Control of Movement 4 Flashcards

(31 cards)

1
Q

Name the input nuclei of the basal ganglia

A

Caudate nucleus

Putamen

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2
Q

Name the intrinsic nuclei of the basal ganglia

A

External segment of globus pallidus
Subthalamic nucleus
Substantia nigra (pars compacta)

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3
Q

Name the output nuclei of the basal ganglia

A
Internal segment of the globus pallidus 
Substantia nigra (pars reticulate)
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4
Q

Which NT does the cerebral cortex release to excite the putamen?

A

Glutamate

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5
Q

What effect does the putamen exert on the globus pallidus and how?

A

Inhibitory via GABA

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6
Q

What effect does the medial lobe of GP have on the thalamus normally?

A

Inhibits activity via GABA

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7
Q

What effect does the medial lobe of GP have on the thalamus in the direct pathway?

A

Increases thalamic activity (GP been inhibited, and it usually inhibits thalamus)

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8
Q

What is the overall effect of the direct pathway?

A

Increase in movement

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9
Q

What effect does the putamen have on the lateral lobe of the GP?

A

Inhibitory via GABA

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10
Q

What effect does the lateral lobe of GP usually have on the subthalamic nucleus?

A

Inhibition via GABA

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11
Q

What effect does lateral lobe of GP have on the subthalamic nucleus in the indirect pathway?

A

As lateral lobe inhibited, (removal of inhibition on subthalamic) increase in activity of subthalamic nucleus

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12
Q

What effect does the subthalamic nucleus have on the medial lobe of GP?

A

Excitation

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13
Q

What happens in the indirect pathway regarding the medial lobe of GP?

A

Increase in activity of medial lobe of GP by subthalamic nucleus which results in increased inhibition of thalamus

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14
Q

What is the overall effect of the indirect pathway?

A

Decrease in movement

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15
Q

What effect do D1 receptors have on the basal ganglia?

A

Enhance direct pathway increasing movement

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16
Q

What effect do D2 receptors have on the basal ganglia?

A

Inhibit indirect pathway increasing movement

17
Q

Where is dopamine released from?

A

Pars compacta of substantia nigra

18
Q

What are the 4 main features of parkinsonism? (TRAP)

A

Tremor
Rigidity
Akinesia
Posture

19
Q

Which pathway is affected in Parkinsons?

A

Direct - hypokinetic

20
Q

What is hemiballismus?

A

Lesion of subthalamic nucleus resulting in no stimulation of GPi resulting in violent projectile movements

21
Q

Where are lesions that cause chorea?

22
Q

Which is the genetic cause of Huntington’s chorea?

A

Excessive CAG repeats on chromosome 4

23
Q

What is the physiological cause of chorea?

A

Loss of GABA neurons in putamen that project to GBe (inhibition of indirect pathway)

24
Q

What is athetosis?

A

Lesion of globus pallidus which causes abnormal movements (hyperkinetic)

25
What causes the pathology in Wilson's disease?
Accumulation of copper in lentiform nucleus
26
Which basal ganglia structure is affected in Wilson's disease?
Lentiform nucleus
27
What are the main symptoms of Wilson's disease?
Dystonia | Tremor
28
What is the name of the malformed protein in Hungtinton's disease?
Huntingtin
29
What is the physiological cause of Huntington's disease?
Loss of encephalin and GABA secreting neurons in the neostriatum leading to decrease in indirect pathway
30
What are the features of a basal ganglia lesion?
Contralateral signs Increased tone Normal reflexes
31
What is dystonia?
Lesion of lentiform nucleus that causes muscle contraction and abnormal posture