Basal Ganglia B&B Flashcards

1
Q

what are the 5 components of the basal ganglia?

A
  1. substantia nigra
  2. subthalamic nucleus
  3. putamen
  4. caudate nucleus
  5. globus pallidus
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2
Q

striatum vs lentiform nucleus

A

striatum = putamen + caudate (divided via internal capsule, putamen inferior)

lentiform nucleus = putamen + globus palidus (medial to putamen)

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3
Q

what is the essential function of the basal ganglia?

A

modify voluntary movement for complex movements

receives input from cortex about what movement is desired, provides feedback to cortex to either stimulate (direct pathway) or inhibit (indirect pathway) motor activity

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4
Q

which 2 structures of the basal ganglia secrete GABA to inhibit the thalamus?

A

the thalamus wants to initiate movement via signals to the cortex

the pars reticulata (of substantia nigra) and globus palidus internus secrete GABA, which inhibits the thalamus - “tonic inhibition”

this is why there is no motion at rest

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5
Q

describe what happens in the direct pathway of the basal ganglia (4)

A

direct pathway = stimulate movement

  1. cortex secretes excitatory glutamate onto striatum (putamen + caudate)
  2. striatum secretes inhibitory GABA onto globus pallidus internus and pars reticulata (of substantia nigra)
  3. this DISinhibits the thalamus, freeing it to signal to the cortex to initiate movement [recall these structures usually secrete GABA onto the thalamus]
  4. at the same time, the cortex activates the pars compacta (of substantia nigra), which amplifies the action of the striatum via dopamine (D1 receptors)
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6
Q

describe what happens in the indirect pathway of the basal ganglia (4)

A

Indirect pathway = Inhibit movement

  1. cortex secretes excitatory glutamine onto the striatum (putamen + caudate)
  2. striatum secretes inhibitory GABA onto globus pallidus externus, which normally secretes GABA onto the subthalamic nucleus
  3. the DISinhibited subthalamic nucleus enhances the activity of the globus pallidus internus (that being secreting GABA onto the thalamus)
  4. at the same time, the cortex stimulates the pars compacta (of substantia nigra), which inhibits the striatum via dopamine (D2 receptors) to modulate the indirect (inhibitory) pathway
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7
Q

fill in the blanks regarding the DIRECT pathway of the basal ganglia:

  1. cortex secretes ______ onto striatum
  2. striatum secretes ______ onto ______ and _______
  3. this [activates/inhibits] the thalamus
  4. at the same time, the cortex activates the _______, which amplifies the action of the striatum via _____ receptors
A

direct pathway = stimulate movement

  1. cortex secretes excitatory glutamate onto striatum (putamen + caudate)
  2. striatum secretes inhibitory GABA onto globus pallidus internus and pars reticulata (of substantia nigra)
  3. this DISinhibits the thalamus, freeing it to signal to the cortex to initiate movement [recall these structures usually secrete GABA onto the thalamus]
  4. at the same time, the cortex activates the pars compacta (of substantia nigra), which amplifies the action of the striatum via dopamine (D1 receptors)
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8
Q

fill in the blanks regarding the INDIRECT pathway of the basal ganglia:

  1. cortex secretes ______ onto the striatum
  2. striatum secretes ______ onto _______, which normally secretes GABA onto the _____
  3. the DISinhibited ________ enhances the activity of the ________
  4. at the same time, the cortex stimulates the _____, which inhibits the striatum via _____ receptors to modulate the pathway
A

Indirect pathway = Inhibit movement

  1. cortex secretes excitatory glutamine onto the striatum (putamen + caudate)
  2. striatum secretes inhibitory GABA onto globus pallidus externus, which normally secretes GABA onto the subthalamic nucleus
  3. the DISinhibited subthalamic nucleus enhances the activity of the globus pallidus internus (that being secreting GABA onto the thalamus)
  4. at the same time, the cortex stimulates the pars compacta (of substantia nigra), which inhibits the striatum via dopamine (D2 receptors) to modulate the indirect (inhibitory) pathway
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9
Q

which receptors does the pars compacta of the substantia nigra act on in the direct vs indirect pathway of the basal ganglia, and why is this clinically relevant?

A

either way, secretes dopamine - this is relevant because the pars compacta is what gets destroyed in Parkinson’s, thus leading to decreased dopamine!

direct (movement) pathway: dopamine binds stimulating D1 receptors

Indirect (Inhibitory) pathway: dopamine binds inhibitory D2 receptors

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10
Q

which part of the basal ganglia degenerates in Parkinson’s?

A

pars compacta (of substantia nigra): secretes dopamine to modulate indirect/direct pathways

direct (movement) pathway: dopamine binds stimulating D1 receptors

Indirect (Inhibitory) pathway: dopamine binds inhibitory D2 receptors

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11
Q

what is the common factor among Parkinson’s, Huntington’s, hemiballism, and Wilson’s disease?

A

movement disorders all resulting from damage to part of the basal ganglia

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12
Q

which part of the basal ganglia is damaged in the following movement disorders?
a. Huntington’s
b. Parkinson’s
c. Wilson’s
d. hemiballism

A

a. Huntington’s - striatum (putamen + caudate)

b. Parkinson’s - substantia nigra (pars compacta + pars reticulata)

c. Wilson’s - globus pallidus (externus + internus) and/or striatum

d. hemiballism - subthalamic nucleus

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13
Q

which basal ganglia pathway uses dopamine to modulate motor control?

A

nigrostriatal pathway: dopamine signaling originates from substantia nigra pars compacta, spreads to caudate and putamen

this pathway degenerates in Parkinson’s

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14
Q

what is the embryonic origin of the subthalamic nucleus vs the substantia nigra?

A

diencephalon —> subthalamic nucleus

mesencephalon —> substantia nigra (pars compact/reticulata)

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15
Q

what is the cause and effect of lesions to the subthalamic nucleus?

A

caused by lacunar stroke, causes contralateral hemiballismus

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16
Q

describe the center-surround organization of the basal ganglia

A

describes how the direct and indirect basal ganglia pathways work together

activation of motor programs through direct pathway (via caudate/putamen) occurs simultaneously with inhibition of unwanted/competing motor programs through the indirect pathway (subthalamic nucleus)

direct pathway INHIBITS globus pallidus internus to DISINHIBIT VA/VL complex of thalamus —> movement

indirect pathway STIMULATES globus pallidus internus to INHIBIT VA/VL complex of thalamus —> no movement

17
Q

contrast the effect of D1 vs D2 stimulation on the basal ganglia pathway. what kind of receptors are these?

A

D1 and D2 are metabotropic receptors

D1 = excitatory via increased cAMP —> PIP2 hydrolysis —> Ca2+ mobilization + PKC activation

D2 = inhibitory via decreased cAMP + increased K+ currents

18
Q

writer’s cramp is an example of what type of movement problem?

A

dystonia: prolonged involuntary muscle contractions cause twisted postures

triggered by voluntary movements or stress

19
Q

what is the cause of tardive dyskinesia?

A

caused by drugs with dopaminergic actions, such as antipsychotics (typical > atypical) and anti-emetics (dopamine antagonists)

can persist 1 month after discontinuation

20
Q

what 3 blood vessels supply the basal ganglia and internal capsule? be specific.

A
  1. lenticulostriate branch of MCA
  2. anterior choroidal artery of internal carotid
  3. medial striate artery of ACA (aka recurrent artery of Huebner)
21
Q

what is the effect of a stroke to the following locations:
a. internal capsule
b. basal ganglia
c. subthalamic nucleus

A

a. internal capsule —> pure motor hemiparesis
b. basal ganglia —> chorea/athetosis
c. subthalamic nucleus —> hemiballismus

all contralateral !