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What is the hypothalamus?
Small part of diencephalon sitting below thalamus
Connected by a stalk to anterior/posterior lobes of pituitary gland
Coordinates drive related behavior
What are the general functions of the hypothalamus?
Homeostasis
Regulates endocrine output
Regulates body temp, blood comp, blood volume, BP, salinity, pH, oxygen, glucose, growth, reproduction
Describe the posterior pituitary.
Made of dense bed of capillaries & axons
Release 2 hormones:
Vasopressin (ADH) → stimulate kidneys to retain water
Oxytocin → uterine contractions & milk production, anti-anxiety during breastfeeding, social bonding, intimacy
Describe the anterior pituitary.
Releases 6 hormones:
ACTH → adrenal glands produce adrenalin & cortisol
TSH → thyroid regulate metabolism
FSH → sperm & egg production
LH → testosterone & progesterone production
Prolactin → breast milk production
GH → child growth & muscle
Melaonocyte-Stimulating (MSH) → skin pigmentation
How does the hypothalamus control the anterior pituitary?
Cells of hypothalamus secrete releasing factors & inhibiting factors
Go to hypophyseal portal system
Specifically selects which hormone is increasing/decreasing in circulation
What are the 3 ways the hypothalamus exerts its effects?
Control of endocrine system → hormones in bloodstream
Autonomic control → adjusts PNS & SNS motor output
Somatic motor control → responds to visceral sensations
How does the hypothalamus regulate temperature?
Does NOT let it change more than ½ °F
Acts before blood temp changes
Signals from skin thermoreceptors & cognitive awareness of environment
Vasoconstriction → conserve heat
Vasodilation → release heat (cool down)
Shivering → involuntary heat generation
Behavioral changes → seek warmth, add/remove clothes, sit under fan
HypoT → anterior pituitary → TSH → increase/decrease metabolism
How does the hypothalamus regulate BP?
Modulates baroreceptor reflex
Controls the release of ADH to regulate circulating blood volume
Prompts conscious self to use somatic motor system to get up & rehydrate
How does the hypothalamus regulate satiety (fullness)?
Satiety center → detects rising glucose & shuts down urge to feed
Appetite center → detects falling glucose & initiates feeding
Low blood sugar → anger, irritability, hangry
What is Horner’s Syndrome?
Loss of sympathetic innervation to the head
Miosis → pupil constriction
Ptosis → eyelid droop
Anhidrosis → lack of sweating at head/face
Pale skin → Harley Quinn sign
What are some causes of Horner’s syndrome?
Damage to lateral hypothalamus → sympathetic output
Damage do descending sympathetic pathway from hypoT to IML (PICA stroke)
Damage to ascending sympathetic axons from superior cervical ganglia, traveling with carotid artery
What is autonomic dysreflexia?
SC lesions T6 and above
Lose top-down communication from hypT to IML
Sympathetic neurons of iML become hypersensitive
Noxious stimuli below lesion initiates exaggerated reflex response
Vasoconstriction → increased BP
HypoT signals CN X (Vagus) to decrease BP → slow HR
Sudden increase in BP with bradycardia, pounding headache, pupillary constriction, & anxiety
Must remove stimuli to resolve hypertension
SIT THEM UP
What are some common noxious stimuli that cause autonomic dysreflexia?
Over filled urinary bladder
Fecal impaction
UT
Bed sore
Skin pinched in chair
What is the limbic system?
Structures responsible for initiating reactions & behaviors associated with reproduction, survival drives, & emotional responses
Cingulate gyrus, parahippocampal gyrus, amygdala, hippocampus
Bridge b/w higher voluntary thought centers & ANS & endocrine system
Helps guide our actions & form new memories
Describe the parahippocampal gyrus.
Medial temporal lobe
Meeting ground for afferent projections to hippocampus for memory
Describe the cingulate gyrus.
Broad belt of cortex around corpus callosum
Posterior → receive memories to compare to current environment for proper motor planning & response
Anterior → influences decision making by exploring previously learned alternatives, initiates crying, active with chronic pain
Describe the hippocampus
Create new declarative memories
Describe the amygdala
Almond shaped in medial temporal lobe, deep to uncus
Response to emotional stress
Associated with fear, rage, & anxiety
Place emotional stamp on experience
Unconscious emotion → intuition
Learning whether a fact is “bad” or “not bad”
What are the connections of the amygdala?
Receives input from temporal lobe, pre-frontal cortex, cingulate gyrus, olfactory, & hippocampus
Sends info to hypoT, septal nuclei, & hippocampus
Describe the mammillary bodies.
Part of hypot
Accepts afferent info on memory formation from hippocampus through fornix
Sends info to anterior nuclei of thalamus
Important for consolidation (strengthening) of new memories
Damaged by chronic alcoholism
Describe septal nuclei
Component of medial wall of inferior frontal lobe, anterior to hypoT
Functions as pleasure center
Reciprocal connections with hippocampus & amygdala