week 5- basal ganglia Flashcards

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1
Q

what are the output. nuclei of the BG

A

SNr, GPi, ventral pallidum this send the output to the thalamus

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2
Q

outline the direct pathway

A

excitation= hyperkinesia, damage = hypokinesia

Motor cortex stimulation with GLU

striatum GABA released from the putamen

inhibition of globus pallidus internus (and or substantia nigra)

decreased inhibition of thalamus (ventrolateral nucleus)

increased excitation of the motor cortex increased movement

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3
Q

outline the indirect pathway

A

excitation= hypokinesia, damage= hyperkinesia

Motor cortex stimulation with GLU

striatum GABA released from the putamen

inhibition of globus pallidus externus

decreased inhibition of subthalamic nucleus (ventrolateral nucleus)

increased stimulation of globus pallidus internus

inhibition of thalamus

inhibition of motor cortex

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4
Q

Describe the normal function of medium spiny neurons and what would happen if they were inhibited

A

reside in the stratium respond to GLU and release gaba as output from stratium

•Direct path MSNs expresses D1 receptors (dopamine excitatory here)

inhibition MSN = hypokinesia

•Indirect path MSNs expresses D2 receptors receptors (dopamine inhibitory here)

inhibition of MSN= hyperkinesia (less inhibition of GPe)

less inhibition of GPe by MSNs, so MORE inhibition of STN by GPe. More inhibition of STN means the STN cannot drive the output nuclei (SNr and GPi), so there is LESS inhibitory control of thalamus. Less inhibition of thalamus means thalamus allows increased movement.

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5
Q

compare D1 and D2 receptors

A

D1- DA excites MSNs of the direct pathway

D2- DA inhibits MSNs of the indirect pathway

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6
Q

what part of the BG releases dopamine

what part of the BG depends on dopamine

A

substantia nigra pars compacta

stratium

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7
Q

what pathway is upregulated in hyperkinesia and what are some examples

A

Increased direct, decreased indirect

Ballismus, Choreiform, Athetoid movements

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8
Q

what pathway is upregulated in hypokinesia and what are some examples

A

decreased direct, increased indirect

Akinesia, Hypokinesia, Bradykinesia, Rigidity (lead-pipe; cogwheel

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9
Q

what would damage to the right STN result in

A

CONTRALATERAL hemiballism

due to damage of the indirect pathway

for comparision HD impacts the stratium

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10
Q

what disease is characterized by the loss of spiny neurons

A

HD
will hit indirect path first = early presentation of hyperkinesia

Eventual damage to both the direct (bradykinesia, rigidity and dystonia) and indirect pathways (chorea) … involves loss of cortical and subcortical cells, decreased neurotrophins, excitotoxicity, astrocyte loss and ROS.

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11
Q

would lesion of the BG result in contra or ipsilateral damage

A

contralateral

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12
Q

differentiate between substantia nigra pars compacta and pars reticulara

A

compacta is where the dopamine is produced and the reticulara is a major output nuclei

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13
Q

ID the four loops of the BG

A

BG chisels through everything you don’t need at that time because then everything back to the cortex is excitatory

–> striatum –>output nuclei –>thalamus–>back to cortex

Motor loop:

What output nuclei: GPi

What part of thalamus: VL/VA

Oculomotor loop: FEF & posterior parietal eye fields

What output nuclei: GPi, SNr

What part of thalamus: Mediodorsal (MD)/ VA

Prefrontal:

What output nuclei: GPi, SNr

What part of thalamus: Mediodorsal (MD)/ VA

Limbic loop:anterior cingulate orbital frontal cortex (amygdala, hippocampus temporal lobe)

What output nuclei: ventral pallidum

What part of thalamus: MD

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14
Q

what structures does the internal capsule seperate

A

The anterior limb of the internal capsule separates the caudate and the putamen in anterior section

in deeper sections the internal capsule the separates the globus pallidus internus and the substantia nigra

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15
Q

what is the subthalmic nuclei superior to

A

substantia nigra and the red nucleus

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16
Q

what part of the BG is excitatory

A

STN

17
Q

what would happen if there was decreased stimulation of the globus pallidus internus

A

decreased inhibition of the thalamus

hyperkinesia

18
Q

what would happen if there was decreased versus increased stimulation of the STN

A

decreased activity STN–> more movement

increased activity of STN stimulation –>

normal indirect pathway–> less movement

STN Recieves inhibitory signals from GOe

19
Q

what would inreased GPe result in

A

hyperkinesia,

it is inhibited by stratium in the indirect pathway

20
Q

what are the pathway changes that cause rigidity

A

decreased direct and increased indirect

21
Q

what disease is characterized hypypertonia

A

parkinsons

22
Q

what places of the BG are approved for implantation of Deep brain stimulator

A

subthalamic nucleus (STN)

internal pallidal segment (GPi)

nucleus ventral isinter medius targets for the treatment of Parkinson disease.

  • depolarizing block (stimulation depolarizes neurons until they can no longer respond).
  • causes release of local GABA.