Snell’s Clinical Neuroanatomy Chapter 10 - Basal Nuclei (Basal Ganglia)

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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?

  • 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?

  • 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?

  • 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?

<p>It results from nerve fibers connecting the caudate nucleus to the putamen through the internal capsule. (C)</p> Signup and view all the answers

Which statement explains the relationship between the lentiform nucleus, internal capsule, and claustrum?

<p>The lentiform nucleus is lateral to the internal capsule and medial to the claustrum. (A)</p> Signup and view all the answers

Which of the following describes the outflow pathway from the basal nuclei?

<p>Through the globus pallidus, influencing motor areas of the cerebral cortex and brainstem (A)</p> Signup and view all the answers

What is the role of the basal nuclei in motor function?

<p>Influencing the cerebral cortex and brainstem to regulate voluntary movement and motor skill learning (B)</p> Signup and view all the answers

How do the basal nuclei contribute to the preparation for movement?

<p>By controlling axial and girdle movements to position the trunk and proximal limbs (D)</p> Signup and view all the answers

Which of the following is a hyperkinetic movement disorder associated with basal nuclei dysfunction?

<p>Athetosis (C)</p> Signup and view all the answers

Destruction of the corpus striatum results in paralysis of remaining movements on what side of the body?

<p>Contralateral (D)</p> Signup and view all the answers

Which neurotransmitter system is primarily affected in Huntington disease, leading to its characteristic symptoms?

<p>Degeneration of GABA-secreting, substance P-secreting, and acetylcholine-secreting neurons (B)</p> Signup and view all the answers

In Sydenham chorea, what immunological mechanism underlies the development of choreiform movements?

<p>Autoimmune attack against basal ganglia neurons due to molecular mimicry of streptococcal antigens (D)</p> Signup and view all the answers

Which of the following best describes the lesion location and resulting motor deficit in hemiballismus?

<p>Lesion in the contralateral subthalamic nucleus causing violent, flinging movements (B)</p> Signup and view all the answers

What neuronal change in Parkinson disease leads to the cardinal motor symptoms?

<p>Degeneration of neurons in the substantia nigra leading to reduced dopamine levels in the striatum (A)</p> Signup and view all the answers

Which mechanism is most closely associated with the therapeutic effect of L-Dopa in Parkinson's disease?

<p>Being converted to dopamine in the basal ganglia, compensating for neuronal loss (C)</p> Signup and view all the answers

From where does the corpus striatum receive afferent inputs?

<p>Most of the cerebral cortex and the thalamus (C)</p> Signup and view all the answers

Which type of fiber is NOT a projection to the corpus striatum?

<p>Cerebellostriate (D)</p> Signup and view all the answers

Which neurotransmitter is associated with corticostriate fibers?

<p>Glutamate (C)</p> Signup and view all the answers

What is the role of nigrostriatal fibers?

<p>Inhibitory (B)</p> Signup and view all the answers

From where do striatopallidal fibers pass?

<p>From the caudate nucleus and putamen to the globus pallidus (D)</p> Signup and view all the answers

Which neurotransmitter is used by striatopallidal fibers?

<p>GABA (C)</p> Signup and view all the answers

Which statement best describes the interconnections within the basal nuclei?

<p>The afferent information is integrated within the corpus striatum, and the outflow passes back to the areas of origin. (A)</p> Signup and view all the answers

What are the two general types of Basal Nuclei disorders?

<p>Hyperkinetic and hypokinetic (C)</p> Signup and view all the answers

What is the function of huntingtin?

<p>Function is not known (C)</p> Signup and view all the answers

What pathway inhibits the caudate nucleus and the putamen in patients with Huntington's disease?

<p>Striatonigral-inhibiting pathway (C)</p> Signup and view all the answers

Which disease is associated with rapid, irregular, involuntary movements of the limbs, face, and trunk?

<p>Sydenham chorea (C)</p> Signup and view all the answers

Where does the lesion typically occur in Hemiballismus?

<p>Subthalamic nucleus (A)</p> Signup and view all the answers

What is the result of substantia nigra degeneration in Parkinson's disease?

<p>Reduction in the release of the Dopamine neurotransmitter (B)</p> Signup and view all the answers

Damage occurred to what structure during the viral encephalitis outbreak of 1916 to 1917 which caused Postencephalitic parkinsonism?

<p>Basal Nuclei (D)</p> Signup and view all the answers

What can cause Iatrogenic parkinsonism?

<p>Side effect of antipsychotic drugs (C)</p> Signup and view all the answers

What is primarily affected in Athetosis?

<p>Distal segments (C)</p> Signup and view all the answers

What causes Drug-Induced Parkinsonism?

<p>Blocks striatal Dopamine receptors (D2) (D)</p> Signup and view all the answers

Which of the following is NOT a type of Globus pallidus Efferent Fiber?

<p>Cortiocostriatal fibers (C)</p> Signup and view all the answers

Which part of the caudate nucleus and putamen do the neurons in the substantia nigra send axons to?

<p>Caudate Nucleus and Putamen (A)</p> Signup and view all the answers

Why is the the globus pallidus lighter in color?

<p>Higher concentration of myelin (D)</p> Signup and view all the answers

What are the two nuclei of the lentiform nucleus?

<p>Putamen and Globus Pallidus (C)</p> Signup and view all the answers

What anatomical feature directly separates the caudate nucleus from the lentiform nucleus?

<p>Internal capsule (C)</p> Signup and view all the answers

Which of the following structures is located most laterally in relation to the lentiform nucleus?

<p>Insula (C)</p> Signup and view all the answers

What is the primary reason for the globus pallidus appearing lighter in color compared to the putamen?

<p>Greater myelination of nerve fibers (C)</p> Signup and view all the answers

Which statement accurately reflects the relationship between the neostriatum and the corpus striatum?

<p>The neostriatum refers specifically to the caudate nucleus and putamen, which together comprise the majority of the corpus striatum. (B)</p> Signup and view all the answers

In what manner do the basal nuclei influence motor function, considering their connections?

<p>Primarily by directly influencing the activity of the motor cortex (B)</p> Signup and view all the answers

What functional role is attributed to the interconnections between the basal nuclei and the motor cortex?

<p>Facilitating the learning of motor skills (A)</p> Signup and view all the answers

Which of the following pathways is primarily associated with the transmission of inhibitory signals within the basal nuclei circuitry?

<p>Striatopallidal pathways using GABA (B)</p> Signup and view all the answers

How do the dopaminergic neurons of the substantia nigra influence the activity of the corpus striatum?

<p>Releasing dopamine to either inhibit or excite neurons of the caudate nucleus and putamen (B)</p> Signup and view all the answers

Substantia nigra degeneration primarily affects which neurotransmitter system within the basal ganglia circuit in Parkinson's disease?

<p>Dopamine (B)</p> Signup and view all the answers

How does Huntington's disease impact neurotransmitter signaling within the basal ganglia?

<p>Leads to a decrease in GABA, substance P, and acetylcholine secretion in the striatonigral-inhibiting pathway (B)</p> Signup and view all the answers

What is the functional implication of the basal nuclei's influence on axial and girdle movements of the body?

<p>Preparation of the body's posture for voluntary movements (B)</p> Signup and view all the answers

What is the significance of the corpus striatum receiving afferent information from most areas of the cerebral cortex?

<p>It allows the basal nuclei to integrate diverse cortical inputs for motor planning and execution. (C)</p> Signup and view all the answers

In Sydenham chorea, what immunological process leads to the development of choreiform movements?

<p>Antibody cross-reactivity with basal ganglia neuron membranes. (B)</p> Signup and view all the answers

What is a key characteristic differentiating the tremor observed in Parkinson's disease from intention tremors seen in cerebellar disorders?

<p>Parkinsonian tremors are most obvious when the limbs are at rest. (A)</p> Signup and view all the answers

Considering the pathophysiology of Parkinson's disease, what is the rationale behind using L-Dopa as a therapeutic intervention?

<p>L-Dopa replenishes dopamine levels in the striatum by crossing the blood-brain barrier and converting into dopamine. (C)</p> Signup and view all the answers

What specific cellular mechanism underlies the typical 'cogwheel rigidity' observed in patients with Parkinson's disease?

<p>Alternating contraction of agonist and antagonist muscle groups. (A)</p> Signup and view all the answers

How does pallidotomy, a surgical intervention for Parkinson's disease, alleviate motor symptoms?

<p>By disrupting the excessive inhibitory output from the globus pallidus to the thalamus. (A)</p> Signup and view all the answers

Which of the following is the primary mechanism by which the drug selegiline provides benefit in the treatment of Parkinson's disease?

<p>Inhibiting monoamine oxidase, thereby reducing dopamine breakdown (A)</p> Signup and view all the answers

What neuronal population is diminished during Huntington's disease?

<p>The acetylcholine-secreting neurons of the striatonigral-inhibiting pathway (A)</p> Signup and view all the answers

What is the ultimate effect of the degeneration that occurs in Huntington disease on the substantia nigra?

<p>Dopamine-secreting neurons become overactive (B)</p> Signup and view all the answers

What accounts for the enlarged ventricles found in patients with Huntington's disease?

<p>Atrophy of the caudate nucleus (A)</p> Signup and view all the answers

What is the underlying cause of Sydenham chorea?

<p>A bacterial antigen and attack on the brain (D)</p> Signup and view all the answers

What are the anatomical causes of hemiballismus?

<p>A lesion in the subthalamic nucleus (C)</p> Signup and view all the answers

Which is NOT a source of dopa-producing cells given the need to replace them in Parkinson's patients?

<p>Cells from the thalamus (D)</p> Signup and view all the answers

What is most important to know in the treatment of drug-induced parkinsonism?

<p>It stops once the agent is withdrawn (B)</p> Signup and view all the answers

What is the most common symptom of athetosis?

<p>Involuntary sinuous movements (D)</p> Signup and view all the answers

The claustrum is a structure close to the basal nuclei. What part of the brain is it related to laterally?

<p>The insula (D)</p> Signup and view all the answers

Which of the following neurotransmitters is used by the fibers that ascend from the Brainstem to the caudate nucleus?

<p>Serotonin (C)</p> Signup and view all the answers

Striatonigral fibers pass from the caudate nucleus and putamen to where?

<p>Substantia nigra (B)</p> Signup and view all the answers

What is the function of pallidotegmental fibers?

<p>They terminate in the caudal tegmentum of the midbrain (C)</p> Signup and view all the answers

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?

<p>The basal ganglia and corpus striatum (B)</p> Signup and view all the answers

What are hyperkinetic disorders?

<p>Excessive or abnormal movements (C)</p> Signup and view all the answers

What region of the brain does the corpus striatum receive its afferent information from?

<p>Most of the cerebral cortex (C)</p> Signup and view all the answers

With what are the neurons from the substantia nigra thought to be inhibitory functions?

<p>The caudate nucleus (B)</p> Signup and view all the answers

Where do all parts of the cerebral cortex send projections with corticostriate fibers?

<p>Caudate nucleus and the putamen (B)</p> Signup and view all the answers

Which of the following is NOT a characteristic sign or symptom of Parkinson's disease?

<p>Progressive Dementia (A)</p> Signup and view all the answers

What is the neurotransmitter associated with corticostriate fibers?

<p>Glutamate (D)</p> Signup and view all the answers

Which of the following conditions is more commonly observed in women than in men?

<p>Sydenham chorea (A)</p> Signup and view all the answers

Which scenario accurately describes the functional interplay between the basal nuclei and the cerebral cortex, particularly in the context of motor control?

<p>The basal nuclei modulate cortical motor activity via thalamic relays, influencing the planning, initiation, and execution of movements. (A)</p> Signup and view all the answers

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?

<p>The main receptive area, integrating cortical, thalamic, and brainstem inputs to modulate activity in the globus pallidus. (B)</p> Signup and view all the answers

How do the direct and indirect pathways originating from the striatum interact to affect motor control?

<p>The direct pathway disinhibits the thalamus, promoting movement, while the indirect pathway increases inhibition, suppressing unwanted movements. (D)</p> Signup and view all the answers

What is the key distinction between the functional roles of the caudate and putamen within the corpus striatum?

<p>The caudate nucleus is more involved in cognitive and associative functions, while the putamen is more related to motor execution. (A)</p> Signup and view all the answers

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?

<p>The corpus striatum plays an essential role in modulating motor commands initiated by the cerebral cortex. (A)</p> Signup and view all the answers

What is the functional implication of the fact that the basal nuclei lack direct connections to the spinal cord?

<p>The basal nuclei regulate motor activity exclusively through modulating cortical output. (C)</p> Signup and view all the answers

What is the basis for the classification of Huntington's disease as a hyperkinetic disorder?

<p>The loss of inhibitory neurons in the striatum results in uncontrolled activation of motor pathways. (D)</p> Signup and view all the answers

Which neuroanatomical observation is most closely associated with the characteristic ventriculomegaly observed in Huntington's disease?

<p>Degeneration of the caudate nucleus and putamen, resulting in secondary enlargement of the lateral ventricles. (A)</p> Signup and view all the answers

What mechanism underlies the transient nature of choreiform movements in Sydenham chorea?

<p>Antibody-mediated cross-reactivity with basal ganglia neurons, causing temporary disruption of neurotransmission, followed by antibody clearance. (D)</p> Signup and view all the answers

Despite the lack of understanding of the precise function of Huntingtin, what consequences arise from the expanded CAG repeats that encode glutamine?

<p>A conformational change in the Huntingtin protein, leading to abnormal aggregation and impaired neuronal function. (C)</p> Signup and view all the answers

What mechanism explains why tremor is present at rest in Parkinson's disease but typically diminishes during voluntary movement?

<p>The activation of motor pathways during voluntary movement temporarily overrides the imbalanced oscillatory activity within the basal ganglia. (C)</p> Signup and view all the answers

What is the rationale behind deep brain stimulation (DBS) of the subthalamic nucleus (STN) as a treatment for Parkinson's disease?

<p>DBS induces a lesion-like effect that disrupts the overactive STN, normalizing basal ganglia output and reducing motor symptoms. (B)</p> Signup and view all the answers

Which neurotransmitter(s) are associated with the striatopallidal fibers that project from the caudate nucleus and putamen to the globus pallidus?

<p>GABA (D)</p> Signup and view all the answers

What is the functional significance of the pallidotegmental fibers, which originate from the globus pallidus?

<p>They influence the activity of the reticular formation and other brainstem nuclei, impacting motor control and arousal. (D)</p> Signup and view all the answers

Which areas of the cerebral cortex send axons, and hence afferent information, to the caudate nucleus and the putamen?

<p>All parts of the cerebral cortex. (A)</p> Signup and view all the answers

What is the primary effect of nigrostriatal fibers on the activity of the corpus striatum?

<p>Inhibitory via dopamine release (A)</p> Signup and view all the answers

Damage to what specific area of the basal nuclei is most likely to result in hemiballismus?

<p>Subthalamic Nucleus (A)</p> Signup and view all the answers

What is the cause of the enlarged lateral ventricles that are observable in the brain scans Huntington's Disease patients.

<p>Atrophy of the caudate nucleus and putamen (A)</p> Signup and view all the answers

What causes the neurons of the substantia nigra to become overactive at the onset of Huntington's Disease?

<p>The caudate nucleus and putamen atrophying which leads to the dopamine secreting neurons of the substantia nigra to become overactive. (D)</p> Signup and view all the answers

What is the root cause of rigidity that is found in cases of Parkinson's Disease?

<p>Resistance to movement in opposing muscle groups (B)</p> Signup and view all the answers

Due to neuronal degeneration of the substantia nigra in Parkinson's Disease, what is reduced?

<p>The release of dopamine (D)</p> Signup and view all the answers

In addition to the substantia nigra, what areas are affected by neuronal degeneration in cases of Parkinson's Disease?

<p>Globus pallidus, putamen, and caudate nucleus (A)</p> Signup and view all the answers

Antipsychotic drugs blocking striatal dopamine receptors (D2) cause what

<p>Drug-Induced Parkinsonism (B)</p> Signup and view all the answers

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?

<p>Parkinson's Disease (D)</p> Signup and view all the answers

What is likely to occur in patients due to medical treatments blocking striatal dopamine receptors (D2)?

<p>Drug-Induced Parkinsonism (B)</p> Signup and view all the answers

What is the cause of Athetosis?

<p>Degeneration of the globus pallidus (D)</p> Signup and view all the answers

If a person is capable of performing gross, crude movements, but unable to accomplish precise, fine movements. What areas are thought to be damaged?

<p>Primary Motor Cortex (B)</p> Signup and view all the answers

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?

<p>Liberation of GABA, substance P, and acetylcholine (A)</p> Signup and view all the answers

What are three examples of motor skills that are influenced by cortical motor activities?

<p>Writing the letter, drawing a diagram, and using your eye muscles while reading (B)</p> Signup and view all the answers

The basal nuclei play a role in voluntary movement.

<p>True (A)</p> Signup and view all the answers

The basal ganglia have direct connections to the spinal cord.

<p>False (B)</p> Signup and view all the answers

Functionally, the subthalamic nuclei are closely related to the basal nuclei.

<p>True (A)</p> Signup and view all the answers

The internal capsule divides the corpus striatum into the caudate nucleus and the globus pallidus.

<p>False (B)</p> Signup and view all the answers

The term 'striatum' refers to the appearance created by gray matter strands connecting the caudate nucleus only to the globus pallidus.

<p>False (B)</p> Signup and view all the answers

The putamen is part of the lentiform nucleus and is located laterally to the internal capsule.

<p>True (A)</p> Signup and view all the answers

The amygdaloid nucleus, located in the occipital lobe, primarily regulates visual processing.

<p>False (B)</p> Signup and view all the answers

The claustrum is located between the pallidum and the insula.

<p>True (A)</p> Signup and view all the answers

The substantia nigra's neurons are glutaminergic and exert excitatory effects on the corpus striatum.

<p>False (B)</p> Signup and view all the answers

The corpus striatum receives input directly from the spinal cord.

<p>False (B)</p> Signup and view all the answers

Glutamate serves as the primary neurotransmitter for corticostriate fibers.

<p>True (A)</p> Signup and view all the answers

Neurons in the intralaminar nuclei of the thalamus liberate acetylcholine at their terminals.

<p>False (B)</p> Signup and view all the answers

Striatopallidal fibers use substance P exclusively as their neurotransmitter.

<p>False (B)</p> Signup and view all the answers

The ansa lenticularis, fasciculus lenticularis, pallidotegmental fibers and pallidosubthalamic fibers are all part of the Globus Pallidus Afferent fibers.

<p>False (B)</p> Signup and view all the answers

Information is only integrated within the corpus striatum, and the outflow passes back to prefrontal cortex

<p>False (B)</p> Signup and view all the answers

Activity of the basal nuclei is initiated by information exclusively from the primary motor cortex.

<p>False (B)</p> Signup and view all the answers

The basal nuclei directly control muscle movement through descending pathways to the brainstem and spinal cord.

<p>False (B)</p> Signup and view all the answers

Hyperkinetic disorders involve a lack of or slowness of movement.

<p>False (B)</p> Signup and view all the answers

In Huntington disease, CT scans typically reveal enlargement of the lateral ventricles due to atrophy of the caudate nuclei.

<p>True (A)</p> Signup and view all the answers

L-Dopa, unlike dopamine, can cross the blood-brain barrier and is used in the treatment of Parkinson's disease.

<p>True (A)</p> Signup and view all the answers

Match each basal nuclei structure with its primary anatomical relationship:

<p>Caudate nucleus = Lateral to the lateral ventricle Lentiform nucleus = Medial to the internal capsule Claustrum = Lateral to the external capsule Amygdaloid nucleus = Anterior to the tail of the caudate nucleus</p> Signup and view all the answers

Match each fiber type associated with the corpus striatum with its neurotransmitter:

<p>Corticostriate fibers = Glutamate Nigrostriatal fibers = Dopamine Striatopallidal fibers = GABA Brainstem striatal fibers = Serotonin</p> Signup and view all the answers

Match each disorder with the primary location of neuronal degeneration:

<p>Parkinson's disease = Substantia nigra Huntington's disease = Striatonigral pathway Hemiballismus = Subthalamic nucleus Sydenham's Chorea = Basal Ganglia</p> Signup and view all the answers

Match each component of the basal nuclei with its proper description:

<p>Corpus striatum = Primary input site for basal nuclei Globus pallidus = Major output site for basal nuclei Substantia nigra = Modulates activity of the corpus striatum Subthalamic nuclei = Influences the globus pallidus and substantia nigra</p> Signup and view all the answers

Match each symptom or sign with the basal nuclei disorder in which they are typically observed:

<p>Resting tremor = Parkinson's disease Choreiform movements = Huntington's disease Ballistic movements = Hemiballismus Involuntary, quick, jerky movements = Sydenham Chorea</p> Signup and view all the answers

Match each structure with its location:

<p>Caudate Nucleus = Lateral wall of the anterior horn of the lateral ventricle Claustrum = Separated from lentiform nucleus by external capsule Amygdaloid Body = Situated in the temporal lobe near the uncus Lentiform Nucleus = Buried deep in white matter of the cerebral hemisphere</p> Signup and view all the answers

Match the type of fiber with the basal ganglia structure:

<p>Thalamostriate Fibers = Axons to the caudate nucleus and the putamen come from here Nigrostriatal Fibers = Neurons that liberate dopamine Striatopallidal Fibers = Pass from the caudate nucleus and putamen to the globus pallidus Brainstem Striatal Fibers = Fibers that ascend and liberate serotonin</p> Signup and view all the answers

Match the part of the brain with the procedure done to alleviate Parkinsonian signs:

<p>Globus Pallidus = Pallidotomy Caudate Nucleus = Transplantation of embryonic dopamine neurons L-dopa = Taken up by dopaminergic neurons in basal nuclei Selegiline = Inhibits monoamine oxidase</p> Signup and view all the answers

Match the disease with the description:

<p>Huntington Disease = Disease has been traced to single gene defect on chromosome 4 Sydenham Chorea = Is associated with rheumatic fever Hemiballismus = Involuntary movement confined to one side of the body Parkinson Disease = Associated with neuronal degeneration in the substantia nigra</p> Signup and view all the answers

Match the brain region with the statement:

<p>Corpus striatum = Receives afferent information from most of the cerebral cortex Globus pallidus = Outflow from the basal nuclei is channeled through here Basal Nuclei = Not only influence the execution of a particular movement of, say, the limbs but also help prepare for the movements Primary motor cerebral cortex = Prevents the individual from performing fine discrete movements of the hands and feet on the opposite side of the body</p> Signup and view all the answers

Flashcards

Basal Nuclei

Collection of gray matter masses within each cerebral hemisphere, including the corpus striatum, amygdaloid nucleus, and claustrum.

Corpus Striatum

Located lateral to the thalamus, divided by the internal capsule into the caudate nucleus and lentiform nucleus.

Caudate Nucleus

Large, C-shaped mass of gray matter related to the lateral ventricle.

Lentiform Nucleus

Wedge-shaped mass of gray matter divided into the putamen and globus pallidus.

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Claustrum

Sheet of gray matter separated from the lentiform nucleus by the external capsule.

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Corticostriate Fibers

One of the major input pathways to the corpus striatum is what fibers?

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Nigrostriatal Fibers

The substantia nigra sends what kind of fibers to the caudate nucleus and the putamen?

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Striatopallidal Fibers

What fibers pass from the caudate nucleus and putamen to the globus pallidus?

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Striatonigral Fibers

What fibers pass from the caudate nucleus and putamen to the substantia nigra?

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What type of diseases involves excessive, abnormal movements?

Hyperkinetic disorders

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What type of diseases involves a lack or slowness of movement?

Hypokinetic disorders

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What are some symptoms of Chorea?

Rapid, irregular, involuntary movements

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What is Huntington Disease?

Autosomal dominant inherited disease, involves choreiform movments and progressive dementia.

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What is damaged in Postencephalitic Parkinsonism?

Damage occurred to basal ganglia

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What is drug treatments for Parkinson's primarily aimed at?

Elevating brain dopamine levels

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What primarily causes the signs/symptoms of Parkinson's disease?

The degeneration of the neurons of the substantia nigra

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Basal Nuclei Function

Role is controlling posture and voluntary movement; no direct spinal cord connections.

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Components of Corpus Striatum

Includes the caudate nucleus, putamen, and globus pallidus; main input site of basal nuclei.

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Amygdaloid Nucleus

Located in the temporal lobe, part of the limbic system, influences response to environmental changes and fear.

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Internal Capsule

A band of nerve fibers dividing the corpus striatum into the caudate and lentiform nuclei.

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Corpus Striatum Input

Receives afferent information from most of the cerebral cortex and the thalamus.

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Basal Nuclei Outflow

Globus pallidus is where this exits to influence motor areas.

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Parkinson's Disease Cause

Neurons of the substantia nigra degenerate, leading to reduced dopamine release in the corpus striatum.

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Parkinson's Disease Symptoms

Slow tremor, rigidity, bradykinesia, postural instability; no paralysis or sensory loss.

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Genetic defect of Huntington's?

Huntington's chorea is autosomal dominant with choreiform movements and progressive dementia.

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Parkinson's Treatment Strategies

Elevating brain dopamine levels (e.g., L-dopa) and inhibiting dopamine breakdown (e.g., selegiline).

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Causes of Parkinsonism

Viral infections, drugs, carbon monoxide/manganese poisoning, atherosclerosis

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Cause of Athetosis

Degeneration of the globus pallidus occurs

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Basal Nuclei Prepare Movements

The activity of certain neurons in the globus pallidus increases

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Parkinson's Clinical Signs

Stooped posture, shuffling gait, and masked facial expression.

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Globus Pallidus Myelination

The paleness of the globus pallidus is due to a high concentration of what?

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Substantia Nigra

Part of the brain functionally related to basal nuclei, it modulates basal ganglia activity.

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Glutamate

Major neurotransmitter of corticostriate fibers

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Caudate nucleus and putamen

The main sites receiving input to the basal nuclei are which?

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Globus Pallidus

Main site from which output leaves the basal nuclei.

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What is the Internal capsule?

A band of nerve fibers that divide the corpus striatum into the caudate and lentiform nuclei.

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Basal Nuclei role

Posture and voluntary movement.

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Hemiballismus

Hyperkinetic disorder causing involuntary movements on one side of the body.

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GABA

A common neurotransmitter utilized by striatopallidal fibers.

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Basal Nuclei Pathways

Complex interconnections for posture, voluntary movement control.

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Striatum Appearance

Striated appearance due to gray matter strands.

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Amygdaloid Nucleus effects

Influence autonomic functions via connections.

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Hemiballismus Characteristics

Involuntary movements confined to one body side.

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Brainstem Striatal Fibers

Ascending fibers from brainstem.

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Hemiballismus Lesion

Damage to subthalamic nucleus common.

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Huntington's Disease Dementia

Loss of memory and intellectual capacity.

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Parkinson's Posture

Stands with a stoop, arms flexed.

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Ansa Lenticularis

Group of complicated pallidofugal fibers that head to the thalamic nuclei.

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Fasciculus Lenticularis

Group of complicated pallidofugal fibers that head to the subthalamus.

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Substantia Nigra Neurons

Dopaminergic, inhibitory; project to corpus striatum.

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Subthalamic Nuclei Neurons

Glutaminergic, excitatory; connections to globus pallidus.

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Sydenham Chorea

Rapid, irregular, involuntary movements of face, limbs, and trunk.

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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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