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Basal Ganglia Disease
Presented by : Dr.TalaTarawneh
Maxillofacial Resident PGY-1
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Definition
Group of nuclei (clusters of neurons) in the brain that are located deep beneath the cerebral cortex
(Subcortical nuclei).
Functions :
The basal
ganglia include:
1-Caudate
nucleus.
2- Putamen.
3- Globus
pallidus
4- Substantia
nigra .
5- Subthalamic
nuclei .
Components
- The Amygdala, located within the temporal lobe has a similar embryologic origin but functionally is part of the limbic system
Functionally part
of basal ganglia
Striatum
Caudate
Nucleus
• 1- Planning
movement.
• 2- Learning.
• 3- Memory.
• 4- Reward.
• 5- Motivation.
• 6- Emotion.
• 7- Romantic
exchanges.
Putamen
• Learning and
motor control.
Globus Pallidus
• Control
conscious and
proprioceptive
movements.
Substantia
Nigra
• Production of
dopamine and
this affect 
• 1-Movement
control.
• 2- Cognitive
executive
functions.
• 3- Emotional
limbic activity.
Subthalamic
Nucleus
• Movement
regulation.
Direct
pathway
Activation of
movement
Indirect
pathway
Inhibition of
movement
Huntington’
s Disease
Hemiballism
Athetosis
Wilson’s
disease
Chorea
Parkinson’s
Disease
Group of physical problems that occur when the group of nuclei in the brain known as the basal ganglia fail to
properly suppress unwanted movements or to properly prime upper motor neuron circuits to initiate motor
function.
A neurodegenerative disorder that affects predominately
dopamine-producing (“dopaminergic”) neurons in a
specific area of the brain called substantia nigra.
Etiology :
1- Primary Idiopathic cause :
1- There is a steady loss of dopamine and
dopaminergic neurons in the basal ganglia with age .
2- Genetics ( Mutations in the PARK genes
and mutations in GBA1
2-Secondary causes :
1- viral encephalitis
2- cerebral atherosclerosis
3- complications of certain drugs ( phenothiazine )
4-Pesticides, herbicides, and heavy metals
There is no single test or scan for Parkinson’s, but there are three telltale symptoms that help doctors make a diagnosis:
Bradykinesia ( slowness of movement )
Tremor
Rigidity
Bradykinesia plus either tremor or rigidity must be present for a PD diagnosis to be considered.
Another movement symptom, postural instability (trouble with balance and falls), is often mentioned, but it does not
occur until later in the disease progression. In fact, problems with walking, balance and turning around early in the
disease are likely a sign of an atypical parkinsonism.
Additional Movement Symptoms
Cramping (dystonia): sustained or repetitive twisting or tightening of muscle.
Drooling (sialorrhea): while not always viewed as a motor symptom, excessive saliva or drooling may result due to a
decrease in normally automatic actions such as swallowing.
Dyskinesia: involuntary, erratic writhing movements of the face, arms, legs or trunk.
Festination: short, rapid steps taken during walking. May increase risk of falling and often seen in association with
freezing.
Freezing: gives the appearance of being stuck in place, especially when initiating a step, turning or navigating through
doorways. Potentially serious problem as it may increase risk of falling.
Masked face (hypomimia): results from the combination of bradykinesia and rigidity.
Micrographia: small, untidy and cramped handwriting due to bradykinesia.
Shuffling gait: accompanied by short steps and often a stooped posture.
Soft speech (hypophonia): soft, sometimes hoarse, voice that can occur in PD.
Non-motor symptoms can include:
Cognitive changes: problems with attention, planning, language, memory or even dementia
Constipation
Early satiety: feeling of fullness after eating small amounts
Excessive sweating, often when wearing off medications
Fatigue
Increase in dandruff (seborrheic dermatitis)
Hallucinations and delusions
Lightheadedness (orthostatic hypotension): drop in blood pressure when standing
Loss of sense of smell or taste
Mood disorders, such as depression, anxiety, apathy and irritability
Pain
Sexual problems, such as erectile dysfunction
Sleep disorders, such as insomnia, excessive daytime sleepiness (EDS), REM sleep behavior
disorder (RBD), vivid dreams, Restless Legs Syndrome (RLS)
Urinary urgency, frequency and incontinence
Vision problems, especially when attempting to read items up close
Weight loss
Several studies have investigated the effect of caffeine on the
development of PD and reported a reduced risk of developing
PD among coffee drinkers
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Basal Ganglia .pptxjkjhkjbjkhjbjbghjgjbbjh

  • 1. Basal Ganglia Disease Presented by : Dr.TalaTarawneh Maxillofacial Resident PGY-1
  • 2. Title and Content Layout with List ▪ Add your first bullet point here ▪ Add your second bullet point here ▪ Add your third bullet point here
  • 3. Definition Group of nuclei (clusters of neurons) in the brain that are located deep beneath the cerebral cortex (Subcortical nuclei). Functions :
  • 4. The basal ganglia include: 1-Caudate nucleus. 2- Putamen. 3- Globus pallidus 4- Substantia nigra . 5- Subthalamic nuclei . Components - The Amygdala, located within the temporal lobe has a similar embryologic origin but functionally is part of the limbic system Functionally part of basal ganglia Striatum
  • 5.
  • 6. Caudate Nucleus • 1- Planning movement. • 2- Learning. • 3- Memory. • 4- Reward. • 5- Motivation. • 6- Emotion. • 7- Romantic exchanges. Putamen • Learning and motor control. Globus Pallidus • Control conscious and proprioceptive movements. Substantia Nigra • Production of dopamine and this affect  • 1-Movement control. • 2- Cognitive executive functions. • 3- Emotional limbic activity. Subthalamic Nucleus • Movement regulation.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12. Huntington’ s Disease Hemiballism Athetosis Wilson’s disease Chorea Parkinson’s Disease Group of physical problems that occur when the group of nuclei in the brain known as the basal ganglia fail to properly suppress unwanted movements or to properly prime upper motor neuron circuits to initiate motor function.
  • 13. A neurodegenerative disorder that affects predominately dopamine-producing (“dopaminergic”) neurons in a specific area of the brain called substantia nigra.
  • 14. Etiology : 1- Primary Idiopathic cause : 1- There is a steady loss of dopamine and dopaminergic neurons in the basal ganglia with age . 2- Genetics ( Mutations in the PARK genes and mutations in GBA1 2-Secondary causes : 1- viral encephalitis 2- cerebral atherosclerosis 3- complications of certain drugs ( phenothiazine ) 4-Pesticides, herbicides, and heavy metals
  • 15. There is no single test or scan for Parkinson’s, but there are three telltale symptoms that help doctors make a diagnosis: Bradykinesia ( slowness of movement ) Tremor Rigidity Bradykinesia plus either tremor or rigidity must be present for a PD diagnosis to be considered. Another movement symptom, postural instability (trouble with balance and falls), is often mentioned, but it does not occur until later in the disease progression. In fact, problems with walking, balance and turning around early in the disease are likely a sign of an atypical parkinsonism. Additional Movement Symptoms Cramping (dystonia): sustained or repetitive twisting or tightening of muscle. Drooling (sialorrhea): while not always viewed as a motor symptom, excessive saliva or drooling may result due to a decrease in normally automatic actions such as swallowing. Dyskinesia: involuntary, erratic writhing movements of the face, arms, legs or trunk. Festination: short, rapid steps taken during walking. May increase risk of falling and often seen in association with freezing. Freezing: gives the appearance of being stuck in place, especially when initiating a step, turning or navigating through doorways. Potentially serious problem as it may increase risk of falling. Masked face (hypomimia): results from the combination of bradykinesia and rigidity. Micrographia: small, untidy and cramped handwriting due to bradykinesia. Shuffling gait: accompanied by short steps and often a stooped posture. Soft speech (hypophonia): soft, sometimes hoarse, voice that can occur in PD.
  • 16. Non-motor symptoms can include: Cognitive changes: problems with attention, planning, language, memory or even dementia Constipation Early satiety: feeling of fullness after eating small amounts Excessive sweating, often when wearing off medications Fatigue Increase in dandruff (seborrheic dermatitis) Hallucinations and delusions Lightheadedness (orthostatic hypotension): drop in blood pressure when standing Loss of sense of smell or taste Mood disorders, such as depression, anxiety, apathy and irritability Pain Sexual problems, such as erectile dysfunction Sleep disorders, such as insomnia, excessive daytime sleepiness (EDS), REM sleep behavior disorder (RBD), vivid dreams, Restless Legs Syndrome (RLS) Urinary urgency, frequency and incontinence Vision problems, especially when attempting to read items up close Weight loss
  • 17. Several studies have investigated the effect of caffeine on the development of PD and reported a reduced risk of developing PD among coffee drinkers
  • 18. Two Content Layout with SmartArt Group A • Task 1 • Task 2 Group B • Task 1 • Task 2 Group C • Task 1 ▪ First bullet point here ▪ Second bullet point here ▪ Third bullet point here
  • 19. Add a Slide Title - 1
  • 20. Add a Slide Title - 2
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  • 22.
  • 23. Add a Slide Title - 4
  • 24. Add a Slide Title - 5