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Basal ganglia
modulates muscle tone and force and rhythmic output
basal ganglia strcutures do not have direct connections with
lower motor neurons (they are NOT UMNs)
basal ganglia influences motor output through
connections to the thalamus and brainstem
basal ganglia lesions will not present with
paralysis - will show disruptions/abnormal movement
basal ganglia connections are a series of
facilitory and inhibitory connections
hypokinetic lesion symptom
diminished movement - parkinsons, parkinsonism, multiple systems atrophy
hyperkinetic lesion symptom
too much movement - huntingtons disease, wilsons disease, tourette's disorder
basal ganglia includes
caudate, putamen, globus pallidus, subthalamic nucleus, substantia nigra
caudate and putamen are classified together a
striatum - input nuclei that receive signals from parts of the brain and send those signals into the BG
putamen and globus pallidus are classified together as
lentiform nucleus (lesions here result in parkinsons)
the globus pallidus has two parts
GP internus and GP externus
GP internus function
output nuclei projecting to thalamus and pons (more medial)
substantia nigra has two parts
compacta and reticulata
SN reticulata function
output nuclei projecting to the thalamus and pons
substantia nigra produces
dopamine
direct BG pathway
facilitates movement, GO
indirect BG pathways
inhibits unwanted movement, NO GO
lesions at different pathways, direct or indirect, determine if symptoms present as
hypokinetic or hyperkinetic
input nuclei - straitum, include
caudate and putamen
output nuclei include
substantia nigra reticulata, and GPi
intrinisic connections of the BG
substantia nigra compacta, GPe, and subthalamic nucleus (connect BG and nuclei)
the direct pathway follows
excitatory signal from cerebral cortex going to the striatum which inhibits GPi and SNr, which blocks inhibitory projections to the thalamus - permitting movement
direct pathway net effect is
disinhibition of thalamus, stimulated movement
indirect pathway follows
excitatory signal from cerebral cortex going to the striatum which inhibits GPe, blocking inhibitory signals to the subthalamic nucleus - subthalamic excites GPi and SNr which inhibits the thalamus and blocks excitatory signal to cortex
indirect pathway net effect
inhibition of thalamus - diminished movement
dopamine modulates
activity of striatum
when dopamine is present to receptors in the striatum
movement is enhanced - facilitates direct path
when the BG inhibits the motor thalamus
motor thalamus excites lateral corticospinal and rubrospinal tracts and permits fractionated movement at MNs
when the BG inhibits the pedunculopontine nucleus (which produces ACh)
pedunculopontine inhibits reticulospinal tract and permits postural and girdle muscle control at MNs
when the BG inhibits the midbrain locomotor region (gait initiation area)
region excites reticulospinal tracts and results in stepping pattern generators (walking)
parkinson's disease is characterized by
death to neurons in substantia nigra causing low dopamine and decreased activity in direct pathway
parkinson's disease symtpoms
bradykinesia, rigidity, stooped posture, resting tremor, freezing/shuffling/initiating/turning gait problems
when substantia nigra compacta's neurons die and dopamine is decreased
leads to GPi excessively inhibiting