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They develop in the cerebellar primordium that covers the fourth ventricle and below a fissure-like region called the isthmus of the developing brain. Purkinje cells migrate toward the outer surface of the cerebellar cortex and form the Purkinje cell layer. Purkinje cells are born during the earliest stages of cerebellar neurogenesis.
Neurological symptoms may include, among others, dysarthria, truncal, limb and gait ataxia and nystagmus. [1] Symptoms often develop subacutely and progress rapidly over a period of weeks or months to a plateau period that can last for months to years and which often reflects complete loss of Purkinje cells.
The Purkinje fibers are further specialized to rapidly conduct impulses (having numerous fast voltage-gated sodium channels and mitochondria, and fewer myofibrils, than the surrounding muscle tissue). Purkinje fibers take up stain differently from the surrounding muscle cells because of having relatively fewer myofibrils than other cardiac cells.
Each climbing fiber will form synapses with 1-10 Purkinje cells. Early in development, Purkinje cells are innervated by multiple climbing fibers, but as the cerebellum matures, these inputs gradually become eliminated resulting in a single climbing fiber input per Purkinje cell.
There are four paired deep cerebellar nuclei embedded in the white matter centre of the cerebellum.The nuclei are the fastigial, globose, emboliform, and dentate nuclei.. In lower mammals the emboliform nucleus appears to be continuous with the globose nucleus, and these are known together as the interposed nucleus.
Sensory information relayed from the pons through the mossy fibers to the granule cells is then sent along the parallel fibers to the Purkinje cells for processing. Extensive branching in white matter and synapses to granular cells ensures that input from a single mossy fiber axon will influence processing in a very large number of Purkinje cells.
The only excitatory neurons present in the cerebellar cortex are granule cells. [10] Plasticity of the synapse between a parallel fiber and a Purkinje cell is believed to be important for motor learning. [11] The function of cerebellar circuits is entirely dependent on processes carried out by the granular layer.
Extrapyramidal symptoms (EPS) are symptoms that are archetypically associated with the extrapyramidal system of the brain's cerebral cortex. When such symptoms are caused by medications or other drugs, they are also known as extrapyramidal side effects (EPSE). The symptoms can be acute (short-term) or chronic (long-term).