thalamus, hypothalamus and limbic system Flashcards

(32 cards)

1
Q

what is the white matter found next to the thalamus ?

A

internal capsule

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2
Q

what is the main job of the thalamus ?

A

sensory relay except for the olfactory nerve
consciousness
sleep
and alertness

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3
Q

what are the main thalamic nuclei ?

A

ventral postromedial VPM
ventral postrolateral VPL
lateral geniculate nucleus LGN
medial geniculate nucleus MGN
ventral lateral VL

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4
Q

what is the info , input and output associated with the VPL ?

A

info - all sensory except olfactory

input - from medial leminiscus , posterior column and spinothalamic

output - somatosensory cortex

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5
Q

what is the info , input and output of the VPM ?

A

info : sensory face and taste
input : trigeminal and gustatory
output : somatosensory cortex

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6
Q

what is the info, input and output of the LGN ?

A

info: vision
input: CN 2
ouput : calcarine sulcus

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7
Q

what is the info , input and output of MGN ?

A

info : hearing
input : superior olive and inferior colliculus of tectum
output : temporal lobe- auditory cortex

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8
Q

what is the info , input and output associated with VL ?

A

info: motor
input : baal ganglia
output : motor cortex

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9
Q

what is a lacunar stroke ?

A

stroke of the small vessels of the brain, affecting the deep structures of the brain

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10
Q

what is the thalamic syndrome ?

A

affection of the thalamus usually due to a lacunar stroke where the VPL is mainly affected

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11
Q

what is the presentation associated with thalamic syndrome ?

A

contralateral sensory loss
can lead to thalamic pain syndrome many months after the occurence of the stroke

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12
Q

where is the hypothalamus found ?

A

below the thalamus

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13
Q

what are the hypothalamic functions ?

A

autonomic control
temperature regulation
water balance
pituitary control

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14
Q

what are the areas of the hypothalamus and what are the associated functions ?

A

lateral - hunger - anorexia
ventromedial - satiety - hyperphagia and obesity
anterior - cooling - hyperthermia
posterior - heating - inability to thermoreulate
suprachiasmatic - circadian rhythmn

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15
Q

what is the association between fever and the hypothalamus ?

A

release of pyrigens like IL6 and TNF alpha allow for the productions of prostaglandin E2 though the anterior portion of the hypothalamus - allowing for a fever to happen

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16
Q

what are the hormones released by the hypothalamus ?

A

TRH
CRH
GHRH
GnRH

17
Q

what are the inhibitory effects of prolactin and somatostatin ?

A

somatostatin decreases GH release
prolactin release inhibits dopamine release

18
Q

what is the prolactin feedback ?

A

an increase in prolactin results in decreased GnRh release

19
Q

where are ADH and oxytocin released ?

A

ADH - released form supraoptic nucleus
oxytocin - paraventricular nucleus

20
Q

where is leptin secreted from and what is the effect of it on the hypothalamus ?

A

from adipocytes
lateral HT - responsible for hunger is inhibited by leptin
ventromedial HT - is stimulated by leptin
you feel more full with an increase in leptin release

21
Q

what is a craniopharyngioma ?

A

most common childhood - supratentorial
rare form of tumor arising from rathke’s pouch , where there is pressure on the optic chiasm

22
Q

what are the findings associated with crangiopharyngoma ?

A

Cholesterol crystals found in “motor oil”-like fluid within tumor
associated with bitemporal hemaniopia

23
Q

what is the limbic system responsible for ?

A

emotion , long term memory loss
smell and behavioural modulation

24
Q

what are the famous 5 Fs associated with the limbic system ?

A

feeding
fleaing
fighting
feeling
sex

25
what are the key components of the limbic system ?
cingukate gyrus hippocampus fornix amygdala mammillary bodies
26
what is kluver bucy syndrome ?
bilateral damage to the amygdala associated with hyperphagia hypersexuality and hyperorality
27
what is kluver bucy syndrome usually associated with ?
HSV 1 encephalitis
28
what is the presentation of a lesion of the hippocampal lesion ?
anterograde amnesia - no new memories can be made
29
infarction of which arteries are associated with hippocampal lesions ?
hippocampal lesion of the PCA anterior choroidal arteries
30
when is bilateral lesions of the hippocampus seen ?
in alzeheimers disease
31
what is wernicke-korsakoff syndrome ?
mammillary body affection due to B1 deficiency often associated with alcoholics associated with damage of thr thealamic nuclei also associated with dextrose infusion before B1
32
what is the classic presentation associated with WKS ?
triad of ataxia , anterograde amnesia confusion and opthalmoplegia as soon as there is retrograde amnesia and making up stories - da5alna f the wernickes stage - which is irreversible