THALAMUS AND HYPOTHALAMUS
Prof.Sangeeta Singhal
Department of Physiology JNMC ALIGARH
INTRODUCTION:-
The term thalamus derives from a Greek word that means “ inner chamber” or meeting place.
Paired ,oval ,nuclear mass of 30×20×20 mm
The largest component 80% of the diencephalon
The term diencephalon includes the following structures:-
Epithalamus
Thalamus
Hypothalamus and
Subthalamus
Thalamus is most important sensory relay station .
Ascending fibers synapse in thalamus and are then projected to the cortical sensory areas.
It also receives impulses from the ascending Reticular formation which it relays to cerebral cortex.
The two thalami form the floor and lateral walls of the third ventricle of brain.
Separated from hypothalamus by hypothalamic sulcus.
C
LASSIFICATION OFT
HALAMICN
UCLEI:-
1-NEUROANATOMIC CLASSIFICATION:-
Divided by internal medullary lamina into three nuclear groups:-
Lateral group of nuclei
Medial group of nuclei
Anterior group of nuclei
Lateral group of nuclei
2 types :- dorsal and ventral group of nuclei
Ventral group:- 1-Ventral anterior nucleus 2-Ventral posterior nucleus
3-Ventral lateral nucleus Dorsal group:- 1-Lateral dorsal nucleus
2-Lateral posterior nucleus
3-Pulvinar nuclei
M
EDIAL GROUP OF NUCLEI:-
1- DORSOMEDIAL NUCLEUS
Anterior group of nuclei:-
Anterior thalamic nuclei
• OTHER NUCLEI:- 1-
MIDLINE NUCLEI2-Intralaminar nuclei
3-Reticular nucleus
4-Medial and lateral geniculate bodies
PHYSIOLOGICAL CLASSIFICATION:-
On the basis of functions nuclei are classified into:-
1-Specific sensory relay nuclei
2-Specific motor nuclei
3-Association nuclei
4-Limbic system nuclei
CONNECTIONS OF THALAMUS
NEUROTRANSMITTERS AND NEUROPEPTIDES IN
THALAMUS:-
GABA is the inhibitory NT in local circuit neurons ,reticular nucleus and lateral geniculate nucleus
Glutamate and Aspartate are the excitatory NT in corticothalamic and thalamocortical projection neurons
Many neuropeptides, like substance P, Somatostatin and Enkephalin
FUNCTIONS OF THALAMUS:-
1-RELAY CENTER:- impulses of almost all the sensations reach the thalamic nuclei, after being
processed in the thalamus the impulses are carried to cerebral cortex
2-CENTER FOR PROCESSING OF SENSORY INFORMATION
3- Role IN AROUSAL and ALERTNESS REACTIONS
4-CENTER FOR REFLEX ACTIVITY
5-CENTER FOR INTIGRATION OF MOTOR ACTIVITY:- through the connections with
cerebellum and basal ganglia.
APPLIED PHYSIOLOGY
THALAMIC SYNDROME :- also known as
“Dejerine-Roussy disease”.
Caused due to infarct in geniculothalamic artery , a branch of posterior cerebral artery.
The clinical hallmark is a pan sensory loss contralateral to the lesion, paraesthesia, and thalamic pain.
Transient hemiparesis, homonymous hemianopia, hemi ataxia, tremor and spatial neglect, all
contralateral to the lesion in the thalamus.
Thalamic hand:-
the contralateral hand is fixedand pronated at the wrist and metacarpo-phalangeal joints and extended at inter phalangeal joints. (due to involvement of posterolateral nucleus)
Thalamic phantom limb:-
when eyes are closed , the patient finds it difficult to locate the limb andhe catches it in the air as if it is lost.(due to involvement of posteroventral nucleus)
HYPOTHALAMUS
Hypothalamus is described as “The Head ganglion of the autonomic nervous system” by Sherrington.
It is a small bilateral structure extends from the region of optic chiasma to the caudal border of the
mammillary bodies.
It is below the Thalamus ,very small in size (wt 4 gm only )
PARTS OF THE HYPOTHALAMUS
The hypothalamus is subdivided into optic, tuberal and mammillary parts . The nuclei present in each part are as follows:
OPTIC PART:- 1- Preoptic and supraoptic nuclei 2-Paraventricular nucleus
3-Suprachiasmatic nucleus
Tuberal part:- 1-Ventromedial nucleus 2-Dorsomedial nucleus 3-Tuberal nucleus
4-Arcuate nucleus Mammillary part:- 1-Posterior nucleus
2-Lateral nucleus 3-Mammillary body
F
UNCTIONS OFH
YPOTHALAMUS 1-Endocrine control
2-General autonomic effect
3-Temperature regulation
4-Food intake
5-Thirst –fluid regulation
6-Sleep and wakefulness
7-Circadian rhythm
8-Sexual behaviour and reproduction
9-Emotion, fear, rage, aversion , pleasure and reward