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Hypothalamus

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Page 1: Hypothalamus. Historical Perspective Wilhelm His (1893) –Distinct division of diencephalon Harvey Cushing (1920s), neurosurgeon –Diabetes insipidus: excess

Hypothalamus

Page 2: Hypothalamus. Historical Perspective Wilhelm His (1893) –Distinct division of diencephalon Harvey Cushing (1920s), neurosurgeon –Diabetes insipidus: excess

Historical Perspective

• Wilhelm His (1893)– Distinct division of diencephalon

• Harvey Cushing (1920s), neurosurgeon– Diabetes insipidus: excess water excretion & thirst

– Cushing syndrome: excess secretion of cortisol

• 1930s: cytoarchitectural definition of nuclei

• Functional specialization (Ranson, Hess)– Lesion, electrical stimulation, affect appetite, body weight, water balance, autonomic control, reproductive function, emotional behavior

Page 3: Hypothalamus. Historical Perspective Wilhelm His (1893) –Distinct division of diencephalon Harvey Cushing (1920s), neurosurgeon –Diabetes insipidus: excess

Historical Perspective• Ernst & Berta Scharrer (1940): first evidence of neurosecretary neurons (neurons in the brain that secrete hormones into blood stream)

• Wolfgang Bargmann (1949): secretory neurons, cell bodies in hypothalamus & axons in posterior pituitary

• Harris & Green (1950s): neurohumoral regulation of anterior pituitary; identified neurovascular link, portal plexus

• Guillemin & Schally (1970s): characterized peptide hormones that act on anterior pituitary

Page 4: Hypothalamus. Historical Perspective Wilhelm His (1893) –Distinct division of diencephalon Harvey Cushing (1920s), neurosurgeon –Diabetes insipidus: excess

Cushing SyndromeAdrenal cortex secretes too much cortisol.

Results from tumor in pituitary or adrenal cortex.

Cortisol causes proteins to break down.

Muscle atrophy, skin thinner, bones stop growing & easily fractured, lymphatic tissue shrinks -reduced resistance to infection, fat redistributed from arm & legs to face & trunk

Page 5: Hypothalamus. Historical Perspective Wilhelm His (1893) –Distinct division of diencephalon Harvey Cushing (1920s), neurosurgeon –Diabetes insipidus: excess
Page 6: Hypothalamus. Historical Perspective Wilhelm His (1893) –Distinct division of diencephalon Harvey Cushing (1920s), neurosurgeon –Diabetes insipidus: excess
Page 7: Hypothalamus. Historical Perspective Wilhelm His (1893) –Distinct division of diencephalon Harvey Cushing (1920s), neurosurgeon –Diabetes insipidus: excess
Page 8: Hypothalamus. Historical Perspective Wilhelm His (1893) –Distinct division of diencephalon Harvey Cushing (1920s), neurosurgeon –Diabetes insipidus: excess
Page 9: Hypothalamus. Historical Perspective Wilhelm His (1893) –Distinct division of diencephalon Harvey Cushing (1920s), neurosurgeon –Diabetes insipidus: excess
Page 10: Hypothalamus. Historical Perspective Wilhelm His (1893) –Distinct division of diencephalon Harvey Cushing (1920s), neurosurgeon –Diabetes insipidus: excess
Page 11: Hypothalamus. Historical Perspective Wilhelm His (1893) –Distinct division of diencephalon Harvey Cushing (1920s), neurosurgeon –Diabetes insipidus: excess
Page 12: Hypothalamus. Historical Perspective Wilhelm His (1893) –Distinct division of diencephalon Harvey Cushing (1920s), neurosurgeon –Diabetes insipidus: excess
Page 13: Hypothalamus. Historical Perspective Wilhelm His (1893) –Distinct division of diencephalon Harvey Cushing (1920s), neurosurgeon –Diabetes insipidus: excess
Page 14: Hypothalamus. Historical Perspective Wilhelm His (1893) –Distinct division of diencephalon Harvey Cushing (1920s), neurosurgeon –Diabetes insipidus: excess
Page 15: Hypothalamus. Historical Perspective Wilhelm His (1893) –Distinct division of diencephalon Harvey Cushing (1920s), neurosurgeon –Diabetes insipidus: excess
Page 16: Hypothalamus. Historical Perspective Wilhelm His (1893) –Distinct division of diencephalon Harvey Cushing (1920s), neurosurgeon –Diabetes insipidus: excess
Page 17: Hypothalamus. Historical Perspective Wilhelm His (1893) –Distinct division of diencephalon Harvey Cushing (1920s), neurosurgeon –Diabetes insipidus: excess
Page 18: Hypothalamus. Historical Perspective Wilhelm His (1893) –Distinct division of diencephalon Harvey Cushing (1920s), neurosurgeon –Diabetes insipidus: excess
Page 19: Hypothalamus. Historical Perspective Wilhelm His (1893) –Distinct division of diencephalon Harvey Cushing (1920s), neurosurgeon –Diabetes insipidus: excess
Page 20: Hypothalamus. Historical Perspective Wilhelm His (1893) –Distinct division of diencephalon Harvey Cushing (1920s), neurosurgeon –Diabetes insipidus: excess
Page 21: Hypothalamus. Historical Perspective Wilhelm His (1893) –Distinct division of diencephalon Harvey Cushing (1920s), neurosurgeon –Diabetes insipidus: excess
Page 22: Hypothalamus. Historical Perspective Wilhelm His (1893) –Distinct division of diencephalon Harvey Cushing (1920s), neurosurgeon –Diabetes insipidus: excess

Olfactory input

• Multi-synaptic pathways• olfactory tubercle, piriform cortex, amygdala– Medial forebrain bundle– Stria terminalis– Ventral amygdalofugal pathway– Fornix

• Reproduction, defense, feeding

Page 23: Hypothalamus. Historical Perspective Wilhelm His (1893) –Distinct division of diencephalon Harvey Cushing (1920s), neurosurgeon –Diabetes insipidus: excess

Visual input

• Impose temporal organization • SCN• Central visual projection• Direct projection from ganglion neurons of retina

• SCN outputs sparse, confined largely to hypothalamic structures

Page 24: Hypothalamus. Historical Perspective Wilhelm His (1893) –Distinct division of diencephalon Harvey Cushing (1920s), neurosurgeon –Diabetes insipidus: excess

Visceral input

• Nucleus of the Solitary tract (NST), or nucleus tractus solitarius (NTS)

• Principal visceral sensory nucleus, input from major organs via VII, IX, X

• Taste, GI, cardiovascular, respiratory

• Direct: to PVN, LH• Indirect: via ventralateral medulla & parabrachial nucleus of pons

Page 25: Hypothalamus. Historical Perspective Wilhelm His (1893) –Distinct division of diencephalon Harvey Cushing (1920s), neurosurgeon –Diabetes insipidus: excess
Page 26: Hypothalamus. Historical Perspective Wilhelm His (1893) –Distinct division of diencephalon Harvey Cushing (1920s), neurosurgeon –Diabetes insipidus: excess
Page 27: Hypothalamus. Historical Perspective Wilhelm His (1893) –Distinct division of diencephalon Harvey Cushing (1920s), neurosurgeon –Diabetes insipidus: excess
Page 28: Hypothalamus. Historical Perspective Wilhelm His (1893) –Distinct division of diencephalon Harvey Cushing (1920s), neurosurgeon –Diabetes insipidus: excess

Multi-modal brainstem afferents

• Medial forebrain bundle (bidirectional); major conduit

• Monoamine containing neurons– Locus Coeruleus & lateral tegmental cell groups (NE)

– Brainstem raphe (5-HT)

• Dopaminergic neurons– Substantia nigra & ventral tegmental area– Former - movement; latter - motivation, addiction

Page 29: Hypothalamus. Historical Perspective Wilhelm His (1893) –Distinct division of diencephalon Harvey Cushing (1920s), neurosurgeon –Diabetes insipidus: excess

Limbic inputs

• Hippocampus via fornix– Subicular complex to mamillary bodies (postcomissural fornix); direct route

– Hippocampus proper (Ammon’s horn) via septum to all longitudinal levels of hypothalamus

• Amygdala– Stria terminalis– Vental amygdalofugal pathway

Page 30: Hypothalamus. Historical Perspective Wilhelm His (1893) –Distinct division of diencephalon Harvey Cushing (1920s), neurosurgeon –Diabetes insipidus: excess

Non-synaptic input

• Circumventricular organs– Subfornical organ, SFO; vascular organ of the lamina terminalis, OVLT; median eminence, ME; posterior pituitary; pineal gland; subcommissural organ, SCO; area postrema, AP.

– OVLT, ME, PP in hypothalamus– SFO & AP have extensive connections with hypothalamus

Page 31: Hypothalamus. Historical Perspective Wilhelm His (1893) –Distinct division of diencephalon Harvey Cushing (1920s), neurosurgeon –Diabetes insipidus: excess
Page 32: Hypothalamus. Historical Perspective Wilhelm His (1893) –Distinct division of diencephalon Harvey Cushing (1920s), neurosurgeon –Diabetes insipidus: excess
Page 33: Hypothalamus. Historical Perspective Wilhelm His (1893) –Distinct division of diencephalon Harvey Cushing (1920s), neurosurgeon –Diabetes insipidus: excess
Page 34: Hypothalamus. Historical Perspective Wilhelm His (1893) –Distinct division of diencephalon Harvey Cushing (1920s), neurosurgeon –Diabetes insipidus: excess
Page 35: Hypothalamus. Historical Perspective Wilhelm His (1893) –Distinct division of diencephalon Harvey Cushing (1920s), neurosurgeon –Diabetes insipidus: excess
Page 36: Hypothalamus. Historical Perspective Wilhelm His (1893) –Distinct division of diencephalon Harvey Cushing (1920s), neurosurgeon –Diabetes insipidus: excess
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