Chapter 6 Flashcards
diencephalon
includes the thalamus (inner room), epithalamus (upper room), hypothalamus (lower room), and subthalamus
thalamus
- 20 nuclei each projecting to a specific area of cerebral cortex
- a “hub”
epithalamus
- pineal gland
- stria-medullaris thalami
- habenula
- posterior commissure
hypothalamus
- 22 small nuclei involved in feeding, sexual behavior, sleeping, temperature regulation, emotional behavior, and movement
- connects to pituitary gland
- ventral component of diencephalon surrounding third ventricle
- small size but wide range of functions
- rarely affected by stroke (rich blood supply)
- can be affected by: tumors, developmental disorders, infections, alcoholism, head trauma
subthalamus
a component of the basal ganglia (subthalamic nucleus [STN])
pineal gland
- function not well understood in humans
- important for gonadal functions and circadian rhythms (a lot of melatonin secretion)
- prone to calcification
- early tumors in this gland (which overstimulate the gland) depress gonadal functions and delay puberty
- early lesions lead to precocious (earlier) onset of puberty (suggestion: this gland plays an inhibitory role in gonadal functions)
- secretes melatonin
- secretes DMT
- makes neurosteroids
stria-medullaris thalami
a white matter tract that connects the forebrain to the midbrain, and is part of the limbic system
habenula
receives the stria medullaris thalami
- in turn it projects to areas in the midbrain involved in motivational and emotional behaviors (areas that have dopamine, noreadrenaline, serotonin, and acetylcholine cell bodies)
- a part of a neural network tha tincludes limbic and olfactory systems that are concerned with mechanisms of emotion and behavior
posterior commisure
connect one pre-tectal region to the other
- important for vertical gaze and pupillary light reflex
- tumors in the region during adulthood usually interfere with vertical gaze
- the tumor also pressures the posterior commissure (PC), leading to loss of indirect or consensual light reflex (this condition known as Parinaud’s syndrome)
subthalamus
from a functional point of view, it is part of the basal ganglia system
- some of the treatments of Parkinson’s involve deep brain stimulation of the subthalamic nucleus
- under the thalamus and above the substantia nigra
three C’s of the function of the thalamus
consciousness, control, cognition
internal medullary lamina of the thalamus divided into 3 major nucleus groups
- medial group –> on the medial side ofo the internal medullary lamina
- lateral group –> on the lateral side of the internal medullary lamina
- anterior group –> bordered by the 2 arms of the “Y” of the internal medullary lamina
posterior group of the thalamus
contains the pulvinar, medial, and lateral geniculate body
anterior nuclear group of the thalamus
- input/output: have heavily reciprocal connections with hypothalamus, specifically mammillary bodies; receives input from hippocampus via fornix; connects to cingulate gyrus
- function: limbic/emotional and memory
- clinical significance: bilateral A lesions –> memory impairments –> anterograde amnesia; retrograde amnesia
anterograde amnesia
- poor forming of new memories
- caused by Bilateral A lesions
retrograde amnesia
- poor recall of information from past years
- caused by Bilateral A lesions
medial nucleus group of the thalamus
- main nucleus in the mediodorsal nucleus (MD)
- input/output: receives input from subcortical structures that are involved in the processing of signals related to emotional/affective behaviors (e.g., amygdala), reciprocally connected with the prefrontal cortex, and the expression of motor behaviors via output to the substantia nigra
- function: control of emotion and complex behaviors (e.g., decision-making and judgment)
- clinical significance: bilateral MD lesions –> syndrome characterized by indifference and poor motivation; lack of insight (unaware that they have a problem); apathy (indifference and incapacity to keep an ongoing activity) [symptoms similar to frontal lobe syndrome]
main three groups of the lateral nuclear group of the thalamus
ventral posterior nucleus (VP), ventral lateral nucleus (VL)-cerebellum, ventral anterior nucleus (VA)-basal ganglia
ventral posterior nucleus (VP) of the lateral nuclear group of the thalamus
- VPL: for spinothalamic and medial lemniscal systems
- VPM: for trigeminal sensory; therefore, unilateral lesions lead to contralateral loss of sensation on both the body and the face
ventral lateral nucleus (VL)-cerebellum of the lateral nuclear group of the thalamus
- receives input from cerebellum
- connects to motor cortex
- therefore, function is motor and clinical signs after a stroke resemble those of cerebellar lesions, e.g., dysarthria
ventral anterior nucleus (VA)-basal ganglia of the lateral nuclear group of the thalamus
- receives input from basal ganglia
- connects to premotor cortex
- therefore, function is motor and clinical signs after a stroke resemble those of basal ganglia movement disorders, e.g., dystonia
three main groups of the posterior nuclear group of the thalamus
pulvinar, lateral geniculate nucleus, medial geniculate nucleus
pulvinar of the posterior nuclear group of the thalamus
- input/output: receives input from superior colliculus and pretectum; connected (output) to lateral geniculate body; connects reciprocally to extensive areas of parietal, occipital, and temporal cortices
- function: visual (especially those related to eye movements in visual attention, i.e., damage leads to visual neglect); language (speech mechanisms and language)
lateral geniculate nucleus (LGN) of the posterior nuclear group of the thalamus
- input/output: receives input from optic tract/output to visual cortex
- function: vision