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BASAL NUCLEI
by Dr Abdul Qayyum khan
BASAL NUCLEI
 The term basal nuclei is applied to a collection of
masses of gray matter situated within each
cerebral hemisphere.
 They are the
 corpus striatum
 amygdaloid nucleus
 claustrum.
 The subthalamic nuclei, the substantia nigra, and
the red nucleus are functionally closely related to
the basal nuclei.
CORPUS STRIATUM
 The corpus striatum is situated lateral to the thalamus
and is almost completely divided by a band of nerve
fibers, the internal capsule, into the caudate nucleus
and the lentiform nucleus.
CAUDATE NUCLEUS
 Large C-shaped mass of gray
matter that is closely related to the
lateral ventricle and lies lateral to
the thalamus
 lateral surface of the nucleus is
related to the internal capsule,
which separates it from the
lentiform nucleus
 Divided into
 Head
 Body
 Tail
 Head—large and
rounded,forms lateral wall
of anterior horn of lateral
ventricle
 Body__long and
narrow,forms the floor of
body of lateral ventricle
 Tail---long and narrow,forms
the roof of inferior horn
 Terminates anteriorly in
amydaloid nucleus
LENTIFORM NUCLEUS
 The lentiform nucleus is a wedge-shaped mass of gray matter
whose broad convex base is directed laterally and whose
blade is directed medially
 related medially to the internal capsule, which separates it
from the caudate nucleus and the thalamus
 2 parts
 Putamen
 Globus pallidus
 External capsule
 Claustrum
AMYDALOID NUCLEUS
 The amygdaloid nucleus is situated in the temporal
lobe close to the uncus .
 The amygdaloid nucleus is considered to be part of
the limbic system
CLAUSTRUM
 The claustrum is a thin sheet of gray matter that is
separated from the lateral surface of the lentiform
nucleus by the external capsule
 Lateral to the claustrum is the subcortical white
matter of the insula.
 The function of the claustrum is unknown.
CONNECTIONS OF THE CORPUS STRIATUM
 AFFERENT FIBERS
Corticostriate Fibers
 All parts of the cerebral cortex send axons to the caudate
nucleus and the putamen
 Each part of the cerebral cortex projects to a specific part
of the caudate-putamen complex.
Thalamostriate Fibers
 The intralaminar nuclei of the thalamus send large
numbers of axons to the caudate nucleus and the putamen
Nigrostriate Fibers
 Neurons in the substantia nigra send axons to the
caudate nucleus and the putamen
Brainstem Striatal Fibers
 Ascending fibers from the brainstem end in the
caudate nucleus and putamen
EFFERENT FIBERS
Striatopallidal Fibers
 Striatopallidal fibers pass from the caudate nucleus
and putamen to the globus pallidus
Striatonigral Fibers
 Striatonigral fibers pass from the caudate nucleus
and putamen to the substantia nigra
CONNECTIONS OF THE GLOBUS PALLIDUS
 AFFERENT FIBERS
Striatopallidal Fibers
 Striatopallidal fibers pass from the caudate nucleus
and putamen to the globus pallidus..
EFFERENT FIBERS
 Pallidofugal Fibers
 Pallidofugal fibers are divided into groups:
(1) the ansa lenticularis, which pass to the thalamic nuclei
(2) the fasciculus lenticularis, pass to the subthalamus;
(3) the pallidotegmental fibers, which terminate in the
midbrain
(4) the pallidosubthalamic fibers, which pass to the
subthalamic nuclei.
FUNCTIONS OF THE BASAL NUCLEI
 The basal nuclei control muscular movements by
influencing the cerebral cortex and have no direct
control through descending pathways to the
brainstem and spinal cord.
 In this way, the basal nuclei assist in the regulation
of voluntary movement and the learning of motor
skills.
CLINICAL NOTES
 Disorders of the basal nuclei are of two general
types.
 Hyperkinetic disorders
 Hypokinetic disorders
CHOREA
 In chorea, the patient exhibits involuntary, quick,
jerky, irregular movements that are non repetitive
 Huntington disease
 Sydenham chorea
HUNTINGTON DISEASE
 Autosomal dominant inherited disease
 Characterized by
 Choreiform movements
 Progressive dementia
SYDENHAM CHOREA
 Sydenham chorea (St. Vitus' dance) is a disease of
childhood in which there are rapid, irregular,
involuntary movements of the limbs, face, and
trunk.
 The condition is associated with rheumatic fever
HEMIBALLISMUS
 Hemiballismus is a form of involuntary movement
confined to one side of the body.
 Lesion occurs in the opposite subthalamic nucleus
or its connections
PARKINSON DISEASE
 Parkinson disease is a progressive disease of
unknown cause.
 It is associated with neuronal degeneration in the
substantia nigra and, to a lesser extent, in the
globus pallidus, putamen, and caudate nucleus.
PARKINSON DISEASE
 Tremer
 Rigidity
 Bradykinesia
 Postural disturbances
 No loss of muscle power and no loss of sensibility
ATHETOSIS
 Athetosis consists of slow, sinuous, writhing
movements that most commonly involve the distal
segments of the limbs.
 Degeneration of the globus pallidus
REFERENCES
 Snell’s neuroanatomy …. 8th edition
 Gray’s anatomy 39th edition

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BASAL NUCLEI.pptx

  • 1. BASAL NUCLEI by Dr Abdul Qayyum khan
  • 2. BASAL NUCLEI  The term basal nuclei is applied to a collection of masses of gray matter situated within each cerebral hemisphere.  They are the  corpus striatum  amygdaloid nucleus  claustrum.  The subthalamic nuclei, the substantia nigra, and the red nucleus are functionally closely related to the basal nuclei.
  • 3. CORPUS STRIATUM  The corpus striatum is situated lateral to the thalamus and is almost completely divided by a band of nerve fibers, the internal capsule, into the caudate nucleus and the lentiform nucleus.
  • 4.
  • 5. CAUDATE NUCLEUS  Large C-shaped mass of gray matter that is closely related to the lateral ventricle and lies lateral to the thalamus  lateral surface of the nucleus is related to the internal capsule, which separates it from the lentiform nucleus  Divided into  Head  Body  Tail
  • 6.  Head—large and rounded,forms lateral wall of anterior horn of lateral ventricle  Body__long and narrow,forms the floor of body of lateral ventricle  Tail---long and narrow,forms the roof of inferior horn  Terminates anteriorly in amydaloid nucleus
  • 7. LENTIFORM NUCLEUS  The lentiform nucleus is a wedge-shaped mass of gray matter whose broad convex base is directed laterally and whose blade is directed medially  related medially to the internal capsule, which separates it from the caudate nucleus and the thalamus  2 parts  Putamen  Globus pallidus  External capsule  Claustrum
  • 8.
  • 9. AMYDALOID NUCLEUS  The amygdaloid nucleus is situated in the temporal lobe close to the uncus .  The amygdaloid nucleus is considered to be part of the limbic system
  • 10. CLAUSTRUM  The claustrum is a thin sheet of gray matter that is separated from the lateral surface of the lentiform nucleus by the external capsule  Lateral to the claustrum is the subcortical white matter of the insula.  The function of the claustrum is unknown.
  • 11. CONNECTIONS OF THE CORPUS STRIATUM  AFFERENT FIBERS Corticostriate Fibers  All parts of the cerebral cortex send axons to the caudate nucleus and the putamen  Each part of the cerebral cortex projects to a specific part of the caudate-putamen complex. Thalamostriate Fibers  The intralaminar nuclei of the thalamus send large numbers of axons to the caudate nucleus and the putamen
  • 12. Nigrostriate Fibers  Neurons in the substantia nigra send axons to the caudate nucleus and the putamen Brainstem Striatal Fibers  Ascending fibers from the brainstem end in the caudate nucleus and putamen
  • 13. EFFERENT FIBERS Striatopallidal Fibers  Striatopallidal fibers pass from the caudate nucleus and putamen to the globus pallidus Striatonigral Fibers  Striatonigral fibers pass from the caudate nucleus and putamen to the substantia nigra
  • 14. CONNECTIONS OF THE GLOBUS PALLIDUS  AFFERENT FIBERS Striatopallidal Fibers  Striatopallidal fibers pass from the caudate nucleus and putamen to the globus pallidus..
  • 15. EFFERENT FIBERS  Pallidofugal Fibers  Pallidofugal fibers are divided into groups: (1) the ansa lenticularis, which pass to the thalamic nuclei (2) the fasciculus lenticularis, pass to the subthalamus; (3) the pallidotegmental fibers, which terminate in the midbrain (4) the pallidosubthalamic fibers, which pass to the subthalamic nuclei.
  • 16.
  • 17. FUNCTIONS OF THE BASAL NUCLEI  The basal nuclei control muscular movements by influencing the cerebral cortex and have no direct control through descending pathways to the brainstem and spinal cord.  In this way, the basal nuclei assist in the regulation of voluntary movement and the learning of motor skills.
  • 18. CLINICAL NOTES  Disorders of the basal nuclei are of two general types.  Hyperkinetic disorders  Hypokinetic disorders
  • 19. CHOREA  In chorea, the patient exhibits involuntary, quick, jerky, irregular movements that are non repetitive  Huntington disease  Sydenham chorea
  • 20. HUNTINGTON DISEASE  Autosomal dominant inherited disease  Characterized by  Choreiform movements  Progressive dementia
  • 21. SYDENHAM CHOREA  Sydenham chorea (St. Vitus' dance) is a disease of childhood in which there are rapid, irregular, involuntary movements of the limbs, face, and trunk.  The condition is associated with rheumatic fever
  • 22. HEMIBALLISMUS  Hemiballismus is a form of involuntary movement confined to one side of the body.  Lesion occurs in the opposite subthalamic nucleus or its connections
  • 23. PARKINSON DISEASE  Parkinson disease is a progressive disease of unknown cause.  It is associated with neuronal degeneration in the substantia nigra and, to a lesser extent, in the globus pallidus, putamen, and caudate nucleus.
  • 24. PARKINSON DISEASE  Tremer  Rigidity  Bradykinesia  Postural disturbances  No loss of muscle power and no loss of sensibility
  • 25. ATHETOSIS  Athetosis consists of slow, sinuous, writhing movements that most commonly involve the distal segments of the limbs.  Degeneration of the globus pallidus
  • 26. REFERENCES  Snell’s neuroanatomy …. 8th edition  Gray’s anatomy 39th edition