Hypothalamus & CNS Infxns I Flashcards

(41 cards)

1
Q

Hypothalamic nuclei involved with:

Appetite

A
  • Lateral nucleus: involved in food seeking and consumption behavior
  • Arcuate nucleus: contains NPY, PYY, leptin, and insulin receptors then projects to PVR and lateral nucleus
  • Oxytocin neurons from the parvocellular PVN (paraventricular nucleus) that project to the brainstem to regulate feeding
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2
Q

Hypothalamic nuclei involved with:

Induction of non-REM sleep

(a) nt involved
(b) mechanism

A

VLPO = ventrolateral preoptic nucleus

(a) GABAergic neurons
(b) works by inhibiting orexin and monoaminergic neuron cell groups (Raphe nucleus, TMN (tuberomammilary nucleus), and LC (locus coreleus))

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3
Q

Hypothalamic nuclei involved with:

Monitoring hydration state/drinking behavior

A

Medial preoptic nucleus

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4
Q

Hypothalamic nuclei involved with:

Primary control of male sexual behavior

A

Medial preoptic nucleus

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5
Q

What would result after a lesion to the:

Medial preoptic area

A

Abolishment of male sexual behavior
Hypothalamic nuclei involved with:

Appetite

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6
Q

Hypothalamic nuclei involved with:

Synthesizing hormones for the posterior pituitary

A

The magnocellular neurosecretory cells of both the paraventricular nucleus (PVN) and supraoptic nucleus) synthesize ADH and oxytocin which are stored in the posterior pituitary

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7
Q

Hypothalamic nuclei involved with:

Origin of the HPA axis

A

Paraventricular nucleus (PVN) b/c it synthesizes CRH (to the anterior pituitary to release ACTH to cause adrenal gland to release cortisol)

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8
Q

Hypothalamic nuclei involved with:

Releasing TRH to the anterior pituitary

A

Paraventricular nucleus

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9
Q

Hypothalamic nuclei involved with:

Releasing CRH to the anterior pituitary

A

Paraventricular nucleus

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10
Q

Hypothalamic nuclei involved with:

Releasing GHRH and GnRH to the anterior pituitary

A

Arcuate nucleus

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11
Q

Which hypothalamic nucleus is the floor of the 3rd ventricle?

A

Arcuate nucleus

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12
Q

Hypothalamic nuclei involved with:

Parasympathetic arm of the autonomic nervous system

A

Anterior nucleus

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13
Q

What would result after a lesion to the:

Anterior nucleus of the hypothalamus

A

Lesion to the anterior nucleus => hyperthermia

-b/c anterior nucleus detects increases in body temp to activate heat dissipation mechanisms

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14
Q

Hypothalamic nuclei involved with:

Circadian rhythm/biologic clock

A

Suprachiasmatic nucleus (named b/c it sits just above the optic chiasm)

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15
Q

Hypothalamic nuclei involved with:

Primary drive for female sexual behavior

A

Ventromedial nucleus

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16
Q

Hypothalamic nuclei involved with:

Conflict btwn mating and aggression in males

A

Ventromedial nucleus

-can be stimulated to induce males to attack females before or after (not during) sex

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17
Q

Hypothalamic nuclei involved with:

Monitoring long and short term energy stores

A

Arcuate nucleus

18
Q

Hypothalamic nuclei involved with:

Sympathetic arm of the autonomic nervous system

A

Posterior nucleus

19
Q

What would result after a lesion to the:

Posterior nucleus of the hypothalamus

A

Hypothermia if in a cold environment

-posterior nucleus involved in heating behavior => if lost than you can’t heat up

20
Q

What is the tuber cinereum?

A

Gray mater eminence from which the pituitary stalk (infundibulum) extends

-part of the hypothalamus from which the infundibulum extends

21
Q

What would result after a lesion to the:

VLPO

22
Q

What area of the brain does Korsakoff’s syndrome affect? What clinical symptom does this cause?

A

Korsakoff’s syndrome (thiamine deficiency due to alcoholism) is associated w/ brain damage to the mammillary bodies which => anterograde amnesia

23
Q

Hypothalamic nuclei involved with:

Sexual orientation

A

Interstitial nuclei 1-4 of the anterior hypothalamus

-larger in males than females, and larger in straight vs. gay men

24
Q

Hypothalamic nuclei involved with:

Gender identity

A

Uncinate nucleus (which is just interstitial nuclei 3 and 4 of the anterior hypothalamus)

-smaller in male –> female transgender than in cisgendered men

25
How does our evolution set us up to not prevent obesity
We evolved to deal w/ energy storage, not excess- so it's easier to overdrive our stop mechanisms than our start mechanisms
26
How does leptin play a possible role in obesity?
Leptin receptor knock out mice => morbidly obese at early age -acquired insensitivity of leptin receptors in the arcuate nucleus
27
Where are leptin receptors located?
Arcuate nucleus
28
What is the median eminence?
Part of the inferior boundary of the hypothalamus off the tuber cinereum where regulatory hormones are released into the hypophyseal portal system to the anterior pituitary
29
Describe the severity and histology of aseptic meningitis
Usually benign and short lived | -meningeal inflammation w/o neutrophils
30
Distinguish the histology of aseptic meningitis and poliomyelitis
Aseptic meningitis- not hypercellular, no neutrophils Poliomyelitis- very hypercellular
31
Describe the paralysis seen from poliomyelitis
Asymmetric (not both limbs), affects lower extremities more than upper extremities
32
What is an example of a very aggressive acute viral CNS infection (a) What part of the brain is primarily affected?
Herpes simplex encephalitis - rapid progression and death w/o treatment - 20% mortality even w/ tx - primarily attacks the limbic system (temporal lobes, insula, cingulate)
33
Which virus specifically causes necrotizing lesions in the CNS?
Herpes*** -doesn't just infect the neurons, but kills them...necrotizing lesions of brain parenchyma
34
What is the most common intrauterine viral infection?
CMV
35
If a pt presents w/ CMV encephalitis what is the next step?
Check pt for AIDS | -b/c only AIDS pts really will present w/ CMV encephalitis
36
What is subacute sclerosis panencephalitis?
Measles encephalitis- rare chronic form of progressive brain inflammation caused by persistent infection w/ measles
37
What is the first cause of a CNS mass lesion in an HIV pt
Toxoplasmosis (parasitic)
38
Why should pregnant women avoid cats?
Cat feces are a source of toxoplasmosis
39
Which type of CNS infections tend to be hemorrhagic?
Amoebic infections
40
What is the mnemonic TORCH useful for?
Group of infections causing congenital defects if fetus is exposed in utero: T- toxoplasmosis O- other: syphilis, VZV, parovirus B19, HIV R- rubella C- CMV H- Herpes
41
Globally what is the most common parasitic infection of the CNS?
Cysticercosis | -from pork tapeworm