3 The Hypothalamo-Adenohypophysial Axis Flashcards
Q: Describe the anatomical nature of the pituitary gland. What is it attached to? What does it lie within and why is this structure clinically important? How do pituitary tumours form?
A: The pituitary is attached to the base of the brain
It lies within a bone lined cavity - Sella Turcica
Sella Turcica is important from a clinical point of view because a tumour will be constrained by the walls of the bony cavity
Pituitary tumours may protrude out towards the brain or it may go through the bone (if it is really malignant)
Q: Draw a basic diagram of the pituitary and its surrounding structures. How do you determine the orientation? (2)
A: brain
3rd ventricle (surrounded by hypothalamus)
hypothalamus
optic chiasm mammillary body
anterior lobe (adenohypophysis) // posterior lobe (neurohypophysis)
posterior gland (hypophysis)
There are TWO areas of the brain which are good for distinguishing front from back:
Front - Optic Chiasma
Back - Mammillary Body
Q: Why is the pituitary gland known to be the master gland?
A: regulates other glands
Q: What is the optic chiasm?
A: group of nerves for eyes (close relationship to pituitary)
Q: What are hypothalamic neurones?
A: groups of cell neurones in hypothalamus, cell bodies in hypothalamus and axon going down
have different effects
Q: Pituitary gland formation. At what point does development start? What are the 2 types of tissue that make it up? Describe them.
A: First few weeks after conception:
Glandular Tissue - upward growth from oral ectoderm of Rathke’s pouch (oral cavity)
Nervous Tissue - there is a downwards movement of tissue from the developing hypothalamus
These two tissues then fuse and normally lose contact with the rest of the buccal cavity.
So one part of the pituitary is derived from glandular tissue (adenohypophysis) and the other part is derived from neural tissue (neurohypophysis)
Q: How does the 3rd ventricle relate to the hypothalamus?
A: The hypothalamus surrounds one of the ventricles of the brain - 3rd Ventricle
Q: What are the names of the two parts of the pituitary based on?
A: embryological origin of the tissue
Q: Illustrate the link between the hypothalamus and the pituitary gland?
A: In the hypothalamus, lots of bundles of neurones can be grouped functionally into HYPOTHALAMIC NUCLEI (2)
Median Eminence = an area that lies between the top of the pituitary stalk and the hypothalamus
The neurohypophysis- posterior pituitary (mainly made up of nerve axons)
The cell bodies of these nerve axons lie in the hypothalamus
Some of the axons coming from the hypothalamic nuclei terminate in the median eminence and some within the posterior pituitary
on left = anterior pituitary
Q: What is the median eminence?
A: where the hypothalamus and pituitary meet
Q: What is the pars distalis?
A: bulk of glands in the anterior pituitary
Q: What is the pars tuberalis?
A: part of the anterior lobe (growth) of the pituitary gland, and wraps the pituitary stalk in a highly vascularized sheath
Q: Illustrate the hypothalamic-hypophysial portal circulation (pituitary blood supply).
A: The median eminence is essentially a MASS OF CAPILLARIES receiving blood form the superior hypophysial artery
Lots of neurones coming from the hypothalamic nuclei terminate on the walls of the PRIMARY CAPILLARY PLEXUS (fenestrated)
The primary capillary plexus feeds blood down into long portal vessels which run down through the pituitary stalk to terminate within the adenohypophysis - form secondary capillary plexus
From here the blood is gathered into the Cavernous sinus (vein) and out through the Jugular veins
Primary Capillary Plexus - in the median eminence
Secondary Capillary Plexus - in the anterior pituitary
Q: What does being fenestrated mean?
A: having perforations- makes it leaky
Q: Where does the median eminence lie in terms of the blood-brain barrier?
A: outside
