Olfactory & limbic system, basal ganglia Flashcards

1
Q

what are the two major functional roles of limbic system?

A
  1. learning

2. regulation and translation of emotions into appropriate behaviour

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2
Q

what does the limbic system consist of and how are they all connected? CHAAP-NU

A
  1. cingulate gyrus
  2. hippocampal formation
  3. anterior perforated substance
  4. amygdala
  5. septal nucleui
  6. uncus
    - they are all connected the via the papez circuit
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3
Q

what do you find above and below the corpus callosum?

A

above - cingulate gyrus and cingulum

below - fornix

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4
Q

which is the largest bundle of association fibres?

A

superior longitudinal fascicules

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5
Q

what does a lesion in limbic system result in?

A

1a. generation of emotions and emotional responses in the absence of an external stimuli
1b. production of inappropriate emotional responses to a certain stimuli
1c. inability to detect the emotional state of others and inability to regulate our own responses
2. anterograde amnesia

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6
Q

what is hydrocephalus?

A
  • blockage of CSF flow in ventricles (e.g. tumours) or subarachnoid space (e.g. adhesions following meningitis or trauma) leads to rise in fluid pressure causing the ventricles to swell
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7
Q

what are the symptoms and signs of raised intracranial pressure?

A

headache, unsteadiness and mental impairment

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8
Q

how can the pressure be relieved in hydrocephalus?

A

relieved by insertion of a shunt connection the ventricular system to the jugular vein or peritoneum

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9
Q

what forms the lentiform nucleus and striatum?

A

lentiform nucleus - putamen (outer) + globus pallidus (inner)
striatum - putamen (outer) + caudate nucleus (above)

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10
Q

outline the old papez circuit pathway and what is included in the new one?

A

old papez circuit - parahippocampus gryus -> hippocampus -> fimbria-fornix-> mammilary body- MTT -> anterior nucleus -> cingulate gyrus-cingulum -> parahippocampus- entorhinal cortex -> hippocampus
new - amygdala + hypothalamus

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11
Q

outline its location in the brain

  1. caudate nucleus
  2. stria terminalis
A
  1. caudate nucleus - follows the curve of lateral ventricle to inform horn and consists of caudate head-body-tail
  2. stria terminalis - follows the caudate nucleus and connects the amygdala to the septum and hypothalamus
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12
Q

what is the location and function of caudate tail?

A
  • location: at the tip of (above) inferior horn of lateral ventricle
  • function: connects to the amygdala for fear
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13
Q

what is the location and function of hippocampus? and what is pes hippocampi?

A
  • location: lies medially in the inferior horn of lateral ventricle (5cm)
  • function: long term memory + emotion
  • pes means paw like and the end of the hippocampus looks like a claw thus giving the name pes hippocampi
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14
Q

what is the pathology of PD, symptoms (PBL-CSF) and treatment?

A
  • Pathology: degeneration of dopaminergic neurons of substantia nigra with depletion of striatal dopamine
  • cause: unknown, some genetic
  • symptoms: cog-wheel rigidity (muscular rigidity), pill-rolling tremor at rest (thumb and forefinger), shuffling, festinant gait (difficulty starting and stopping), bradykinesia (slowness of movements), loss of facial expressions
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15
Q

what is the cause and symptom of HD? (PCDD)

A
  • cause: autosomal dominant inheritance, shrunken head of caudate nucleus and eventually whole brain atrophy
  • symptoms: chorea (overshooting, unintentional movements), personality change, depression and progressive dementia due to degeneration of corpus striatum and cerebral cortex
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16
Q

what is lacunar stroke?
what are its risk factors?
where is the lesion?
what can it result in?

A
  • occlusion of deep perforating artery
  • risk factors: smoking, hypertension, diabetes mellitus
  • lesion: deep nuclei, pons, internal capsule
  • stroke affecting internal capsule:
    1. hemiparesis - affecting half of face, one arm or leg
    2. ataxic hemiparesis - combination of cerebellum and motor symptoms, mostly affecting the leg
    3. mixed sensorimotor stroke if thalamus is also affected causing hemiparesis with ipsilateral sensory impairment
17
Q

where to identify the internal capsule?

A

thalamus supported from lentiform nucleus by internal capsule