Limbic system Flashcards

1
Q

What is the function of the limbic system?

A
  • Processing and responding to pain and intense emotions e.g fear, anger, joy
  • Regulation of visceral responses to emotion (autonomic responses to stress)
  • Helps regulate other body processes e.g. sleep, appetite, sexual function
  • Important roles in memory, motivation anf learning
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2
Q

What are the components of the limbic system?

A
  • Limbic cortex : ring of cortex formed by cingulate gyrus, hippocampus and parahippocampal gyrus
  • Subcortical nuclei: amygdala, nucleus accumbens, septal nuclei, hypothalmus
  • Receives many inputs from elsewhere in the brain and many outputs
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3
Q

What is the papez circuit?

2

A
  • Plays a key role in the formation of memories
  • Hippocampus is the start and end of the circuit. Fornix connects hippocampus to hypothalamus
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4
Q

What are the links between the hypothamus to the limbic structures?

A
  • Influences and regulates:
  • release of pituitary hormones
  • reproductive system function
  • Bonding
  • Thermoregulation
  • Appetite and thirst
  • Cardiovascular and autonomic function
  • Mood
  • Circadian rhythm, sleep/wake cycle
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5
Q

What is the role of the hippocampus?

A
  • works with other medial temporal lobe structures to form new memories
  • substances in CSF can affect memory formation
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6
Q

What is short term memory?

A
  • recalled minutes, hours after a stimulus
  • Working memory: conscious ability to manipulate information held in short-term memory
  • problem solving, reasoning
  • Awareness of emotional or social cues during conversations
  • Working memory controlled by lateral prefrotntal cortex and association areas od temporal and parietal lobes
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7
Q

What is long term memory?

A
  • Long-term memory: recalled weeks, months, years after a stimulus with structural changes in neurons e.g. protein synthesis, increased synaptic strength, increased neuronal excitability
  • Declarative (explicit) memory: can be put into words
    Semantic memory: common knowledge e.g. names of countries
    Episodic memory: personal experiences e.g. a party you attended
    Non-declarative (implicit) memory: semi-automatic learning
    Procedural memory: learning and performing motor skills (‘muscle memory’)
  • Amnesia is the loss of declarative memory
  • Retrograde amnesia = unable to remember events from before an injury
  • Anterograde amnesia = unable to remember new events after an injury
    Procedural memory is unaffected but unable to recall practicing tasks or skills
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8
Q

What is declarative memory?

A
  1. Encoding : processing info into a representation of a memory
    - Improved by paying attention, mood, drawinf connections between information
  2. Consolidation
    - Stabilising memories
    - Synaptic connections become stronger with repeated activation (long-term potentiation)
    - Medial temporal lobe directs storage of memories across large networks of neurons elsewhere- engrams (basic unit of memory)
  3. Retrieval
    - Accessing and using memories in different ways : recall , recognition
    - Prefrontal cortex and cingulate cortex play key roles e.g. learning
    - Important for learning e.g. spaced retrieval practice
    -
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9
Q

What is the role of the medial temporal lobe ?

A
  • Plays a major role in memory and connections to many other structures
  • Lateral/ prefrontal cortex : keeps working memory on task involved in processing and retrieving declarative memory
  • Association areas in temporal, parietal and occipital lobes : declarative memory and integrating sensory perceptions
  • Cingulate cortex : helps direct attention and processes emotions in relation to memory, especially anterior cingulate cortexx
  • Cerebellum and striatum (basal ganglia) : procedural memory e.g. learning how to play a musical instrument. Adjusting and refining movvements
  • Thalamus : anterior nuclei have a key role in episodic memory
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10
Q

How does the hippocampus work with other medial temporal lobe structures?

A
  • ## helps to form new memories
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11
Q

What can bilateral lesions of the anterior hippocampus can cause anterograde amnesia?

A
  • Ischaemia (due to stroke), epilepsy, encephalitis, anoxia
  • Impaired formation of new memories
  • Recall of long term memories unaffected
  • Patient will not be able to recall new memories that have occured post-injury
  • Recall of long -term memories not dependent on the hippocampus
  • Posterior hippocampus helps to encode memories for long term storage elsewhereem but does not help with recall
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11
Q

What is the role of the left and right hippocampus in relation to declarative memory?

A
  • Left hippocampus = helps to encode verbal memories
  • Right hippocampus = helps to encode spatial memories
  • London taxi drivers have greater right posteriorr hippocmapal volume, but reduced anterior volume
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12
Q

What is the blood supply to the hippocampus?

A
  • Anterior choroidal artery branches
  • Some branches from posterior cerebal artery posterior hippocampus
  • Clinical revelance : temporal lobe epilepsy surgery
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13
Q

What is the cingulate cortex?

A

Key part of Papez circuit — receives projecting fibres from anterior
nucleus of thalamus and is continuous with parahippocampal gyrus
Perception of pain and role in ernotional regulation
Learning and memory — positive emotional responses promote learning
Autonomic area — specifically related to visceral responses that occur
during sad ernotional states
Other roles in bladder control, speech, executive function
Links to insular cortex — self-awareness, interoception
Role in mood disorders like depression. Cingulate cortex lesions or
reduced activity can cause indifference to pain or ermtional stimuli - flattened affect, low motivation
Blood supply = anterior cerebral artery

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14
Q

What is the amygdala (amgydaloid nucleus)?

A
  • Located more anteriorly in medial temporal lobe
  • Extensive connections to and from other parts of the limbic system - helps react to the world around you, e.g , threats
  • Processing fearw, stressful stimuli
  • Overactivity = anxiety, aggression, defensiveness
  • Connections to autonomic and endocrien pathways e.g. increase HR
  • Role in appetite
  • Helps regulate sexual function (especially restraint)
  • Blood supply = antrerior choroidal artery
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15
Q

What are the reward centres ( nucleus accumbens and septal area)?

A
  • Reward = stimulus that causes pleasant emotions, with positive reinforcement to seek more of the stimulus
  • Nucleus accumbens :
  • Role in pleasure, social connection, empathy
  • Patients with lesions can displau anticsocial behaviour
16
Q

What are limbic system pathologies?

A

Wernicke-Korsakoff syndrome
* Wernicke’s encephalopathy = acute confusion, loss of coordination and gaze paralysis (ophthalmoplegia)
* Small haemorrhages in mammillary bodies and damage to connections with hippocampi
* Results from chronic alcoholism — vitamin B1 (thiamine) deficiency
* Repeated episodes may cause Korsakoff’s psychosis
Anterograde amnesia
Confabulation — patient creates fictitious memories but believes they are real
Kl uver-Bucy syndrome
* Bilateral temporal lobe lesions e.g. bilateral stroke, traumatic brain injury,
* Bilateral destruction of amygdala
Hyperorality (compulsion to put objects in mouth)
* Placidity - fear and aggression may be absent
Hypersexuality — loss of restraint
* Visual agnosia — difficulty recognizing familiar objects or faces
neurodegenerative
disorders