The document discusses several components of the basal ganglia and limbic system:
1. The basal ganglia include the corpus striatum, lentiform nucleus, amygdaloid nucleus, and claustrum. The corpus striatum has three parts - the caudate nucleus, putamen, and globus pallidus.
2. The reticular formation is a diffuse network extending from the spinal cord to the cerebrum. It receives sensory input and influences motor activity, sensation, and the autonomic nervous system.
3. The basal ganglia and reticular formation are involved in motor control and planning movements through connections with the cortex and brainstem. Damage can cause disorders like Parkinson's disease
You can watch the video on my you tube channel: https://youtu.be/I0FaX-iQfa0
Medulla oblongata or more simply medulla is part of brain stem which forms base of the brain stem. It contains pyramid, olive and above pyramidal structure, there is decussation of pyramids which explains why each part of brain controls opposite part of body. Adding to that medulla also has several nuclei which controls activity of cardiovascular system and respiratory system. Medulla also has nuclei for controlling reflexes of vomiting, swallowing, hiccuping, coughing and sneezing. It has also nuclei for test, hearing and balance. Medulla also contains nuclei of cranial nerve number VIII, IX, X, XI and XII.
BRAINSTEM
The Brainstem lies at the base of the brain and the top of the spinal cord.
The brainstem is located in the posterior cranial fossa.
The brainstem is the structure that connects the cerebrum of the brain to the spinal cord and cerebellum.
Provides a pathway for tracts running between higher and lower neural centers.
Divided into 3 major divisions:
midbrain,
pons, and
medulla oblongata.
It is responsible for many vital functions of life, such as breathing, consciousness, blood pressure, heart rate, and sleep.
It contains many critical collections of white and grey matter.
The grey matter within the brainstem consists of nerve cell bodies and form many important brainstem nuclei. Ten of the twelve cranial nerves arise from their cranial nerve nuclei in the brainstem.
The white matter tracts of the brainstem include axons of nerves traversing their course to different structures. These tracts travel both to the brain (afferent) and from the brain (efferent) such as the somatosensory pathways and the corticospinal tracts, respectively.
Mid Brain
The midbrain is continuous with the cerebral hemisphere.
The upper posterior (i.e. rear) portion of the midbrain is called the tectum, which means "roof."
The surface of the tectum is covered with four bumps representing two paired structures: the superior and inferior colliculi.
The superior colliculi are involved in eye movements and visual processing, while the inferior colliculi are involved in auditory processing.
Another important nucleus, the substantia nigra, is located here.
The substantia nigra is rich in dopamine neurons and is considered part of the basal ganglia.
Pons
An important pathway for tracts that run from the cerebrum down to the medulla and spinal cord, as well as for tracts that travel up into the brain.
It also forms important connections with the cerebellum via fibre bundles known as the cerebellar peduncles.
Posteriorly, the pons and medulla are separated from the cerebellum by the fourth ventricle.
Home to several nuclei for cranial nerves.
Medulla
The point where the brainstem connects to the spinal cord.
Contains a nucleus called the nucleus of the solitary tract that is crucial for our survival (receives information about blood flow, along with information about levels of oxygen and carbon dioxide in the blood, from the heart and major blood vessels).
When this information suggests a discordance with bodily needs (e.g. blood pressure is too low), there are reflexive actions initiated in the nucleus of the solitary tract to bring things back to within the desired range.
Blood Supply
The brain stem receives its blood supply exclusively from the posterior circulation, including the vertebrae and basilar artery.
The medulla receives its blood supply from the vertebral via medial and lateral perforating arteries.
The pons and midbrain receive their blood from the basilar via the medial and lateral perforating arteries.
You can watch the video on my you tube channel: https://youtu.be/I0FaX-iQfa0
Medulla oblongata or more simply medulla is part of brain stem which forms base of the brain stem. It contains pyramid, olive and above pyramidal structure, there is decussation of pyramids which explains why each part of brain controls opposite part of body. Adding to that medulla also has several nuclei which controls activity of cardiovascular system and respiratory system. Medulla also has nuclei for controlling reflexes of vomiting, swallowing, hiccuping, coughing and sneezing. It has also nuclei for test, hearing and balance. Medulla also contains nuclei of cranial nerve number VIII, IX, X, XI and XII.
BRAINSTEM
The Brainstem lies at the base of the brain and the top of the spinal cord.
The brainstem is located in the posterior cranial fossa.
The brainstem is the structure that connects the cerebrum of the brain to the spinal cord and cerebellum.
Provides a pathway for tracts running between higher and lower neural centers.
Divided into 3 major divisions:
midbrain,
pons, and
medulla oblongata.
It is responsible for many vital functions of life, such as breathing, consciousness, blood pressure, heart rate, and sleep.
It contains many critical collections of white and grey matter.
The grey matter within the brainstem consists of nerve cell bodies and form many important brainstem nuclei. Ten of the twelve cranial nerves arise from their cranial nerve nuclei in the brainstem.
The white matter tracts of the brainstem include axons of nerves traversing their course to different structures. These tracts travel both to the brain (afferent) and from the brain (efferent) such as the somatosensory pathways and the corticospinal tracts, respectively.
Mid Brain
The midbrain is continuous with the cerebral hemisphere.
The upper posterior (i.e. rear) portion of the midbrain is called the tectum, which means "roof."
The surface of the tectum is covered with four bumps representing two paired structures: the superior and inferior colliculi.
The superior colliculi are involved in eye movements and visual processing, while the inferior colliculi are involved in auditory processing.
Another important nucleus, the substantia nigra, is located here.
The substantia nigra is rich in dopamine neurons and is considered part of the basal ganglia.
Pons
An important pathway for tracts that run from the cerebrum down to the medulla and spinal cord, as well as for tracts that travel up into the brain.
It also forms important connections with the cerebellum via fibre bundles known as the cerebellar peduncles.
Posteriorly, the pons and medulla are separated from the cerebellum by the fourth ventricle.
Home to several nuclei for cranial nerves.
Medulla
The point where the brainstem connects to the spinal cord.
Contains a nucleus called the nucleus of the solitary tract that is crucial for our survival (receives information about blood flow, along with information about levels of oxygen and carbon dioxide in the blood, from the heart and major blood vessels).
When this information suggests a discordance with bodily needs (e.g. blood pressure is too low), there are reflexive actions initiated in the nucleus of the solitary tract to bring things back to within the desired range.
Blood Supply
The brain stem receives its blood supply exclusively from the posterior circulation, including the vertebrae and basilar artery.
The medulla receives its blood supply from the vertebral via medial and lateral perforating arteries.
The pons and midbrain receive their blood from the basilar via the medial and lateral perforating arteries.
This is the ppt that describes about organization of nerve in central nervous system. It also classify the nerves in various ways. Functions of different nerves and its characteristics are also described in this ppt.
USMLE NEUROANATOMY 016 White matter of the brain corpus calloum.pdfAHMED ASHOUR
Neurosurgery involving the white matter of the brain typically focuses on addressing specific conditions or abnormalities within this tissue. The white matter comprises nerve fibers, or axons, which are responsible for transmitting signals between different regions of the brain and connecting various parts of the central nervous system. Surgery involving the white matter of the brain is highly specialized and requires a thorough understanding of the brain's anatomy, neuroimaging, and advanced surgical techniques. Neurosurgeons carefully plan interventions to achieve therapeutic goals while minimizing damage to critical white matter tracts that play a crucial role in neural communication.
A simple basic professional content, which is suitable for representation by medical students, physicians and surgeons.
Your comments are more than welcomed.
A simple basic professional content, which is suitable for representation by medical students, physicians and surgeons.
Your comments are more than welcomed.
A simple basic professional content, which is suitable for representation by medical students, physicians and surgeons.
Your comments are more than welcomed.
A simple basic professional content, which is suitable for representation by medical students, physicians and surgeons.
Your comments are more than welcomed.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Factory Supply Best Quality Pmk Oil CAS 28578–16–7 PMK Powder in Stockrebeccabio
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Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
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Basal Ganglia, Reticular Formation, Limbic System
1. Basal Ganglia
Reticular Formation
Limbic System
By
Dr.Faris Al-Haddad
M.B.Ch.B, PhD Anatomy
College of Medicine,
Hawler Medical University
Arbil, Iraq
e-mail: farisurgeon@gmail.com
2.
3. • A collect ion of masses of gray mat t er
sit uat ed wit hin each cerebral
hemisphere. They are t he :
1. Corpus
st riat um : Caudat e, Globus
pallidus and
put amen
2. Amygdaloid nucleus,
3. Claust rum.
• The subt halamic nucleisubt halamic nuclei, t he
4.
5.
6. 1. Caudate Nucleus :
• A large C-shaped mass of gray mat t er
• Closely relat ed t o t he lat eral vent ricle and lies
lat eral t o t he t halamus.
• The lat eral surf ace of t he nucleus is relat ed t o t he
int ernal capsule, which separat es it f rom t he
lent if orm nucleus.
• divided int o a :
A. head,
B. body,
C. t ail.
7. • The head of Caudate Nucleus :
• I s large and rounded
• f orms t he lat eral wall
of ant erior horn of t he
lat eral vent ricle.
• Cont inuous inf eriorly
wit h t he put amen of
t he lent if orm
nucleus
( Bot h Caudat e &
8. • B. The Body Of Caudate Nucleus :
• is long and narrow
• is cont inuous wit h t heis cont inuous wit h t he
headhead in t he region of t he
int ervent ricular f oramen.
• f orms part of t he f loorf loor
of t he body of t he lat eralof t he body of t he lat eral
vent riclevent ricle.
9. C. Tail Of Caudate
Nucleus :
• long and slender
• cont inuous wit h t he
body in t he region of t he
post erior end of t he t halamuspost erior end of t he t halamus.
• I t f ollows t he cont our of t he lat eral vent ricle and cont inues
f orward in t he roof of t he inf erior horn of t he lat eralroof of t he inf erior horn of t he lat eral
vent riclevent ricle.
• I t t erminat es ant eriorly in t he amygdaloid nucleus.amygdaloid nucleus.
10. 2. Lentiform Nucleus :
• I t s a wedge-shaped mass of
gray mat t er
• A base is direct ed lat erally
• A blade is direct ed medially.
• A vert ical whit e mat t er
divides it int o :
* lat eral port ion :
Put amen,
* medial
port ion :
Globus
pallidus.
• I nf eroant eriorly, t he
put amen is cont inuous wit hput amen is cont inuous wit h
t he headt he head of t he caudat e
P
G.P
11. • Lat er ally : a
t hin sheet of
whit e mat t er ,
External
capsule,
separ at es it
f rom a sheet
of gr ay
mat t er, called
Claustrum.
• The
claust rum, in
t ur n,
separ at es t he
ext er nal
capsule f rom
t he
• Medially :
Internal capsule,
separat es it
f r om t he caudat e
nucleus and
t halamus.
12. 3. Amygdaloid Nucleus :
• The amygdaloid nucleus is sit uat ed
in t he t emporal lobe close t o t he uncusin t he t emporal lobe close t o t he uncus.
• is considered t o be part of t he limbic system.
• I t can inf luence t he body' s response t o environment al
changes. I n t he sense of f ear , f or example, it can change
t he heart rat e, blood pressure, skin color, and rat e of
respirat ion.
13. 4. Claustrum :
• The claust rum is a
t hin sheet of graysheet of gray
mat t ermat t er t hat is
separat ed f rom t he
lat eral surf ace of
t he lent if orm
nucleus by t he
ext ernal capsuleext ernal capsule.
• Lat eral t o t he
claust rum is t he
subcort ical whit esubcort ical whit e
mat t er of t he insulamat t er of t he insula.
14. • substantia nigra of t he midbrain &
subthalamic nuclei of diencephalon :
are f unct ionally closely relat ed t o t he
act ivit ies of t he basal nuclei.
• The neurons of t he subst ant ia nigra are
dopaminergic and inhibit ory and have many
connect ions t o t he corpus st riat um.
• The neurons of t he subt halamic nuclei are
glut aminergic and excit at ory and have many
connect ions t o globus pallidus & subst ant ia
nigra.
16. Afferent Fibers
1. Corticostriate Fibers :
The most massive st riat al
af f erent s, f rom somat osensory cort ex
and limbic syst em t o t he corpus
st riat um. I t t hus serves t o modulat e
mot or responses based on limbic
inf ormat ion. I t has glut aminergic
excit at ory ef f ect
2. Thalamostriate Fibers :
Thalamost riat e f ibers are
believed t o be glut amat e excit at ory.
17. 3. Nigrostriate Fibers :
I t has bot h
excit at ory inhibit ory ef f ect on t he
corpus st iat um, but I t is believed t hat
t hese f ibers are more inhibit ory in
f unct ion.
4. Brainstem Striatal Fibers :
I t is t hought t hat
t hese f ibers are inhibit ory in f unct ion.
18. Efferent Fibers
• St riat opallidal Fibers : is
GABAergic
(inhibit ory).
• St riat onigral Fibers : is
glut amat ergic
(excit at ory).
19. Connections of the Globus Pallidus
Afferent Fibers :
• Striatopallidal Fibers : is GABAergic
(inhibit ory).
20. Efferent Fibers:
1. Pallidofugal Fibers :
(A) Ansa lent icularis : pass t o t halamus;
(B) Fasciculus lent icularis :pass t o
subt halamus;
(C) Pallidot egment al f ibers
: pass t o t egment um.
(D) Pallidosubt halamic f ibers : t o
subt halamic.
22. • The basal nuclei are j oined t oget her and
connect ed wit h many different regions of
t he nervous syst em by a very complex
number of neurons.
• Basically, t he corpus st riat um receives
afferent inf ormat ion f rom most of t he :
Cerebral
cort ex,
Thalamus,
Subt halamus,
Brainst em, including t he Subst ant ia Nigra.
• The inf ormat ion is int egrat ed wit hin t he
23. • This circular pat hway is believed t o f unct ion
as f ollows :
• Writ ing t he let t ers of t he alphabet ,
• Drawing a diagram,
• Passing a f oot ball,
• Using t he vocal cords in t alking and singing,
and
• Using t he eye muscles when looking at an
obj ect
Are a f ew examples where t he basal nuclei
inf luence t he skilled cort ical mot or
24. • Destruction of the primary motor cerebral
cortex prevent s t he individual f rom
perf orming f ine discret e movement s of t hef ine discret e movement s of t he
hands and f eet on t he opposit e side of t hehands and f eet on t he opposit e side of t he
bodybody. However, t he individual is st ill capable
of performinggrosscrudemovementsoftheoppositelimbs.
• If destruction of the corpus striatumt hen
t akes place, paralysis of t he remaining
movement s of t he opposit e side of t he body
occurs.
25. • help prepare for the movements e.g. in
upper limb, by cont rolling t he axial and girdle
movement s of t he body and t he posit ioning
of t he proximal part s of t he limbs bef ore
t he primary mot or part of t he cerebral
cort ex act ivat es discret e movement s in t he
hands and f eet .
• The basal nuclei cont rol muscular movement s
by inf luencing t he cerebral cort ex and have
no direct control through descending
pathways to the brainstem and spinal cord.
27. Disorders of t he basal nuclei are of t wo
general t ypes :
1. Hyperkinet ic disorders : are t hose in
which t here are excessive and abnormal
movement s.
2. Hypokinet ic disorders : include t hose in
which t here is a lack or slowness of
movement .
3. Parkinson disease : includes bot h t ypes
of mot or dist urbances.
28. • Chorea :
I n chorea, t he pat ient exhibit s involunt ar y, quick,
j er ky, ir regular movement s t hat are nonr epet it ive.
Swif t grimaces and sudden movement s of t he head
or limbs ar e good examples.
• Parkinson Disease :
• Is a progressive disease of unknown cause that commences
between the ages of 45 and 55 years.
• It is associated with neuronal degeneration in substantia nigra
and, to a lesser extent, in the globus pallidus, putamen, and
caudate nucleus.
• The disease affects about 1 million people in the United States.
• The degeneration of the neurons of the substantia nigra that
send their axons to the corpus striatum results in a reduction in
the release of the neurotransmitter dopamine within the corpus
striatum. This leads to hypersensitivity of the dopamine
receptors in the postsynaptic neurons in the striatum.
29. • Pat ient s have t he f ollowing charact erist ic
signs and sympt oms:
• Tremor : result of t he alt ernat ing
cont ract ion of agonist s and ant agonist s.
• Rigidity : I f t he t remor is present , t he
muscle resist ance is overcome as a series of
j erks, called cogwheel rigidit y.
• Bradykinesis dif f icult y in init iat ing
(akinesia) and perf orming new movement s.
• Postural disturbances:
The pat ient st ands wit h a
st oop, and his or her arms are f lexed. The
pat ient walks by t aking short st eps and
of t en is unable t o st op. I n f act , he or she
30.
31. • The ret icular f or mat ion, as it s name
would suggest , resembles a net
(ret icular) t hat is made up of nerve
cells and ner ve f ibers.
• The net ext ends up t hr ough t he
axis of t he cent ral nervous syst em
f rom t he spinal cord t o t he
cer ebrum.
• I t is st rat egically placed among
import ant nerve t ract s and nuclei.
32. • I t receives input f rom :
Most of t he sensory syst emsMost of t he sensory syst ems
• I t s out put :
Descend and inf luence nerve cells at
all levels of t he cent ral nervousall levels of t he cent ral nervous
syst emsyst em.
• The exceptionally long dendrites of t he
33. • I t can inf luence :
skelet al muscle act ivit y,
somat ic sensat ion
visceral sensat ions,
aut onomic nervous syst em
endocrine syst ems,
34. General Arrangement :
• The ret icular f ormat ion consist s of a :
(Deeply placed cont inuous net work of nerve
cells and f ibers)
Extend from the :
Spinal cord,
Medulla oblangat a,
Pons,
Midbrain,
Subt halamus,
Hypot halamus,
Thalamus.
35. • The dif f use net work may be divided int o
t hree longit udinal columns:
1. Median coluMn : have int ermediat e-size
neurons,
2. Medial coluMn : have large neurons;
3. lateral coluMn : have small neurons.
36.
37. • Polysynapt ic pat hways exist , and bot h crossed and
uncrossed ascending and descending pat hwaysascending and descending pat hways are
present , involving many neurons in bot h somat ic and
visceral f unct ions.
• Superiorly : impulses are relayed t o cerebral
cort ex; a subst ant ial proj ect ion of f ibers also
leaves t he ret icular f ormat ion t o ent er cerebellum.
• I nf eriorly : t he ret icular f ormat ion is cont inuous
wit h t he int erneurons of t he gray mat t er of t he
spinal cord,
38.
39. 1. Afferent Projections :
• From t he spinal cord :
Spinoret icular t ract s,
Spinot halamic t ract s
Medial lemniscus.
• From t he cranial nerve nuclei :
Vest ibular pat hways
Acoust ic pat hways,
Visual pat hways
40. • Subt halamic,
• Hypot halamic,
• Thalamic nuclei
• Corpus st riat um
• Limbic syst em.
• Ot her import ant af f erent s f rom :
* Primary mot or cort ex of t he
f ront al lobe
* Somest het ic cort ex of t he
pariet al lobe.
41. 2. efferent Projections :
• To neurons in t he mot or nuclei of t he cranialcranial
nervesnerves
brainst em by ret iculobulbar
• To ant erior horn cells of t he spinal cord byant erior horn cells of t he spinal cord by
ret iculo-spinal t ract s.
• To t he sympat het ic out f lowsympat het ic out f low of aut onomic
syst em
• To craniosacral parasympat het ic out f lowparasympat het ic out f low of
t he aut onomic syst em.
42. • Addit ional pat hways ext end :
Corpus st riat um,
Cerebellum,
Red nucleus,
Subst ant ia nigra,
Tect um,
Thalamus,
Subt halamus,
Hypot halamus,
Most cerebral cort ex
43. Funct ion
I t is not sur prising t o f ind t hat t he f unct ions ar e
many.
A f ew of t he more import ant f unct ions ar e
considered here :
44. 1. Cont rol of skelet al muscle :
• By ret iculospinal and ret iculobulbar t ract s,
can modulatemuscletoneandreflexactivity.
• I t can also bring about reciprocalinhibition; f or
example, when t he f lexor muscles cont ract ,
t he ant agonist ic ext ensors relax.
45. • The ret icular f ormat ion, assist ed by t he
vest ibular apparat us of t he inner ear and t he
vest ibular spinal t ract plays an import ant
role in maint aining :
(Toneoftheantigravitymuscleswhenstanding ). E.g. :
Erect or Spinae
Glut eus Maximus
Hip Flexors
Quadriceps
Hamst rings
Gast rocnemius
Soleus
Tibialis Ant erior
46. • The so-called respirat ory cent ers of t he
brainst em ( by neurophysiologist s ) as
beinginthecontroloftherespiratorymuscles, are now considered
part of t he ret icular f ormat ion.
2. Controlling the muscles of facial
expression
when associatedwithemotion. For example, when a
person smiles or laughs in response t o a
j oke,
47. 3.Control of somatic and visceral sensations.
• The ret icular f ormat ion can inf luence allinf luence all
ascending pat hwaysascending pat hways t hat pass t o supraspinal
levels.
• The inf luence may be f acilit at ive or
inhibit ory. I n part icular, t he ret icular
f ormat ion may have a key role in t he “gat ing
mechanism” forthecontrolofpainperception.
48. 4.Control of the autonomic nervous system.
Highercontroloftheautonomicnervoussystem, f rom t he
cerebral cort ex, hypot halamus, and ot her
subcort ical nuclei, canbeexertedbythe:
reticulobulbartract
reticulospinaltract
which descend t o t he sympat het ic out f low
and t he parasympat het ic craniosacral
out f low.
49. 5. Control of the endocrine nervous system.
• Eit her direct ly or indirect ly t hrough t het hrough t he
hypot halamic nuclei,hypot halamic nuclei, t he ret icular f ormat ion
can inf luence t he synt hesis releasing or
inhibit ing f act ors
50. 6 .Arousal and the level of consciousness.
• Mult iple ascending pat hways carryingascending pat hways carrying
sensory inf ormat ion t o higher cent erssensory inf ormat ion t o higher cent ers are
channeled t hrough t he ret icular f ormat ion,
• which, in t urn, proj ect s t his inf ormat ion t oproj ect s t his inf ormat ion t o
dif f erent part s of t he cerebral cort exdif f erent part s of t he cerebral cort ex,
causing a sleeping person t o awaken.
51. • I n f act , it is now believed t hat t he st at e of
conscious-ness is dependent on t he
cont inuous proj ect ion of sensory inf ormat ion
t o t he cort ex f rom t he ret icular f ormat ion.
• IncomingpainsensationsIncomingpainsensations st r ongly increase t he act ivit y
of t he ret icular f ormat ion, which, in t urn,
great ly excit es t he cerebral cort ex.
52. Clinical notes
Loss of Consciousness :
• I n experiment al animals, damagetoreticularformation,
which spares t he ascending sensory
pat hways, causes persistentunconsciousness.
• Pat hologic lesionsofthereticularformationin humans can
result in lossofconsciousness and even coma.
• I t has been suggest ed t hat lossofconsciousnessthatoccursin
epilepsy may be due t o inhibit ion of t he act ivit y
of t he ret icular f ormat ion in t he upper part
of t he diencephalon.
53.
54. • The t erm limbic lobe ref ers t o t he
st ruct ures t hat f orm a limbus (ring or
border) around t he brain st em.
• Now it is recognized, t hat t he limbic
syst em is involved wit h many ot her
st ruct ures beyond t he border zone in
t he cont rol of emotion, behavior, and
drive; it also appears t o be import ant t o
memory.
55. Anat omically, t he limbic st ruct ures
include :
1. Subcallosal gyrus,
2. Cingulat e gyrus,
3. Parahippocampal gyrus,
4. Hippocampal f ormat ion,
5. Amygdaloid nucleus,
6. Mammillary bodies,
7. Ant erior t halamic nucleus.
56. Connecting pathways of limbic
system:
• Alveus,
• Fimbria,
• Fornix,
• Mammillot halamic t ract ,
• St ria t erminalis.
57.
58. 1. Hippocampal Formation :
• I t is named hippocampus because in coronal sect ion
it resembles :
A SEA HORSE
• Consist s of t he :
hippocampus,
dent at e gyrus,
parahippocampal gyrus
59. A. Hippocampus :
is a
curved elevat ion of gray
mat t er, ext ends t hroughout
t he ent ire lengt h of t he f loor
of t he inf erior horn of t he
lat eral vent ricle.
• I t s ant erior end is expanded
t o f orm t he pes hippocampus.
• The hippocampus t erminat es
post eriorly beneat h t he
splenium of t he corpus
60. B. Dentate gyrus :
is a narrow, not ched
band of gray mat t er t hat lies
bet ween t he f imbria
of t he
hippocampus and t he
parahippocampal gyrus.
• Ant eriorly, t he dent at e gyrus
is cont inued int o t he uncus.
• Post eriorly, t he gyrus
accompanies t he f imbria
almost t o t he splenium of t he
corpus callosum and becomes
cont inuous wit h t he indusiumgriseum.
61. • The indusium griseum : is a t hin, vest igial
layer of gray mat t er t hat covers t he
superior surf ace of t he corpus callosum.
C. The parahippocampal gyrus : lies bet ween
t he hippocampal f issure and t he collat eral
sulcus and is cont inuous wit h t he
hippocampus along t he medial edge of t he
t emporal lobe.
62. 2. Amygdaloid Nucleus :
• The amygdaloid nucleus is so named because
it resembles an almond.
• I t is sit uat ed anteriosuperiortothetipof t he inf erior
horn of t he lat eral vent ricle.
• I t is fusedwiththetipofthetailofthecaudate nucleus, which has
passed ant eriorly in t he roof of t he inf erior
horn of t he lat eral vent ricle.
• Thestriaterminalisemergesfromitsposterioraspect.
63. Connect ing Pat hways of t he Limbic
Syst em:
• Alveus,
• Fimbria,
• Fornix,
• Mammillot halamic t ract ,
• St ria t erminalis.
64. • The convex vent ricular
surf ace of hippocampus is
covered wit h ependyma,
beneat h which lies a t hin
layer of whit e mat t er
called
• Alveus :
consist s of nerve f ibers
t hat have originat ed in t he
hippocampus, and t hese
converge medially t o f orm
a bundle called t he f imbria
• Fimbria :
in t urn, becomes
65. • The crus
f rom each side
curves post eriorly and
superiorly beneat h t he
splenium of t he corpus
callosum and around t he
post erior surf ace of t he
t halamus.
• The t wo crura now
converge t o f orm t he
body of t he f ornix,
which is applied closely
t o t he undersurf ace of
t he corpus callosum.
66. • As t he t wo crura come
t oget her, t hey are
connect ed by t ransverse
f ibers called commissure
of t he f ornix. These
f ibers decussat e and j oin
t he hippocampi of t he
t wo sides.
• Ant eriorly, t he body of
t he f ornix is connect ed
t o t he undersurf ace of
t he corpus callosum by
t he sept um
pellucidum.
67. • The body of t he
f ornix split s
ant eriorly int o t wo
ant erior columns of
t he f ornix,
• Then, each column
disappears int o t he
lat eral wall of t he
t hird vent ricle t o
reach t he
70. Afferent Connections of the Hippocampus :
From :
Cingulat e gyrus
Sept al nuclei
One hippocampus t o t he
opposit e
hippocampus (in t he
commissure
of t he f ornix).
I ndusium griseum
71. Efferent Connections of the Hippocampus:
To : Mammillary body,
Ant erior nuclei of t he
t halamus,
Tegment um of t he
midbrain.
Sept al nuclei,
Lat eral preopt ic area,
Ant erior part of t he
hypot halamus*
Habenular nuclei.
73. • The limbic syst em, via t he hypot halamus
cont rols t he out f low of t he aut onomic
nervous syst em, so it cont rol s t he
endocri ne s ys t em, is :
able t o inf luence many aspect s of emotionalbehavior.
These include part icularly t he react ions of fear
andangerand t he emot ions associat ed wit h sexual
behavior.
74. • There is also evidence t hat t he hippocampus
is concerned wit h :
(convert ing recent memory t o long-t erm
memory) .
• A lesion of hippocampus result s in individual
being unable t o st ore long-t erm memory.
• Memory of remot e past event s bef ore t he
lesion developed is unaf f ect ed. This
condit ion is called ant erograde amnesia.
• I t is int erest ing t o not e t hat inj ury t o
amygdaloid nucleus & hippocampus produces a
great er memory loss t han inj ury t o eit her
one of t hese st ruct ures alone.
75. • There is no evidence t hat t he limbic syst em
has an olf act ory f unct ion.