Lecture 8 Flashcards
What is the Basal ganglia?
“Old system”
exerts influence on motor and prefrontal areas via thalamus
exerts influence on limbic circuits
can be thought as filtering our actions ready for execution
What is the basal ganglia made up of?
Striatum
Globus pallidus
- interna (GPi)
- externa (GPe)
Subthalamic nucleus (STN)
Substantia nigra
What is the striatum and where is it located?
Input structure of the basal ganglia - where the cortex generally projects through and where info from the cortex enters the basal ganglia
where does the subthalamic nucleus (STN) sit?
below the thalamic nucleus
(look at notes for diagram)
what is the direct pathway information travels from the cortex to the thalamus?
net excitatory and its connection back to the cortex excites the motor cortex, which helps to select the motor plan for execution
the activity travels from the cortex to the striatum, down to the GPi which then passes it onto the thalamus and back to the cortex which sends it to the spinal cord
what is the indirect pathway information travels from the cortex to the thalamus?
net inhibitory so its connections back to the cortex will suppress a given motor plan and through a balance of excitation and inhibition, one motor plan will ultimately be selected over all others and will eventually be executed
cortex -> striatum -> GPe -> STN -> GPi -> thalamus -> cortex -> spinal cord
what are the two dopamine receptors?
D1 receptors, they are excited by dopamine and they innervate the direct pathway
D2 receptors are inhibited by dopamine and they directly innervate the indirect pathway
describe the role of dopamine
Most plans in the cortex will excite the striatum, but the balance of activity in the direct and indirect pathway is regulated by a small structure on the brainstem called the substantia nigra
draw the diagram
how can you identify neuronal loss in substantia nigra pars compacta (SNc) visually?
Dark pigmentation of the substantia nigra is lost when diagnosed with parkinson’s disease
With this cell loss, these patients also lose the dopaminergic innovation to the striatum
how can you identify loss of striatal dopamine visually?
reduced colour and size of activity in radiopharmaceutical imaging as see in parkinsons patients
asymmetric loss of uptake of the tracer
what occurs due to a weak direct pathway in the brain?
akinesia
When cells in the SN die, the dopaminergic innovation to the striatum is lost and this is severely imbalanced, this whole basal ganglia sets itself up
Since the loss of dopamine no longer drives the direct pathway and it no longer inhibits the indirect pathway, this leads to too little facilitation of multiple programs that are sent from the cortex and at the same time imposing too much inhibition of those motor programs that the brain is trying to select
Action plans are no longer able to be selected efficiently, and those that are selected end up. Being slow and unrefined because of excessive inhibition from the indirect pathway
what is parkinsons disease?
Degeneration of dopamine neurons in substantia nigra
Neurological / psychiatric disease caused (largely) by alteration in a single neurochemical – dopamine
Disordered signals sent to SMA: motor disorder
Also influences limbic system: motivation and emotional disturbance
name the three cardinal symptoms of PD
- Absence/slowness of movement (akinesia/bradykinesia)
- Stiffness or rigidity
- Tremor “at rest” (much reduced with active movement)
name at least 4 other major symptoms
- Gait and postural disturbances
- Depression
- Speech and swallowing problems
- Mental confusion
- Sleep disturbances
- Loss of sense of smell
what are the three main treatments for Parkinson’s disease?
- Levodopa (L-DOPA: a precursor for dopamine)
a drug that can be administered - Transplants
- Bone marrow derived stem cells
- Embryonic stem cells
- (Adult brain cells)
- Neuro-surgery to rebalance connections between striatum and SMA
- Thalamotomy
- Pallidotomy
*Deep brain stimulation
in which way does long term L-DOPA tilt the balance of direct/indirect?
back towards direct
explain the long term L-DOPA outcome
Too much dopamine can push the balance of the basal ganglia circuits too far towards the direct pathway
This lead to premature selection of action and even uncontrolled selection of inappropriate actions that have not been properly suppressed
what three conditions experience a loss of striatal neurons (STN)?
· Huntingdon’s
· Hemiballism
· Tourette’s
what are chorea form movements?
involuntary irregular jerky movements
summarise the basal ganglia
· The basal ganglia form a series of loops between cortex, striatum, pallidum, back to cortex via thalamus
· Function to serve action selection
· Circuit relies on dopamine
· Strong links to common neurological conditions
what are the four cortical-basal ganglia loops?
motor
occulomotor
executive/associative
emotion/motivation
how is the basal ganglia and eye movement related?
Basal ganglia act as “filter” to add contextual information onto reflex control of eye movements – generalized inhibition of the sup. colliculus except for target of interest
(refer to diagram in notes)
what is the function of the basal ganglia?
· Acts as a filter/selector with broad cortical input and motor output (whilst also suppressing particular outcomes)
· Inputs: sensory-motor, limbic and cognitive
· Outputs: excitatory and inhibitory modulation of thalamus, modulation of cortical state (esp. SMA)
· Selection of appropriate behaviours?
· Self-initiation of behaviours
what learning system occurs in the cortex?
learning relationships