6. Thalamus and hypothalamus Flashcards

1
Q

What divides the thalamus and hypothalamus into two halves?

A

3rd ventricle

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2
Q

What is the function of the thalamus?

A
  • Relay station between the cerebral cortex and the rest of the CNS
  • Transmission and integration of information
  • Involved in all functional systems within the cortex - not olfaction
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3
Q

How are thalamic nuclei classified?

A

Classified based on the connection with the cortex:
• Specific - primary cortical areas
• Association - association cortex
• Reticular - not connected to the cortex directly - connected to the brainstem
• Intralaminar - all cortical areas

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4
Q
What do the following nuclei link:
• ventral lateral/anterior
• ventral posterolateral
• ventral posteromedial
• lateral geniculate
• medial geniculate
A
  • ventral lateral/anterior - motor cortices
  • ventral posterolateral - somatosensory (below the neck)
  • ventral posteromedial - somatosensory (head)
  • lateral geniculate - retina to the primary visual cortex
  • medial geniculate - inner ear to primary auditory cortex
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5
Q

How can the association cortex be divided?

A
  • Prefrontal cortex - most of the frontal lobe, except for the primary motor cortex and some other motor cortical areas
  • Parieto-tempero-occipital cortex - all of the cortex in the 3 lobes except the primary cortical areas
  • Cingulate cortex - follows the line of the corpus callosum
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6
Q

Where do the association nuclei project?

A

Mammillary bodies, hypothalamus, cingulate and prefrontal cortices

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7
Q

Which nuclei are part of the reticular activating system (RAS) and what does this mean?

A

• Intralaminar and reticular nuclei
• Involved in consciousness and arousal
• RAS is a core of grey matter, the activity of which determines stimulation of cortex and consciousness
• RAS projects up from the brainstem - projections activate both nuclei
• Intralaminar nuclei project to the whole cortex
• Reticular nuclei:
- no direct connections with the cortex
- intrathalamic connections with all other nuclei, increasing their activity

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8
Q

What happens if the reticular activating system (RAS) is damaged?

A

Unconscious => coma

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9
Q

What is thalamic syndrome?

A
  • Develops after a thalamic stroke - usually PCA
  • Change in sensation - disturbance of nuclei that relay somatosensory information from body to primary somatosensory cortex
  • Pain can be altered
  • Emotional disturbance - association with limbic system
  • Derjerine-Roussy syndrome
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10
Q

How does damage in traumatic brain injury affect the thalamus?

A

• Widespread damage - shearing forces => diffuse axonal injury
• Connections between different parts of the brain severed
• PET scans - more red, more microglial activation
• Connections all lead to the thalamus
• Neuroinflammation in the thalamus years after injury
- higher microglial activation in thalamo-cortical tract
- greater damage in white matter tract

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11
Q

Where is the hypothalamus located?

A
  • Behind the optic chiasma and anterior commissure
  • In front of the mammillary bodies
  • Separated from pituitary gland below by infundibular stalk
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12
Q

What is the anterior commissure?

A
  • Anterior boundary of hypothalamus

* Bundle of nerve fibres connecting the 2 temporal lobes, across the midline

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13
Q

What is the function of the hypothalamus?

A
  • Involved in homeostasis

* Coordinates the ANS, endocrine system and behaviour

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14
Q

Which structures in the forebrain does the hypothalamus have close connections with?

A
  • Olfactory system

* Limbic system - hyppocampus, amygdala, cingulate cortex, septal nuclei

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15
Q

What behaviours does the hypothalamus control?

A
  • Eating and drinking
  • Expression of emotion
  • Sexual behaviour
  • Circadian rhythm
  • Memory
  • Motivational process (addiction if it goes wrong)
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16
Q

What can cause hypothalamic structural damage?

A
  • Craniopharyngioma (more common in young people)
  • Other tumours e.g. glioma - usually benign
  • Chronic inflammatory conditions e.g. sarcoidosis
17
Q

What are the potential manifestations of hypothalamic damage?

A
  • Anterior pituitary hormone deficiencies e.g. TSH
  • Diabetes insipidus
  • Labile emotions, rage
  • Inappropriate sexual behaviour (prefrontal cortex/ventromedial nucleus)
  • Memory lapses (suprachiasmatic nucleus mammillary bodies)
  • Temperature fluctuation (preoptic area)
  • Hyperphagia (infundibular and paraventricular nuclei)