W8 - Basal Ganglia Flashcards
(99 cards)
What is the basal ganglia and why is it considered evolutionarily “old”?
It’s a group of subcortical nuclei that predates the neocortex and plays a key role in motor control, motivation, and action selection.
Which brain regions does the basal ganglia interact with?
It interacts with motor and prefrontal cortical areas via the thalamus, and with the limbic system affecting emotion and motivation.
What are the main input nuclei of the basal ganglia?
The striatum (caudate, putamen, nucleus accumbens), which receives input from the cortex.
What are the output structures of the basal ganglia?
GPi (globus pallidus internal) and SNr (substantia nigra pars reticulata).
Where is the basal ganglia located?
It is a subcortical structure lateral to the thalamus and deep within the cerebral hemispheres.
What is the role of the direct pathway?
It facilitates movement by disinhibiting the thalamus.
Describe the direct pathway.
Cortex → Striatum → GPi/SNr → Thalamus → Cortex.
What is the role of the indirect pathway?
It inhibits movement by increasing inhibition to the thalamus via the STN.
Describe the indirect pathway.
Cortex → Striatum → GPe → STN → GPi/SNr → Thalamus → Cortex.
What determines the balance between movement facilitation and inhibition in the basal ganglia?
Dopamine release from the substantia nigra pars compacta (SNc), which modulates activity in the striatum.
Where is dopamine in the basal ganglia produced?
In the substantia nigra pars compacta (SNc).
What are the two main dopamine receptor types in the striatum, and what do they do?
D1: Excitatory to the direct pathway. D2: Inhibitory to the indirect pathway.
What is the overall effect of dopamine on movement?
It facilitates movement by activating the direct pathway and inhibiting the indirect pathway.
What causes Parkinson’s Disease?
Progressive loss of dopaminergic neurons in the SNc, leading to striatal dopamine depletion.
How does Parkinson’s disease affect basal ganglia pathways?
Weakens the direct pathway and strengthens the indirect pathway, reducing movement.
What motor symptoms are typical in Parkinson’s Disease?
Akinesia, bradykinesia, resting tremor, rigidity.
What non-motor symptoms are common in Parkinson’s?
Postural instability, gait abnormalities, depression, sleep issues, loss of smell, cognitive dysfunction, and speech/swallowing difficulties.
Why is Parkinson’s considered a unique neurological condition?
It’s caused primarily by a single neurochemical disruption (dopamine loss), and responds well to targeted chemical therapies like L-DOPA.
What is L-DOPA and how does it help?
It’s a dopamine precursor that crosses the blood-brain barrier to temporarily restore dopamine levels.
What are potential long-term issues with L-DOPA therapy?
Motor fluctuations and dyskinesia.
What surgical treatments exist for Parkinson’s?
- Deep brain stimulation (DBS), typically in the STN or GPi. 2. Thalamotomy or pallidotomy (lesioning overactive nuclei).
What experimental therapies are being explored?
Stem cell transplants (embryonic/adult), bone marrow-derived cells.
What causes hyperkinetic movement disorders?
Excess activity in the direct pathway and/or reduced activity in the indirect pathway.
Name three hyperkinetic disorders linked to basal ganglia dysfunction.
- Huntington’s disease – degeneration of striatal neurons. 2. Hemiballismus – damage to the subthalamic nucleus (STN). 3. Tourette’s syndrome – linked to dopaminergic imbalance and BG circuitry.