Olfaction and the Limbic System Flashcards

1
Q

What the 3 types of cell that makes up the olfactory epithelium?

A

Bipolar Olfactory Neurones
Sustentacular Cells: support cells mainly providing metabolic support
Basal Cells: for regeneration in olfactory neurones

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2
Q

Where is the olfactory bulb found?

A

Sitting on top of the cribriform plate

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3
Q

Which cells synapse within the olfactory bulb?

A

Bipolar cells pass their axons through the cribriform plate to synapse with 2nd order neurones (olfactory bulb mitral cells) in the glomeruli within the olfactory bulb

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4
Q

What structure do the 2nd order neurones form and what does this structure split into?

A

Olfactory tract

It splits to form the medial + lateral olfactory stria

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5
Q

Where does higher processing of smell take place?

A

Piriform Cortex

Orbitofrontal Cortex

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6
Q

What is a clinical deficit in the olfactory system called?

A

Anosmia

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7
Q

What is a common cause of anosmia?

A

Mid-face trauma
Impact with enough force could cause a fracture of the cribriform plate, shearing the neurones going from the olfactory epithelium to the olfactory bulb

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8
Q

The piriform cortex is found within the temporal lobe. Explain the significance of this with regards to epileptic patients.

A

Epilepsy is often focused in the temporal lobe
Some people experience PRODROMAL AURA (they are aware of an imminent seizure because they’ll get a distinct smell beforehand)

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9
Q

Neurodegenerative disease is a relatively common cause of anosmia. State 2 neurodegenerative diseases that could cause anosmia.

A

Alzheimer’s disease

Parkinson’s disease

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10
Q

What is the limbic system?

A

A rim of cortex adjacent to the corpus callosum + diencephalon
Structurally + functionally interrelated areas considered as a single functional complex

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11
Q

What are 4 roles of the limbic system?

A

Processes aimed at survival of individual:
Homeostasis (hypothalamic functions e.g. reg. of food intake + pituitary hormone release)
Agonistic behaviour (fight or flight)
Sexual + reproductive behaviour
Memory

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12
Q

State 2 important parts of the limbic system that are found within the temporal lobes.

A

Hippocampus

Amygdala

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13
Q

What circuit are the Hippocampus + Amygdala part of?

A

Papez Circuit

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14
Q

What is the cortical representation of the limbic system?

A

Cingulate Cortex

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15
Q

What is the function of the Papez circuit?

A

It is a neural circuit for the control of emotional expression

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16
Q

Describe/draw the papez circuit.

A

Hippocampus –> (Fornix) –> Mammillary Bodies of Hypothalamus –> (Mammillo-Thalamic Tract (MTT)) –> Anterior Nucleus of the Thalamus –> Cingulate Cortex –> (Cingulum Bundle) –> Hippocampus

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17
Q

What is our emotional expression ‘coloured’ by?

A

Neocortex

18
Q

What form of imaging is used to study the limbic system?

A

Digital Tensor Imaging: shows co-instant activity in different parts of the brain thus showing which parts of the brain are working together

19
Q

Describe the afferent pathway of the hippocampus.

A

Afferent Pathway = Perforant Pathway
Entorhinal cortex is linked to the hippocampus via the perforant pathway
Entorhinal cortex receives input from all other parts of the neocortex

20
Q

What is the efferent pathway of the hippocampus called?

A

Fornix

Fimbria when still attached hippocampus

21
Q

What are the functions of the hippocampus?

A

Memory

Learning

22
Q

What happens to the hippocampus in Alzheimer’s disease?

A

It shrinks severely

23
Q

Describe the spatial relations of the hippocampus and the fornix to other important brain structures.

A

Hippocampus lies on the floor of the lateral ventricles
Fornix comes out of the hippocampus + passes under the corpus callosum
It then dives inferior + anteriorly towards the mammillary bodies

24
Q

Describe the appearance of advanced Alzheimer’s disease on a CT head scan in the coronal plane.

A

Extensive cortical atrophy
Ventricles enlarged
Widening of sulci

25
Q

State 2 microscopic hallmarks of neurodegeneration.

A

Tau Immunostaining
Intracellular pathology: cytoskeleton has been compromised
Tau proteins staining highlights the damaged neurones
Senile Plaques
Extracellular pathology
Lumps of protein sitting in between cells in the neuropil

26
Q

Describe the anatomical progression of Alzheimer’s disease, including the symptoms experienced.

A
Early 
Hippocampus + entorhinal cortex effects 
Short-term memory problems 
Moderate 
Parietal lobe (where you have your procedural memory)
Effects: dressing apraxia 
Late  
Frontal lobe 
Loss of executive skills + personality change
27
Q

Where is the amydala found?

A

In the white matter of anterior temporal lobe

28
Q

What are the afferent connections of the amygdala?

A
Olfactory Cortex 
Septum (septal nuclei) 
Temporal Neocortex 
Hippocampus  
Brainstem
29
Q

What is the main output pathway of the amygdala?

A

Stria terminalis

30
Q

What is the function of the amygdala?

A

Fear + Anxiety

Fight or flight

31
Q

In Alzheimer’s and Parkinson’s disease, the amygdala starts showing pathology early on. What are the possible outcomes of this?

A

Patients could either become terrified of everything or they could become totally disinhibited + become quite aggressive

32
Q

State and describe a syndrome affecting the amygdala.

A
Kluver-Bucy Syndrome  
Bilateral lesions of the anterior temporal lobe (including amygdaloid nucleus) 
Symptoms:
Hyperorality
Hypersexuality
Loss of Fear 
Visual Agnosia
33
Q

State 3 structures associated with aggression + the neurotransmitter involved

A

Hypothalamus
Brainstem (periaqueductal grey matter)
Amygdala
5-HT (Serotonin)

34
Q

What are the main afferent connections of the septum?

A

Amygdala
Olfactory Tract
Hippocampus
Brainstem

35
Q

What are the functions of the septum?

A

Reinforcement

Reward

36
Q

Name another structure that is important in the reward system.

A

Nucleus Accumbens

37
Q

Describe another dopaminergic pathway other than the nigro-striatal pathway that is affected in PD

A

Mesolimbic pathway

Ventral Tegmental Area (VTA) of the midbrain –> Median Forebrain Bundles –> Cortex + Nucleus Accumbens + Amygdala

38
Q

Name a structure that is important in drug dependence.

A

Nucleus Accumbens

39
Q

What effect do all drugs of abuse have on the nucleus accumbens?

A

Increase DA release in the NA

Stimulate midbrain neurones, promote DA release or inhibit NA re-uptake

40
Q

Where does the neocortex feed into the Papez Ciruit? What influence does it have?

A

Feeds to the Cingulate cortex

Emotional colouring