29 - Thalamus Flashcards

1
Q

Thalamic Nuclei Categories

A
  • “Specific” thalamic nuclei
    • Reciprocally connected with specific cortical areas
    • Maintenance of spatial organization (retinotopy, tonotopy, somatotopy, musculotopy) of inputs
  • “Non-specific” thalamic nuclei
    • Diffuse and multimodal sensory inputs
    • Diffuse and largely non-reciprocal innervation of cortex
    • Strong input from reticular formation
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2
Q

Ventral Posteromedial Nucleus (VPM)

A
  • INPUT: trigeminothalamic system
  • OUTPUT: Somatosensory cortex (reciprocal)
  • VASCULATURE: Inferolateral vessels (PCA)
  • FUNCTION: face somatosensory
  • LESION: contralateral hemianesthesia

Also, taste info from CNs 7, 9 > rostral NTS > (via dorsal longitudinal fasciculus) > VPMpc > insula

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3
Q

Ventral posterolateral nucleus (VPL)

A
  • INPUT: STT, DCML (pain/temp, touch)
  • OUTPUT: Somatosensory cortex (reciprocal)
  • VASCULATURE: Inferolateral vessels (PCA)
  • FUNCTION: Somatosensory from limbs, trunk
  • LESION: contralateral hemianesthesia
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4
Q

Ventral lateral nucleus (VL)

A
  • INPUT: crossed cerebellar deep nuclei (from dentate nucleus, SCP) via thalamic fasciculus
  • OUTPUT: Primary motor cortex (reciprocal) M1
  • VASCULATURE: Inferolateral vessels (PCA)
  • FUNCTION: neuron firing timing
  • LESION (to cerebellum): ipsilateral motor control
    • (corticospinal tract crosses in medulla)

Dentate nucleus > superior cerebellar peduncle > crosses midline in midbrain > VA thalamus of opposite side > M1 to change rate code

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5
Q

Ventral Anterior Nucleus (VA)

A
  • INPUT:
    • Ipsilateral inhibitory BG (GPi, SNr) via thalamic fasciculus
    • Lateral: ipsilateral GPi
    • Medial: ipsilateral SNr
  • OUTPUT:
    • Lateral: Premotor cortex
    • Medial: premotor cortex, FEFs, cingulate/parietal cortices
  • VASCULATURE: Inferolateral vessels (PCA)
  • FUNCTION:
    • Lateral: motor initiation for trunk, limb
    • Medial: motor initiation of eye, head, neck
  • LESION (to BG): contralateral motor deficit
    • Because corticospinal tract crosses in medulla
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6
Q

Medial Geniculate Nucleus (MGN)

A
  • INPUT: inferior colliculus (auditory input) via inferior quadrigeminal brachium
  • OUTPUT: auditory cortex (reciprocal) in Heschl’s gryus via auditory radiations (sublenticular IC)
  • VASCULATURE: PChA
  • FUNCTION: Auditory input
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7
Q

Lateral Geniculate Nucleus (LGN)

A
  • INPUT: Optic tract (contra visual field)
  • OUTPUT: V1 (primary visual cortex) in occipital love via optic radiations
  • VASCULATURE: PChA
  • FUNCTION: contralateral visual field
  • LESION: contralateral hemianopsia
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8
Q

Anterior Nucleus of Thalamus (AN)

A
  • INPUT: Hippocampus via fornix and mammillothalamic tract
    • Densest ACH input from midbrain
  • OUTPUT: Cingulate gyrus (reciprocal) so limbic
    • Important for scenery
  • VASCULATURE: Tuberothalamic vessels (PCA)
  • FUNCTION: Memory/recall of scenes
  • LESION: Korsakoff’s, amnesia
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9
Q

Mediodorsal Nucleus

A
  • INPUT: amygdala, olfactory cortex, ventral pallidum
  • OUTPUT: vmPFC, limbic system
  • VASCULATURE: Paramedian vessels of PCA
  • FUNCTION: Attention, planning, active mem
  • LESION: Apathy, memory changes, perseveration
  • Most highly developed thalamic nucleus in humans
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10
Q

Pulvinar

A
  • INPUT: Retina, superior colliculus, STT, association cortices
    • Vision-heavy
  • OUTPUT: Association cortices, esp. parietal
  • VASCULATURE: PChA
  • FUNCTION: Integration of sensory stim including “where” pathway
  • LESION: Visual perception, pain perception, language processing
  • Note: acts in concert with pulvinar
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11
Q

Laterodosal Nucleus (LD)

A
  • INPUT: hippocampal region via fornix
  • OUTPUT: parietal, retrosplenial cortex (reciprocal)
  • FUNCTION: spatieal learning and memory
  • LESION: Korsakoff’s

Note: acts in concert with anterior nuclei

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12
Q

Midline Nuclear Group

A
  • INPUT:
    • Midbrain PAG
    • ACH from ascending arousal system
    • Locus coeruleus: NE
    • Midbrain raphe nuclei: 5HT
  • OUTPUT: cortex, striatum
    • Also reciprocally connected to SCN
  • VASCULAR: Basilar paramedians
  • FUNCTION: general cortical arousal
  • LESION: amnesia
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13
Q

Intralaminar Group

A
  • INPUT:
    • Motor cortex
    • ACH from ascending aroual system
  • OUTPUT: MSNs of striatum of BG
  • FUNCTION: attention to motor tasks
  • VASCULATURE: tuberothalamic artery
  • LESION: of centromedian nucleus = unilateral motor neglect
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14
Q

Thalamic Reticular Nuclei

A
  • changes the relay neuron burst signal to tonic signal for synchronou activity between thalamus and cortex
  • Signaled by cholinergic fibers from midbrain and pons (mesopontine cholinergic neurons)
  • Exhibit a single-spike inhibitory (GABA) tonic firing frequency when activated, which changes the relay neuron burst signal to tonic signal.
  • Do not perform this change to tonic signal during sleep
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15
Q

Artery of Percheron (AOP)

A
  • Single branch off of one PCA ends up supplying bilateral paramedian territories (mediodorsal thalamus)
  • Vulnerable to bilateral infarction
    • MD targets the reward system, vmPFC so they have profound apathy
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16
Q

Inferolateral Thalamic Damage

A
  • Ataxia - motor (BG)
  • Hemiparesis - motor (BG)
  • Hemianesthesia - sensory
  • Hemihyperesthesia - sensory
    • = Elevated sensitivity to sensory experience because of damage to VPM,VPL thalamus
    • Because thalamus takes pain signals and integrates them all over the place (brain makes it up)
17
Q

Paramedian Thalamic Damage

A
  • Hemiparesis/motor neglect - centromedian nucleus
  • Memory/learning problems
  • Apathy - MD nucleus
18
Q

Anterior (tuberal) Thalamic Damage

A
  • Amnesia - memory pathways
  • Language difficulty
  • Euphoria/mood
19
Q

Damage to PChA of Thalamus

A

Hemianopsia

20
Q

Dejerine-Roussy SYndrome

A
  • Pts suggering from central thalamic pain
  • Secondary to vascular etiology involving inferolateral perforators
  • Symptoms:
    • Hyperesthesia
    • Hemi-ataxia
    • Hemi-tremor
    • Hemi-chorea
    • Hemi-anesthesia for fine touch
    • Exaggerated pain and temp