Latest / Understanding the Brain / Where vs. What: The Parietal Lobe and the Temporal Lobe Are Not Interchangeable Real Estate
Transcript
- 0:01Speaker 1: We're going to be looking at the difference between parietal
- 0:03Speaker 1: lobes and temporal lobes. The brain is not a set
- 0:08Speaker 1: of personality rooms. It is a set of processing territories
- 0:12Speaker 1: that fail in characteristic ways when they're damaged. Two of
- 0:15Speaker 1: the most commonly mixed up territories sit right next to
- 0:17Speaker 1: each other along the sylveon fissure, the parietal lobe and
- 0:21Speaker 1: the temporal lobe. They share blood supply, white matter, and
- 0:24Speaker 1: a long history of being flattened into the thinking part
- 0:28Speaker 1: in the back. However, they do different jobs. Let's start
- 0:31Speaker 1: with the location. The parietal lobe sits behind the central
- 0:35Speaker 1: sulcus and above the temporal lobe. Its anterior strip, the
- 0:40Speaker 1: postcentral gyrus, is primary somatosensory cortex. Touch, pain, temperature, and
- 0:46Speaker 1: proprioception arrive here in a body map. Behind that map,
- 0:50Speaker 1: association cortex builds a model of where the body is
- 0:53Speaker 1: in space and where objects relative to the body exist.
- 0:56Speaker 1: That is why parietal damage produces problems that look spatial
- 1:00Speaker 1: even when vision is intact. A patient may feel a
- 1:03Speaker 1: limb and still not use it. They may eat only
- 1:06Speaker 1: from the right side of the plate. They may be
- 1:08Speaker 1: unable to reach accurately, address the left arm, or copy
- 1:14Speaker 1: a simple drawing. Classic left hemisphere parietal injury can also
- 1:20Speaker 1: disrupt calculation, writing, finger naming. left-right orientation, what they call
- 1:25Speaker 1: a Gerstmann's cluster, because those skills lean on spatial and
- 1:30Speaker 1: symbolic map, not on intelligence. The temporal lobe hangs below
- 1:34Speaker 1: the Sylvian fissure, like a thumb off the side of
- 1:38Speaker 1: the hemisphere. Its superior surface is auditory cortex. Speaks sounds
- 1:43Speaker 1: are decoded here before they become language. In the language-dominant hemisphere,
- 1:48Speaker 1: the posterior superior temporal region is the neighborhood of Wernicke's area.
- 1:54Speaker 1: A fluent speech that no longer carries meaning or comprehension
- 1:58Speaker 1: that collapses while articulation stays smooth. Move medially and you're
- 2:05Speaker 1: in memory country, hippocampus and surrounding cortex. Move ventrally towards
- 2:10Speaker 1: the back and you're in, or the top, you're in
- 2:12Speaker 1: with the stream. The what stream? Object recognition, face recognition,
- 2:19Speaker 1: semantic knowledge. The amygdala sits at the anterior pineal tip
- 2:23Speaker 1: and tags experience with threat and salience. Temporal damage therefore
- 2:27Speaker 1: looks like lost names, lost tunes, lost episodes, lost faces,
- 2:31Speaker 1: or a world that is heard but not understood. It
- 2:34Speaker 1: does not usually look like neglect of half a space.
- 2:38Speaker 1: So a clean contrast is the two visual streams. After
- 2:41Speaker 1: early visual cortex, the dorsal stream runs up into parietal
- 2:44Speaker 1: cortex and answers where and how. Location, motion, grasping. The
- 2:50Speaker 1: ventral stream runs down into the temporal cortex and answers
- 2:55Speaker 1: the what. Identity, category, and meaning. You can lose the
- 3:01Speaker 1: ability to recognize a cup and still reach for it.
- 3:05Speaker 1: You can recognize the cup and miss it with your hand.
- 3:09Speaker 1: Those are not the same lesions. The lobes talk constantly.
- 3:17Speaker 1: Language is not in Wernicke's area any more than space
- 3:20Speaker 1: is in one gyrus. Reading pulls occipital form, temporal meaning,
- 3:24Speaker 1: and parietal spatial attention into one act. A seizure that
- 3:28Speaker 1: starts at the temporal lobe can smell burning toast and
- 3:30Speaker 1: then empty memory. A stroke in the right parietal lobe
- 3:35Speaker 1: can leave a person who insists nothing is wrong while
- 3:37Speaker 1: half the world has gone missing. That is anosogosnia, not stubbornness.
- 3:44Speaker 1: If you write or teach about the brain, keep the
- 3:46Speaker 1: verbs attached to the lobes. Parietal, locate, attend, reach, feel
- 3:50Speaker 1: the body as a map. Temporals, hearing, name, remember, recognize,
- 3:54Speaker 1: assign meaning. That's it for now.