Basal Ganglia Flashcards
What is this basic feedback circuit of the basal ganglia?
Thalamus and basal ganglia communicate to modulate the output of the cerebral cortex - no link to lower motor neurones
What do the basal ganglia consist of?
The neostriatum - caudate nucleus and putamen
Globus pallidus - external and internal
Substantia nigra - pars compacta and pars reticulata
Subthalamic nucleus
What are the primary afferents of the basal ganglia?
The caudate nucleus and putamen (make up the neostriatum)
Where does the basal ganglia receive inputs from?
The cortex
Basal ganglia then transmit a response back to the cortex (directly or indirectly)
What is the consequence of the direct pathway?
Release the thalamus to allow movement
What happens in the direct pathway?
Neostriatum receives excitatory input from cortex
Synopses with inhibitory neurone to globus pallidus internal, inhibiting it
GPi normally inhibiting thalamus, but now switched off so thalamus excited
Thalamus sends excitatory signals to motor cortex
Motor cortex moves muscles
What happens in the indirect pathway?
Neostriatum inhibits the globus pallidus external
This inhibits the subthalamic nucleus
Causes the subthalamic nucleus to produce an excitatory response to the globus pallidus internal
This inhibits the thalamus, leading to less movement
What is the aim of the indirect pathway?
To stop movement
How does the substantia nigra fine tune the direct pathway?
Substantia nigra has neurones synapsing with inhibitory neurones in neostriatum to globus pallidus internus
Dopamine from SN binds to D1 receptors on inhibitory neurones
Dopamine excites the inhibitory neurones, causing more inhibition of GPi, allowing thalamus to be more active
How does the subthalamic nucleus control the substantia nigra on the direct pathway?
Excited the substantia nigra
Therefore more dopamine released
More inhibition of GPi
More excitation of thalamus and more movement
Substantia nigra can inhibit the subthalamic nucleus when it has been excited enough -> less movement
What is Parkinson’s disease a result of?
Progressive degeneration of dopaminergic receptors on neurones from the substantia nigra to the striatum
What is the triad of symptoms seen in Parkinson’s?
Tremor at rest - pill rolling tremor
Hypertonia - lead pipe/cog wheel rigidity
Bradykinesia - slowness of movement
Features of the Parkinsonian gait?
Stooped posture
Short, shuffling steps
Pedestal turning
What is the overall effect of Parkinson’s?
Suppression of the direct pathway and amplification of the indirect pathway
Causes increased thalamus inhibition and subsequent deduction in excitatory output to the cerebral cortex
How is Huntington’s chorea inherited?
Autosomal dominant