ivana pavlinac dodig, m.d., ph.d. -...
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Ivana Pavlinac Dodig, M.D., Ph.D.
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HypothalamusEpithalamusThalamusMetathalamusSubthalamus
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Regulatory functions of visceral, endocrine, autonomic and emotional processes:▪ Temperature regulation▪ Sympathetic and parasympathetic events▪ Endocrine function of pituitary▪ Emotional and sexual behaviour▪ Feeding and drinking behaviour▪ Affective processes▪ Sleep and wake cycle
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Anterior (supraoptic) + preoptic area Mid‐level (tuberoinfundibulary) areaPosterior (mammillary) area
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Suprachiasmatic (retinal inputs for
diurnal rhythms and hormone release)
Preoptic nuclei (lat. and med. –
endocrine and temperature regulations)
Supraoptic
Paraventricular
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VazopressinOxytocin
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Nucl. infundibularis (arcuatus) – DA (prolactine release‐inhibiting hormone)
Nucl. ventromedialis (rage behaviour, inhibition of feeding, endocrine control)
Nucl. dorsomedialis
Tuberal nuclei (regulatory hormones for pituitary)
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Mammillary bodies
Inputs from fornix
Mammillothalamic tract (to anterior thalamic nucleus)
Papez circuit
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Medial (periventricular) – releasing hormones for pituitary, modulation of feeding, generation of affective processes, control of autonomic functions
Lateral – fasciculus medialis telecephali (medial forebrain bundle, MFB), behavioral processes (drinking, predation)
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Brainstem tegmentum (nuclei raphe, LC, RF, mesencephalic PAG) MFB (fasciculus telecephalicus medialis)Limbic structures Retina (regulation of the circadian rhythm)Frontal and orbitofrontal cortex
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Axons of the neuroendocrine cells:1. Hypothalamic infundibulary system – anterior
pituitary (portal vascular system)2. Neurohypophyseal system – posterior pituitary
(ADH and oxytocin)Hypothalamo‐cortical fibersMFBHypothalamo‐thalamic fibers
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Smallest part of the diencephalon
Corpus pineale (epiphysis cerebri) – pineal glandHabenular complex:Commissura habenularumHabenulae
Stria medullaris
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Habenulopeduncular tract (fasciculus retroflexus)‐ unknown functionStria medullaris – afferent and efferent habenular fibers
Possible relay by which limbic system and hypothalamus influence midbrain structures
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No direct connections with CNS
Inputs from sympathetic NS via superior cervical ganglia
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Pinealocytes – melatonin, serotonin, norepinephrine, hypothalamic‐releasing hormones (during childhood)
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Circadian rhythm (retina ‐ suprachiasmatic nucl ‐ thoracic cord ‐sup.cervical ganglia)
Melatonin secretion
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Oval shapedLargest component of the diencephalonRelay
(CNS to cortex)
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LateralRostralDorsomedial region
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Ventral
Lateropost. + pulvinar
Rostral
Dorsomedial
Reticular
Intralaminar
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Motor and somatosensory relays
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2 motor nuclei (ventral anterior and ventral lateral nucl.)2 somatosensory nuclei (ventral posterior lateral (VPL) and ventral posterior medial (VPM) nuclei) – ventral basal complex
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Connections with parietal cortexNO afferent subcortical projections!
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Lateral dorsal nucl. – unknown functionPulvinar nucleus – cognitive functions (auditory and visual stimuli)
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Anterior nucleus of the thalamusConnections with hippocampal formation, cingulate gyrus, mammillary bodies (mammillothalamic bundle)Memory function
Injury: Disorders of autonomic functionsKorsakoff’s syndrome
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Connections with limbic, frontal and prefrontal cortexAferent inputs from sup. colliculus, SN, mesencephalic tegmentum, vestibul. nucleiMediation of affective processes and emotional behaviorMassive in humans
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Nonspecific thalamic nucleiSubcortical connectionsRostral extension of RF and zona incertaGABA; inhibitory system of negative feedback for other thalamic nucleiSleep and wake cycles
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Subcortical connectionsNonspecific cortical activation (connecting RF and other thalamic nuclei)
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Modulation of cortical activity during sleep, wake, focused attention, learning, pain perception…
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Corpus geniculatum laterale – relay of visual impulses to the visual cortex from retina
Corpus geniculatum mediale – relay for auditory system
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Zona incerta (DA, tractus incerto‐hypothalamicus)Nucl. subthalamicus (corpus subthalamicum Luysi) – reciprocal connections with the globus palidus –motor functions!
Motor functions associated with the basal ganglia
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Ansa lenticularisFasciculus lenticularisFasciculus thalamicusFLMSpinothalamic and trigeminothalamic fibers“thalamic gatekeeper”
Nigrostriatal dopaminergic fibersStrionigral GABA‐ergic fibers
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Basal ganglia outputs