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HYPOTHALAMUS, IT’S NUCLEI ,CONNECTIONS & CLINICAL CORRELATES
Dr Inderamohan Bisht,PG Resident Anatomy,DrRPGMC Tanda
HYPOTHALMUS
• Sheet of grey matter with
multiple nuclei in the area just
below the Thalamus in the
Diencephalon.
• Only 4gms in weight & less than
1 % of the Brain.
• Master Controlling Centre of
the Body.
• Controls and regulates the
various functions of the Body
through the ANS, Endocrine and
the Limbic System
• An integrative Centre essential
for survival and reproduction.
DEVELOPMENT OF THE BILAMINAR EMBRYONIC DISC & PROCHORDAL PLATE FROM
THE PRIMORDIAL HYPOBLAST IN THE 2nd WEEK
EMERGENCE OF THE PRIMITIVE STREAK FROM
PRIMORDIAL GERM LAYERS IN DEVELOPING EMBRYO
DEVELOPING MESODERM FROM THE EPIBLAST IN THE EARLY EMBRYO
DEVELOPMENT OF THE GERM LAYERS
DEVELOPING NOTOCHORD & GASTRULATION IN THE
GROWING 3rd WEEK EMBRYO
EMERGENCE OF THE NERVOUS SYSTEM
EMERGENCE OF THE NERVOUS SYSTEM
Neural plate becomes Neural Tube
EMERGENCE OF THE NERVOUS SYSTEM
Neural plate becomes Neural Tube
EMERGENCE OF THE NERVOUS SYSTEM
Neural plate becomes Neural Tube
Closes at 25th
Day
Closes at
27th Day
APPEARANCE OF THE CERVICAL FLEXURE, CEPHALIC FLEXURE,PONTINE FLEXURE &
TELENCEPHALIC FLEXURE
DEREVATIVES Of DIENCEPHALON
• Thalamus
• Pineal Gland
• Habenular Nuclei
• Habenular Commissure
• Geniculate Bodies
• Hypothalamus
• Posterior Pituitary
• Optic Tract
• Optic Chiasma
• Retina
• Uveal Tract( Choroid, Ciliary Body & Iris)
DIENCEPHALON
Hypothalmic
Sulcus
HYPOTHALAMUS
ANATOMY
ANTERO POSTERIOR EXTENT OF HYPOTHALMUS
MAMMILARY BODIES OPTIC CHIASMA
HYPOTHALMUS
THALAMUS
THIRD VENTRICLE
MIDBRAIN
LAMINA
TERMINALIS
MEDIAN
EMINENCE
HYPOTHALMUS
DIVISIONS OF HYPOTHALAMUS
Antero
posterior
Divisions of
Hypothalamus
Tuber
Sinerium
Infundibulum
Mammilary
Bodies
Median
Eminence
Lamina
Termin
alis
HYPOTHALAMUS
MAMMILARY BODIES
OPTIC CHIASMA
MID BRAIN
PONS
TUBER CINERIUM
FORNIX
THALAMUS
HIPOCAMPAL
FORMATION
MEDIAL & LATERAL
HYPOTHALAMUS
MAMMILO
THALAMIC
TRACT
FORNIX DIVIDING THE HYPOTHALAMUS
THREE BASIC FUNCTIONS OF
HYPOTHALAMUS IN
HOMEOSTASIS
FUNCTIONAL DIVISIONS OF HYPOTHALAMUS
Anterior, Posterior, Medial ,Lateral and Inferior
NUCLEI IN THE LATERAL HYPOTHALAMUS REGION
HUNGER,ANGER & THIRST
CENTER
PRE OPTIC
NUCLEUS
Various Important
Nuclei in the
subdivisions of
Medial Hypothalamus
PHN
AHN
HYPOTHALMIC CONNECTIONS
1. FORNIX
2. STRIA TERMINALIS
3. VENTRAL AMYGADALO FUGAL
PATHWAY
4. MEDIAL FOREBRAIN BUNDLE
5. SUPRA OPTICO HYPOPHYSEAL
PATHWAY
6. TUBRO HYPOPHYSEAL PATHWAY
7. MAMILO THALAMIC TRACT
HYPOTHALMIC CONNECTIONS
BODY
Column
THALMUS
HYPOTHALMIC CONNECTIONS
8.INFERIOR THALMIC PUDUNCLE
9.MAMMILO TEGMENTAL TRACT
10. MAMMILARY PUDUNCLE
11.DORSAL LONGITUDINAL
FASCICULUS
12.HYPOTHALMO SPINAL PATHWAY
SUPRA OPTICO HYPOPHYSEAL PATHWAY
TUBRO HYPOPHYSEAL
PATHWAY
SUPRA OPTICO AND
TUBRO HYPOPHYSEAL
PATHWAY
1. Sexually DimorphicNucleus
2. Hyperphagiain Diabetes
3. Craniopharyngioma
4. Wernicke’s Korsakoff Syndrome
5. SIADH
6. Diabetes Insipidus
7. Kallmann Syndrome
8. Prader Willi Syndrome
9. Narcolepsy
10. Work on Ageing by the scientists at Albert Einstein College of Medicine
11. New theoryon Weight loss.
NEUROLOGICAL CORRELATES
Many aspects of
Ageing are
controlled by
Hypothalamus. It’s
possible to slow
down the aging
process and increase
longevity by altering
the signaling
pathway with in the
Hypothalamus in
Mice
Protein Complex
Nuclear Factor kappa
light chain enhancer
of activated Beta
cells
Activating the NF-KB
pathway in the
Hypothalamus of Mice
causes decline in levels of
Gonadotrophin releasing
Hormone which
accelerates the aging
process . Inhibiting NF-KB
pathway increases the
levels of GnRH which
retards the aging process.
GnRH therapy with daily
injections of GnRH to an
ageing mice retarded the
ageing process by
preventing the wide
spread inflammation in
various tissues through
the Hypothalamus.
Diet high in
saturated fat and
simple sugars over
long periods of time
damages the nerves
that conduct signals
through the
Hypothalamus
affecting the
function of Leptin
and Ghrelin and
thereby the Body’s
ability to regulate
weight &
metabolism. Diet
which cuts calories,
reduces fat & simple
carbohydrates will
reverse the
inflammatory
damage done to
Hypothalamus.
Mechanism of ↑ Hunger in
Diabetes Mellitus
In Diabetes due to the relative
deficiency of Insulin/ Insulin
resistance, the Ventro medial
Nucleus of Hypothalamus is
deprived of glucose→↑Activity of
Hunger Centre→ Hyperphagia
CRANIOPHARYNGIOMA
Congenital Tumor which develops from
the remnants of the Rathke’s pouch
Most common cause of Supra tentorial
Tumors in Children causing
Hypopituitarism.
Tumors compress both Optic Chiasma
and Hypothalamus causing
Hypothalamic Syndrome .
 Kallmann Syndrome characterized by
failure to start Puberty, Primary
Amenorrhea and Anosmia
 The GnRH neurons originate in an area
of the developing brain the Olfactory
placode from where they pass through
the Cribriform plate into the Olfactory
Bulb where the sense of smell is
generated. From here they migrate
into the Hypothalamus.
 Any problem with the developing
Olfactory Bulb will prevent the
progression of the GnRH releasing
neurons through it.
 No GnRH will be released if the GnRH
releasing neurons are prevented from
reaching the Hypothalamus.
 As a result no FSH/ LH will be released
KALLMANN SYNDROME
REFERENCES
1. Gray’s Clinical Neuro Anatomy: The Anatomic Basis for
Clinical Neuroscience
2. Inderbir Singh’s Text book of Human Neuroanatomy
3. BD Chaurasia’s Human Anatomy Volume 4, Brain- Neuro
Anatomy
4. Human Embryology by Inderbir Singh 10th Edn
5. BD Chaurasia’s dream Human Embryology 2nd Edn
6. Comprehensive Textbook of Psychiatry Kaplan & Sadacok’s
7. Ganong’s Review of Medical Physiology 24th Edition
8. Google Images
9. Ken hub Online Anatomy
10.Wikipedia
11.Online edition of Nature 1st May 2013
12.British Journal of Nutrition Feb 2013

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Hypothalmus,its nuclei, Connections& Clinical Correlates

  • 1. HYPOTHALAMUS, IT’S NUCLEI ,CONNECTIONS & CLINICAL CORRELATES Dr Inderamohan Bisht,PG Resident Anatomy,DrRPGMC Tanda
  • 2. HYPOTHALMUS • Sheet of grey matter with multiple nuclei in the area just below the Thalamus in the Diencephalon. • Only 4gms in weight & less than 1 % of the Brain. • Master Controlling Centre of the Body. • Controls and regulates the various functions of the Body through the ANS, Endocrine and the Limbic System • An integrative Centre essential for survival and reproduction.
  • 3. DEVELOPMENT OF THE BILAMINAR EMBRYONIC DISC & PROCHORDAL PLATE FROM THE PRIMORDIAL HYPOBLAST IN THE 2nd WEEK
  • 4. EMERGENCE OF THE PRIMITIVE STREAK FROM PRIMORDIAL GERM LAYERS IN DEVELOPING EMBRYO
  • 5. DEVELOPING MESODERM FROM THE EPIBLAST IN THE EARLY EMBRYO
  • 6. DEVELOPMENT OF THE GERM LAYERS
  • 7. DEVELOPING NOTOCHORD & GASTRULATION IN THE GROWING 3rd WEEK EMBRYO
  • 8. EMERGENCE OF THE NERVOUS SYSTEM
  • 9. EMERGENCE OF THE NERVOUS SYSTEM Neural plate becomes Neural Tube
  • 10. EMERGENCE OF THE NERVOUS SYSTEM Neural plate becomes Neural Tube
  • 11. EMERGENCE OF THE NERVOUS SYSTEM Neural plate becomes Neural Tube
  • 12.
  • 13.
  • 14.
  • 15.
  • 17.
  • 18.
  • 19.
  • 20. APPEARANCE OF THE CERVICAL FLEXURE, CEPHALIC FLEXURE,PONTINE FLEXURE & TELENCEPHALIC FLEXURE
  • 21.
  • 22.
  • 23. DEREVATIVES Of DIENCEPHALON • Thalamus • Pineal Gland • Habenular Nuclei • Habenular Commissure • Geniculate Bodies • Hypothalamus • Posterior Pituitary • Optic Tract • Optic Chiasma • Retina • Uveal Tract( Choroid, Ciliary Body & Iris)
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30.
  • 31.
  • 33. ANTERO POSTERIOR EXTENT OF HYPOTHALMUS MAMMILARY BODIES OPTIC CHIASMA HYPOTHALMUS THALAMUS THIRD VENTRICLE MIDBRAIN LAMINA TERMINALIS MEDIAN EMINENCE
  • 34.
  • 35.
  • 36.
  • 37.
  • 38.
  • 39.
  • 41.
  • 42.
  • 43.
  • 44.
  • 45.
  • 49. MAMMILARY BODIES OPTIC CHIASMA MID BRAIN PONS TUBER CINERIUM
  • 50.
  • 51.
  • 53.
  • 54.
  • 55.
  • 56.
  • 57.
  • 58.
  • 59.
  • 60.
  • 61. THREE BASIC FUNCTIONS OF HYPOTHALAMUS IN HOMEOSTASIS
  • 62.
  • 63. FUNCTIONAL DIVISIONS OF HYPOTHALAMUS Anterior, Posterior, Medial ,Lateral and Inferior
  • 64.
  • 65. NUCLEI IN THE LATERAL HYPOTHALAMUS REGION HUNGER,ANGER & THIRST CENTER PRE OPTIC NUCLEUS
  • 66. Various Important Nuclei in the subdivisions of Medial Hypothalamus PHN AHN
  • 67.
  • 68.
  • 69.
  • 70.
  • 71.
  • 72.
  • 73.
  • 74.
  • 76. 1. FORNIX 2. STRIA TERMINALIS 3. VENTRAL AMYGADALO FUGAL PATHWAY 4. MEDIAL FOREBRAIN BUNDLE 5. SUPRA OPTICO HYPOPHYSEAL PATHWAY 6. TUBRO HYPOPHYSEAL PATHWAY 7. MAMILO THALAMIC TRACT HYPOTHALMIC CONNECTIONS BODY Column THALMUS
  • 77.
  • 78. HYPOTHALMIC CONNECTIONS 8.INFERIOR THALMIC PUDUNCLE 9.MAMMILO TEGMENTAL TRACT 10. MAMMILARY PUDUNCLE 11.DORSAL LONGITUDINAL FASCICULUS 12.HYPOTHALMO SPINAL PATHWAY
  • 79.
  • 80.
  • 81.
  • 83.
  • 84.
  • 85.
  • 87. SUPRA OPTICO AND TUBRO HYPOPHYSEAL PATHWAY
  • 88.
  • 89. 1. Sexually DimorphicNucleus 2. Hyperphagiain Diabetes 3. Craniopharyngioma 4. Wernicke’s Korsakoff Syndrome 5. SIADH 6. Diabetes Insipidus 7. Kallmann Syndrome 8. Prader Willi Syndrome 9. Narcolepsy 10. Work on Ageing by the scientists at Albert Einstein College of Medicine 11. New theoryon Weight loss. NEUROLOGICAL CORRELATES
  • 90. Many aspects of Ageing are controlled by Hypothalamus. It’s possible to slow down the aging process and increase longevity by altering the signaling pathway with in the Hypothalamus in Mice
  • 91. Protein Complex Nuclear Factor kappa light chain enhancer of activated Beta cells
  • 92. Activating the NF-KB pathway in the Hypothalamus of Mice causes decline in levels of Gonadotrophin releasing Hormone which accelerates the aging process . Inhibiting NF-KB pathway increases the levels of GnRH which retards the aging process. GnRH therapy with daily injections of GnRH to an ageing mice retarded the ageing process by preventing the wide spread inflammation in various tissues through the Hypothalamus.
  • 93. Diet high in saturated fat and simple sugars over long periods of time damages the nerves that conduct signals through the Hypothalamus affecting the function of Leptin and Ghrelin and thereby the Body’s ability to regulate weight & metabolism. Diet which cuts calories, reduces fat & simple carbohydrates will reverse the inflammatory damage done to Hypothalamus.
  • 94.
  • 95.
  • 96. Mechanism of ↑ Hunger in Diabetes Mellitus In Diabetes due to the relative deficiency of Insulin/ Insulin resistance, the Ventro medial Nucleus of Hypothalamus is deprived of glucose→↑Activity of Hunger Centre→ Hyperphagia
  • 97. CRANIOPHARYNGIOMA Congenital Tumor which develops from the remnants of the Rathke’s pouch Most common cause of Supra tentorial Tumors in Children causing Hypopituitarism. Tumors compress both Optic Chiasma and Hypothalamus causing Hypothalamic Syndrome .
  • 98.
  • 99.
  • 100.
  • 101.  Kallmann Syndrome characterized by failure to start Puberty, Primary Amenorrhea and Anosmia  The GnRH neurons originate in an area of the developing brain the Olfactory placode from where they pass through the Cribriform plate into the Olfactory Bulb where the sense of smell is generated. From here they migrate into the Hypothalamus.  Any problem with the developing Olfactory Bulb will prevent the progression of the GnRH releasing neurons through it.  No GnRH will be released if the GnRH releasing neurons are prevented from reaching the Hypothalamus.  As a result no FSH/ LH will be released KALLMANN SYNDROME
  • 102.
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  • 106. REFERENCES 1. Gray’s Clinical Neuro Anatomy: The Anatomic Basis for Clinical Neuroscience 2. Inderbir Singh’s Text book of Human Neuroanatomy 3. BD Chaurasia’s Human Anatomy Volume 4, Brain- Neuro Anatomy 4. Human Embryology by Inderbir Singh 10th Edn 5. BD Chaurasia’s dream Human Embryology 2nd Edn 6. Comprehensive Textbook of Psychiatry Kaplan & Sadacok’s 7. Ganong’s Review of Medical Physiology 24th Edition 8. Google Images 9. Ken hub Online Anatomy 10.Wikipedia 11.Online edition of Nature 1st May 2013 12.British Journal of Nutrition Feb 2013