The hypothalamus connects to the pituitary gland and brainstem and controls many functions important for homeostasis like appetite, body temperature, fluid balance, and hormone production. It regulates these functions through releasing/inhibiting hormones that control the pituitary as well as hormones like ADH and oxytocin. The thalamus is a relay station that integrates sensory information and distributes it to other brain areas like the cortex and hypothalamus. It contains nuclei that process specific senses and is involved in voluntary movement and personality.
The thalamus is the large mass of gray matter in the dorsal part of the diencephalon of the brain with several functions such as relaying of sensory signals, including motor signals, to the cerebral cortex and the regulation of consciousness, sleep, and alertness.
The thalamus is the large mass of gray matter in the dorsal part of the diencephalon of the brain with several functions such as relaying of sensory signals, including motor signals, to the cerebral cortex and the regulation of consciousness, sleep, and alertness.
The physiological functions of hypothalamus related to both endocrine and au...Dr Ndayisaba Corneille
1. State the physiological functions of hypothalamus related to both endocrine and autonomic nervous system.
2. list the 12 cranial nerves stating teir nature (sensory, motor, or mixte) stating their functions and their origin
ddescription of hypothalamus, boundaries of hypothalamus, relation of hypothalamus, subdivision of hypothalamus, medial and lateral zone of hypothalamus, preoptic area, tuberal area and mamillary area of hypothalamus, nuclei of hypothalamus and their functions, afferent pathways of hypothalamus, efferent pathways of hypothalamus, function of hypothalamus, hormones released by hypothalamus, clinical features with hypothalamic disorders
Limbic system by Dr.Mrs Sunita M Tiwale, Professor, Dept of Physiology, DYPM...Physiology Dept
Introduction :
Emotions play very important role in our day to day life.
Aid in the survival of individual.
Makes person more successful in the struggle of existence.
These emotions are developed in a specialised system of CNS - Limbic system.
Psychobiologist study the evolutionary and physiological mechanisms that are responsible for human behavior and try to understand how the brain functions in order to understand why humans behave the way we do.
The vertebrate brain
The vertebrate brain is the main part of the central nervous system. The brain and the spinal cord make up the central nervous system,
In most of the vertebrates the brain is at the front, in the head. It is protected by the skull and close to the main sense organs.
Brains are extremely complex and the part of human and animal body. The brain controls the other organs of the body, either by activating muscles or by causing secretion of chemicals such as hormones and neurotransmitters.
Muscular action allows rapid and coordinated responses to changes in the environment.
The brain of an adult human weights about 1300–1400 grams .
In vertebrates, the spinal cord by itself can cause reflex responses as well as simple movement such as swimming or walking. However, sophisticated control of behaviour requires a centralized brain.
The structure of all vertebrate brains is basically the same.
At the same time, during the course of evolution, the vertebrate brain has undergone changes, and become more effective.
In so-called 'lower' animals, most or all of the brain structure is inherited, and therefore their behaviour is mostly instinctive.
In mammals, and especially in man, the brain is developed further during life by learning. This has the benefit of helping them fit better into their environment. The capacity to learn is seen best in the cerebral cortex.
Three principles
The brain and nervous system is essentially a system which makes connections. It has input from sense organs and output to muscles. It is connected in several ways with the endocrine system, which makes hormones, and the digestive system and sex system. Hormones work slowly, so those changes are gradual.
The brain is a kind of department store. It has, all inter-connected, departments which do different things. They all help each other gather senses.
Much of what the body does is not conscious. Basically, much of the body runs on automatic (breathing, heart beat, hungry, hair growth) adjusted by the autonomic nervous system. The brain, too, does much of its work without a person noticing it. The unconscious mind refers to the brain activities which are hardly ever noticed.
Anatomy and physiology concerned with the structures and functions of the human body.
• Anatomy describes the structures of the body -- their scientific names, composition,
location, and associated structures. Anatomy (“a cutting open”) is a plan or map of the
body.
• Physiology studies the function of each structure, individually and in combination with
other structures.
• Anatomy and physiology always work together. As we examine each part of the body,
always consider both its structure and its function.
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.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
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.
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
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
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
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
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
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2. Objectives
• Describe the anatomic connections between the hypothalamus and
the pituitary gland and the functional significance of each connection.
• Functions of hypothalamus to be memorized.
3.
4. Hypothalamus, Connections
1) Backward and downward to the brain stem, mainly into
the reticular areas of the mesencephalon, pons, and
medulla and from these areas into the peripheral nerves
of the autonomic nervous system;
(2) upward toward many higher areas of the diencephalon
and cerebrum, especially to the anterior thalamus and
limbic portions of the cerebral cortex;
(3) into the hypothalamic infundibulum to control or
partially control most of the secretory functions of both
the posterior and the anterior pituitary glands.
5.
6.
7.
8. FUNCTIONS
• The portion of the brain that maintains the body’s internal balance
(homeostasis).
• The hypothalamus is the link between the endocrine and nervous
systems.
• The hypothalamus produces releasing and inhibiting hormones,
which stop and start the production of other hormones throughout
the body.
9. The hypothalamus plays a significant role in the
endocrine system & homeostasis*:
• Heart rate and blood pressure
• Body temperature
• Fluid and electrolyte balance, including thirst
• Appetite and body weight
• Glandular secretions of the stomach and intestines
• Production of substances that influence the pituitary
gland to release hormones
• Sleep cycles
11. Endocrine function
1) Hypothalamic Control of Endocrine Hormone
Secretion by the Anterior Pituitary Gland
(Specific releasing and inhibitory hormones are
secreted into the blood by various hypothalamic
nuclei.)
2) ADH and Oxytocin
12.
13.
14. Vegetative Functions of the Hypothalamus
Cardiovascular Regulation
Stimulation in the posterior and lateral hypothalamus increases the
arterial pressure and heart rate,
Stimulation in the preoptic area often has opposite effects, causing a
decrease in both heart rate and arterial pressure.
These effects are transmitted mainly through specific cardiovascular
control centers in the reticular regions of the pons and medulla.
15. Regulation of Body Temperature
The anterior portion of the hypothalamus, especially
the preoptic area, is concerned with regulation of
body temperature.
An increase in the temperature of the blood flowing
through this area increases the activity of
temperature-sensitive neurons, whereas a decrease
in temperature decreases their activity.
In turn, these neurons control mechanisms for
increasing or decreasing body temperature.
16. Gastrointestinal and Feeding Regulation
lateral hypothalamic area
Stimulation leads to hunger and search for food, damage to this area
on both sides of the hypothalamus causes loss desire for food,
sometimes causing lethal starvation &extreme passivity.
17. In the ventromedial nuclei is satiety centre.
When this center is stimulated electrically, an animal that is eating food
suddenly stops eating and shows complete indifference to food.
Bilateral lesions of the ventromedial areas of the hypothalamus cause excessive
drinking and eating, as well as hyperactivity and sometimes rage
18. Regulation of Body Water
The hypothalamus regulates body water in two ways:
1) by creating the sensation of thirst, which drives the
animal or person to drink water, and
2) by controlling the excretion of water into the urine.
19. An area called the thirst center is located in the lateral
hypothalamus.
When the fluid electrolytes in either this center or closely
allied areas become too concentrated intense desire to
drink water develops.
20. Control of renal excretion of water is vested mainly in
the supraoptic nuclei.
When the body fluids become too concentrated, the
neurons of these areas become stimulated.
Nerve fibers from these neurons project downward
through the infundibulum of the hypothalamus into
the posterior pituitary gland, where the nerve
endings secrete the hormone ADH(also called
vasopressin).*
21. Strong stimulation of the punishment centers of
the brain, especially in the periventricular zone
of the hypothalamus and in the lateral
hypothalamus, causes the animal to
(1) develop a defense posture,
(2) extend its claws,
(3) lift its tail,
(4) hiss,
(5) spit,
(6) growl, and (7) develop piloerection, wide-open
eyes, and dilated pupils.
Furthermore, even the slightest provocation
causes an immediate savage attack. This is
approximately the behavior that one would
expect from an animal being severely punished,
and it is a pattern of behavior that is called Rage.
22. Regulation of Uterine Contractility and of Milk
Ejection
Stimulation of the paraventricular nuclei causes their
neuronal cells to secrete the hormone oxytocin.
This in turn causes increased contractility of the
uterus,
as well as contraction of the myoepithelial cells
surrounding the alveoli of the breasts, which then
causes the alveoli to empty their milk.
23. Another area of the hypothalamus that enters into overall control of
gastrointestinal activity is the mamillary bodies; these control at least
partially the patterns of many feeding reflexes, such as licking the lips
and swallowing.
24. Specific Functions of Other Parts of the Limbic System
• Functions of the Hippocampus*
• Functions of the Amygdala
25.
26. Because of these multiple connections, the amygdala has
been called the "window" through which the limbic system
sees the place of the person in the world.
27. Effects initiated from the amygdala and then sent
through the hypothalamus include
(1) increases or decreases in arterial pressure;
(2) increases or decreases in heart rate;
(3) increases or decreases in gastrointestinal motility
and secretion;
(4) defecation or micturition;
(5) pupillary dilation or, rarely, constriction;
(6) piloerection
(7) secretion of various anterior pituitary hormones,
especially the gonadotropins and adrenocorticotropic
hormone.
28. In addition to the effects similar to hypothalamic
stimulation
(1) tonic movements, such as raising the head or
bending the body;
(2) circling movements;
(3) occasionally clonic, rhythmical movements;
(4) different types of movements associated
with olfaction and eating, such as licking,
chewing, and swallowing.
In addition, stimulation of certain amygdaloid
nuclei can cause a pattern of rage, escape,
punishment, severe pain, and fear similar to the
rage pattern elicited from the hypothalamus.
Stimulation of other amygdaloid nuclei can give
reactions of reward and pleasure.
29. The Klüver-Bucy Syndrome
When the anterior parts of both temporal lobes are destroyed in a
monkey, this removes not only portions of temporal cortex but also of
the amygdalas that lie inside these parts of the temporal lobes. This
causes changes in behavior called the Klüver-Bucy syndrome.
30. 1) is not afraid of anything,
(2) has extreme curiosity about everything,
(3) forgets rapidly,
(4) has a tendency to place everything in its mouth
and sometimes even tries to eat solid objects, and
(5) often has a sex drive so strong that it attempts to
copulate with immature animals, animals of the
wrong sex, or even animals of a different species.
31. Overall Function of the Amygdalas
The Amygdalas seem to be behavioral awareness areas that operate
at a semiconscious level.
They also seem to project into the limbic system one's current status
in relation to both surroundings and thoughts.
On the basis of this information, the amygdala is believed to make the
person's behavioral response appropriate for each occasion.
33. Objectives
To review a very complex area of the nervous system and
To emphasize that the thalamus lies at the center of many afferent
and efferent neuronal loops to other parts of the nervous system
34. The thalamus is situated at the rostral end of the
brainstem and functions as an important relay and
integrative station for information passing to all areas
of the cerebral cortex, the basal ganglia, the
hypothalamus, and the brainstem.
Its a large, egg-shaped mass of gray matter that forms
the major part of the diencephalon. There are two
thalami, and one is situated on each side of the third
ventricle.
35.
36.
37.
38.
39. Nuclei of thalamus
• Ventral anterior nucleus
• Ventral lateral nucleus
• Ventral posterior nucleus
Other Nuclei of the Thalamus
• These nuclei include the intralaminar nuclei, the
midline nuclei, the reticular nucleus, and the medial
and lateral geniculate bodies.
40. Functions of Thalamus
The thalamus is made up of complicated collections of nerve cells
that are centrally placed in the brain and are interconnected.
A vast amount of sensory information of all types (except smell)
converges on the thalamus and is integrated.
The resulting information pattern is distributed to other parts of the
central nervous system.
41. Following removal of the cortex, the thalamus
can appreciate crude sensations.
However, the cerebral cortex is required for the
interpretation of sensations based on past
experiences. For example, if the sensory cortex is
destroyed, one can still appreciate the presence of a
hot object in the hand; however, appreciation of the
shape, weight, and exact temperature of the object
would be impaired.
42. The thalamus possesses certain very important nuclei
whose connections have been clearly established.
These include
1)The ventral posteromedial nucleus receives the
ascending trigeminal and gustatory pathways,
2)while the ventral posterolateral nucleus receives the
important ascending sensory tracts, the medial and
spinal lemnisci.
43. 3) The ventroanterior and the ventrolateral nuclei of
the thalamus form part of the basal nuclei circuit and
thus are involved in the performance of voluntary
movements.
These nuclei receive input from the globus pallidus
and send fibers to the prefrontal, supplemental, and
premotor areas of the cerebral cortex.
44. 4) The large dorsomedial nucleus has extensive
connections with the frontal lobe cortex and
hypothalamus.
This nucleus lies on the pathway that is concerned
with subjective feeling states and the personality of
the individual.
45. 5) The intralaminar nuclei are closely connected with
the activities of the reticular formation, and they
receive much of their information from this source.
Their strategic position enables them to control the
level of overall activity of the cerebral cortex.
The intralaminar nuclei are thus able to influence the
levels of consciousness and alertness in an individual.
46. • The thalamus is centrally located among other
important nervous structures. Usually, a thalamic
lesion results in dysfunction of neighboring
structures, producing symptoms and signs that
overshadow those produced by the thalamic disease.
• For example, a vascular lesion of the thalamus may
also involve the midbrain, with resulting coma, or a
lateral extension of thalamic disease may involve the
internal capsule and produce extensive motor and
sensory deficits.
47. • Surgical Relief of Pain by Thalamic Cauterization
The intralaminar nuclei of the thalamus are known to
take part in the relay of pain to the cerebral cortex.
Cauterization of these nuclei has been shown to
relieve severe and intractable pain associated with
terminal cancer.
• Thalamic Pain
Thalamic pain may occur as the patient is recovering
from a thalamic infarct. Spontaneous pain, which is
often excessive (thalamic overreaction), occurs on the
opposite side of the body. The painful sensation may
be aroused by light touch or by cold and may fail to
respond to powerful analgesic drugs.
48. • Abnormal Involuntary Movements
Choreoathetosis with ataxia may follow vascular
lesions of the thalamus. It is not certain whether
these signs in all cases are due to the loss of function
of the thalamus or to involvement of the neighboring
caudate and lentiform nuclei. The ataxia may arise as
the result of the loss of appreciation of muscle and
joint movement caused by a thalamic lesion.
49. Lesions of the Thalamus
• Sensory Loss
These lesions usually result from thrombosis or
hemorrhage of one of the arteries supplying the
thalamus.
Damage to the ventral posteromedial nucleus and the
ventral posterolateral nucleus will result in the loss of
all forms of sensation, including light touch, tactile
localization and discrimination, and muscle joint
sense from the opposite side of the body.
50. • Thalamic Hand
The contralateral hand is held in an abnormal posture
in some patients with thalamic lesions. The wrist is
pronated and flexed, the metacarpophalangeal joints
are flexed, and the interphalangeal joints are
extended. The fingers can be moved actively, but the
movements are slow. The condition is due to altered
muscle tone in the different muscle groups.
Editor's Notes
*by controlling
*This hormone is then absorbed into the blood and transported to the kidneys, where it acts on the collecting ducts of the kidneys to cause increased reabsorption of water. This decreases loss of water into the urine but allows continuing excretion of electrolytes, thus decreasing the concentration of the body