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THALAMUS AND HYPOTHALAMUS

Prof.Sangeeta Singhal

Department of Physiology JNMC ALIGARH

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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:-

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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.

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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.

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C

LASSIFICATION OF

T

HALAMIC

N

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

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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

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M

EDIAL GROUP OF NUCLEI

:-

1- DORSOMEDIAL NUCLEUS

Anterior group of nuclei:-

Anterior thalamic nuclei

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OTHER NUCLEI:- 1-

MIDLINE NUCLEI

2-Intralaminar nuclei

3-Reticular nucleus

4-Medial and lateral geniculate bodies

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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

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CONNECTIONS OF THALAMUS

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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

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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

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5-CENTER FOR INTIGRATION OF MOTOR ACTIVITY:- through the connections with

cerebellum and basal ganglia.

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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.

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Thalamic hand:-

the contralateral hand is fixed

and 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 and

he catches it in the air as if it is lost.(due to involvement of posteroventral nucleus)

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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 )

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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

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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

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F

UNCTIONS OF

H

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

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References

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