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Cortex Thalamus Basal ganglia Cerebellum Brainstem Spinal cord BASAL GANGLA Other sensory receptors Muscle contraction Proprioceptors Organization of a real-life move Basal ganglia • Position: telencephalon (striatum, pallidum and nucl. subthalamicus), midbrain (substantia nigra) • Connections: cortex, thalamus, brainstem • Transmitters: GABA, modulating: dopamine, acetylcholine • Functions: – Organization of movements – Eye movements – motivation – Learning (motor skills) – emotions • 4 nuclei: – – – – – Nucleus caudatus Striatum Putamen Pallidum (globus pallidus és ventrális pallidum) Substantia nigra Nucleus subthalamicus Functional anatomy of the basal ganglia Anatomical parts: • nucleus caudatus • putamen • globus pallidus • pars interna (GPi) • pars externa (GPe) • substantia nigra • pars compacta • pars reticularis Connections of the basal ganglia Cortex→striatum (glutamaterg) Motor cortex nucl. caudatus Pallidum Striatum Direct pathway (red): striatum inhibits pallidum pars interna & substantia nigra pars reticularis Indirect pathway (green): striatum inhibits pallidum pars externa & subthalamic nuclei Substantia nigra subthalamic Cortex – basal ganglia – thalamus – cortex Direct pathway Indirect pathway • • • Cortex →striatum, activation Striatum GABAergic → pallidum pars interna – inhibition • Striatum GABAergic → substantia nigra pars reticularis – inhibition • Pallidum pars interna & substantia nigra GABAergic → thalamus – inhibition • Thalamus glutamatergic →cortex – activation Therefore the activation of cortex inhibits the inhibition of thalamus = disinhibition • • • • • striatum GABAergic → substantia nigra pars compacta – inhibition substantia nigra pars compacta dopaminergic → striatum, dual effect striatum GABAergic → pallidum pars externa– inhibition pallidum pars externa GABAergic → subthalamic nuclei – inhibition A subthalamic nuclei glutamatergic → pallidum pars interna & substantia nigra pars reticularis – activation Nucleus subthalamicus glutamatergic → pallidum pars externa - activation Cortex – basal ganglia – thalamus – cortex Cortex Figure legend: Red: GABA (inhibition) Blue/empty: glutamate (activation) Thalamus Pallidum pars externa Striatum Green: dopamine (dual effect) S. nigra pars compacta Nucl. subthalamus Pallidum pars S. nigra pars interna reticularis Connections of the basal ganglia Glu, glutamate; DA, dopamine. Acetylcholine is the transmitter produced by interneurons in the striatum. SNPR, substantia nigra, pars reticulata; SNPC, substantia nigra, pars compacta; ES, external segment; IS, internal segment; PPN, pedunculopontine nuclei. The subthalamic nucleus also projects to the pars compacta of the substantia nigra Function of the basal ganglia Function of the basal ganglia • • • • • Nucleus accumbens, ventral pallidum and ventra tegmentum: motivation Tegmentum: dopaminergic tracts to nucl. accumbens Injury of dopaminergic tracts: „paralysis of will”, in emergency able to perform coordinated and fast movements, otherwise nearly motionless Desire, apetitive behaviour Not consuming behaviour (injury in animal models: do not take food, but eat it if given into mouth) • • • • • Superior colliculus: optical tract (midbrain) Retinotopic imaging Connection to s. nigra pars reticularis SNr: tonic inhibition Eye movements: SNr silent Subconscious control of learned movements: Putamen circuit Supplementary motor cortex Premotor cortex Somatosensory cortex Primary motor cortex Putamen Internal globus pallidus Thalamus VA, VL nuclei Abnormal functions: athetosis -glob. pallidus, ballismus -n. subthalamicus. chorea -putamen Subconscious execution of the learned patterns of movements (= putting together the sequences of movements) Subconscious cognitive control of motor activity: Caudatus - circuit Somatosensory cortex Premotor cortex Association cortex (memories) nucl. Caudatus Internal globus pallidus Cognitive control of motor activity Immediate, several sec. long, automatic responses („lion is coming”) Thalamus VA, VL nuclei Parkinson’s disease Loss of dopaminergic neurons in the substantia nigra pars compacta (SNc) Parkinson’s disease Parkinson’s disease •Resting tremor •Increased muscle tone (rigid muscles, tilting of trunk, short steps) •Hypokinesia (less spontaneous movements) •Akinesia (inhibition of initiation of movements) •Bradikinesia (slow execution of movements) •Loss of mimics, emotions can not be seen •Monoton speech •Increased parasympathetic tone: salivation, sweating Chorea • Hyperkinetic-hypotonic disorder • Chorea: involuntary, sudden movements of face and limbs • Basal ganglia: striatum GABA-erg neuron injury • Huntington • Sydenham: rheumatic fever • Chorea gravidarum (pregnancy complication) • Wilson’s disease (copper metabolism) • Spongiform encephalopathias • Neuroborreliosis • Iatrogenic: dopamine agonists, Parkinson’s, schizophrenia and antiepilepsy drugs Huntington’s disease Symptoms: • hyperkinesia • chorea • dementia Causes of Huntington’s disease: •Autosomal dominant genetic defect •Deterioration of GABA-ergic neurons in the striatum (caudate+putamen) •Decreased inhibition over GPe •STN won’t stimulate GPi •VL and VA stimulates cortical motorneurons