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PATHWAYS IN THE BRAIN & LIMBIC SYSTEM 12. 05. 2014 Kaan Yücel M.D., Ph.D. https://yeditepeanatomyfhs122.wordpress.com Dr.Kaan Yücel yeditepeanatomyfhs122.wordpress.com Pathways in the brain & Limbic system http://imueos.wordpress.com/2010/10/08/ascending-descending-tracts-of-spinal-cord Ascending tracts Sensory Descending tracts Motor General arrangement of both tracts 1st order neuron 2nd order neuron 3rd order neuron The only difference is the different locations where each order of neuron ends. Decussation is the cross-over of the tract from one side to the other. Therefore, there are instances where the left side of the body is controlled by the right brain hemisphere. Decussation occurs at different locations for each tracts. DESCENDING TRACTS General arrangement of descending tracts 1st order neuron starts at the cerebral cortex in the primary motor cortex 2nd order neuron axon of the 1st order neuron will synapse with the 2nd order neuron at the level of the brain stem, which commonly decussate (crosses over) to the opposite side. 3rd order neuron The 3rd order neuron is located in the ventral horn of the spinal cord, which will exit with the spinal nerve to supply the muscle. Types of descending tracts: Lateral corticospinal tract Anterior corticospinal tract Therefore, the descending tract is also known as corticospinal tract. Corticospinal tract arise from long axons of the pyramidal cells of the precentral gyrus (primary motor centre of the cerebral cortex) which lies in front of the central sulcus Homunculus arrangement: arranged upside down; the finer the movement, the more the cortical representation fingers, face, tongue – more trunk, lower limbs – less medial surface: lower limbs superolateral surface: everything else 1st order neuron Fibres of the 1st order neuron arise from the precentral gyrus These fibres converge and enter a small area internal capsule ALL the fibers (from ascending & descending tracts) converge here Function: separates the caudate nucleus and the thalamus from the lenticular nucleus (putamen+ globus pallidus) internal capsule: bounded medially by the thalamus and caudate nucleus and bounded laterally by the lenticular nucleus Parts of internal capsule (not homunculus arrangement, normal head to toe) anterior limb: head & neck fibres most anterior http://www.youtube.com/yeditepeanatomy 2 Dr.Kaan Yücel yeditepeanatomyfhs122.wordpress.com Pathways in the Brain- Limbic System posterior limb: lower limb fibres most posterior The descending fibres passes through the LATERAL half of the posterior limb of internal capsule After the internal capsule, the fibres enter the brain stem; midbrain, pons and medulla. 2nd order neuron Fibres of the 1st order neuron ends when it enters the brain stem and synapse with the 2nd order neuron The fibres pass through the brainstem 1st – through the (mid 5th) crus cerebri of midbrain 2nd – through the anterior part of the pons 3rd – in the medulla oblongata 80-85% of the fibres cross to the opposite side: Motor decussation Enters the spinal cord 3rd order neuron 2nd order neuron fibres in the medulla oblongata enters the spinal cord and synapse with the 3rd order neuron Motor decussation in the spinal tract, the crossed tract descend as the lateral corticospinal tract Therefore, the motor cortex of the cerebral hemisphere controls the opposite side of the body (L – R, R – L) contra-lateral side. In upper motor neuron lesions: above the motor decussation (above medulla), opposite side of body affected below the motor decussation same side of body affected ipsilateral side Uncrossed fibres: in the spinal tract, the uncrossed tract descent as the anterior corticospinal tract its fibres cross at spinal level? ASCENDING TRACTS Types of ascending tracts: Spinothalamic tracts Lateral spinothalamic tract pain & temperature Anterior spinothalamic tract light touch & pressure Dorsal column tract deep touch & pressure proprioception vibration sensation Spinocerrebellar tract posture & coordination SPINOTHALAMIC TRACTS 1st order neuron: Arise from sensory receptors of the body The fibres enter the white mater from the tip of posterior gray horn 2nd order neuron:The fibres of 1st order neuron synapse with the 2nd order neuron at the substantia gelatinosa. These fibres then cross to the opposite side Pain & temperature fibres enters the lateral spinothalamic tract Light touch & pressure fibres enters the anterior spinothalamic tract These tracts ascends to brainstem to medulla oblongata, pons and midbrain tracts flattened in the brainstem: spinal lemniscus Reaches the ventral posterolateral nucleus of the thalamus and ends here. 3rd order neuron: The 3rd order neurons arise from the thalamus and pass through the internal capsule thalamocortical fibres pass through the medial part of the posterior limb of the internal capsule Enters the postcentral gyrus - sensory cortex of the cerebrum, behind the central sulcus. Same homunculus arrangement; more sensitive areas in the body have a greater representation. DORSAL COLUMN TRACT 1st order neuron: Arise from the sensory receptors of the body Fibres enter the dorsal column of the SAME side (post column of spinal cord) 3 http://twitter.com/hippocampusamyg Dr.Kaan Yücel yeditepeanatomyfhs122.wordpress.com Pathways in the brain & Limbic system ascends to the medulla oblongata (does not synapse and end here like spinothalamic tract) Enters medulla oblongata ends in the gracile and cuneate nucleus 2nd order neuron: Starts at the gracile & cuneate nucleus of the medulla oblongata These fibres crosses to the opposite side of the medulla oblongata. Ascends through the brain stem as flattened bundle medial lemniscus Ends in the ventral posterolateral nucleus of the thalamus. 3rd order of nucleus: Arise from the thalamus Pass through the internal capsule; medial aspect of the posterior limb of internal capsule. Reaches the postcentral gyrus and ends here. SPINOCEREBELLAR TRACT 1st order neurons: Arise from the sensory receptors of the body Enters the spinal cord Ends in the Clarke’s Column of the posterior grey horn synapse 2nd order neurons: Arise from the Clarke’s Column synapse with 1st order neurons Ascends in the spinocerebellar tracts, enters the cerebellum through the interior and superior cerebellar peduncles the only tract that enters the cerebellum These tracts decussate 2 times; therefore cerebellum controls same side of body ipsilateral eg. right spinocerebellar tract controls the right side vice versa The limbic system has two main functions: Emotional processing Motivation Another function of the system; short-term memory (also emotional memory) is also important for “survival”. The limbic system works to process our emotions and is related to motivation and with its connections with the cognitive parts of the brain helps us to “use our mind” a.k.a. accomplish mental processes. The limbic system structures are telencephalic & subcortical structures. The complex network for the process of emotions and is also related to memory and learning in addition to hippocampus, amygdala and parahippocampus includes: Cingulate gyrus Hypothalamus Major areas in the prefrontal cortex Striatum Some thalamic nuclei Orbitofrontal cortex Septal area Some medial components of the midbrain (e.g. VTA) Habenula … + white matter tracts http://www.youtube.com/yeditepeanatomy 4 Dr.Kaan Yücel yeditepeanatomyfhs122.wordpress.com Pathways in the Brain- Limbic System In 1937 James Papez proposed the Papez circuit: A list of structures in the brain and a closed circuit related to emotions Hippocampal formation (Subiculum) → fornix → mammillary bodies Mammillary bodies → mammillothalamic tract → anterior thalamic nucleus Anterior thalamic nucleus → genu of the internal capsule → cingulate gyrus Cingulate gyrus → cingulum → parahippocampal gyrus Parahippocampal gyrus → entorhinal cortex → perforant pathway → hippocampus. In 1952 Paul D. McLean added Amygdala Septum Pre-frontal cortex to the Papez circuit and came up with the idea of a system: Limbic System. In 2014, we now know that the system is more complex than it was first proposed and discussed in mid20th century. 1939 Klüver-Bucy Syndrome bilateral removal of amygdala and hippocampal formation What happens if we remove the medial temporal lobe of an animal, a monkey? Became docile;”good monkeys”. A tendency towards oral behaviour such as attempting to ingest inedible objects. 5 http://twitter.com/hippocampusamyg Dr.Kaan Yücel yeditepeanatomyfhs122.wordpress.com Pathways in the brain & Limbic system Hypersexualized behaviour by mounting females of the same and different species. A compulsion to attend and react to every visual stimulus No fear. Change in dietary habits The most famous two members of the limbic system are hippocampus & amygdala. Hippocampus (sea horse; hippocampal formation) is located in the medial temporal lobe under the inferior (temporal) horn of the lateral ventricle. Amygdala (almond) resides at the tip of the temporal lobe anteriorly, and is posterior to anterior part of hippocampus. Hippocampus is the site of short-term memory. It is also an important structure in mood regulation with its connections with the hypothalamus. Amygdala is important in emotion processing with ventromedial prefrontal cortex and acts as an emotional memory box. Anterior cingulate cortex (ACC), medial part of prefrontal cortex, the basal ganglia (particularly caudate, putamen, and nucleus accumbens; the site of pleasure), anterior and dorsomedial thalamic nuclei are some of the important limbic system structures. TWO MAIN CIRCUITS IN THE BRAIN COGNITIVE CIRCUIT EMOTION CIRCUIT DORSAL CIRCUIT VENTRAL CIRCUIT The cognitive networks inhibit the ventral circuit. Dorsal (cognitive) circuit Hippocampus Dorsolateral prefrontal cortex (DLPFC) Dorsal regions of the anterior cingulate cortex (ACC) Parietal cortex Posterior insular region Modulates selective attention, planning and effortful regulation of affective state. Ventral (limbic) circuit structures: Amygdala Insula (Particularly, anterior insula) Ventral striatum Ventral regions of the anterior cingulate cortex (ACC) Orbitofrontal cortex (OFC) and medial PFC It is possible that the altered emotional regulation or cognition found in all of these syndromes involves aberrant function of these circuits, but perhaps with different patterns on a molecular level. (Phillips et al. 2003). http://www.youtube.com/yeditepeanatomy 6