains the structures of the brainstem (medulla, pons, and midbrain), which control automatic functions like breathing and blood pressure. The hindbrain also contains the cerebellum, which helps coordinate movement and certain types of memories.<\/p>\n<p id=\"fs-id1453549\">Individuals with brain damage have been studied extensively to provide information about the role of different areas of the brain, and recent advances in technology allow us to glean similar information by imaging brain structure and function. These techniques include CT, PET, MRI, fMRI, and EEG.<\/p>\n<\/div>\n<div id=\"fs-id1341394\" class=\"review-questions\" data-depth=\"1\">\n<h1 data-type=\"title\">Review Questions<\/h1>\n<div class=\"textbox shaded\">\n<div id=\"h5p-544\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-544\" class=\"h5p-iframe\" data-content-id=\"544\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Ch.3 The Brain and Spinal Cord (OS Questions)\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<\/div>\n<div id=\"fs-id1228536\" class=\"critical-thinking\" data-depth=\"1\">\n<h1 data-type=\"title\">Critical Thinking Questions<\/h1>\n<div id=\"fs-id1226073\" class=\"exercise\" data-type=\"exercise\">\n<div id=\"fs-id1327755\" class=\"problem\" data-type=\"problem\"><\/div>\n<\/div>\n<\/div>\n<div id=\"fs-id1368292\" class=\"personal-application\" data-depth=\"1\">\n<div class=\"textbox shaded\">\n<details>\n<summary><span style=\"font-size: 14pt\">\u00a0 \u00a0 Before the advent of modern imaging techniques, scientists and clinicians relied on autopsies of people who suffered brain injury with resultant change in behavior to determine how different areas of the brain were affected. What are some of the limitations associated with this kind of approach?<\/span><\/summary>\n<p>The same limitations associated with any case study would apply here. In addition, it is possible that the damage caused changes in other areas of the brain, which might contribute to the behavioral deficits. Such changes would not necessarily be obvious to someone performing an autopsy, as they may be functional in nature, rather than structural.<\/p>\n<\/details>\n<p>&nbsp;<\/p>\n<details>\n<summary><span style=\"font-size: 14pt\">\u00a0 \u00a0 Which of the techniques discussed would be viable options for you to determine how activity in the reticular formation is related to sleep and wakefulness? Why?<\/span><\/summary>\n<p>The most viable techniques are fMRI and PET because of their ability to provide information about brain activity and structure simultaneously.<\/p>\n<\/details>\n<\/div>\n<p>&nbsp;<\/p>\n<h1 data-type=\"title\">Personal Application Questions<\/h1>\n<div id=\"fs-id1473415\" class=\"exercise\" data-type=\"exercise\">\n<div id=\"fs-id1574052\" class=\"problem\" data-type=\"problem\">\n<p id=\"fs-id1455107\">You read about H. M.\u2019s memory deficits following the bilateral removal of his hippocampus and amygdala. Have you encountered a character in a book, television program, or movie that suffered memory deficits? How was that character similar to and different from H. M.?<\/p>\n<h1>Glossary<\/h1>\n<div id=\"h5p-545\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-545\" class=\"h5p-iframe\" data-content-id=\"545\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Ch.3 The Brain and Spinal Cord (OS Glossary)\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<h3>Media Attributions<\/h3>\n<ul>\n<li>&#8220;<span style=\"font-size: 14pt\"><a href=\"https:\/\/www.youtube.com\/watch?v=ipD_G7U2FcM\">Clive Wearing Living Without Memory.<\/a>&#8221; by <a href=\"https:\/\/www.youtube.com\/channel\/UCOgHDx8C45rbDi-5djvwFUQ\">Mike Forte<\/a>. Standard YouTube License.<\/span><\/li>\n<\/ul>\n","protected":false},"author":103,"menu_order":4,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":""},"chapter-type":[],"contributor":[],"license":[],"class_list":["post-48","chapter","type-chapter","status-publish","hentry"],"part":38,"_links":{"self":[{"href":"https:\/\/pressbooks.bccampus.ca\/psychologyh5p\/wp-json\/pressbooks\/v2\/chapters\/48","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pressbooks.bccampus.ca\/psychologyh5p\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/pressbooks.bccampus.ca\/psychologyh5p\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/psychologyh5p\/wp-json\/wp\/v2\/users\/103"}],"version-history":[{"count":12,"href":"https:\/\/pressbooks.bccampus.ca\/psychologyh5p\/wp-json\/pressbooks\/v2\/chapters\/48\/revisions"}],"predecessor-version":[{"id":1120,"href":"https:\/\/pressbooks.bccampus.ca\/psychologyh5p\/wp-json\/pressbooks\/v2\/chapters\/48\/revisions\/1120"}],"part":[{"href":"https:\/\/pressbooks.bccampus.ca\/psychologyh5p\/wp-json\/pressbooks\/v2\/parts\/38"}],"metadata":[{"href":"https:\/\/pressbooks.bccampus.ca\/psychologyh5p\/wp-json\/pressbooks\/v2\/chapters\/48\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/pressbooks.bccampus.ca\/psychologyh5p\/wp-json\/wp\/v2\/media?parent=48"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/psychologyh5p\/wp-json\/pressbooks\/v2\/chapter-type?post=48"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/psychologyh5p\/wp-json\/wp\/v2\/contributor?post=48"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/psychologyh5p\/wp-json\/wp\/v2\/license?post=48"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}