Limbic Flashcards

0
Q

Overview of limbic anatomy

A
Cortical
 - hippocampus
 - "limbic lobe" surround - insula, parahippocampal (= piriform/olfactory + entorhinal), orbital and medial frontal, subcallosal, cingulate
Subcortical
 - olfactory bulb
 - hypothalamus
 - amygdala
 - septal nucleus
 - thalamus (anterior, dorsomedial)
Proximity! ex parahippocampal piriform cortex right next to amygdala, hippocampus, hypothalamus
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1
Q

Overview of limbic function

A

Self-preservation and sex
Thinking (cortex) -> emotional content (memory, sensory -> limbic cortex) -> autonomic, endocrine, behavioral output (subcortical)
- arousal/fear
- motivation, behavior
- emotional memory
Closely tied to olfaction, other sensory
Output is tied through medial forebrain bundle (hypothalamus, septal nuclei, midbrain reticular and PAG)

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2
Q

Limbic cortex

A

Emotional meaning, value, how should I react?
- personality! ex Phineas Gage

Prefrontal cortex (orbital, medial)
Cingulate
Insular
Parahippocampal

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3
Q

Prefrontal cortex

A

Judgment/insight, mood, motivation, emotional context
- dorsolateral - executive (attention, abstract, planning)
- orbital/medial - personality (mood, behavior/tact)
- targetted by EtOH
- R lesion -> apathy, L lesion -> euphoria
Connectivity - all reciprocal
- cingulum -> cingulate cortex
- sup longitudinal/arcuate fasciculus -> post cortex
- uncinate fasciculus -> ant temporal, amygdala
- septal nuclei
- dorsomedial nucleus of thalamus
- medial forebrain bundle -> hypothalamus
Greatest amount of postnatal dev’t = susceptible through childhood

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4
Q

Depression

A

Cortical patterns (MRI)
- overactive ant cingulate, subcallosal
- underactive dorsolateral (executive fx)
- underactive post cingulate
- cerebellum, hippocampus, amygdala, basal ganglia, thalamus
Effects reversed/normalized by SSRI or placebo

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5
Q

Pain perception

A

Chronic - ant cingulate overactive (similar to depression)

Sensitivity determined by cortical amplitude (primary somatosensory and ant cingulate), thalamus is same

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6
Q

Insular cortex

A

Interoception -
- internal/visceral input (ex visceral pain in IBS)
- emotional responses, meaning (disgust, fear, happy)
- esp anterior portion, connects to amygdala
-> autonomic output
Important in addition (environmental cues)

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7
Q

Olfactory pathways

A

Receptor cells -cribriform plate> glomerulus -> mitral cells -> tract
- anterior perforated substance
- amygdala (medial uncus)
- piriform cortex (rostral uncus)
Both ant perforated and piriform -> mediodorsal thalamus -> orbitofrontal cortex
Amygdala -> stria terminalis -> ventromedial thalamus (emotional response)

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8
Q

Septal region

A

Between lateral ventricles (ant horn), dorsal to ant commissure
Neuro-endocrine:
- GnRH -> median eminence -> repro fx
- cholinergic -> hippocampus -> memory
- lesions -> septal rage (over-reactivity)
Connections
- reciprocal: hippocampus, amydala, hypothal/pre-optic
- efferent only: mammillary body, median eminence

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9
Q

Amygdala function

A

Central coordination of emotional stimuli and response

  • > behavior, emotional, autonomic
  • feeding, drinking, sex, maternal, etc
  • input - looking at fearful face

Stress (b/l lesions = Kluver-Bucy - no stress response)
Conditioned responses (ex PTSD)
- learn to pair stimuli with stress
Stimulation -> arousal, rage

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10
Q

Amygdala connectivity

A

Located in ant temporal (uncus)
Almost all reciprocal
- olfactory tract - direct, only afferent
- brainstem
- input mostly solitary
- output -> autonomic: solitary, central gray, parabrachial, dorsal vagus, pregang SNS in IML)
- limbic cortex (orbitofrontal, cingulate/mesial temporal)
- sensory and association cortex
- septal nuclei
- hypothalamus
- stria terminalis, ventral amygdalofugal
- hippocampus, parahippocampal
- thalamus - MD and sensory -> limbic cortex

Ex: auditory via primary auditory, association and MGN of thalamus - modulated by frontal lobe (basis for CBT)

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11
Q

Hippocampus

A

Focus for learning, memory
- spatial/mapping
- explicit/declarative memory (with medial temporal, entorhinal)
- establishment of new memories (vs storage in association cortex of frontal, P-T-O)
- long-term potentiation via Ca and NMDA glutamate
- retrieval of memories
- vs implicit (procedural, priming, habits, autonomic)
- other areas important (ex EtOH -> Korsakoffs -> MD, mamillary)
Glucocorticoid regulation (highest concentration of receptors)

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12
Q

Structure of hippocampus

A

3-layered allocortex
Regions
- dentate gyrus - granule cells
- Cornu Ammonis -> 4 curved CA fields with pyramidal cells
- subiculum - blends into entorhinal cortex

Input
- diffuse cortex (association, limbic, amydala) -> entorhinal -> perforant pathway
- septal, hypothalamus -> fornix
Output
CA and subiculum -> entorhinal
Dentate granule -> CA3 pyramidal -> CA1 -> fornix
-> post-commissural -> mammillary. ant thalamus
-> pre-commissural -> septal, preoptic (hypothal), ventral striatum, neocortex (orbital, subcallosal)

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13
Q

Ventral striatal system

A

Habituation, rewards - not through hippocampus
- anticipation (inc activity after conditioned stimulus) -> decreases if reward missing
- all addictive substances affect directly or indirectly
Amygdala, hippocampus, limbic cortex
-> ventral striatum/nucleus accumbens
(+ DA from ventral tegmental -> D3)
-> ventral pallidum -> dorsomedial thalamus

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14
Q

Schizophrenia

A

Disrupted balance of cortical vs limbic dopamine
- less DA -> mesocortical -> prefrontal -> negative sx
- more DA -> mesolimbic -> limbic -> positive sx
Increased activity in many areas (ex basal ganglia)

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15
Q

Hypothalamus

A

= limbic output system

Input

  • hippocampus via fornix
  • amygdala via stria terminalis, ventral amydalofugal
  • prefrontal cortex and septal via medial forebrain bundle
16
Q

Overview of limbic connections

A

Cortex:
- interconnections of association, limbic, entorhinal
- entorhinal -> hippocampus
- limbic -> amygdala
Amygdala:
- reciprocal with limbic, olfactory/piriform
- ventral amygdalofugal -> hypothal
- stria terminalis (-> septal nuclei) -> hypothal
Hippocampus -> fornix -> septal, hypothal
Hypothalamus -> brainstem, spinal cord