Thalamus Mass of gray matter, egg shaped Two thalami, on either side of 3 rd ventricle- connected by interthalamic connection. Relays all sensations except olfactory Important in crude sensation (for detailed localization & interpretation cerebral cortex) Relations Anterior Interventricular foramen Posterior pineal body, posterior commissure Superior tela choroidia, fornix (midline) choroid plexus of lateral ventricle (thalamus forms a part of the floor of the lateral ventricle) Inferior hypothalamus, tegmentum of mid brain Medial 3 rd ventricle, interthalamic connection Lateral internal capsule, lentiform nucleus
Cerebrum
Diencephalon 3 rd ventricle Thalamus Hypothalamus
Cerebral hemisphere Cortex (grey matter) Internal white matter Basal ganglia
Hypothalamus Controls autonomic nervous system Controls endocrine system Maintains body homeostasis Contributes to the limbic system-Emotion & behavior, memory, sexual drive.
Relations Anterior optic chiasma, lamina terminalis, anterior commissure Posterior tegmentem of the mid brain Superior thalamus Inferior (AP)optic chiasma, tuber cinerium & infundibulum, mammilary bodies Medial 3 rd ventricle
Hypophyseal portal system Carries releasing & release inhibitory hormones to the pituitary (eg. GnRH, GHRH, GHIH) Formed by a branch of the internal carotid artery.
Ventral posterolateral(VPL) Relays spinal & medial leminisci (sensations from the body) Ventral posteromedial(VPM) Relays trigerminal & taste (sensations from face)
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Repeat campaign A/L 2008
Q. Regarding the thalamus, a) Has the body of the fornix on its superior aspect. b) Is separated from the lentiform nucleus by the external capsule. c) Has bands of gray matter connecting the thalami of both sides. d) Has the medial leminiscus ending in its VPL. e) Has the anterior pole forming the posterior boundary of the interventricular foraman.
CEREBELLUM Posterior cranial fossa Posterior to 4 th ventricle, pons & medulla oblongata. Two cerebellar hemispheres joined by the median vermis 3 lobes -anterior primary fissure -middle (posterior) Uvulonodular fissure
-flocculonodular - Outer-grey cortex Inner-white matter Intracerebellar nuclei-masses of grey matter embedded in white matter
Functional areas 1. Cortex of the vermis-movements of the long axis of the body 2. Intermediate zone-controls muscles of distal parts of limbs 3. Lateral zone-planning of sequential movements of the entire body
Functions of cerebellum Cerebellum has no direct neuronal connections with the lower motor neurons, but excerts its influence indirectly through the cerebral cortex and brainstem. Coordination of precise movements How? By continuously compairing the output of the motor area of cerebral cortex with the proprioceptive information received from the site of muscle action.
Brings about necessary adjustment by influencing the activity of the lower motor neurons. CLINICAL -Signs & symptoms are limited to the same side of the body. -No Paralysis ,sensory loss or atrophy. Signs of cerebellar lesion - A2 R2 D3 TiN 1. Ataxia- disturbance of voluntary movement. 2. Atonia (*hypotonia) 3. Reflex disturbances-eg. Pendular knee jerk 4. Rebound phenomenon. 5. Dysdiadochokinasia-inability to perform alternating movements regularly and rapidly 6. Disarthria (slurred speech) 7. Dismetria eg.past pointing 8. Tremor intentional (tremor in fine movements) 9. Nystagmus-rythmical oscillations of eyes)
Vermis syndrome- fall forwards or backwards Cere. hemisphere syndrome- fall to the side of the lesion Cerebellar peduncle Superior (with midbrain) Middle (with pons) Inferior (with medulla oblongata) Afferent pathways Ant.spinocerebellar o Corticopontocerebellar o Cerebroreticulocerebellar
o Post. spinocerebellar o Cerebro-olivocerebellar o Cerebroreticulocerebellar o Cuneocerebellar o From vestibular nerve Efferents