Diencephalon and Basal Ganglia Flashcards

1
Q

What are the stuctures in the subcortical region?

A
  • corpus callosum
  • anterior commissure
  • corona Radiata
  • internal capsule
  • diencepahalon (thalamus and hypothalamus)
  • pituitary gland
  • pineal gland
  • hippocampus
  • amygdala
  • basal ganglia
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2
Q

what is the stucture and function of the corpus callosum

A

axonal connections between the left and right cerebral hemispheres, principally the frontal and parietal lobes

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3
Q

What is the structue and function of the anterior commissure?

A

axonal connections between left and right temoral lobes with projection to the amygdala
invovled in the olfactory pathway

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4
Q

what is the corna radiata and internal capsule structure and function?

A

axonal connections between the cortex and thalamus to the brainstem and spinal cord.

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5
Q

Internal capsule … (parts)

A
  • anterior limb
  • genu
  • posterior limb
    Boomerang shape. – continuation of the homunculus.
    Where the axons are funneling to go to the areas needed.
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6
Q

Diencephalon- Thalamus structure and function

A
  • composed of over nuclei
  • connected with nearly all structures throughout the nervous system
  • relays, integrates and sorts motor, and sensory infomration
  • impacts cognitive functions and mood/emotions
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7
Q

Diencephalon- Hypothalamus structures and functions

A
  • links the nervous system to the endocrine system via the pituitary gland
  • assists with maintaining homeostasis by controlling autonomic nervous system and regulating hormones
  • Detects thirst and hunger
  • Determines circadian rhythm/sleep-wake cycle
  • Regulated emotions
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8
Q

Pituitary Gland structure and function.

A
  • anterior and posterior portions
  • secretes hormones that regulate growth, metabolism, and reproduction
  • at the base of the brain, specifically behind the bridge of the nose and directly below the hypothalamus.
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8
Q

Pineal Gland structure and functions.

A
  • Assists with melatonin secreation and managing circadian rhythm
  • connects the limbic system to other parts of the brain
  • Regulates motor pathways and emotions
  • Posterior to the thalamus
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9
Q

Hippocampus structure and functions

A
  • technically part of the temporal lobe
  • connected primarily with somatosensory cortex, thalamus, hypothalamus, and brainstem
  • Assists with long term memory storage
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10
Q

Amygdala structure and function

A
  • Composed of about nuclei with connections primarily with the cortex, thalamus, hypothalamus, hippocampus, and brainstem
  • Encodes information about emotional events
  • Modulates cognitive functions such as memory, attention, and perception
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10
Q

The Limbic system structure and function

A
  • An interconnected group of many subcortical structures
  • Involved in emotional states, motivated, affect, attention, perception, arousal, perception, arousal, and consiousness, learning, and memory
  • Influences endocrine system and autonomic nervous system
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11
Q

Basal Ganglia structures and functions

A
  • Striatum: caudate and putamen
  • Globu pallidus: internal segment (GPi) and external segment (GPe)
    *Subthalamic nucleus (STN)
  • Substantia nigra (in midbrain): Pars compacta (Snpc) and Pars reticulate (SNpr)
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12
Q

Anatomy of the basal ganglia - frontal view

A
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13
Q

Basal Ganglia antomy- transverse view

A
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14
Q

Basal ganglis - functions and pathways

A

involved in feedback loops with cerebral cortex, thalamus, and brainstem

Main fucntions
* initiation, termination and control movement
* Eye movemetns
* Behabiors, habits, and procedural learning
* Cognition and mood

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15
Q

Basal Ganglia 3 intrinsic pathways

A
  • direct
  • indirect
  • hyperdirect

Key principle: at rest unwanted movement from cortex is inhibited by the thalamus. Basal ganglis can either uphold this inhibition or counter it

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16
Q

Direct pathway

A

=”GO”
inhibition of inhibitory neurons –> facilitates movement
1. Cortex excites putamen via glutamate
2. Putamen inhibits GPi via GABA
3. GPi is unable to inhibit thalamus
4. Thalamus excites cortex via glutamate
5. This results in facilitation of movement

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17
Q

Indirect pathway

A

= “No Go”
Facilitation of inhibitory neurons -> inhibits movement
1. cortex excites putamen via glutamate
2. putamen inhibits GPe via GABA
3. GPe is unable to inhibit STN
4. STN excites GPi via glutamate
5. GPi inhibits thalamus via GABA
6. This results in inhibition of movement

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18
Q

Hyperdirect pathway

A

= “STOP”
Facilitation of inhibitory neurons -> inhibits movement
1. Cortex excites STM via glutamate
2. STN excites GPi via glutamate
3. GPi inhibits thalamus via GABA
4. This results in inhibition of movement

19
Q

What and how is dopamines role in movement?

A

Faciliates movement
* substantia nigra pars compacta (SNpc) releases dopamine at the putamen
* the putamen has 2 dopamine receptors D1 and D2
* depeneding on which is stimualted different pathways will be activates or inhibited
* Regardless of which receptor, the end result will be facilitation of movement

20
Q

What is the pathway of the D1 receptor?

A

SNpc -> dopemine -> D1 receptors -> facilitation of Direct Pathway -> facilitation of movement

21
Q

What is the pathway of the D2 receptor?

A

SNpc -> Dopamine -> D2 receptors -> inhibition of indirect pathway -> Facilitation of movement

23
What is the vascular supply of the thalamus.
posterior cerebral and anterior choroidal artery
24
What is the vascular supply of the hypothalamus?
posterior cerebral artery
25
What is the vasuclar supply of the amygdala?
anterior cerebral artery, posterior cerebral artery and anterior choroidal artery
26
What is the vasular supply of the hipposcampus?
posterior cerevbral and anterior choroidal artery
27
What is the vasular supply of the caudate?
anterior cerebral artery (head) and anterior choroidal artery (tail)
28
What is the vasular supply of the putamen?
middle cerebral artery
29
What is the vasular supply of the globus pallidus?
middle cerebral artery
30
What is the vasular supply of the subthalamic nucleus?
posterior cerebral artery
31
What is the vasular supply of the substantia nigra?
posterior cerebral artery
32
Lacunar Strokes
* Strokes of the small blood vessels off the main arteries, such as the anterior choroidal artery * Results in damage to areas, such as the basal ganglia, thalamus, intern capsula. * Usually causes severe motor and/or severe sensory deficits…Why? – - Sensory – thalamus, internal capsule. - Motor – basal ganglia, internal capsule, and thalamus (inhibits movement and or helps facilitate movement).
33
Movement disorders
imbalance in the intrinsic pathways usally due to damage of the basal ganglia and or dopaminergic neurons
34
Hypokinetic movements
* Slow and or small * Lesion to dopaminergic neurons in SNpc * direct pathway underactive * indirect/ hyperactive pathway overactive
35
hyperkinetic movements
* Fast and or large * lesion to striatum, STN, and or GPi * Direct pathway: overactive * indirect / hyperdirect pathways: underactive
36
Examples of hypokinetic movements
bradykinesia and rigidity
37
what is bradykinesia/hypokinesia?
smaller amplitude and or slower movments
38
What is rigidity?
increased muscle tone (resitance to passice motion) that occurs in both directions at a joint and it not velocity-dependent
39
Freezing is what?
severely impaired initiation of movement and or freezing during movement.
40
What is hyperkinetic movement examples.
Dystonia Athetosis Chorea Ballsmus Tics Myoclonus Tremor
41
What is dystonia?
Involuntary sustained muscle contractions that lead to twisting of trunk or extremities and abnormal postures
42
What is athetosis?
Involuntary writhing motions of hands, arm, neck or face
43
What is chorea?
involuntary smooth and large dance-like movements
44
What is hemiballismus?
"Ballistic" involuntary movements that are sudden and violent/jerky
45
What is a tremor?
involuntary, repetitive, rhythmic movements resting tremor = assosicated with basal ganglia damage intention/action tremor- associated with cerebellar damage essential tremor- typically of unknown cause
46
Other clinical sings of movement disorders?
* Impaired speech - hypophonia= decreased projection of speech, smaller/quiter * impired cognition - attention deficits and dual-task deficits * Impaired mood * impired vision