Pituitary and Hypothalamus Flashcards

1
Q

Name the basic life functions of the Hypothalamous

A
  • Regulation of circadian rhythm (pineal gland)
  • Food intake, thirst
  • Stress response, sexual, defensive behaviors
  • Thermoregulation
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2
Q

Where are the clusters of nuclei of the hypothalamus located?

A

Lateral walls and floor of 3rd ventricle

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3
Q

Borders of the hypothalamus?

A

Anteriorly: Lamina terminalis and anterior pillars of fornix
Posteriorly: Tegmentum mesencephalon (mamillary bodies)
Laterally: Optic tracts

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4
Q

What are the 3 layers of hypothalamic nuclei and what is the relation with the pituitary ?

A

Periventricular zone - Ant pituitary
Medial HypoThal - Post pituitary
Lateral Hypothal - Autonomous system

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5
Q

What are the 3 groups of hypothalamic nuclei?

A

Anterior : Supraoptic
Middle: Tuberal
Posterior: Mammillary

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6
Q

What is the name of the anterior group of HypoThal nuclei?

A

Supraoptic region

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7
Q

Which nuclei secrete ADH?

A

Supra-optic nucleus and Paraventricular nucleus

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8
Q

Which nucleus secretes melatonin?

A

Suprachiasmatic nucleus with pineal gland

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9
Q

Name three entities that can appear as a bright T1 nodule in the suprasellar cistern

A

Ectopic neurohypophysis
Lipoma
Rathke’s cleft cyst

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10
Q

Where is ADH secreted and stored?

A

It is secreted by the supra-optic and the paraventricular nuclei, transported by the stalk and stored in the posterior hypophysis

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11
Q

how does the hypothalamo-pituitary complex functions?

A

HThal secretes hormones (ADH)
or
HThal secretes releasing hormones (to stimulate the adenohypophysis)

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12
Q

Technical parameters imaging pituitary

A

Spin Echo, High Res, <2.5mm

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13
Q

Best sequence to image the pituitary-hypothalamic axis?

A

Axial T1

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14
Q

Embryology of pituitary gland

A

2 origins ectodermal from nasopharynx invaginates the sphenoid bone and meets the neuroectoderm

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15
Q

What is the Rathke’s pouch?

A

The embryological gap in the invaginating ectoderm between the pars intermedia and the pars anterior

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16
Q

Embyrological parts of the adeno and neuro hypophysis

A

Adenohypophysis: pars anterior, intermedia, tuberalis
Neurohypophysis: pars posterior, median eminence, stalk

17
Q

Mucoid RCC MRI characteristics?

A

High T1 /dark T2

18
Q

Signal of adenohypophisis in newborn?

A

High T1 !

19
Q

What is the abnormality on intrasellar encephalocele?

A

the floor of the third ventricle is in the sella/sphenoid bone