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epithalamus
pineal gland, habenula, pre-tectal area
subthalamus
subthalamic nucleus (STN), zona incerta
the septum —> habenula via
stria medullaris
thalamus function
all sensory info (except olfaction) from basal ganglia, cerebellum, limbic structures
motor function
internal medullary lamina (IML)
divides medial from lateral thalamus
intralaminar n.
located along IML
fxn. alertness, arousal (global control), pain system
anterior n.
fxn. limbic
relay via mammilothalamic tract
input = mammillary body
outputs = cortex, hypothalamus, cingulate (Papez Circuit)
dorsomedial n. (DM)
fxn. affect, foresight
damage: Phineas Gage-like symptoms
inputs: amygdala, olfactory cortex, basal ganglia
outputs: prefrontal cortex
dorsal tier nuclei (3)
lateral dorsal (LD) n.
lateral posterior (LP) n.
pulvinar
lateral dorsal (LD) n.
projects to cingulate
fxn. limbic
lateral posterior (LP) n.
continuous with pulvinar
parietal-occipital-temporal association ctx.
inputs from visual system + association ctx.
pulvinar
fxn. visuospatial/somatosensory processing
inputs from sup. colliculi
outputs to frontal/parietal/insular lobes, cingulate, amygdala, parahippocampal, parieto-occipital
ventral tier (3 nuclei)
ventral anterior (VA)
ventral lateral (VL)
ventral posterior (VP) —> VPL, VPM
ventral anterior (VA) & ventral lateral (VL) nn.
motor control (cerebellum and basal ganglia)
ventral posterior (VP) n.
ascending sensory from medial lemniscus, trigeminothalamic, spinothalamic tracts
divided into lateral and medial (VPL, VPM)
ventral posterolateral (VPL) n.
ascending sensory from body
ventral posteromedial (VPM) n.
ascending sensory from head (+ CN V)
lateral geniculate n. (LGN)
fxn. visual relay
retinogeniculate striate pathway
retinogeniculate striate pathway
retinal cells —> CN II —> LGN —> BA 17
medial geniculate n. (MGN)
fxn. auditory relay
inferior colliculus pathway
auditory relay pathway
inferior colliculus —> MGN —> BA 41
thalamic reticular n.
fxn. thalamic regulation (does not project to ctx.)
internal capsule
major output pathway of thalamus
thalamic syndrome
hemisensory loss —> thalamic pain syndrome (over time)
symptoms: behavioral changes, inattention, thalamic aphasia, anterograde amnesia, chorea, etc.
thalamic aphasia
sounds like Wernicke’s
dependent on attentiveness
hemisensory loss
“pure”, often head to toe loss (pure sensory or sensorimotor)
outer ear
air-filled
auricle (pinna)
external auditory meatus
middle ear
air-filled
ossicles (malleus, incus, stapes)
oval window covered by stapes
round window
inner ear
fluid-filled (endolymph)
cochlea
cochlea
snail-shaped structure that processes sound, tonotopically arranged
contains 3 scala (ramps)
scala media
component of the cochlea containing spiral ganglion; communicates sound to brain
cilia
tips of hair cells bathed in endolymph fluid
tip links
small structures that connect hair cells; amplification of sound
auditory pathway
hair cells (receptor) —> spiral ganglion
1° spiral ganglion (in scala media)
2° cochlear nuclei —> lateral lemniscus (most cross contralateral, some ipsilateral)
3° inferior colliculus —> MGN (thalamus)
4° auditory ctx. (BA 41)
damage to auditory pathway results in…
not full hearing loss (bilateral innervation/compensation)
loss of foreground/background
loss of localization of sound
air conduction
sound via outer and middle ear
bone conduction
sound directly to spiral ganglion/cochlea through bone
conductive hearing loss
damage to outer or middle ear (obstruction, infection)
sensorineural hearing loss
damage to inner ear - hair cells, spiral ganglion, or cochlear nuclei
Rinne test
air vs bone test
normal = air > bone
conductive = bone > ear
sensorineural = air > bone (diminished)
Weber test
directional test
normal = equal both sides
conductive = louder on affected side
sensorineural = louder on normal side
vestibular labyrinth components
semicircular canals (3)
vestibule (saccule, utricle)
semicircular canals
3 “hula hoops” of vestibular system; orthagonally arranged (90° angles)
ampulla
internal component of semicircular canals; contains crista and cupula
fxn. angular acceleration (rotation)
crista
layer of hair cells with cilia; inside ampulla
cupula
gelatin layer above crista; cilia extend upwards into gel to detect rotation
vestibule
saccule and utricle
fxn. linear acceleration
saccule
linear acceleration (up and down - gravity)
utricle
side-to-side, back and forth acceleration
otoliths
calcium carbonate stones on top of gelatinous layer of vestibule
fxn. move/push cilia based on vestibular information
vestibular nuclei (4)
medial/inferior vestibular n.
lateral vestibular n.
superior vestibular n.
medial/inferior vestibular nn.
descending
fxn. head/neck position
lateral vestibular n.
descending
fxn. posture and extensor tone
superior vestibular n.
ascending to MLF
fxn. eye movement (vestibulo-ocular reflex)
inputs: cerebellum, spinal cord, brainstem
outputs: cerebellum, thalamus, vestibular nn.
caloric reflex test
induced nystagmus by cold water in one ear and warm water in the other
“COWS”
layers of the eye (3)
sclera/cornea
uvea
retina
sclera
whites of eyes
cornea
front outer portion of sclera
uvea
middle layer of eye
choroid
choroidal pigment
ciliary body
ciliary epithelium
iris
choroid (uvea)
contains blood vessels that supply eye tissues
choroidal pigment (uvea)
fxn. scattering and absorption of light
ciliary body
front middle layer; contains ciliary muscle, ciliary epithelium, and iris
retina
inner layer of eye
retinal pigment epithelium (RPE)
contains photoreceptors; supplied by choroid vessels
iris
melanated cells in ciliary body
protection from light (in dark eyes)
contains pupillary sphincter and pupillary dilator muscles
aqueous humor
fluid secreted by ciliary epithelium cells (posterior chamber) —> anterior chamber
vitreous humor
gelatinous substance that forms bulk of eye
fovea
area of highest visual acuity; bright light, color vision
macula
surrounds fovea; high visual acuity, low-light no color vision
optic disc
gathering of axons as CN II; located on medial (nasal) side of eye; blind spot
rods
low-light, no color conditions; poor spatial/temporal resolution; most abundant photoreceptor
cones
bright light, highest acuity photoreceptors; high spatial/temporal resolution; least abundant
retinal field pathway
photoreceptors (rods/cones) —> bipolar/horizontal cells —> ganglion/amacrine cells —> optic nerve
the direction of ____ is front to back, but the direction of ____ is back to front
light; information flow
horizontal cells
receives input from photoreceptors; links multiple bipolar cells according to signal
amacrine cells
receives input from bipolar cells; links (+/-) multiple ganglion cells depending on signal
ganglion cells
only cell type going to optic nerve
retinogeniculocortical pathway
retina —> optic nerve —> optic tract —> LGN —> optic radiations —> BA 17
the visual field in comparison to the retinal field is…
reversed and inverted
Meyer’s loop
inferior optic radiations that sweep into temporal lobe before running back to occipital
calcarine fissure
separates upper and lower banks of visual ctx.
lower bank
superior visual field, inferior retinal field, inferior optic radiation (Meyer’s loop)
upper bank
inferior visual field, superior retinal field, superior optic radiation
extra-geniculate pathways
retina —> hypothalamus (suprachiasmatic n.) master biological clock
retina —> superior colliculus (diverse connections: LGN, pulvinar, cortex, somatosensory, auditory, RF, spinal cord)
monocular scotoma
small area of dead photoreceptors on one side
monocular vision loss
loss of vision in one eye; lesion at optic nerve
bitemporal hemianopia
loss of outer (temporal) visual fields; lesion at optic chiasm
contralateral homonymous hemianopia
same sided-loss in each eye; lesion of one side optic radiations (all), optic tract, or upper+lower bank
contralateral superior quadrantanopia
loss of ½ superior visual field (¼ of whole eye) in each eye; lesion at one side Meyer’s loop or lower bank
contralateral inferior quadrantanopia
loss of ½ inferior visual field (¼ whole eye) in each eye; lesion at one side superior radiation or upper bank
taste pathways
visceral chemoreceptors (glucose, O2, hormones)
gustatory receptors
olfactory receptors
chemosensitive receptors (menthol, chili pepper, ammonia)
papillae
bumps on surface of tongue; contain taste buds —> taste cells
taste pores
receptors based on type (salty, sweet, bitter, sour, umami)
taste pathway (main)
1° CN VII, IX, X
2° NTS
3° thalamus —> gustatory ctx. (insula)
taste pathway (reflexes)
NTS (2°) —> DMX, RF
fxn. = salivation, swallowing, coughing, gag reflex
gustatory ctx. to…
frontal operculum
orbital ctx.
amygdala
mix of olfactory w/ taste
olfactory epithelium
contains mucus to capture odorants —> receptor cells detect odorants
olfactory fila
bundle of olfactory receptor cells heading to olfactory bulb
glomerulus
collection of single olfactory cell type, heading to mitral/tufted cells
olfaction pathway
1° olfactory receptor cell
2° tufted/mitral cells