Hypothalamus/Thalamus Flashcards

1
Q

What region is the supraoptic nucleus found in?

A

Supraoptic region of the hypothalamus

More lateral - just above the optic chiasm

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2
Q

What is the role of the supraoptic nucleus?

A

Releases: oxytocin, ADH

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3
Q

Where is the suprachiasmatic nucleus found?

A

Supraoptic region of the hypothalamus

More medial, just above the optic chiasm

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4
Q

What are the input pathways to the suprachiasmatic nucleus?

A

Melanopsin containing ganglion cells in retina –> SCN

This is a different cell population than the rods and cones

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5
Q

Describe the outflow pathway from the suprachiasmatic nucleus and the physiolocial role this plays.

A

SCN –> paraventricular nucleus (inhibitory)

PVN –> lateral cell column (excitatory) –> superior cervical ganglion –> pineal gland (releases melatonin)

Light stimulation of the SCN inhibits the sympathetic pathway that stimulates melatonin secretion (i.e. light inhibits melatonin production)

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6
Q

Where is the paraventricular nucleus found?

A

In the supraoptic region of the hypothalamus

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7
Q

What do paraventricular nucleus cells secrete and what are its physiological roles?

A

Secretes oxytocin and ADH

Also secretes CRH to the adenohypophysis, ultimately leading to cortisol release from the adrenal glands

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8
Q

What are the three nuclei of the tuberal region of the hypothalamus?

A

Arcuate

Ventromedial

Lateral area (parvocellular region)

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9
Q

What are the three nuclei of the supraoptic region of the hypothalamus?

A

Paraventricular

Supraoptic

Suprachiasmatic

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10
Q

What two nuclei make up the magnocellular region of the tuberal region of the hypothalamus?

A

Medial portion of the tuberal region:

Arcuate nucleus

Ventromedial nucleus

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11
Q

What does the arcuate nucleus do?

A

Releases releasing hormones into the portal system:

TRH

CRH

GnRH

GHRH

Somatostatin

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12
Q

What does the ventromedial nucleus of the hypothalamus do?

A

“Satiety center”

Stimulation –> satiety; lesion –> hyperphagia, hypothalamic rage

Site of action of leptin (leptin increases satiety)

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13
Q

What is the function of the parvocellular region of the hypothalamus (lateral tuberal region)?

A

Receive inputs from ventral striatum (dopaminergic reward pathway)

“Feeding center”

Stimulation –> hyperphagia; lesion –> aphagia

Secretes orexin (only place in brain that makes orexin)

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14
Q

What are some functions of orexin and where is it synthesized

A

synthesized in the parvocellular region of the hypothalamus

Excitatory neurotransmitter

Increases body temp, locomotion, respiration

Promotes wakefulness, increases appetite

Manages the sleep/wake transition

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15
Q

What two areas of the brain balance each other to establish a set-point for body weight?

A

ventromedial nucleus and lateral hypothalamic area (VMN and LHA)

[both in the tuberal region of the hypothalamus]

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16
Q

What is the role of the mamillary bodies and what would a lesion here cause?

A

Part of the limbic system

Project to the hippocampus, important for consolidation of memory

Lesion: korsakoffs psychosis (temporal encoding deficits - sequence/timeline errors [confabulation])

17
Q

What is the role of the posterior hypothalamus and what would a lesion here produce?

A

Responsible for controlling heat production

Lesion –> hypothermia

18
Q

What is the function of the anterior hypothalamic area and what would a lesion here cause?

A

responsible for heat dissipation using descending autonomics

“thermostat of the body”

Lesion would cause hyperthermia and wild body temperature swings

19
Q

What are the inputs and outputs of the Medial Geniculate Body of the thalamus and what would a lesion here cause?

A

Inputs: inferior colliculus (bilateral auditory information)

Outputs: Areas 41, 42, transverse gyri, amygdala

Lesion: subtle auditory deficits

20
Q

What are the inputs and outputs of the Lateral Geniculate Body of the thalamus and what would a lesion here cause?

A

Inputs: retinal ganglion cells from contralateral visual hemifield

Outputs: Area 17, Amygdala

Lesion: contralateral homonymous hemianopsia

21
Q

What are the inputs and outputs of the VPM nucleus of the thalamus and what would a lesion here cause?

A

Inputs: TTT carries pain/temp/touch from contra face, STT carries taste

Outputs: primary somatosensory cortex, insula

Lesion: at first, contra paresthesia followed by thalamic pain syndrome

Note: somatotopy present

22
Q

What are the inputs and outputs of the VA/VL nuclei of the thalamus and what would a lesion here cause?

A

General somatomotor

Inputs: cerebellum (limb position), basal ganglia (movement sequence) both via the thalamic fasciculus

Outputs: motor-related cortical areas (primary motor, premotor, primary somsens)

Lesion: contra hemiataxia, choreiform movements

[in section, this is everything lateral to the anterior tubercle)

23
Q

What are the inputs and outputs of the Mediodorsal nucleus of the thalamus?

A

Inputs: olfactory cortex, ALS (pain - emotional perception of pain), association cortices

Outputs: insula, PFC

24
Q

What are the functions, inputs, and outputs of the Pulvinar/lateral posterior nucleus of the thalamus?

A

Functions: Visual responsiveness, attentiveness, orientation

Inputs: superior colliculus, pretectum, retina, somsens association cortex

Outputs: visual association cortex

Right pulvinar sees both visual fields, left sees only the right (can lead to spatial neglet with right side lesion)

25
What are the functions, inputs, and outputs of the Anterior nucleus of the thalamus?
Functions: memory, emotion, motivation Inputs: mammillary bodies, hippocampus Outputs: cingulate gyrus
26
What are the functions, inputs, and outputs of the Centromedian nucleus of the thalamus?
Functions: arousal, sleep-wake cycles (mute button - disconnects brain and body during sleep) Inputs: basal ganglia, substantia nigra, reticular formation, somsen/motor inputs Outputs: widespread, nonspecific cortex
27
What are the three symptoms of thalamic pain syndrome?
Allodynia: exaggerated response to non-noxious stimuli Hyperalgesia: exaggerated response to normally noxious stimuli Hyperpathia: explosive cutaneous pain Resistant to opiod analgesics
28
Name the basic function of each of these thalamic nuclei: * Medial Geniculate body * Lateral geniculate body * VPM * VPL * VA/VL * MD * Pulvinar/Lateral Posterior * Anterior/Lateral Dorsal * Centromedian
* MGB: auditory * LGB: visual * VPM: sensation of face (pain, temp, touch) * VPL: sensation of body (pain, temp, touch) * VA/VL: motor (coordination - BG & cerebellar inputs to motor cortex) * MD: olfaction, emotional perception of pain * Pulvinar/LP: visual responsiveness * Anterior/LD: memory, emotional tone * CM: sleep/wake cycles
29