Podcast
Questions and Answers
What distinguishes the basal nuclei's role in motor control from many other parts of the nervous system involved in motor function?
What distinguishes the basal nuclei's role in motor control from many other parts of the nervous system involved in motor function?
- Basal nuclei primarily control sensory feedback loops.
- Basal nuclei have direct input and output connections with the spinal cord.
- Basal nuclei directly innervate spinal motor neurons.
- Basal nuclei lack direct input or output connections with the spinal cord. (correct)
Which of the following best describes the functional relationship between the subthalamic nuclei, substantia nigra, and the basal nuclei?
Which of the following best describes the functional relationship between the subthalamic nuclei, substantia nigra, and the basal nuclei?
- They are integral components and are classified within the basal nuclei.
- They serve solely as relay stations, transmitting signals to and from the basal nuclei.
- They are functionally related but considered separate from the basal nuclei. (correct)
- They are functionally antagonistic, directly opposing the basal nuclei's functions.
Which statement accurately describes the structural organization of the corpus striatum?
Which statement accurately describes the structural organization of the corpus striatum?
- It is divided into the caudate and amygdaloid nuclei by the external capsule.
- It is a singular mass located medial to the thalamus.
- It is divided into the caudate and lentiform nuclei by the internal capsule. (correct)
- It consists of the globus pallidus and claustrum separated by the external capsule.
What is the functional significance of the striated appearance of the striatum?
What is the functional significance of the striated appearance of the striatum?
Which statement explains the relationship between the lentiform nucleus, internal capsule, and claustrum?
Which statement explains the relationship between the lentiform nucleus, internal capsule, and claustrum?
Which of the following describes the outflow pathway from the basal nuclei?
Which of the following describes the outflow pathway from the basal nuclei?
What is the role of the basal nuclei in motor function?
What is the role of the basal nuclei in motor function?
How do the basal nuclei contribute to the preparation for movement?
How do the basal nuclei contribute to the preparation for movement?
Which of the following is a hyperkinetic movement disorder associated with basal nuclei dysfunction?
Which of the following is a hyperkinetic movement disorder associated with basal nuclei dysfunction?
Destruction of the corpus striatum results in paralysis of remaining movements on what side of the body?
Destruction of the corpus striatum results in paralysis of remaining movements on what side of the body?
Which neurotransmitter system is primarily affected in Huntington disease, leading to its characteristic symptoms?
Which neurotransmitter system is primarily affected in Huntington disease, leading to its characteristic symptoms?
In Sydenham chorea, what immunological mechanism underlies the development of choreiform movements?
In Sydenham chorea, what immunological mechanism underlies the development of choreiform movements?
Which of the following best describes the lesion location and resulting motor deficit in hemiballismus?
Which of the following best describes the lesion location and resulting motor deficit in hemiballismus?
What neuronal change in Parkinson disease leads to the cardinal motor symptoms?
What neuronal change in Parkinson disease leads to the cardinal motor symptoms?
Which mechanism is most closely associated with the therapeutic effect of L-Dopa in Parkinson's disease?
Which mechanism is most closely associated with the therapeutic effect of L-Dopa in Parkinson's disease?
From where does the corpus striatum receive afferent inputs?
From where does the corpus striatum receive afferent inputs?
Which type of fiber is NOT a projection to the corpus striatum?
Which type of fiber is NOT a projection to the corpus striatum?
Which neurotransmitter is associated with corticostriate fibers?
Which neurotransmitter is associated with corticostriate fibers?
What is the role of nigrostriatal fibers?
What is the role of nigrostriatal fibers?
From where do striatopallidal fibers pass?
From where do striatopallidal fibers pass?
Which neurotransmitter is used by striatopallidal fibers?
Which neurotransmitter is used by striatopallidal fibers?
Which statement best describes the interconnections within the basal nuclei?
Which statement best describes the interconnections within the basal nuclei?
What are the two general types of Basal Nuclei disorders?
What are the two general types of Basal Nuclei disorders?
What is the function of huntingtin?
What is the function of huntingtin?
What pathway inhibits the caudate nucleus and the putamen in patients with Huntington's disease?
What pathway inhibits the caudate nucleus and the putamen in patients with Huntington's disease?
Which disease is associated with rapid, irregular, involuntary movements of the limbs, face, and trunk?
Which disease is associated with rapid, irregular, involuntary movements of the limbs, face, and trunk?
Where does the lesion typically occur in Hemiballismus?
Where does the lesion typically occur in Hemiballismus?
What is the result of substantia nigra degeneration in Parkinson's disease?
What is the result of substantia nigra degeneration in Parkinson's disease?
Damage occurred to what structure during the viral encephalitis outbreak of 1916 to 1917 which caused Postencephalitic parkinsonism?
Damage occurred to what structure during the viral encephalitis outbreak of 1916 to 1917 which caused Postencephalitic parkinsonism?
What can cause Iatrogenic parkinsonism?
What can cause Iatrogenic parkinsonism?
What is primarily affected in Athetosis?
What is primarily affected in Athetosis?
What causes Drug-Induced Parkinsonism?
What causes Drug-Induced Parkinsonism?
Which of the following is NOT a type of Globus pallidus Efferent Fiber?
Which of the following is NOT a type of Globus pallidus Efferent Fiber?
Which part of the caudate nucleus and putamen do the neurons in the substantia nigra send axons to?
Which part of the caudate nucleus and putamen do the neurons in the substantia nigra send axons to?
Why is the the globus pallidus lighter in color?
Why is the the globus pallidus lighter in color?
What are the two nuclei of the lentiform nucleus?
What are the two nuclei of the lentiform nucleus?
What anatomical feature directly separates the caudate nucleus from the lentiform nucleus?
What anatomical feature directly separates the caudate nucleus from the lentiform nucleus?
Which of the following structures is located most laterally in relation to the lentiform nucleus?
Which of the following structures is located most laterally in relation to the lentiform nucleus?
What is the primary reason for the globus pallidus appearing lighter in color compared to the putamen?
What is the primary reason for the globus pallidus appearing lighter in color compared to the putamen?
Which statement accurately reflects the relationship between the neostriatum and the corpus striatum?
Which statement accurately reflects the relationship between the neostriatum and the corpus striatum?
In what manner do the basal nuclei influence motor function, considering their connections?
In what manner do the basal nuclei influence motor function, considering their connections?
What functional role is attributed to the interconnections between the basal nuclei and the motor cortex?
What functional role is attributed to the interconnections between the basal nuclei and the motor cortex?
Which of the following pathways is primarily associated with the transmission of inhibitory signals within the basal nuclei circuitry?
Which of the following pathways is primarily associated with the transmission of inhibitory signals within the basal nuclei circuitry?
How do the dopaminergic neurons of the substantia nigra influence the activity of the corpus striatum?
How do the dopaminergic neurons of the substantia nigra influence the activity of the corpus striatum?
Substantia nigra degeneration primarily affects which neurotransmitter system within the basal ganglia circuit in Parkinson's disease?
Substantia nigra degeneration primarily affects which neurotransmitter system within the basal ganglia circuit in Parkinson's disease?
How does Huntington's disease impact neurotransmitter signaling within the basal ganglia?
How does Huntington's disease impact neurotransmitter signaling within the basal ganglia?
What is the functional implication of the basal nuclei's influence on axial and girdle movements of the body?
What is the functional implication of the basal nuclei's influence on axial and girdle movements of the body?
What is the significance of the corpus striatum receiving afferent information from most areas of the cerebral cortex?
What is the significance of the corpus striatum receiving afferent information from most areas of the cerebral cortex?
In Sydenham chorea, what immunological process leads to the development of choreiform movements?
In Sydenham chorea, what immunological process leads to the development of choreiform movements?
What is a key characteristic differentiating the tremor observed in Parkinson's disease from intention tremors seen in cerebellar disorders?
What is a key characteristic differentiating the tremor observed in Parkinson's disease from intention tremors seen in cerebellar disorders?
Considering the pathophysiology of Parkinson's disease, what is the rationale behind using L-Dopa as a therapeutic intervention?
Considering the pathophysiology of Parkinson's disease, what is the rationale behind using L-Dopa as a therapeutic intervention?
What specific cellular mechanism underlies the typical 'cogwheel rigidity' observed in patients with Parkinson's disease?
What specific cellular mechanism underlies the typical 'cogwheel rigidity' observed in patients with Parkinson's disease?
How does pallidotomy, a surgical intervention for Parkinson's disease, alleviate motor symptoms?
How does pallidotomy, a surgical intervention for Parkinson's disease, alleviate motor symptoms?
Which of the following is the primary mechanism by which the drug selegiline provides benefit in the treatment of Parkinson's disease?
Which of the following is the primary mechanism by which the drug selegiline provides benefit in the treatment of Parkinson's disease?
What neuronal population is diminished during Huntington's disease?
What neuronal population is diminished during Huntington's disease?
What is the ultimate effect of the degeneration that occurs in Huntington disease on the substantia nigra?
What is the ultimate effect of the degeneration that occurs in Huntington disease on the substantia nigra?
What accounts for the enlarged ventricles found in patients with Huntington's disease?
What accounts for the enlarged ventricles found in patients with Huntington's disease?
What is the underlying cause of Sydenham chorea?
What is the underlying cause of Sydenham chorea?
What are the anatomical causes of hemiballismus?
What are the anatomical causes of hemiballismus?
Which is NOT a source of dopa-producing cells given the need to replace them in Parkinson's patients?
Which is NOT a source of dopa-producing cells given the need to replace them in Parkinson's patients?
What is most important to know in the treatment of drug-induced parkinsonism?
What is most important to know in the treatment of drug-induced parkinsonism?
What is the most common symptom of athetosis?
What is the most common symptom of athetosis?
The claustrum is a structure close to the basal nuclei. What part of the brain is it related to laterally?
The claustrum is a structure close to the basal nuclei. What part of the brain is it related to laterally?
Which of the following neurotransmitters is used by the fibers that ascend from the Brainstem to the caudate nucleus?
Which of the following neurotransmitters is used by the fibers that ascend from the Brainstem to the caudate nucleus?
Striatonigral fibers pass from the caudate nucleus and putamen to where?
Striatonigral fibers pass from the caudate nucleus and putamen to where?
What is the function of pallidotegmental fibers?
What is the function of pallidotegmental fibers?
When a person attempts to perform discrete, fine movements but is still capable of performing gross crude movements, what parts of the nervous system are thought to be damaged?
When a person attempts to perform discrete, fine movements but is still capable of performing gross crude movements, what parts of the nervous system are thought to be damaged?
What are hyperkinetic disorders?
What are hyperkinetic disorders?
What region of the brain does the corpus striatum receive its afferent information from?
What region of the brain does the corpus striatum receive its afferent information from?
With what are the neurons from the substantia nigra thought to be inhibitory functions?
With what are the neurons from the substantia nigra thought to be inhibitory functions?
Where do all parts of the cerebral cortex send projections with corticostriate fibers?
Where do all parts of the cerebral cortex send projections with corticostriate fibers?
Which of the following is NOT a characteristic sign or symptom of Parkinson's disease?
Which of the following is NOT a characteristic sign or symptom of Parkinson's disease?
What is the neurotransmitter associated with corticostriate fibers?
What is the neurotransmitter associated with corticostriate fibers?
Which of the following conditions is more commonly observed in women than in men?
Which of the following conditions is more commonly observed in women than in men?
Which scenario accurately describes the functional interplay between the basal nuclei and the cerebral cortex, particularly in the context of motor control?
Which scenario accurately describes the functional interplay between the basal nuclei and the cerebral cortex, particularly in the context of motor control?
Considering the intricate circuitry of the basal ganglia, what is the most comprehensive way to describe the role of the corpus striatum within this system?
Considering the intricate circuitry of the basal ganglia, what is the most comprehensive way to describe the role of the corpus striatum within this system?
How do the direct and indirect pathways originating from the striatum interact to affect motor control?
How do the direct and indirect pathways originating from the striatum interact to affect motor control?
What is the key distinction between the functional roles of the caudate and putamen within the corpus striatum?
What is the key distinction between the functional roles of the caudate and putamen within the corpus striatum?
What implication arises from the understanding that damage to the corpus striatum results in paralysis of remaining movements on the contralateral side of the body?
What implication arises from the understanding that damage to the corpus striatum results in paralysis of remaining movements on the contralateral side of the body?
What is the functional implication of the fact that the basal nuclei lack direct connections to the spinal cord?
What is the functional implication of the fact that the basal nuclei lack direct connections to the spinal cord?
What is the basis for the classification of Huntington's disease as a hyperkinetic disorder?
What is the basis for the classification of Huntington's disease as a hyperkinetic disorder?
Which neuroanatomical observation is most closely associated with the characteristic ventriculomegaly observed in Huntington's disease?
Which neuroanatomical observation is most closely associated with the characteristic ventriculomegaly observed in Huntington's disease?
What mechanism underlies the transient nature of choreiform movements in Sydenham chorea?
What mechanism underlies the transient nature of choreiform movements in Sydenham chorea?
Despite the lack of understanding of the precise function of Huntingtin, what consequences arise from the expanded CAG repeats that encode glutamine?
Despite the lack of understanding of the precise function of Huntingtin, what consequences arise from the expanded CAG repeats that encode glutamine?
What mechanism explains why tremor is present at rest in Parkinson's disease but typically diminishes during voluntary movement?
What mechanism explains why tremor is present at rest in Parkinson's disease but typically diminishes during voluntary movement?
What is the rationale behind deep brain stimulation (DBS) of the subthalamic nucleus (STN) as a treatment for Parkinson's disease?
What is the rationale behind deep brain stimulation (DBS) of the subthalamic nucleus (STN) as a treatment for Parkinson's disease?
Which neurotransmitter(s) are associated with the striatopallidal fibers that project from the caudate nucleus and putamen to the globus pallidus?
Which neurotransmitter(s) are associated with the striatopallidal fibers that project from the caudate nucleus and putamen to the globus pallidus?
What is the functional significance of the pallidotegmental fibers, which originate from the globus pallidus?
What is the functional significance of the pallidotegmental fibers, which originate from the globus pallidus?
Which areas of the cerebral cortex send axons, and hence afferent information, to the caudate nucleus and the putamen?
Which areas of the cerebral cortex send axons, and hence afferent information, to the caudate nucleus and the putamen?
What is the primary effect of nigrostriatal fibers on the activity of the corpus striatum?
What is the primary effect of nigrostriatal fibers on the activity of the corpus striatum?
Damage to what specific area of the basal nuclei is most likely to result in hemiballismus?
Damage to what specific area of the basal nuclei is most likely to result in hemiballismus?
What is the cause of the enlarged lateral ventricles that are observable in the brain scans Huntington's Disease patients.
What is the cause of the enlarged lateral ventricles that are observable in the brain scans Huntington's Disease patients.
What causes the neurons of the substantia nigra to become overactive at the onset of Huntington's Disease?
What causes the neurons of the substantia nigra to become overactive at the onset of Huntington's Disease?
What is the root cause of rigidity that is found in cases of Parkinson's Disease?
What is the root cause of rigidity that is found in cases of Parkinson's Disease?
Due to neuronal degeneration of the substantia nigra in Parkinson's Disease, what is reduced?
Due to neuronal degeneration of the substantia nigra in Parkinson's Disease, what is reduced?
In addition to the substantia nigra, what areas are affected by neuronal degeneration in cases of Parkinson's Disease?
In addition to the substantia nigra, what areas are affected by neuronal degeneration in cases of Parkinson's Disease?
Antipsychotic drugs blocking striatal dopamine receptors (D2) cause what
Antipsychotic drugs blocking striatal dopamine receptors (D2) cause what
If somebody displays the following disease traits: slow tremor when their limbs are at rest, rigidity in the muscles, and initiating movement becomes difficult. What is the most likely diagnosis of that person?
If somebody displays the following disease traits: slow tremor when their limbs are at rest, rigidity in the muscles, and initiating movement becomes difficult. What is the most likely diagnosis of that person?
What is likely to occur in patients due to medical treatments blocking striatal dopamine receptors (D2)?
What is likely to occur in patients due to medical treatments blocking striatal dopamine receptors (D2)?
What is the cause of Athetosis?
What is the cause of Athetosis?
If a person is capable of performing gross, crude movements, but unable to accomplish precise, fine movements. What areas are thought to be damaged?
If a person is capable of performing gross, crude movements, but unable to accomplish precise, fine movements. What areas are thought to be damaged?
If there is neuronal degeneration of the inhibitory pathway between the corpus striatum and the substantia nigra shown in Huntington disease, there is subsequently a reduction in what?
If there is neuronal degeneration of the inhibitory pathway between the corpus striatum and the substantia nigra shown in Huntington disease, there is subsequently a reduction in what?
What are three examples of motor skills that are influenced by cortical motor activities?
What are three examples of motor skills that are influenced by cortical motor activities?
The basal nuclei play a role in voluntary movement.
The basal nuclei play a role in voluntary movement.
The basal ganglia have direct connections to the spinal cord.
The basal ganglia have direct connections to the spinal cord.
Functionally, the subthalamic nuclei are closely related to the basal nuclei.
Functionally, the subthalamic nuclei are closely related to the basal nuclei.
The internal capsule divides the corpus striatum into the caudate nucleus and the globus pallidus.
The internal capsule divides the corpus striatum into the caudate nucleus and the globus pallidus.
The term 'striatum' refers to the appearance created by gray matter strands connecting the caudate nucleus only to the globus pallidus.
The term 'striatum' refers to the appearance created by gray matter strands connecting the caudate nucleus only to the globus pallidus.
The putamen is part of the lentiform nucleus and is located laterally to the internal capsule.
The putamen is part of the lentiform nucleus and is located laterally to the internal capsule.
The amygdaloid nucleus, located in the occipital lobe, primarily regulates visual processing.
The amygdaloid nucleus, located in the occipital lobe, primarily regulates visual processing.
The claustrum is located between the pallidum and the insula.
The claustrum is located between the pallidum and the insula.
The substantia nigra's neurons are glutaminergic and exert excitatory effects on the corpus striatum.
The substantia nigra's neurons are glutaminergic and exert excitatory effects on the corpus striatum.
The corpus striatum receives input directly from the spinal cord.
The corpus striatum receives input directly from the spinal cord.
Glutamate serves as the primary neurotransmitter for corticostriate fibers.
Glutamate serves as the primary neurotransmitter for corticostriate fibers.
Neurons in the intralaminar nuclei of the thalamus liberate acetylcholine at their terminals.
Neurons in the intralaminar nuclei of the thalamus liberate acetylcholine at their terminals.
Striatopallidal fibers use substance P exclusively as their neurotransmitter.
Striatopallidal fibers use substance P exclusively as their neurotransmitter.
The ansa lenticularis, fasciculus lenticularis, pallidotegmental fibers and pallidosubthalamic fibers are all part of the Globus Pallidus Afferent fibers.
The ansa lenticularis, fasciculus lenticularis, pallidotegmental fibers and pallidosubthalamic fibers are all part of the Globus Pallidus Afferent fibers.
Information is only integrated within the corpus striatum, and the outflow passes back to prefrontal cortex
Information is only integrated within the corpus striatum, and the outflow passes back to prefrontal cortex
Activity of the basal nuclei is initiated by information exclusively from the primary motor cortex.
Activity of the basal nuclei is initiated by information exclusively from the primary motor cortex.
The basal nuclei directly control muscle movement through descending pathways to the brainstem and spinal cord.
The basal nuclei directly control muscle movement through descending pathways to the brainstem and spinal cord.
Hyperkinetic disorders involve a lack of or slowness of movement.
Hyperkinetic disorders involve a lack of or slowness of movement.
In Huntington disease, CT scans typically reveal enlargement of the lateral ventricles due to atrophy of the caudate nuclei.
In Huntington disease, CT scans typically reveal enlargement of the lateral ventricles due to atrophy of the caudate nuclei.
L-Dopa, unlike dopamine, can cross the blood-brain barrier and is used in the treatment of Parkinson's disease.
L-Dopa, unlike dopamine, can cross the blood-brain barrier and is used in the treatment of Parkinson's disease.
Match each basal nuclei structure with its primary anatomical relationship:
Match each basal nuclei structure with its primary anatomical relationship:
Match each fiber type associated with the corpus striatum with its neurotransmitter:
Match each fiber type associated with the corpus striatum with its neurotransmitter:
Match each disorder with the primary location of neuronal degeneration:
Match each disorder with the primary location of neuronal degeneration:
Match each component of the basal nuclei with its proper description:
Match each component of the basal nuclei with its proper description:
Match each symptom or sign with the basal nuclei disorder in which they are typically observed:
Match each symptom or sign with the basal nuclei disorder in which they are typically observed:
Match each structure with its location:
Match each structure with its location:
Match the type of fiber with the basal ganglia structure:
Match the type of fiber with the basal ganglia structure:
Match the part of the brain with the procedure done to alleviate Parkinsonian signs:
Match the part of the brain with the procedure done to alleviate Parkinsonian signs:
Match the disease with the description:
Match the disease with the description:
Match the brain region with the statement:
Match the brain region with the statement:
Flashcards
Basal Nuclei
Basal Nuclei
Collection of gray matter masses within each cerebral hemisphere, including the corpus striatum, amygdaloid nucleus, and claustrum.
Corpus Striatum
Corpus Striatum
Located lateral to the thalamus, divided by the internal capsule into the caudate nucleus and lentiform nucleus.
Caudate Nucleus
Caudate Nucleus
Large, C-shaped mass of gray matter related to the lateral ventricle.
Lentiform Nucleus
Lentiform Nucleus
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Claustrum
Claustrum
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Corticostriate Fibers
Corticostriate Fibers
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Nigrostriatal Fibers
Nigrostriatal Fibers
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Striatopallidal Fibers
Striatopallidal Fibers
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Striatonigral Fibers
Striatonigral Fibers
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What type of diseases involves excessive, abnormal movements?
What type of diseases involves excessive, abnormal movements?
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What type of diseases involves a lack or slowness of movement?
What type of diseases involves a lack or slowness of movement?
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What are some symptoms of Chorea?
What are some symptoms of Chorea?
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What is Huntington Disease?
What is Huntington Disease?
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What is damaged in Postencephalitic Parkinsonism?
What is damaged in Postencephalitic Parkinsonism?
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What is drug treatments for Parkinson's primarily aimed at?
What is drug treatments for Parkinson's primarily aimed at?
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What primarily causes the signs/symptoms of Parkinson's disease?
What primarily causes the signs/symptoms of Parkinson's disease?
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Basal Nuclei Function
Basal Nuclei Function
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Components of Corpus Striatum
Components of Corpus Striatum
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Amygdaloid Nucleus
Amygdaloid Nucleus
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Internal Capsule
Internal Capsule
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Corpus Striatum Input
Corpus Striatum Input
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Basal Nuclei Outflow
Basal Nuclei Outflow
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Parkinson's Disease Cause
Parkinson's Disease Cause
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Parkinson's Disease Symptoms
Parkinson's Disease Symptoms
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Genetic defect of Huntington's?
Genetic defect of Huntington's?
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Parkinson's Treatment Strategies
Parkinson's Treatment Strategies
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Causes of Parkinsonism
Causes of Parkinsonism
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Cause of Athetosis
Cause of Athetosis
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Basal Nuclei Prepare Movements
Basal Nuclei Prepare Movements
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Parkinson's Clinical Signs
Parkinson's Clinical Signs
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Globus Pallidus Myelination
Globus Pallidus Myelination
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Substantia Nigra
Substantia Nigra
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Glutamate
Glutamate
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Caudate nucleus and putamen
Caudate nucleus and putamen
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Globus Pallidus
Globus Pallidus
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What is the Internal capsule?
What is the Internal capsule?
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Basal Nuclei role
Basal Nuclei role
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Hemiballismus
Hemiballismus
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GABA
GABA
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Basal Nuclei Pathways
Basal Nuclei Pathways
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Striatum Appearance
Striatum Appearance
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Amygdaloid Nucleus effects
Amygdaloid Nucleus effects
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Hemiballismus Characteristics
Hemiballismus Characteristics
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Brainstem Striatal Fibers
Brainstem Striatal Fibers
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Hemiballismus Lesion
Hemiballismus Lesion
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Huntington's Disease Dementia
Huntington's Disease Dementia
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Parkinson's Posture
Parkinson's Posture
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Ansa Lenticularis
Ansa Lenticularis
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Fasciculus Lenticularis
Fasciculus Lenticularis
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Substantia Nigra Neurons
Substantia Nigra Neurons
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Subthalamic Nuclei Neurons
Subthalamic Nuclei Neurons
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Sydenham Chorea
Sydenham Chorea
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Study Notes
- The basal nuclei control posture and voluntary movement, with no direct connections to the spinal cord.
- Basal nuclei comprise gray matter masses within each cerebral hemisphere.
- The basal nuclei include the corpus striatum, amygdaloid nucleus and the claustrum
- The subthalamic nuclei, substantia nigra, and red nucleus are functionally related but not part of the basal nuclei.
- The corpus striatum is divided by the internal capsule into the caudate and lentiform nuclei.
- The term striatum refers to the striated appearance from gray matter strands connecting the caudate nucleus to the putamen.
- The table 10-1 states that, as neurological structures:
- The Caudate nucleus is described as the caudate nucleus
- The Lentiform nucleus, is described as the globus pallidus plus putamen
- The Claustrum is described as the claustrum
- The Corpus striatum is described as the caudate nucleus plus lentiform nucleus
- The Neostriatum (striatum) is deccribed as the caudate nucleus plus putamen
- The Amygdaloid body is described as the amygdaloid nucleus
Caudate Nucleus Details
- The caudate nucleus is a large C-shaped mass related to the lateral ventricle and lateral to the thalamus.
- Divided into a head, body, and tail for descriptive purposes.
- The head forms the lateral wall of the anterior horn of the lateral ventricle and is continuous with the putamen.
- The body is long and narrow, forming part of the floor of the lateral ventricle.
- The tail is long and slender, terminating in the amygdaloid nucleus.
Lentiform Nucleus Details
- The lentiform nucleus is a wedge-shaped mass buried deep in the cerebral hemisphere's white matter.
- It is divided it into the putamen and the globus pallidus.
- The globus pallidus appears pale due to myelinated nerve fibers.
- Inferiorly, the putamen is continuous with the head of the caudate nucleus.
- The amygdaloid nucleus resides in the temporal lobe near the uncus, considered part of the limbic system.
- It influences responses to environmental changes, like fear.
- The claustrum is a thin gray matter sheet separated from the lentiform nucleus by the external capsule, its function unknown.
- The caudate nucleus and putamen receive input to the basal nuclei.
- The globus pallidus is the primary site for output leaving the basal nuclei with neither receiving nor outputting directly to the spinal cord.
- Projections to the corpus striatum include:
- Corticostriate, thalamostriate, nigrostriatal, and brainstem striatal fibers.
- Corticostriate fibers:
- Originate from all parts of the cerebral cortex.
- Project to specific parts of the caudate-putamen complex, mostly from the same side's cortex, with the sensory motor cortex providing the largest input.
- Use glutamate as their neurotransmitter.
- Thalamostriate fibers:
- Originate from the intralaminar nuclei of the thalamus, projecting to the caudate nucleus and putamen.
- Nigrostriatal fibers:
- Neurons from the substantia nigra project to the caudate nucleus and putamen, releasing dopamine.
- Believed to be inhibitory in function.
- Brainstem Striatal Fibers:
- Ascending fibers from the brainstem end in the caudate nucleus and putamen and liberate serotonin at their terminals as the neurotransmitter.
- These fibers are thought to be inhibitory in function.
- Efferent fibers from the corpus striatum:
- Striatopallidal and striatonigral fibers.
- Striatopallidal fibers:
- Project from the caudate nucleus and putamen to the globus pallidus, using GABA.
- Striatonigral fibers:
- Project from the caudate nucleus and putamen to the substantia nigra.
- Utilize GABA, acetylcholine, or substance P as neurotransmitters.
- Globus Pallidus Afferent Fibers:
- Striatopallidal fibers project to the globus pallidus, using GABA.
- Globus Pallidus Efferent Fibers (Pallidofugal):
- Ansa lenticularis (to thalamic nuclei).
- Fasciculus lenticularis (to subthalamus).
- Pallidotegmental fibers (to caudal tegmentum of midbrain).
- Pallidosubthalamic fibers (to subthalamic nuclei).
- The corpus striatum receives afferent information from most of the cerebral cortex and the thalamus.
- After integration, outflow passes back to these areas through a circular pathway.
- Basal nuclei activity starts with input from the premotor/supplemental motor cortex, sensory cortex, thalamus, and brainstem.
- Outflow from the basal nuclei is channeled through the globus pallidus, influencing cerebral cortex motor areas and other motor centers, controlling movement and motor skills.
- Examples of motor activities influenced by the basal nuclei: writing, drawing, passing a football, talking, singing, and eye movements.
- Primary motor cortex destruction affects fine movements but leaves gross movements intact and, destruction of the corpus striatum then leads to paralysis
- Basal nuclei aid in movement preparation, controlling axial and girdle movements for limb positioning.
- Globus pallidus activity increases before distal limb muscle movements, enabling trunk and limb positioning.
- Disorders of the Basal Nuclei and their types:
- Hyperkinetic: excessive and abnormal movements (e.g., chorea, athetosis, ballism).
- Hypokinetic: lack or slowness of movement. Parkinson disease is somewhere between the two.
- Chorea involves involuntary, quick, jerky, nonrepetitive movements like grimaces and limb jerks.
- Huntington disease:
- Autosomal dominant.
- Onset in adulthood, caused by a gene defect on chromosome 4 encoding huntingtin.
- Death occurs 15-20 years post-onset.
- Affects genders equally, marked by choreiform movements (extremities, facial twitching), progressive dementia, memory loss, and intellectual decline.
- Degeneration of GABA-secreting, substance P-secreting, and acetylcholine-secreting neurons in the striatonigral pathway occurs, resulting in overactive dopamine neurons in the substantia nigra.
- CT scans show enlarged lateral ventricles due to degeneration of the caudate nuclei.
- Sydenham chorea:
- Childhood disease with rapid, irregular movements of limbs, face, and trunk, associated with rheumatic fever.
- Antibodies attack membranes of striatal neurons, resulting in choreiform movements.
- Transient with full recovery.
- Hemiballismus involves involuntary movements confined to one side of the body that results from the destruction of the contralateral subthalamic nucleus or its connections.
- Parkinson Disease:
- Progressive disease of unknown cause, starting between 45-55 years.
- Involves neuronal degeneration in the substantia nigra, globus pallidus, putamen, and caudate nucleus.
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