Basal ganglia Flashcards

1
Q

بسم الله الرحمن الرحيم وبه نستعين
Basal ganglia
?

A

Subcortical collection of grey matter nuclei
Deep to cerberal cortex lateral to thalamus
Formed of
Corpus Striatum : Caudate + lentiform ( Putamen + Gllobius pallidus )
Amygdaloid body +
Clastrum+
Functionally related:
Sunthalamic nuclei
SubstaniaNigra

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2
Q

Basal gangilia some characteristics:

A

-Has no role in sensory function.
-Connected to ipsilateral motor cortex.
-Contralateral Muscle control
-Has no direct contact to spinal cord
lesion = no parylsis.
-Promotes and inhibits motor activity .

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3
Q

describe nervous connections to basal gagnlia ?

A

-Interconnection for Regulation of intrinsic activity
-basal ganalia Outflow tracts to brainstem then to spinal cord in Extrapyramidals for adjusting muscle tone and posture
-Cortical connections for
Inhibits area 4 , 6 activity
inform B.G About intention to do movments .

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4
Q

Describe loops due to cortical connection to basal ganglia

A

Caudate + putamen loops circuits
________________________
caudate:-
From Motor and sensory motor areas to the caudate to gllobius palliudus to thalamus to Premotor + supplemetnal + prefrontal for = Cogintve control of sequence motor pattern
__________________________
Putamen loops:-
From premotor and supplementory and somatosensory areas to the putamen to gllobius palliuds to thalamus to Premotor and Primary motor area TO eXCUTE Learned Motor patterns

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5
Q

Mention neurotrasnimtters of basal ganglia

A

Excitatory glutamete in corticoStriate fibers
Inhibitory dopamine in Nigrastratal
Inhibitory gaba in Striato-Nigra + Striatopallidal fibers
Ach excitatory interstriatal
____________________
Must be a balance between dopamin and Ach
_____________________
nORadrenaline from B.G To brainstem
Encapleni
serotnin

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6
Q

Functions of basal ganglia circuits

A

Stimulatory facilitate mucsles activity at the intiation of movments
Inhibitory: inhibits the activity of antagonist + inhibit muscle tone at rest

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7
Q

Describe direct pathway of Basal ganglia

A

It is direct EXCITATORY Pathway
Maintains Muscles activation during ongoing movements
________________________
CORTEX activates STRIATUM with glutamate
STRIATUM inhibits GPI by GABA
SO the discharge of THALAMUS IS STIMULATED NOT INHIBTED stimulating CORTEX.
________________________
Dopaminergic path of Subsstani Nigrar activates STRIATUM at D1 inhibiting the inhibitor GPI so stimulating THALAMUS Discharge Stimulating COOORTEX

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8
Q

Dopamine and Ach Effects on Direct pathway

A

DopaminE Excitatory Through SN ACTIVATING STRAITUM
ACH INHIBTORY

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9
Q

iNDIRECT Path of basal ganglia
describe !

A

For inhibtion of UNWANTED EXCESSIVE movements
______________________-
CORTEX stimulates the Striatum
inhibiting the GPE SO SUBTHALAMIC NUCELI IS STIMULATED STIMULATING GPI inhibting The THALAMUS Discharge to CORTEX
___________________________
tHE dOpaminergic path casues ?
Substania nigra give dopamin works on D2 on STRIATUM causing ? inhibtion of Striatum inhibotry effect on GPE CAUSING GPE to inhibit STN So GPI in inhibited and Thalamus is not inhibited so Increasing cortex Activity

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10
Q

Dopmaine and Ach effects of Indirect inhibotr path?

A

Dopamine inhibits the inhibotory path casuing exciation of cortex
Ach stimulates the inhibtory path

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11
Q

which part of SN release dopamine ?

A

Pars Compacta

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12
Q

Show Functions of Basal Ganglia !

A

MRA
=Modulation of Cortical Activity :
‘‘Prevents involntary muscle movements by inhibith talamo cortical activity
‘‘Aids in voulntary muscle movements :
-PlANNING : Caudate Circuit
aid in decision of The muscle to contract and its site , ordere , duration , speed and scale of contraction converting idea to PLAN!
-StORING and Excution of Learned Movements by Putamen Ciruit
Storing the learned skilled moevmetns to be done smoothly and lesion causing apraxia
-Gives postrual BACKground for skilled fine movemnents as it controls cortex venRtal corticospinal tract and the brainstem extrapyramidal tracts controllong the axial and proximal limb muscles

_________________________
=Regulation of Muscle tone
It is stimulating IRF inhbitig Y neurons
Inhibiting the Cortex Inhibiting alpha motor neurons
Caudate facilitatory but putamen and globus pallidus inhibitory
lesion causes? generalized hypertonia
the total effect casues inhibtion of muscle tone
________________________-
=Automatic Associated movements:-
As swinging of arms during wakling in Coordination with premotor area 6666666666666666666666666

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13
Q

Basal ganglai diseases Are cc by?

A

change in MUSCLE TONE
inVoluntary Mucle movments
in the contrALATERAL SIDE OF BODY
Chorea Hemiballismus Athetosis Parkinson

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14
Q

Chorea of Basal gangalia diseas describe ?

A

It is due to lesion to casudate nucleus
decreas gaba from the striatum to the GPe causing GPE to inhibit STN and GPI is inhibited so Increased ThalamoCortical Activity
___________________________________
CC : Hypotonia as casudate is the only muscle tone facilitatory nucles in BG
Rapid sudden Involuntary dancing movmetns in disatl limb and facial muscles that relax with sleep and voluntary movments of affected limb
and INCREASED BY EMOTIONS
types of chorea
Huntington chorea casuing dementia
Sydenham Chora in RF In females

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15
Q

Hemiballismus ?

A

=Subthalamic nuclei lesion LOW glutamate
_________________________________
Hypertonia
Sudden strong invoulntary movemnts in distal limb muscles
if ocuured bilateral ?
Laryngeal and Respiatrory spasm and death

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16
Q

Athetosis ?

A

Gllobius pallidus lesion _ low gaba
_____________WORM OF SNAK DANCe

Hypertonia
Involuntary slow twisssssssting movements in hands and arms and Face.
Slow flexion with pronation or slow extensio with supinatio n

17
Q

Describe parkinson’s diseas
صوتك ! فين ؟
لك في الصوت منفعة و في الصمت مضيعة !

A

Lesion in substania nigra and less dopaminegric discaherge casuing imbalance of excitation and inhbition of cortex
causes:
Less dopamine and its rececptors
In elderly atherosclerotic pathiemts
Pehnothiazine blocking D2
Head trauma
CO poising
Encehplaitis

______________________
Manifestation : Static termores ? -rigidity- akinesia
Staric tremors due to alternative acvtivit of agonist and antagonist 4-8 cycles /m in muscle sof distal joints fingers and Mandible
increased with emotions decreasd with voluntary movements and Sleep
dute to termgenic oscillatory impulses from GPi or Thalamus
Pill rolling or coin counting
Up and down movments of Mandble

Rigidity :due to exciation of alpha and gamma motor neurons flexors >Extensors
Cog wheel not cnotimuous + lead pipe contiunouos
it the only hypertonic state with NORMOREFLEXIA
_________________________
Akinesia
Difficulty in Planning progeamming and intiation of movments
due to Rigidity and low activity of supplementory motor area

inability of walking wearing writing and get out of bed
Flexion attitude
Mask Face
Shuffling gait shor steps - no Swinging
Slow montonous sluured speech
disrubted posture
Cognitive defects
EMOTIONAL instability
Treatments medial increasing Dopamine decreasing ACH
Surgincal dercasing rigidity and tremors

18
Q

The only hypertonia disease with normoflexia

A

Rigidity of Parkinsonism

19
Q

وقيل الحمدلله رب العالميــــــــــــــــــــــــــــــــــن
_________________________–

A