Basal Ganglia Flashcards
Components of the basal ganglia
Caudate Putamen Globus Pallidus Substantia Nigra Subthalamic Nucleus
What is the signaling path through the putamen?
Sensori-motor cortex projects to the putamen; putamen projects to the globus pallidus, which projects to VA thalamus; VA thalamus projects back to supplementary motor area of the cortex
What is the signaling path through the caudate?
The caudate receives input from the frontal association cortex and sends axons to the globus pallidus; the globus pallidus then projects to the DM thalamus, which projects widely to association cortex
Nucleus Accumbens
The caudal juncture between caudate and putamen
Describe the Major Direct Pathway of signaling through the basal ganglia
Excitatory input to the caudate and putamen comes from the cerebral cortex; caudate and putamen send inhibitory projections to the globus pallidus, which sends inhibitory projections to the thalamus; thalamus sends excitatory fibers to the cortex
Main effect is to release inhibition of thalamo-cortical input, allowing initiation of movement
Describe the signaling loop through the substantia nigra
Receives inhibitory input from striatum
Sends excitatory dopaminergic fibers back to the striatum, as well as inhibitory outputs to the thalamus
Describe the signaling loop through the subthalamic nucleus
Receives inhibitory input from the globus pallidus externa
Projects excitatory output to the globus pallidus interna
Pars compacta
Excitatory dopaminergic fibers projecting from the substantia nigra back to the striatum
Pars reticulata
Inhibitory fibers projecting from the substantia nigra to the thalamus
Describe the indirect pathway of signaling through the basal ganglia
Excitatory input to the caudate and putamen comes from the cerebral cortex; caudate and putamen send inhibitory projections to the globus pallidus externa, which sends an extra inhibitory projection to the subthalamic nucleus; the subthalamic nucleus sends an excitatory projection to the globus pallidus interna, which sends inhibitory projection to the thalamus
Main effect is to provide negative feedback of thalamo-cortical input, inhibiting initiation of movement
What is the role of dopamine signaling in the basal ganglia?
Dopamine released from the substantia nigra is excitatory in the striatum; it increases the inhibition of the striatium onto the globus pallidus, allowing disinhibition of the globus pallidus onto the thalamus
End result is increased signaling of the thalamus to cerebral cortex to generate movement
Pathogenesis of Huntington’s Disease
Degeneration of cholinergic and GABA-ergic medium spiny output neurons of the striatum, possibly as a result of glutamate excitotoxicity causing excessive influx of Ca2+ leading to cell death
Can also be caused by too much exogenous DOPA
Hemiballismus
Flailing movements of the arm and leg on one side
Results form a stroke in a branch of the posterior cerebral artery leading to unilateral damage of the subthalamic nucleus; loss of excitation by the subthalamic nucleus reduces inhibitory outflow of globus pallidus onto thalamus, causing excessive motor program activity
Where are deep brain stimulation electrodes placed in the treatment of Parkinson’s Disease?
In the subthalamic nucleus or internal segment of the Globus Pallidus; there, they release inhibition of thalamo-cortical input