limbic Flashcards

1
Q

basal forebrain structures

A

Nucleus Basalis of Meynert: cholinergic neurons that project to the entire cortex. Play a role in attention, memory, and learning.

Septal Nuclei: Often referred to as the “pleasure center.” Just in front of anterior commissure.

Nucleus of the diagonal band: connects the 2.

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2
Q

Thalamus and the limbic system

A

Anterior nucleus projects to the cingulate gyrus and is responsible for learning and memory.

Dorsomedial nucleus are emotions and involve the amygdala, ventral basal ganglia, hypothalamus

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3
Q

What is the fornix

A

Fornix is the main output tract of the hippocampus

info travels from crura of fornix > body of fornix > columns of fornix > precommisural fornix to septal nuclei.

Post commisurals go to mamillary bodies

From there the mammilary bodies project to the anterior thalamic nuclei via the mammillothalamic tract.

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4
Q

Orbitofrontal and Medial Prefrontal cortexes

A

responsible for decision making, emotional regulation, complex social interactions.

The source of personality.

Lesion will cause either heightened affect or lack of emotion

Processing emotions > choose correct behavioral responses.
Determine to act in response to a threat, a complex social interaction, an emotion.

It also governs ethics, moral judgements, behavioral inhibitions, personality

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5
Q

Elaborate how emotions can trigger action.

A

If sensory stimuli are emotionally salient, emotional systems are activated and activate centers in the brainstem reticular formation and hypothalamus.

This can activate somatic motor, autonomic nerves and pituitary gland.

Skeletal muscle (freeze), smooth or cardiac muscle (rise in BP), endocrine gland (stress hormones).

*ponto-medullary RF centers coordinate cranial nerve outputs (like facial expressions, laughing, crying, gagging, chewing, vomiting, sneezing), small lesions can produce uncontrolled laughing, crying, hiccuping.

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6
Q

What would be presented on a face with a lesion in the pathway from forebrain and hypothalamus.

A

When a patient undergoes an involuntary smile response, the ipsilateral upper and lower face will not have emotional expression.

This is despite the corticobulbar being intact.

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7
Q

The amygdala has 12 nuclei and is divided into what 3 nuclear groups

A

Medial nuclei - olfactory (direct or indirect from piriform complex) and autonomic functions

Basolateral nuclei - received direct sensory input from the thalamus and sensory cortices
>projects to basal forebrain (attention) and frontal association cortex (behavior), upper connections are behavioral responses focusing attention.

Central nucleus - output nuclei, they project to hypothalamus (endocrine responses in blood stream) and brain stem. (signals to muscles in face and limbs, autonomic signals)
-lower connections are important for visceral and autonomic responses which include arousal.

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8
Q

medial forebrain bundle

A

It is the main projection from the limbic system and hypothalamus to the brain stem.

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9
Q

Fear conditioning in the amygdala and synaptic plasticity

A

Auditory pathways reach the medial geniculate nucleus > auditory cortex + or directly from MGN) + also other sensory input (like pain) + NOREPINEPHRINE FROM THE LOCUS COERULEUS (wow) which intensifies the learning> amydala > outputs to circuits that influence somatomotor and autonomic activity.

Synaptic Plasticity (Implicit Learning) Synaptic strength in the amygdala increased in response to tones. NMDA receptor antagonist block this effect.

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10
Q

Kluver-Bucy syndrome

causes Herpes simplex encephalitis,
bilateral temporal lobe surgery,
CNS degenerative disorder - alzheimers disease or Pick’s disease

A

bilateral damage to the temporal lobes (loss of amygdala)

Loss of emotional responses to sensory stimuli, such as threats
from other animals.

Fearlessness (snakes).

Loss of rage, and aggression, especially towards humans.

Overattention to sensory stimuli (especially mouth—putting
many objects in the mouth).
Hyperphagia (excessive eating) Hyperactivity
Hypersexuality

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11
Q

Amygdala and prefrontal cortex in PTSD

A

hyperactivation of amydala

hypoactivation of prefrontal cortex during fear conditioning trials

-prefrontal cortex helps to extinguish emotional memories

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12
Q

What is the BG limbic loop

A
  1. Anterior cingulate, orbital frontal cortex, amygdala.
  2. Amygdala, hippocampus, orbitofrontal, anterior cingulate, temporal cortex
    - basically assigning value to experience, pleasant vs aversive
  3. Ventral striatum (aka n. accumbuns)
    - influences values
  4. 5 - mesolimbic pathway (the reward pathway), dopamine from VTA project to nucleus accumbens, fire when an experience is rewarding. Reinforces the direct loop “im motivated to do it again”
  5. inhibits ventral pallidum, substantia nigra, pars reticulata
  6. inhibits Mediodorsal nucleus

This can form habits

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13
Q

What parts of the brain are responsible for

Working memory

Recent memory

Long-term memory

A

Working: dorsolateral prefrontal cortex

Recent: medial temporal cortex/diencephalon

Long-term: medial temporal and specific cortical regions. (but once memories are in the cortex they are stored there and don’t need medial temporal anymore.

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14
Q

Hippocampal connections

A

Entorhinal cortex > granule cells in dentate gyrus send mossy fibers to pyramidal cells in hippocampus CA3 these send Schaffer collateral to pyramidal cells in CA1 (major output of the hippocampal formation).

CA1 Hippocampal neurons exhibit long-term potentiation.
After receiving repeated inputs, they respond more to those inputs. (EPSPs get bigger).

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15
Q

alzheimers and memory loss

A

Symptoms include forgetfulness, anterograde and retrograde amnesia, cognitive impairment, disorientation and abnormal behavior.

Caused by degeneration of hippocampal and parahippocampal neurons, and a loss of cholinergic cells in basal forebrain nuclei (which project to cerebral cortex.)

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16
Q

Wernicke Korsakoff syndrome

CAN (beer can)

A

Confusion
Ataxia
Nystagmus
(wernicke)

Progresses to learning and memory problems (Korsakoff) necrosis of mammilary body.

Caused by chronic alcoholism and malnutrition (esp. vitamin B1-thiamine deficiency). Anterograde and retrograde memory losses and confabulation with anosognosia (lack of realization). Retrograde amnesia most likely due to damage to prefrontal cortex.

17
Q

Dorsolateral prefrontal cortex role

A

Executive Functions

– Making predictions about the future
– Planning (looking forward in time)
– Maintain Focus

• Working memory 
*Dorsolateral Prefrontal	
Cortex	is	important	for	
planning a goal-directed	
behavior	
• Planning	Behaviors

-“behavioral flexibility” Wisconsin cards, there is a rule and a person isn’t told the rules, they are just told right or wrong. They must learn the unspoken rules

18
Q

Dorsolateral prefrontal cortex damage

A
  • Patients with dorsolateral prefrontal cortex damage cannot adapt to changing rules, shift cognitive set
    aka ”Perseveration”.

Failure on Delayed Response Task This requires working memory and planning to retrieve the food after a period of time.

19
Q

Ventromedial orbitofrontal prefrontal cortex lesion

most common - frontotemporal lobe dementia

A

Behavioral inhibiton -> inappropriate behaviors

Empathy - > do not respond to images of sad, happy and angry faces

symptoms of Frontotemporal lobe dementia

  • apathy (abulia)
  • disinhibited behavior
  • compulsivity
  • loss of empathy
  • overeating
20
Q

Mesolimbic Dopamine

A

Reward pathway

VTA > nucleus accumbens > projections to medial prefrontal cortex

underlies addiction and schizophrenia

21
Q

The biology of addiction

A

Addicting substances cause the release of Dopamine in the Nucleus Accumbens (shell)

Dopamine is dumped into the space, as it is floating around it attaches to DR and sets down a cascade, the naturally occuring endorphins in the brain are activated, activating opiate receptors. There is also a reuptake pump to clear the dopamine and send it back to normal levels.

22
Q

Which of the following is the fastest route of addictive drug administration

A

Inhalation

Injection

Snorting/snuffing

Ingestion

23
Q

How come kids with adhd take oral methamphetimine

A

Dopamine doesn’t get released from the nucleus accumbens.

SO it has low addiction potential.

24
Q

So for addicted people , what is the new theory on addiction

A

People with substance use disorder have lower dopamine concentrations and have reduced reinforcement responses.

Positive reinforcement goes down while negative reinforcement soars.

25
Q

Why is addiction commonly beginning in adolescence?

A

Occipital lobe develops first, frontal lobe isn’t done developing yet.

This is why impulsivity goes down as you get older and so does reward seeking.

26
Q

Pain travels to the pontomesencephalic reticular formation via what?

A

anterolateral system spinoreticular pathway

-which is why pain can increase the level of alertness.