NEUROANATOMY Lecture : 6 Anatomy of the Diencephalon, Limbic System Pituitary Gland & Prepared and...

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NEUROANATOMY Lecture : 6 Anatomy of the Diencephalon , Limbic System Pituitary Gland & Prepared and presented by : Dr. Iyad Mousa Hussein , MD, Ph.D in Neurology Head of Neurology Department Nasser Hospital

Transcript of NEUROANATOMY Lecture : 6 Anatomy of the Diencephalon, Limbic System Pituitary Gland & Prepared and...

Page 1: NEUROANATOMY Lecture : 6 Anatomy of the Diencephalon, Limbic System Pituitary Gland & Prepared and presented by: Dr. Iyad Mousa Hussein, MD, Ph.D in Neurology.

NEUROANATOMY

Lecture : 6

Anatomy of the Diencephalon, Limbic System Pituitary Gland &

Prepared and presented by:Dr. Iyad Mousa Hussein ,

MD, Ph.D in NeurologyHead of Neurology DepartmentNasser Hospital

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1. Definition, Site, Surfaces, and Subdivisions of the Diencephalon.

2. Definition, site, Parts, nuclei, and functions of the Thalamus.

3. Definition, Site, Parts, and Nuclei and functions of the Hypothalamus.

4. The Hypothalamic Releasing and Inhibitory Hormones.

5. Definition, Site, Structures, and functions of the Epithalamus.

6. Definition, Site, and Structures of the Metathalamus.

7. Definition, Site, and Structures of the Subthalamus.

8. Anatomy and Functions of the Pituitary Gland.

9.Definition, Site structures, Connections and functions of the

Limbic System.

LECTURE OBJECTIVES:

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Definition and Site:

It is the part of the brain which lies above the midbrain and

between the lower parts of the two cerebral hemispheres.

Cavity of the diencephalon: is the third ventricle.

The Diencephalon

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1. Two lateral surfaces: each lateral surface related to the

internal capsule.

2. The Lower surface:

a. The middle (largest) part: is the subthalamus, which

lies upper the midbrain.

b. The anterior part: is formed by the hypothalamus

and is connected with pituitary gland.

C. The posterior part: is formed by the metathalamus.

3. Upper surface: it is formed by the two thalami and the third

ventricle in the middle.

Surfaces of the Diencephalon

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It is subdivided into five parts:

1. Thalamus (bilateral): the largest part.

2. Subthalamus: it lies directly above midbrain.

3. Hypothalamus: it lies infront of the subthalamus.

4. Metathalamus (bilateral).

5. Epithalamus.

Subdivisions of the Diencephalon

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The Thalamus

Definition: it is a large, egg-shaped mass of gray matter lying in the middle of the cerebrum.

Site: it lies on each side of the third ventricle, immediately above the subthalamus.

Parts of the Thalamus:1. Anterior part.2. Medial part.3. Lateral part.

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1. Sensory Function: the thalamus is the great

sensory relay station on the pathway of all

sensations to cerebral cortex (except smell).

2. Consciousness level.

3. Emotional function.

Functions of the Thalamus

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1. Medial group.

3. Lateral group.

4. Anterior group.

Nuclei of the Thalamus

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1. Anterior nucleus.

2. Dorsomedial nucleus.

3. Lateral posterior nucleus.

4. Lateral dorsal nucleus.

5. Lateral pulvinar nucleus.

6. Ventral anterior nucleus.

7. Ventral posterior nucleus (Ventral Posterolateral &

Posteromedial nuclei).

8. Ventral lateral nucleus.

9. Inttralaminar nucleus.

10.Midline reticular nucleus.

Nuclei of the Thalamus

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Definition and Site:

It is the part of the diencephalon witch lies infront of

subthalamus and anterioinferior to the thalamus.

The hypothalamus, although small (0,3 of the total

brain), is very important part of the central nervous

System (Neuroendocrine organ).

The Hypothalamus

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1. Optic part: immediately related to optic chiasma. It

consists of two nuclei:

a. Supraoptic nucleus.

b. Paraventricular nucleus.

2. Tuberal part: it consists of three nuclei:

a. Ventromedial nucleus.

b. Dorsomedial nucleus.

c. Tuberal nucleus.

3. Mamillary part: it consists of two nuclei:

a. Posterior nucleus.

b. Lateral nucleus.

4. Posterior perforated substance.

Parts and Nuclei of the Hypothalamus

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A. Afferent fibers:1. Somato and Visceral afferents.2. Visual afferents.3. Olfaction.4. Auditory afferents.5. Thalamohypothalamic fibers.6. Amygdaloidhypothalamic fibers.7. Tegmental fibers: from midbrain.

B. Efferent fibers:1. Descending fibers to the brain stem and spinal cord.2. To the limbic system.3. To the pituitary gland.

Connections of the Hypothalamus

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Hypothalamus has important regulatory functions:

1. Temperature.

2. Emotional regulation.

3. Growth (via thyroid stimulating hormone).

4. Hunger and thirst.

5. Sexual behaviour.

6. Control of various endocrine and activity

rhythms (via hormones).

7. Memory (visual and verbal memory).

Functions of the Hypothalamus

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1. The hormones vasopressin (antidiuretic hormone) and

oxytocin are synthesized in the hypothalamus → the

posterior lobe of the hypophysis.

2. The hypothalamus is play important role in the

production of the releasing hormones and release-

inhibitory hormones.

Connections of the Hypothalamus with the Hypophysis (Pituitary Gland)

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The Hypothalamic Releasing and Inhibitory Hormones

Hypothalamic Regulatory Hormones Anterior Pituitary

Hormones

Growth hormone-releasing hormone (GHRH)

Growth hormone (GH)

Growth hormone-inhibiting hormone (GHIH) or Somatostatin

Growth hormone (reduced production)

Prolactin-releasing hormone (PRH) Prolactin hormone

Prolactin-inhibiting hormone (PIH) Prolactin hormone (reduced production)

Corticotropin-relasing hormone (CRH) Adrenocorticotropic hormone (ACTH)

Thyrotropin-relasing hormone (TRH) Thyroid-stimulating hormone (TSH)

Lutenizing hormone-relasing hormone (LHRH)

Luteinizing hormone (LH) and follicle-stimulating hormone

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Definition and Site: it is a part of the diencephalon

which is attached to posterior end of the upper

surface of the diencephalon.

Parts of the Epithalamus:

1. Right and left Habenular nucleus.

2. Habenular commissure.

3. Posterior commissure.

4. Pineal body.

The Epithalamus

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Definition and Site:

It is the part of the diencephalon which is attached to

posterior part of the inferior surface of the thalamus.

Parts of the Metathalamus:

1. Lateral geniculate body (LGB): visual function.

2. Medial geniculate body (MGB): auditory

function.

The Metathalamus

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Definition and Site: it is the part of the diencephalon which located

between the thalamus and midbrain.

Parts of the Subthalamus:

A. Posterior smaller part: containing of five bundles:

1. Medial lemniscus.

2. Spinal lemniscus.

3. Trigeminal lemniscus.

4. Reticuo-thalamic tract.

5. Superior cerebellar peduncle.

B. Anterior larger part: containing of five bundles.

1. The upper end of the red nucleus.

2. The upper end of the substantia nigra.

3. The subthalamic nucleus.

4. The ansa lenticularis bundle.

5. The fasciculus lenticularis.

The Subthalamus

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Site: it lies below the hypophyseal fossa below the diaphragm sella.Shape: it is an avoid body, its transverse diameter is 12mm and its anteroposterior diameter is 8mm.Relation:

1. Above: diaphragm sella which separates the gland from optic chiasma.

2. Below: body of sphenoid and sphenoid sinus separating the gland from nasopharynx.

3. On each side: cavernous sinus and its contains.Connection: with hypothalamus.Components:

1. Anterior lobe (Adenohypophysis).2. Posterior lobe (Neurohypophysis).

Pituitary Gland (Hypophysis or Master Gland)

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Production of the following hormones:

A. Anterior pituitary hormones (from anterior lobe):

1. Growth hormone (GH).

2. Prolactin hormone.

3. Adrenocorticotropic hormone (ACTH).

4. Thyroid-stimulating hormone (TSH).

5. Luteinizing hormone (LH).

6. Follicle-stimulating hormone.

B. Posterior pituitary hormones (from posterior lobe):

1. Vasopressin (Antidiuretic hormone).

2. Oxytocin.

Functions of the Pituitary Gland

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Definition and Site: It is the number of cortical and

subcortical structures lying between the cerebral

cortex and the hypothalamus.

The Limbic System (Emotional Brain)

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Structures of the Limbic System

1. Cingulate gyrus.

2. Parahippocampal gyrus.

3. Uncus.

4. Hipocampal formation.

5. Mammilary bodies.

6. Septum pollucidum.

7. Amygdaloid nucleus.

8. The fornix.

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1. Cerebral cortex.

2. Thalamus.

3. Hypothalamus.

4. Epithalamus.

Connections of the Limbic System

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1. Control the endocrine system.

2. Control the emotional behavior.

3. Recent memory (hippocampus).

4. There is no evidence that the limbic system has

an olfactory function.

Functions of the Limbic System

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