Structure and Function of the Basal Ganglia Flashcards
EP system
Most movement disorders involve…
Basal ganglia
EP system
components
Basal ganglia Thalamus STN Substantia Nigra Red nucleus
PMC
fun
execution of movement
Discharges prior to onset of muscular activity
Cerebral cortex
List of outputs
(i) Corticospinal tract
(ii) Corollary projections:
(a) Premotor cortex-supplementary motor cortex (SMA)
(b) Somatosensorycortex
(c) Thalamus
(d) Putamen
(e) Cerebellum
Supplementary motor cortex
Fun/lesion
a. Formulation of “motor program”
b. Anterior frontal lobe
c. SMA lesions cause akinesia (paucity of movement) and mutism
Bereitschaftspotential (“readiness potential”)
chars
a. Slow negative potential on EEG
b. Seen over bilateral SMA and PMC in scalp recordings
c. Occurs during early preparation for self-initiated voluntary movement
d. Precedes muscular activity by several hundred milliseconds
Basal ganglia
fun
Basal Ganglia have a major role in filtering motor programs
(1) Optimizes motor programs
Active during both preparation and movement
(2) Integrates sensory and other information to filter motor program
No role in motor decisions or basic parameters of movement
Activated during imaginary motor actions
Cerebellum
fun
(1) Dynamically adjusts motor execution
Adjusts many basic parameters of movement
(i) Velocity, acceleration, deceleration
(ii) Force
Important for automaticity and repetitive movements
Thalamus
fun
(1) Relays information to and from cortex
a. Feedback from basal ganglia
b. Feedback from cerebellum
c. Primary sensory inputs
Brainstem and SC
Motor outputs
Outputs to α- and γ- motor neurons
Outputs to segmental spinal motor circuits
Striatum
Made up of…
Caudate
Putamen
Nucleus accumbens (not imp for mvmnt disorders)
Basal Ganglia
Direct pathway
(i) Cortex: glutaminergic neurons stimulate striatum (ii) Striatum: GABAergic neurons inhibit tonically active GPi & SNpr (pallidum)
(iii) Pallidum: GABAergic neurons reduce inhibition of thalamus
(iv) Thalamus: disinhibited glutaminergic neurons stimulate cortex
Basal ganglia
Indirect pathway
(i) Cortex: glutaminergic neurons stimulate striatum
(ii) Striatum: GABAergic neurons inhibit tonically active GPe
(iii) Gpe: GABAergic neurons reduce inhibition of STN
(iv) STN: glutaminergic neurons stimulate GPi & SNpr (pallidum)
(v) Pallidum: GABAergic neurons inhibit thalamus
(vi) Thalamus: inhibited glutaminergic neurons reduce cortical stimulation
Basal ganglia
Newer concepts of the pathways
(i) The direct pathway encompasses both a “central” positive feedback loop and a sort of “surround inhibition” on competing movement elements by collateral innervation of interneurons
(ii) A “hyperdirect” pathway of cortico-STN connections also contributes to the inhibition
(iii) A “GPe-STN-GPi network” modulates the excitability of the GPi output neurons
Topographic organization of corticostriatal projections
a. Source of cortical afferents predicts the area of densest innervation in the striatum
b. The total area of striatal innervation is an elongated zone which can extend the entire length of the striatum
c. Projections from different areas of cortex converge or diverge in the striatum, depending on their origin