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LIMBIC SYSTEM 
DR. YASHASREE POUDWAL 
K.J.SOMAIYA HOSPITAL
INTRODUCTION 
 Limbic- border 
 Refers to a ring of grey matter on the medial aspect of 
the cerebral hemispheres 
 Entire neuronal circuitry that controls emotional 
behavior and motivational drive 
 Network of structures associated with emotions, basic 
survival and sociosexual behavioral patterns, 
motivation and learning
HISTORY 
 Paul Pierre Broca in 1878 described The Great Limbic 
lobe or ‘le grand lobe limbique’ 
 In 1937 James Papez wrote a paper called ‘proposed 
mechanism of emotion’ which elaborated the putative 
role in emotion. 
 In 1952 Paul Mclean coined the term “limbic system’. 
Also proposed the ‘Triune brain theory’
PAUL 
BROCA
COMPONENTS 
 Limbic lobe 
 Cingulate gyrus 
 Parahippocampal gyrus 
 Hippocampal formation 
 Dentate gyrus 
 Hippocampus 
 Subicular complex 
 Amygdala 
 Septal area 
 Hypothalmus 
 Mamillary body 
 Ant. Nucleus of thalamus
LIMBIC LOBE 
 Situated on inferomedial aspect of cerebral 
hemispheres 
 2 concentric gyri surrounding the corpus callosum 
 Outer larger gyrus ‘limbic gyrus- consists of isthmus of 
cingulate gyrus, parahippocampal gyrus (continuous-cingulum) 
and subcallosal area. 
 Inner smaller ‘intralimbic gyrus’ 
 Enthorhinal complex(ERC) which funnels highly 
processed cortical information to hippocampal 
formation. Major output pathway
 Cerebral association area for control of 
behavior 
 Two way communication and association 
linkage between the neocortex and lower 
limbic structures 
 Essentially all behavioural patterns can be 
elicited by specific portions of the limbic cortex 
 Ablation of some limbic cortical areas can 
cause persistent changes in an animal’s 
behavior
HIPPOCAMPAL FORMATION 
 Hippocampus and its adjacent temporal and parietal 
lobe structures, all together called the hippocampal 
formation 
 Has numerous but mainly indirect connections with 
many portions of the cerebral cortex, amygdala, 
hypothalamus, septum and the mammillary bodies 
 Hyper-excitable- prolonged discharges with slight 
stimulus 
 Involved with sensations 
 Associated with long term memory
DENTATE GYRUS 
 3 layered- outer acellular molecular, granular middle 
and inner polymorphic layer 
 Thought to contribute to formation of new episodic 
memories, spontaneous exploration of novel 
environments. 
 One of few sites in brain known to have high rates of 
neurogenesis.
HIPPOCAMPUS 
 Sea horse in Greek 
 Trilaminate 
 On basis of different cytoarchitecture and connectivity 
has 4 fields: CA1,CA2, CA3, CA4 
 The thin layer of fibers adjacent to the polymorphic 
layer of the hippocampus is known as the alveus. 
These fibers coalesce to form the fimbria.
SUBICULAR COMPLEX 
 Most inferior component 
 Lies between the entorhinal cortex and CA1 subfield 
of the hippocampus 
 Believed to play a role in human epilepsy 
 Also implicated in working memory and drug addiction 
 Suggested that dorsal subiculum is involved in spatial 
relations and ventral cubiculum regulates the HPA axis
AMYGDALA 
 Almond shaped structure deep within temporal lobe 
 Lies at the ant. End of the hippocampal formation and 
ant. Tip of inferior horn of the lateral ventricle 
 Structurally diverse. Consists of 13 nuclei 
 Window of the limbic system: wide aff and eff 
connections with visual and auditory association areas
FUNCTIONS OF AMYGDALA 
 Behavioral awareness area 
 Project into the limbic system one's current status in 
relation to both surroundings and thoughts 
 Make the person’s behavioral response appropriate 
for each occasion 
 Relate environmental stimuli to coordinated behavioral 
autonomic and endocrine responses in species 
preservation-
REGIONS OF THE AMYGDALA 
 Large basolateral region: provides direct input to basal 
ganglia and motor system 
 Small corticomedial group of nuclei: related to 
olfactory cortex especially in lower animals 
 Medial and central nuclei: connected to hypothalamus 
 Other amygdaloidal nuclei 
 Extended amygdala ( centromedial amygdala, 
sublenticular sustantia innominata and bed nucleus of 
stria terminalis
SEPTAL AREA 
 Grey matter structure immediately above the anterior 
commissure 
 Extensive reciprocal connections with the 
hippocampus via fornix
HYPOTHALAMUS 
 Lies at the center of the limbic system 
 Confluence of many neural pathways 
 Subdivided from ant to post into 3 zones- supraoptic, 
tuberal region and the mammillary region. 
 governs the involuntary internal responses of various 
body systems in preparation for appropriate action to 
accompany a particular emotional state.
MAMILLARY BODIES 
 act as a relay for impulses coming from 
the amygdalae and hippocampi via the mamillo-thalamic 
tract to the thalamus 
 This circuit, from amygdalae to mammillary bodies, 
and then on to the thalamus, is part of the larger 
'Papez circuit'. 
 They, along with the anterior and dorsomedial nuclei 
in the thalamus, are involved with the processing 
of memory 
 They are believed to add the element of smell to 
memories.
ANTERIOR THALAMIC 
NUCLEUS 
 Collection of nuclei at rostral end of the dorsal 
thalamus 
 Receive afferents from mammillary bodies and 
subiculum 
 Project to the cingulate gyrus 
 Play a role in modulation of alertness, learning and 
memory
FUNCTIONAL CIRCUITARY
PAPEZ CIRCUIT 
 James Papez’s delineation of a circuit unraveled the 
basis of cortical control of emotion. 
 Recent studies show that it has a more significant role 
in memory functions than in emotions 
 Papez circuit was later modified by American 
neuroscientist and physician Paul D. MacLean 
 The Papez circuit involves various structures of the 
brain. It begins and ends with the hippocampus
 linked the hippocampus with the cingulate cortex, via 
the mammillary bodies and anterior thalamus. 
 He proposed that emotional expression is organized 
in the hippocampus, experienced in the cingulate 
gyrus and expressed via the mammillary bodies. 
 The hypothalamus was considered to be the site 
where hippocampal processes gain access to the 
autonomic outflow that controls the peripheral 
expression of emotional states. 
 The Papez circuit is now widely accepted to be 
involved with cognitive processes.
PAPEZ CIRCUIT
HIPPOCAMPAL AFFERENTS 
 Major input into the hippocampal formation arises from 
neurons in layers II and III of the entorhinal cortex. 
 In addition, some septal and hypothalamic formation 
reach the hippocampal formation via the fornix 
 Few fibers also arrive from contralateral hippocampal 
formation via the hippocampal commissure
Connection 
s of 
hippocamp 
al formation
INTERNAL CIRCUITS 
 Intrinsic connections of the hippocampus involve 
fibers from the entorhinal area, dentate gyrus, 
ammon’s horn and subiculum. 
 The three primary pathways of this area are called the 
perforant pathway, mossyfibers and Schaffer 
collaterals. 
 Existence of a fourth pathway, the alvear pathway, has 
been questioned, from the entorhinal area to ammon’s 
horn
 Perforant path where glutamateric fibers from the 
entorhinal area perforate the subiculum and reach the 
dentate gyrus. 
 The glutamatergic mossy fibers then extend from the 
dentate gyrus to CA3 (pyramidal layer) 
 Many axons of CA3, however, give off the Schaffer 
collaterals that reach the dendrites of CA1. 
 CA1 is considered the main output of the 
hippocampus with fibers extending to the alveus, 
fimbria and then fornix. 
 A supplementary linkage with the subiculum also is 
believed to be present
INTERNAL CIRCUIT
CIRCUITS OF AMYGDALA 
 Serves to integrate information processing between 
prefrontal/ temporal association cortices and the 
hypothalamus. 
 The amgdala has two major outputs 
 Dorsal route- via stria terminalis projects to the septal 
area and hypothalamus 
 Ventral route- via ventral amygdalofugal pathway.
AMYGDALO-SEPTAL PATHWAY
AMYGDALA BASAL GANGLIA 
CIRCUIT
FUNCTIONS OF THE 
LIMBIC SYSTEM 
 OLFACTION: 
 limbic structures are closely related to the 
olfactory cortex and have a role in the 
processing of olfactory sensation 
 Amygdala is involved in the emotional 
response to smell while the entorhinal cortex 
is concerned with olfactory memories
 APPETITE AND EATING BEHAVIOUR: 
 Amygdala plays a role in food choice and emotional 
modulation of food intake. 
 SLEEP AND DREAMS: 
 PET and MRI have shown that the limbic system is 
the most active brain areas during the process of 
dreaming. 
 Probably interweaves unconscious primal emotions 
with conscious cognitive thoughts 
 The suprachiasmatic nucleus of the hypothalamus 
generates the circadian cycle. Controls sleep-wake 
cycle.
 EMOTIONAL RESPONSES: 
 FEAR: fear responses are produced by the stimulation 
of the hypothalamus and amygala. Amygdala is also 
involved in fear learning. 
 RAGE AND PLACIDITY: Rage reponses to minor 
stimuli are observed after removal of the neocortex. 
Destruction of the the ventromedial hypothalamic 
nuclei and septal nuclei also induces rage.
 AUTONOMIC AND ENDOCRINE RESPONSES TO 
EMOTION: 
 Limbic stimulation causes changes in respiration and 
blood pressure. 
 The stimulation of the cingulate gyrus and 
hypothalamus can elicit autonomic responses 
 The fear and rage responses mediated by the limbic 
system cause stimulation of various parts of the 
hypothalamus, especially the lateral areas and 
produce diffuse sympathetic discharge. The massive 
sympathetic discharge during stress is called the — 
fight or fright response“. 
 Stress via cortical and limbic connections causes 
release of corticotropin-releasing hormone (CRH) from 
the paraventricular nuclei of the hypothalamus.
 SEXUAL BEHAVIOUR: 
 The medial preoptic area of the hypothalamus is a key 
structure in the central control of male sexual 
behavior. Chemosensory efferents from the main and 
accessory olfactory systems project to the medial 
amygdala (MeA)
 REWARD AND PUNISHMENT: 
 electrical stimulation of certain limbic area pleased or 
satisfies the animal or cause terror, pain, fear, 
defense, escape reactions 
 Reward centers: along the course of the medial 
forebrain bundle and lateral and ventromedial nuclei 
of the hypothalamus 
 Punishment centers: central gray area surrounding the 
aqueduct of sylvius in the mesencephalon and 
extending upward into the periventricular zones of the 
hypothalmus and thalamus
 MEMORY: 
 Emotional memory: Amygdala is involved in consolidation 
and retrieval of emotional memories. also involved in the 
acquisition, extinction and recovery of fears to cues and 
contexts. Hippocampus is critical for long-term, declarative 
memory storage. 
 Medial temporal lobe memory system: include the 
hippocampus and adjacent cortex, the parahippocampal 
regions (PHG) . This memory system is involved in the 
storage of new memories 
 Diencephalic memory system: consists of the 
hypothalamus, mammillary body and the dorsomedial 
nucleus of thalamus. This circuit is important for the 
storage of recent memory; a dysfunction of this circuit 
results in Korsakoff’s syndrome.
 SOCIAL COGNITION: 
 refers to thought processes involved in understanding 
and dealing with other people. 
 Social cognition involves regions that mediate face 
perception, emotional processing; theory of mind 
(TOM); self-reference and working memory. 
 Together, the functioning of these regions would 
support the complex behaviors necessary for social 
interactions. 
 Limbic structures involved are the cingulate gyrus and 
amygdala
CLINICAL 
IMPLICATIONS
 TEMPORAL LOBE EPILEPSY: 
 Most common epilepsy in adults and is most often 
caused by hippocampal sclerosis. Seizures that occur 
in these areas are called psychomotor seizures. 
 Temporal lobe epilepsy may include: abnormal 
sensations (uncinate fits), repeated involuntary 
movements, memory loss, hallucinations and 
disorders of recall and recognition 
 Although anticonvulsant drugs are often given to 
control the seizures they maybe ineffective. In these 
cases neurosurgical removal of the focus may provide 
excellent seizure control
 LIMBIC ENCEPHALITIS: 
 Paraneoplastic syndrome reported in carcinoma of the 
lung, breast etc. Mechanism is unknown but manifests 
as encephalitis. Afflicted patients develop sub acute 
onset of memory loss, dementia, involuntary 
movements and ataxia. 
 DEMENTIA: 
 Degenerative changes in the limbic system likely have 
a role in the genesis if neurodegenerative diseases 
esp. Pick’s disease and Alzheimer’s disease. Marked 
atrophy is found most notably the dentate gyrus and 
hippocampus.
 ANXIETY DISORDERS: 
 Maybe result of a failure of the ant. Cingulate and 
hippocampus to modulate the amygdala. 
 SCHIZOPHRENIA: 
 Studies have shown reduced limbic volumes. There is 
involvement of papez circuit. The other circuit involved 
is the basolateral circuit which mediates the social 
cognition deficits in schizophrenia. 
 AFFECTIVE DISORDERS: 
 decreased prefrontal and anterior cingulate activity in 
affective disorders.
 ADHD: 
 The enlarged hippocampus in children and 
adolescents with ADHD may represent a 
compensatory response to the presence of 
disturbances in the perception of time, temporal 
processing and stimulus-seeking associated with 
ADHD. 
 AUTISM: 
 Autism and Asperger’s syndrome involve the 
disproportionate impairment in specific aspects of 
social cognition. Limbic structures involved include the 
cingulate gyrus and amygdala, which mediate 
cognitive and affective processing.
 KLUVER-BUCY SYNDROME: 
 Kluver-Bucy syndrome results due to a bilateral destruction 
of the amygdaloid body and inferior temporal cortex. 
 Major characteristics of this syndrome include: hyperorality, 
hyper sexuality, psychic blindness, personality changes, 
usually with the development of abnormal passivity or 
docility. 
 Combination of at least 3 or more of the symptoms suggest 
the syndrome 
 This disorder may be caused by many conditions including 
cerebral trauma; infections, Alzheimer’s disease and other 
dementias; Niemann-Pick disease and cerebrovascular 
disease
 The psychic blindness observed presumably results 
from damage to the amygdalae, which usually 
functions as a site of transfer of information between 
sensory association cortex and the hypothalamus 
 After damage, visual stimuli can no longer be paired 
with affective responses 
 Treatment:1) carbamazepine- potent inhibitor of 
amygdaloid kindling. Useful agent for eliminating 
some of the the symptoms. 2) leuprolides- decrease 
sexual behavior 3)antipsychotics like haloperidol to 
reduce behavioral abnormalities
 KORSAKOFF PSYCHOSIS: 
 Caused by damage to mammillary bodies, 
dorsomedial nucleus of thalamus 
 Due to thiamine deficiency in chronic alcoholics 
 Associated with impairment of recent and remote 
memory. (recent> remote) 
 Immediate recall is usually preserved. 
 Confabulation maybe present and marked
THE END 
THANK YOU

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Limbic system

  • 1. LIMBIC SYSTEM DR. YASHASREE POUDWAL K.J.SOMAIYA HOSPITAL
  • 2. INTRODUCTION  Limbic- border  Refers to a ring of grey matter on the medial aspect of the cerebral hemispheres  Entire neuronal circuitry that controls emotional behavior and motivational drive  Network of structures associated with emotions, basic survival and sociosexual behavioral patterns, motivation and learning
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  • 4. HISTORY  Paul Pierre Broca in 1878 described The Great Limbic lobe or ‘le grand lobe limbique’  In 1937 James Papez wrote a paper called ‘proposed mechanism of emotion’ which elaborated the putative role in emotion.  In 1952 Paul Mclean coined the term “limbic system’. Also proposed the ‘Triune brain theory’
  • 6. COMPONENTS  Limbic lobe  Cingulate gyrus  Parahippocampal gyrus  Hippocampal formation  Dentate gyrus  Hippocampus  Subicular complex  Amygdala  Septal area  Hypothalmus  Mamillary body  Ant. Nucleus of thalamus
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  • 8. LIMBIC LOBE  Situated on inferomedial aspect of cerebral hemispheres  2 concentric gyri surrounding the corpus callosum  Outer larger gyrus ‘limbic gyrus- consists of isthmus of cingulate gyrus, parahippocampal gyrus (continuous-cingulum) and subcallosal area.  Inner smaller ‘intralimbic gyrus’  Enthorhinal complex(ERC) which funnels highly processed cortical information to hippocampal formation. Major output pathway
  • 9.  Cerebral association area for control of behavior  Two way communication and association linkage between the neocortex and lower limbic structures  Essentially all behavioural patterns can be elicited by specific portions of the limbic cortex  Ablation of some limbic cortical areas can cause persistent changes in an animal’s behavior
  • 10. HIPPOCAMPAL FORMATION  Hippocampus and its adjacent temporal and parietal lobe structures, all together called the hippocampal formation  Has numerous but mainly indirect connections with many portions of the cerebral cortex, amygdala, hypothalamus, septum and the mammillary bodies  Hyper-excitable- prolonged discharges with slight stimulus  Involved with sensations  Associated with long term memory
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  • 12. DENTATE GYRUS  3 layered- outer acellular molecular, granular middle and inner polymorphic layer  Thought to contribute to formation of new episodic memories, spontaneous exploration of novel environments.  One of few sites in brain known to have high rates of neurogenesis.
  • 13. HIPPOCAMPUS  Sea horse in Greek  Trilaminate  On basis of different cytoarchitecture and connectivity has 4 fields: CA1,CA2, CA3, CA4  The thin layer of fibers adjacent to the polymorphic layer of the hippocampus is known as the alveus. These fibers coalesce to form the fimbria.
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  • 16. SUBICULAR COMPLEX  Most inferior component  Lies between the entorhinal cortex and CA1 subfield of the hippocampus  Believed to play a role in human epilepsy  Also implicated in working memory and drug addiction  Suggested that dorsal subiculum is involved in spatial relations and ventral cubiculum regulates the HPA axis
  • 17. AMYGDALA  Almond shaped structure deep within temporal lobe  Lies at the ant. End of the hippocampal formation and ant. Tip of inferior horn of the lateral ventricle  Structurally diverse. Consists of 13 nuclei  Window of the limbic system: wide aff and eff connections with visual and auditory association areas
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  • 22. FUNCTIONS OF AMYGDALA  Behavioral awareness area  Project into the limbic system one's current status in relation to both surroundings and thoughts  Make the person’s behavioral response appropriate for each occasion  Relate environmental stimuli to coordinated behavioral autonomic and endocrine responses in species preservation-
  • 23.
  • 24. REGIONS OF THE AMYGDALA  Large basolateral region: provides direct input to basal ganglia and motor system  Small corticomedial group of nuclei: related to olfactory cortex especially in lower animals  Medial and central nuclei: connected to hypothalamus  Other amygdaloidal nuclei  Extended amygdala ( centromedial amygdala, sublenticular sustantia innominata and bed nucleus of stria terminalis
  • 25. SEPTAL AREA  Grey matter structure immediately above the anterior commissure  Extensive reciprocal connections with the hippocampus via fornix
  • 26. HYPOTHALAMUS  Lies at the center of the limbic system  Confluence of many neural pathways  Subdivided from ant to post into 3 zones- supraoptic, tuberal region and the mammillary region.  governs the involuntary internal responses of various body systems in preparation for appropriate action to accompany a particular emotional state.
  • 27. MAMILLARY BODIES  act as a relay for impulses coming from the amygdalae and hippocampi via the mamillo-thalamic tract to the thalamus  This circuit, from amygdalae to mammillary bodies, and then on to the thalamus, is part of the larger 'Papez circuit'.  They, along with the anterior and dorsomedial nuclei in the thalamus, are involved with the processing of memory  They are believed to add the element of smell to memories.
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  • 30. ANTERIOR THALAMIC NUCLEUS  Collection of nuclei at rostral end of the dorsal thalamus  Receive afferents from mammillary bodies and subiculum  Project to the cingulate gyrus  Play a role in modulation of alertness, learning and memory
  • 32. PAPEZ CIRCUIT  James Papez’s delineation of a circuit unraveled the basis of cortical control of emotion.  Recent studies show that it has a more significant role in memory functions than in emotions  Papez circuit was later modified by American neuroscientist and physician Paul D. MacLean  The Papez circuit involves various structures of the brain. It begins and ends with the hippocampus
  • 33.  linked the hippocampus with the cingulate cortex, via the mammillary bodies and anterior thalamus.  He proposed that emotional expression is organized in the hippocampus, experienced in the cingulate gyrus and expressed via the mammillary bodies.  The hypothalamus was considered to be the site where hippocampal processes gain access to the autonomic outflow that controls the peripheral expression of emotional states.  The Papez circuit is now widely accepted to be involved with cognitive processes.
  • 35. HIPPOCAMPAL AFFERENTS  Major input into the hippocampal formation arises from neurons in layers II and III of the entorhinal cortex.  In addition, some septal and hypothalamic formation reach the hippocampal formation via the fornix  Few fibers also arrive from contralateral hippocampal formation via the hippocampal commissure
  • 36. Connection s of hippocamp al formation
  • 37. INTERNAL CIRCUITS  Intrinsic connections of the hippocampus involve fibers from the entorhinal area, dentate gyrus, ammon’s horn and subiculum.  The three primary pathways of this area are called the perforant pathway, mossyfibers and Schaffer collaterals.  Existence of a fourth pathway, the alvear pathway, has been questioned, from the entorhinal area to ammon’s horn
  • 38.  Perforant path where glutamateric fibers from the entorhinal area perforate the subiculum and reach the dentate gyrus.  The glutamatergic mossy fibers then extend from the dentate gyrus to CA3 (pyramidal layer)  Many axons of CA3, however, give off the Schaffer collaterals that reach the dendrites of CA1.  CA1 is considered the main output of the hippocampus with fibers extending to the alveus, fimbria and then fornix.  A supplementary linkage with the subiculum also is believed to be present
  • 40. CIRCUITS OF AMYGDALA  Serves to integrate information processing between prefrontal/ temporal association cortices and the hypothalamus.  The amgdala has two major outputs  Dorsal route- via stria terminalis projects to the septal area and hypothalamus  Ventral route- via ventral amygdalofugal pathway.
  • 43. FUNCTIONS OF THE LIMBIC SYSTEM  OLFACTION:  limbic structures are closely related to the olfactory cortex and have a role in the processing of olfactory sensation  Amygdala is involved in the emotional response to smell while the entorhinal cortex is concerned with olfactory memories
  • 44.  APPETITE AND EATING BEHAVIOUR:  Amygdala plays a role in food choice and emotional modulation of food intake.  SLEEP AND DREAMS:  PET and MRI have shown that the limbic system is the most active brain areas during the process of dreaming.  Probably interweaves unconscious primal emotions with conscious cognitive thoughts  The suprachiasmatic nucleus of the hypothalamus generates the circadian cycle. Controls sleep-wake cycle.
  • 45.  EMOTIONAL RESPONSES:  FEAR: fear responses are produced by the stimulation of the hypothalamus and amygala. Amygdala is also involved in fear learning.  RAGE AND PLACIDITY: Rage reponses to minor stimuli are observed after removal of the neocortex. Destruction of the the ventromedial hypothalamic nuclei and septal nuclei also induces rage.
  • 46.  AUTONOMIC AND ENDOCRINE RESPONSES TO EMOTION:  Limbic stimulation causes changes in respiration and blood pressure.  The stimulation of the cingulate gyrus and hypothalamus can elicit autonomic responses  The fear and rage responses mediated by the limbic system cause stimulation of various parts of the hypothalamus, especially the lateral areas and produce diffuse sympathetic discharge. The massive sympathetic discharge during stress is called the — fight or fright response“.  Stress via cortical and limbic connections causes release of corticotropin-releasing hormone (CRH) from the paraventricular nuclei of the hypothalamus.
  • 47.
  • 48.  SEXUAL BEHAVIOUR:  The medial preoptic area of the hypothalamus is a key structure in the central control of male sexual behavior. Chemosensory efferents from the main and accessory olfactory systems project to the medial amygdala (MeA)
  • 49.  REWARD AND PUNISHMENT:  electrical stimulation of certain limbic area pleased or satisfies the animal or cause terror, pain, fear, defense, escape reactions  Reward centers: along the course of the medial forebrain bundle and lateral and ventromedial nuclei of the hypothalamus  Punishment centers: central gray area surrounding the aqueduct of sylvius in the mesencephalon and extending upward into the periventricular zones of the hypothalmus and thalamus
  • 50.  MEMORY:  Emotional memory: Amygdala is involved in consolidation and retrieval of emotional memories. also involved in the acquisition, extinction and recovery of fears to cues and contexts. Hippocampus is critical for long-term, declarative memory storage.  Medial temporal lobe memory system: include the hippocampus and adjacent cortex, the parahippocampal regions (PHG) . This memory system is involved in the storage of new memories  Diencephalic memory system: consists of the hypothalamus, mammillary body and the dorsomedial nucleus of thalamus. This circuit is important for the storage of recent memory; a dysfunction of this circuit results in Korsakoff’s syndrome.
  • 51.  SOCIAL COGNITION:  refers to thought processes involved in understanding and dealing with other people.  Social cognition involves regions that mediate face perception, emotional processing; theory of mind (TOM); self-reference and working memory.  Together, the functioning of these regions would support the complex behaviors necessary for social interactions.  Limbic structures involved are the cingulate gyrus and amygdala
  • 53.  TEMPORAL LOBE EPILEPSY:  Most common epilepsy in adults and is most often caused by hippocampal sclerosis. Seizures that occur in these areas are called psychomotor seizures.  Temporal lobe epilepsy may include: abnormal sensations (uncinate fits), repeated involuntary movements, memory loss, hallucinations and disorders of recall and recognition  Although anticonvulsant drugs are often given to control the seizures they maybe ineffective. In these cases neurosurgical removal of the focus may provide excellent seizure control
  • 54.  LIMBIC ENCEPHALITIS:  Paraneoplastic syndrome reported in carcinoma of the lung, breast etc. Mechanism is unknown but manifests as encephalitis. Afflicted patients develop sub acute onset of memory loss, dementia, involuntary movements and ataxia.  DEMENTIA:  Degenerative changes in the limbic system likely have a role in the genesis if neurodegenerative diseases esp. Pick’s disease and Alzheimer’s disease. Marked atrophy is found most notably the dentate gyrus and hippocampus.
  • 55.  ANXIETY DISORDERS:  Maybe result of a failure of the ant. Cingulate and hippocampus to modulate the amygdala.  SCHIZOPHRENIA:  Studies have shown reduced limbic volumes. There is involvement of papez circuit. The other circuit involved is the basolateral circuit which mediates the social cognition deficits in schizophrenia.  AFFECTIVE DISORDERS:  decreased prefrontal and anterior cingulate activity in affective disorders.
  • 56.  ADHD:  The enlarged hippocampus in children and adolescents with ADHD may represent a compensatory response to the presence of disturbances in the perception of time, temporal processing and stimulus-seeking associated with ADHD.  AUTISM:  Autism and Asperger’s syndrome involve the disproportionate impairment in specific aspects of social cognition. Limbic structures involved include the cingulate gyrus and amygdala, which mediate cognitive and affective processing.
  • 57.  KLUVER-BUCY SYNDROME:  Kluver-Bucy syndrome results due to a bilateral destruction of the amygdaloid body and inferior temporal cortex.  Major characteristics of this syndrome include: hyperorality, hyper sexuality, psychic blindness, personality changes, usually with the development of abnormal passivity or docility.  Combination of at least 3 or more of the symptoms suggest the syndrome  This disorder may be caused by many conditions including cerebral trauma; infections, Alzheimer’s disease and other dementias; Niemann-Pick disease and cerebrovascular disease
  • 58.  The psychic blindness observed presumably results from damage to the amygdalae, which usually functions as a site of transfer of information between sensory association cortex and the hypothalamus  After damage, visual stimuli can no longer be paired with affective responses  Treatment:1) carbamazepine- potent inhibitor of amygdaloid kindling. Useful agent for eliminating some of the the symptoms. 2) leuprolides- decrease sexual behavior 3)antipsychotics like haloperidol to reduce behavioral abnormalities
  • 59.  KORSAKOFF PSYCHOSIS:  Caused by damage to mammillary bodies, dorsomedial nucleus of thalamus  Due to thiamine deficiency in chronic alcoholics  Associated with impairment of recent and remote memory. (recent> remote)  Immediate recall is usually preserved.  Confabulation maybe present and marked