Thalamus and hypothalamus Flashcards

1
Q

diencephalon structures

A
  • thalamus
  • subthalamus (contains the subthalamic nucleus= target for deep brain stimulation for Parkinson’s treatment)
  • hypothalamus

Diencephalon is in close association with the midbrain

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2
Q

Thalamic organisation

A
  • occupies most of diencephalon
  • ventral to the lateral ventricles (underneath)
  • sits either side of the midline towards the back of the brain
  • divided into right and left thalamus by the third ventricle
  • main corticospinal tracts encapsulate thalamus on the midline
  • hypothalamus just below thalamus and basal ganglia as a more anterior midline structure
  • organised into collections of discrete nuclei (thalamic nuclei) with separate functions and connections with ipsilateral forebrain structures
  • connections also present between the different thalamic nuclei
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3
Q

Function of the thalamus

A
  • relay site for numerous inputs/outputs for nearly all brain functions (converge on the thalamus)=between cerebral cortex and other parts of the CNS
  • key relay centre to cortical sensory areas
  • involved in almost all sensory systems (except olfactory system->no direct connection to thalamus)
  • can enhance or restrict signals (role in modulation->excitatory or inhibitory depends on the part of the thalamus)
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4
Q

Intralaminar nuclei

A
  • project to various medial temporal lobe structures/cortical areas (eg: amygdala, hippocampus and basal ganglia)
  • receive inputs from the reticular formation of the brainstem
  • mostly glutamatergic neurons->excitatory output
  • loss of neurons in this region associated with motor disorders->progressive supranuclear palsy (PSP=rare brain disorder causing walking and balance problems) and Parkinson’s disease
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5
Q

Reticular formation

A
  • set of interconnected pathways in the brainstem
  • sends ascending projections to forebrain nuclei (Ascending Reticular Activating System=ARAS)
  • Both intralaminar and reticular nucleus receive inputs from ARAS located in the brainstem
  • ARAS involved in consciousness and arousal (allows reaction to circumstances in the outside world) , thus degree of wakefulness is dependent on ARAS activity (controls level of brain arousal by modulating cerebral cortex activity level)
  • increased ARAS activity=increased wakefulness
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6
Q

Hypothalamus structure

A
  • located just below thalamus
  • has direct pituitary gland connection->closely involved in neuroendocrine function (hypothalamic-pituitary axis)
  • divided into left and right hypothalamus by the third ventricle
  • collection of individual nuclei with distinct functions=nuclei present all the way up to the level of the thalamus
  • largely ipsilateral (same side) connections with other nuclei/forebrain structures
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7
Q

The 4 F’s (function of the hypothalamus)

A

DOWN TO DIFFERENT HYPOTHALAMIC NUCLEI

  • Fighting (part of fight or flight response)
  • Fleeing (part of fight or flight response)
  • Feeding
  • Mating
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8
Q

Function of the hypothalamus

A

COORDINATES HOMEOSTATIC MECHANISMS BY:

  • direct connections (brainstem and spinal cord) with autonomic nervous system (regulation of autonomic response to outside world)
  • connections with endocrine systems (acting as endocrine organ via pituitary gland)
  • control of behaviour (eg: feeding behaviour) via connections with forebrain structures
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9
Q

Paraventricular nucleus

A

Located at the top of the third ventricle

  • Sub areas within paraventricular nucleus: parvocellular neurons (small cells) and magnocellular neurons (large cells)
  • Function: sends projections to autonomic nervous system and posterior pituitary gland
  • Parvocellular neurons involved with autonomic nervous system (vasculature, heart, kidneys etc=CVS/renal effects)
  • Magnocellular neurons involved with posterior pituitary gland (secretory function)-> synthesise Vasopressin and Oxytocin

Also closely involved in feeding behaviour

  • paraventricular nuclei lesions result in loss of inhibitory neurones to give hyperphagia and hence weight gain
  • Optogenic stimulation of GABAergic LH neuron terminals in paraventricular nucleus results in feeding behaviour
  • paraventricular nucleus receives input from hypothalamic nuclei (eg: arcuate nucleus) involved in feeding->other nuclei involvement depicts functional network
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10
Q

Suprachiasmatic nucleus

A
  • Immediately above optic chiasm in hypothalamus
  • involved in circadian rhythm controlling sleep wake cycles
  • disturbances in sleep wake cycle often down to pathology in suprachiasmatic nucleus
  • nucleus connected to paraventricular nucleus and thus controls autonomic outflow (ANS link)
  • nucleus also innervates/connects to pineal gland (sits on roof of midbrain)-> controls melatonin secretion from gland, with melatonin controlling the light dark cycle
  • lesions of the suprachiasmatic nucleus can cause disrupted sleep cycles
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11
Q

Nuclei in neuroanatomy

A

Cluster/collection of neuronal cell bodies with similar functions and connections in the CNS
-exception of basal GANGLIA which is in the CNS

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12
Q

Ganglia in neuroanatomy

A

Cluster/collection of neuronal cell bodies with similar functions and connections in the PNS

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13
Q

Reticular nucleus

A

THALAMIC NUCLEUS

  • forms outer covering of thalamus
  • receives inputs from reticular formation
  • majority of neurons are GABAergic->inhibitory output
  • don’t connect/project with distal regions like other thalamic nuclei, projecting to other thalamic nuclei only
  • receive inputs from axon collaterals from thalamic nuclei->thus reticular nucleus regulates information flow to cortex and acts to modulate thalamic activity with negative feedback loop
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14
Q

Thalamic nuclei classification

A

CLASSIFICATION INTO GROUPS ACCORDING TO HOW THEY CONNECT WITH THE CEREBRAL CORTEX

Specific nuclei:

  • Ventral lateral and ventral anterior->motor cortices
  • Ventral posterolateral->Somatosensory (body)
  • Ventral posteromedial->Somatosensory (head)
  • Lateral geniculate->visual
  • Medial geniculate->auditory

Association nuclei:

  • Anterior, lateral dorsal and dorsomedial nuclei-> limbic system parts (cingulate cortex and prefrontal cortex)
  • Lateral posterior and pulvinar->association cortex at junction of the parietal, temporal and occipital lobes and the prefrontal cortex
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15
Q

Specific nuclei

A

-have reciprocal connections with a primary cortical area (ie: clearly defined function)

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16
Q

Association nuclei

A

-have more diffuse reciprocal connections with association cortex

17
Q

Involvement of the hypothalamic nuclei

A

Involved in behavioural control of:

  • eating and drinking
  • expression of emotion
  • sexual behaviour
  • circadian rhythm
  • memory
18
Q

Intralaminar nuclei connection

A

-connection to all cortical areas

19
Q

Reticular nuclei connection

A

-no connection to cortex

20
Q

Amygdala (intralaminar nuclei projection)

A
  • located in anterior part of temporal lobe
  • responsible for emotions,fear and anxiety
  • pathology site in neurodegenerative diseases
21
Q

Hippocampus (intralaminar nuclei projection)

A
  • located just behind amygdala, in floor of ventricle in temporal lobe
  • responsible for memory
22
Q

Basal ganglia (intralaminar nuclei projection)

A
  • located in subcortical area at base of forebrain/top of midbrain
  • control of motor initiation (particularly voluntary motor movement)
23
Q

Associated structures with hypothalamic nuclei

A
  • olfactory system
  • limbic system (hippocampus, amygdala, cingulate cortex, septal nuclei)
  • reward system in the hypothalamic-limbic circuitry triggered by behaviour directed towards wellbeing->behaviour reinforcement results
24
Q

Causes of a disrupted sleep cycle

A
  • lesions of suprachiasmatic nucleus (hypothalamic dysfunction)
  • within the reticular activating system (Parkinson’s pathology spreads through brain from lower brainstem with sleeping disorders appearing as disease travels through the reticular system)
25
Q

REM sleep behaviour disorder

A
  • paralysis during REM sleep incomplete/absent->patient acts out dreams
  • 80% conversion to Parkinson’s disease