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anatomy of basal ganglia
made up of external and internal globus pallidus, the putamen, and the caudate nucleus
functions of basal ganglia
regulates complex motor functions like posture, arm swinging, balance, and locomotion; selects motor responses/programs - inhibits function and coordinates motor behavior; also involved in cognitive processing
striatum
made up of caudate and putamen
basal ganglia loops
each loop has a direct and indirect circuit, and all parts of the loop are set for inhibition (the basal ganglia is an inhibitory system)
basal ganglia loop circuits
like a battery, must have neurotransmitter flow in a specific way for the circuit to be complete
3 main neurotransmitters
GABA, glutamate, and dopamine
GABA
inhibition
glutamate
faciliatory/excitatory
dopamine
faciliatory/excitatory
basal ganglia feedback loops
forms closed feedback loops possessing motor and non-motor operations
motor basal ganglia loops
the movement loop and the oculomotor loop
non-motor basal ganglia loops
the prefrontal loop and the limbic loop
the basal ganglia’s effect on motor behavior
relays and integrates commands from the cortex; implements and selects cortical movement commands; suppresses extraneous movements
where basal ganglia always receives information
cortex
where basal ganglia always sends information
thalamus
basal ganglia sensorimotor effect
implements automatic components of movement such as muscle force (velocity, amplitude), resting muscle tone, and habitual responses
basal ganglia associative effect
connections to the association areas, which aids goal-directed decision making
basal ganglia limbic effect
reward-based learning and conditioning
2 faciliatory structures in basal ganglia
subthalamic nucleus and substantia nigra pars compacta
inhibitory nature of basal ganglia
the basal ganglia is set to be inhibitory; those inhibited signals must be inhibited (with GABA) to get facilitation
functional essence of basal ganglia
output → GABA → thalamus → glutamate → cortex; each area (group of neurons) is regulated by the preceding area (group of neurons)
what happens if the output nuclei (GPi/SNr) reduce their activity
observable behavior is expressed (because output nuclei are inhibitory) which is the condition for movement initiation - the thalamus is “dis”-inhibited (released from inhibition) and allowed to excite motor areas of the cortex more strongly
what happens if output nuclei (GPi/SNr) increase their activity
observable behavior is suppressed (because GPi/SNr is inhibitory) which is the condition for movement termination - thalamus is inhibited more strongly than normal and provides even less excitatory drive to motor areas of the cortex
direct basal ganglia pathway
thalamus is not inhibited and can facilitate a message to the motor cortex = movement!! cortex → striatum → GPi/SNr → thalamus → motor/pre-motor cortex (movement is a go!)
indirect basal ganglia pathway
thalamus is inhibited and can not facilitate a message to the motor cortex = no movement!!; cortex → striatum → GPe → STN → GPi/SNr → thalamus → motor/pre-motor cortex (movement is a no go!)
dopamine
acts as a neuromodulator in the basal ganglia; operates simultaneously on both pathways and has a counterbalancing effect; makes neurotransmitters work better or less effectively
what dopamine increases
increases the efficacy of striatopallidal projections in the direct pathway → heightens the influence of glutamate (from cortex) on striatal cells
what dopamine decreases
decreases the efficacy of striatopallidal projections in the indirect pathway → lessens the effect of glutamate (from cortex) on the striatal cells
symptoms of basal ganglia dysfunction
dyskinesias and akinesias
dyskinesias
involuntary, erratic movements; tremors, athetosis, chorea, ballismus, and tics
akinesias
absence or loss of movement; rigidity, dystonia, and bradykinesia
parkinson disease
a progressive neurological disease first described by dr james parkinson in 1817; known as “shaking palsy”; caused by degeneration of midbrain’s substantia nigra and loss of dopamine to the basal ganglia
symptoms of parkinson disease
muscle rigidity, dyskinesias, resting and pill-rolling tremors, shuffling gait, weak voice, dysarthria, flat affect, poor posture, and dysphagia
hypokinetic basal ganglia disorders
related to indirect pathway dominance from substantia nigra compacta and dopamine loss; characterized by lack of movement; parkinson disease
parkinson disease treatment
includes medication, surgery, deep brain stimulation, and pallidotomy
parkinson disease medication
levodopa/carbidopa medications; sinemet, parcopa, and stalevo
deep brain stimulation (DBS)
surgical insertion of a brain pacemaker that stimulates the basal ganglia, reducing parkinsonian symptoms
pallidotomy
cells in the globus pallidus are selectively destroyed using a heated probe, reducing parkinsonian symptoms
huntingdon disease
a progressive, hereditary neurological disease due to degeneration of the basal ganglia; average onset is around 35 years of age; has an autosomal dominant pattern of inheritance
symptoms of huntingdon disease
severe chorea, athetosis, emotional and personality changes, torticollis (twisting of the neck), dysarthria, dysphagia, and dementia
hyperkinetic basal ganglia disorders
related to direct pathway overactivity caused by degeneration between the striatum and globus pallidus external; characterized by an excess of movement; huntingdon disease
other basal ganglia problems that can occur
emotional processing problems (most consistent sign); disinhibition, impulsivity, and inappropriate behavior