33-Limbic Flashcards
limbic system involved in (x5)
- emotions
- memory
- sexual arousal
- stress
- odor processing
limbic system difficult to study because (x2)
- structures are interconnected
- difficult to quantify responses/outcomes
hippocampus connects via _____ to _____ and _____
via fornix
to septal nuclei
and mamillary bodies
mammillary bodies connect via ___ to ___
via mammillothalamic tract (MTT)
to anterior thalamic nuclei
amygdala connects via ___ to ___ and ___
via stria terminalis (ST)
to septal nuclei
and hypothalamus
ant thalamic nuclei connects via ___ to ___
via internal capsule (IC)
to cingulate gyrus
cingulate connects via ___ to ___
via cingulum
to hippocampus
hypothalamus connects via ___ to ___
via dorsal longitudinal fasciculus (DLF)
to brainstem/spinal cord
septal nuclei connect
(1) via ___ to ___
and
(2) via ___ to ___
(1) via medial forebrain bundle (MFB)
to hypothalamus
and
(2) via stria medullaris
to habenula
Source of norepinephrine innervation on limbic system
locus coeruleus (LC)
Source of serotonin (5-HT) innervation on limbic system
raphe nuclei (Ra)
Source of dopamine (DA) innervation on limbic system
mesolimbic system
Source of acetylcholine (ACh) innervation on limbic system (x2)
septal nuclei, and
nucleus basalis of Meynert
Norepinephrine and serotonin modulate (x4)
- mood
- cognition
- sleep/wake cycles
- arousal
Mesolimbic dopamine system consists of (x3)
- ventra tegmental area (VTA)
- nucleus accumbens (NAc)
- associated limbic structures (prefrontal cortex, amygdala, hippocampus, hypothalamus)
Pathway involved in addiction
mesolimbic dopamine pathway
Mesolimbic cholinergic pathway involved in (x2)
- reward/reinforcement
- associative learning
VTA
ventral tegmental area
Lesions to the VTA and/or NAc lead to
-> blockade of DA receptors -> decreased addictive behaviour
drug addiction:
cocaine mechanism
blocks DA reuptake -> incr. DA
drug addiction:
amphetamine mechanism
release of DA and blockage of DA reuptake -> incr. DA
drug addiction:
heroin/nicotine mechanism
VTA or NAc
Natural rewards (sex, food) require
intact mesolimbic pathway
amygdala involved in
emotional memories
lesions of amygdala impair
consolidation of fear memories
during emotional memories, amygdala modulates activity of ___
medial temporal lobe
amygdala response to fear
increased (unilateral) activity
phenotypes of bilateral amygdala calcification in Urbach-Wiethe disease (x2)
- impairment in neg/pos emotional processing
- memory loss specific to information with emotional context
medial prefrontal cortex connected to limbic regions ___ and ___
- hippocampus
and - amygdala
injury to prefrontal cortex leads to (x2)
- impairment in goal directed behavior
- altered moral reasoning and social behavior
PFC [facilitates or inhibits] emotional responses
inhibits emotional responses
Amygdala [excites or inhibits] ___ in sexual arousal
excites hypothalamus
Main symptoms of PTSD (x3)
- re-experiencing phenomena
- avoidance
- hyperarousal
Mechanism of PTSD
suppression/loss of inhibition from prefrontal cortex to amygdala
Region associated with schematic memory
mPFC
Region associated with episodic memory
hippocampus
Hippocampus involved in (x2)
- memory consolidation
- spatial navigation
declarative memory
semantics (facts) and episodic (experiences, events)
non-declarative memory
procedural, associative (operant cond.), and non-associative (habituation)
Bilateral lesion of hippocampi
- severe anterograde amnesia
- partial retrograde amnesia (2-3 years prior to surgery)
disorders involving limbic system (x5)
- schizophrenia
- depression
- Korsakoff’s syndrome
- Alzheimer’s disease
- chronic traumatic encephalopathy
Schizophrenia:
fragmentation of thought processes associated with
PFC, esp
- working memory impairment
- executive function deficits
Schizophrenia:
poor emotional responsiveness associated with
amygdala:
- apathy
- social withdrawal
Schizophrenia:
Neuroanatomic changes (x2)
- enlargement of LV
- cortical thinning
Schizophrenia:
hyperdopaminergy hypothesis
Original antipsychotic efficacy correlated with dopamine binding affinity
Schizophrenia:
hypoglutamatergy hypothesis
phencyclidine (PCP) is NMDAR antagonist ->
NMDAR hypofunction in schizophrenia
MDD
major depressive disorder
MDD characterized by (x3)
- low or depressed mood
- fatigue or low energy
- anhedonia
anhedonia
loss of interest or enjoyment in normally rewarding activities
MDD:
low or depressed mood associated with
anterior cingulate cortex (ACC)
MDD:
anhedonia associated with (x2)
- nucleus accumbens
- septal nuclei
MDD:
Lifetime prevalence in US
16 percent
MDD:
More prevalent in [men or women or equal]
women (17-20% vs 13% in men)
MDD:
Neuroanatomic changes
None identified yet for diagonsis,
Maybe anterior cingulate gyrus and specifically subgenual cingulate (BA25) involved
MDD:
monoamine hypothesis
posits that MDD is caused by decreased monoamine function
MDD:
limitations of monoamine hypothesis
Antidepressants work on much longer timescale
MDD:
treatments (x4)
- antidepressant drugs
- cognitive-behavorial therapy
- electroconvulsize therapy
- DBS
MDD: antidepressant mechanism (x2)
- inhibit neuronal reuptake of monoamines
- inhibit degradition of monoamines
MAO
monoamine oxidase enzyme
MDD: examples of monoamine reuptake inhibitors (x4)
- tricyclic drugs (imipramine)
- SSRIs (fluoxetine/Prozac)
- NRIs
- SNRIs
MDD: sites of action of DBS and changes
- Cingulate cortex (incr. activity)
- Amygdala (incr. activity)
- Hippocampus (decr. structure)
- Prefrontal cortex (decr. structure)
- Nucleus accumenbens (structural change)
- Hypothalum (structural change)
- VTA (structural change)
AD: symptoms (x7)
- memory loss that disrupts daily life
- challenges in planning or solving problems
- confusion with time or place
- troube with visual and spatial
- new problems with word finding and speaking
- decreased or poor judgement
- changes in mood or personality
AD: memory loss associated with
hippocampus
AD: challenges in planning or solving problems associated with
PFC
AD: confusion with time/place associated with
hippocampus
AD: problems word finding / speaking associated with
paretial cortex
AD: decreased/poor judgement associated with
PFC
AD: change in mood/personality associated with
amygdala, cingulate cortex
CTE
chronic traumatic encephalopathy
CTE: probable cause
mild traumatic brain injuries (TBI) or concussions
CTE: severity correlated with
duration of athletic career
concussion
complex pathophysiological process affecting the brain, induced by traumatic biomedical forces’
CTE: histological changes (x2)
- deposition of hyperphosphorylated tau protein as neurofibrillary tangles (NFT), starting perivascularly and at depths of cortical sulci
- later more widespread tau pathology, particularly in medial temporal lobes, white matter. leads to prominent neuronal loss and gliosis