it 7 - neuroanatomy 1 - erb
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NEUROANATOMY OF MENTALAND NEUROBEHAVIOR
DISORDERSErial Bahar
2013
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Learning Obe!"i#e$
1% De$!ribe "he $"r&!"&re$ in#'l#e( in )$*!hia"ri! an(ne&r'beha#i'ral (i$'r(er$
2% De$!ribe an( (iagra+ "he ba$i! +'r)h'l'g* ', "he$"r&!"&re$ !'+)ri$ing "he li+bi! $*$"e+
3% De$!ribe an( (iagra+ "he in)&"-'&")&"rela"i'n$hi)$ ', li+bi! n&!lei
.% /hara!"erie "he ,&n!"i'n$ ', li+bi! brain$"r&!"&re$ an( "heir &n(erl*ing +e!hani$+$ heren'n4
5% De#el') an &n(er$"an(ing ', "he $"r&!"&ral an(,&n!"i'nal ba$e$ ,'r !lini!al an( beha#i'ral(i$'r(er$ a$$'!ia"e( i"h (*$,&n!"i'n$ ', "he li+bi!$*$"e+
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S"r&!"&re$ In#'l#e( in6$*!hia"ri! an(
Ne&r'beha#i'ral Di$'r(er1% Hi))'!a+)al ,'r+a"i'n2% A+*g(ala3% Orbi"',r'n"al !'r"e7.% /ing&la"e g*r&$
5% H*)'"hala+&$
8% Ma++ilar* b'(ie$9% An"eri'r "hala+i! n&!le&$:% Me(ial ('r$al "hala+i$ n&!le&$
;% Ven"ral $"ria"&+10% Fr'n"al l'be
11% Rhinen!e)hal'n12% Me$en!e)hal'n
1% S&b$"an"ia Nigra2% Ven"ral "eg+en"al area VTA43% F'r+a"i' re"i!&lari$
Limbic system
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OVERVIEW OF THE
FUNCTIONAL ANATOMY
OF THE BRAIN
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HUMAN NERVOUS SYSTEM
A. Central Nervous
System1. Brain
2. Spinal cord
B. Peripheral Nervous
System1. Somatic
2. Autonomic
1. Sympathetic2. Parasympathetic
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Functional Areas ofCerebral Cortex
There are "hree "*)e$ ', ,&n!"i'nal area$ ', !erebral!'r"e7 "he
?#e $)e!ial $en$e$> an( $'+e a$)e!"$ ',)r')ri'!e)"i'n h'e#er> li""le #i$!eral $en$'r*in,'r+a"i'n i$ r'&"e( "' "he !'r"e74>
2%A$$'!ia"i'n area$ hi!h in"egra"e $en$'r*
in,'r+a"i'n i"h e+'"i'nal $"a"e$> +e+'rie$> learningan( ra"i'nal "h'&gh" )r'!e$$e$%
3%M'"'r area$ hi!h genera"e i+)&l$e$ hi!hinner#a"e #'l&n"ar* $ele"al +&$!le$%
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FUNCTIONAL AREAS OF CEREBRAL CORTEX
1. Sensory areas
2. Motor area
3. Association area
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SENSORY AREAS
S)e!i?! area$ ', "he !erebral !'r"e7 hi!hre!ei#e an( in"er)re" $'+a"i! $en$'r*i+)&l$e$> e%g%>
! 'l,a!"i'n in "he ,r'n"al l'be>! !&"ane'&$ $en$a"i'n$ in "he )arie"al l'be>
! #i$&al $en$a"i'n$ in "he '!!i)i"al l'be>
! "a$"e> hearing> an( e@&ilibri&+ in "he "e+)'ral
l'be! #i$!eral $en$'r* i+)&l$e$ are re!ei#e( an(
in"er)re"e( in "he (ien!e)hal'n> !erebell&+> an(brain $"e+%
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Brain F&n!"i'n< Sen$'r*In,'r+a"i'n
6ri+ar* $'+a"i! $en$'r* !'r"e7
!Ter+ina"i'n )'in" ', )a"ha*$ ,r'+ $in>+&$!&l'$ele"al $*$"e+> an( #i$!era
! S'+a"'$en$'r* )a"ha*$
T'&!h
Te+)era"&re
6ain I"!h
B'(* )'$i"i'n
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Brain F&n!"i'n< Sen$'r*In,'r+a"i'n
S)e!ial $en$e$ ha#e (e#'"e( regi'n$
! Vi$&al !'r"e7
! A&(i"'r* !'r"e7
! Ol,a!"'r* !'r"e7
! &$"a"'r* !'r"e7
6r'!e$$e( in"' )er!e)"i'n
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MOTOR AREAS
S)e!i?! area$ ', "he !erebral !'r"e7>(ien!e)hal'n> !erebell&+> brain $"e+an( $)inal !'r( hi!h genera"e i+)&l$e$
hi!h inner#a"e all eCe!"'r$ in "he b'(*>e%g%>
! #'l&n"ar* $ele"al +&$!le$>
! in#'l&n"ar* +&$!le$>
! glan($>
En('!rine
E7'!rine%
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Brain F&n!"i'n< M'"'rS*$"e+
Three +a'r "*)e$! Sele"al +&$!le +'#e+en"
S'+a"i! +'"'r (i#i$i'n
! Ne&r'en('!rine $ignal$ H*)'"hala+&$ an( a(renal +e(&lla
! Vi$!eral re$)'n$e$ A&"'n'+i! (i#i$i'n
V'l&n"ar* +'#e+en"! 6ri+ar* +'"'r !'r"e7 an( +'"'r
a$$'!ia"i'n area$
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ASSOCIATION AREAS
S)e!i?! area$ ', "he !erebral !'r"e7hi!h in"egra"e $en$'r* in,'r+a"i'ni"h
! e+'"i'nal $"a"e$
! +e+'rie$
! Learning
! ra"i'nal "h'&gh" )r'!e$$e$
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Brain F&n!"i'n< Beha#i'ralS"a"e
M'(&la"'r ', $en$'r* an( !'gni"i#e)r'!e$$e$
Ne&r'n$ !'lle!"i#el* n'n a$
diuse modulatory systems
! Origina"e in re"i!&lar ,'r+a"i'n in brain$"e+
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Brain F&n!"i'n< Beha#i'ralS"a"e
F'&r (iC&$e +'(&la"'r* $*$"e+$
! N'ra(renergi!
! Ser'"'nergi!
! D')a+inergi!
! /h'linergi!
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Brain F&n!"i'n! M'"i#a"e( an( g'al-'rien"e( beha#i'r$! S&r#i#al ', "he in(i#i(&al! S&r#i#al ', "he $)e!ie$! Learning an( +e+'r*
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S"&!"&re$ ', "he Li+bi!S*$"e+
1% H*)'"hala+&$
2% A+*g(ala
3% Se)"al area.% Hi))'!a+)al ,'r+a"i'n
5% /ing&la"e g*r&$
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L/MB/C L0B C/N&LA4 &5(S
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Schea!"c #$a%"&' () !he a*($ a&a!("cal +!$,c!,$e+ () !he l"b"c ++!e.
N(!e: The c"&',la!e# a /a$ah"//(ca/al '$" )($ !he l"b"c l(be0 a $"
() !"++,e l(ca!e# al(&' !he *,&c!"(& () !he #"e&ce/hal(&+ a !he ce$eb$al
he"+/he$e+. &0 &,cle,+.
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Re,< /lini!al Ne&r'ana"'+*%)(,
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LIMBIC SYSTEM
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Re,< /lini!al Ne&r'ana"'+*%)(,
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Schematic illustration o$ the location o$ the limbic system
bet6een the diencephalon and the neocortical hemispheres
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Schea!"c "ll,+!$a!"(& () !he c(&ce&!$"c a"& c(/(&e&!+ () !he l"b"c +!e.
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Schematic illustration )le$t obli7ue vie6* o$ the position o$ the hippocampal
$ormation 6ithin the le$t hemisphere
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Scematic so!in" some of te ma#or limbic structures
and $at!ays%
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The li+bi! $*$"e+ re!ei#e$in)&"$ ,r'+ $en$'r* $*$"e+$>
in!l&(ing "he !erebral !'r"e7>an( +'n'a+ine ne&r'nalgr'&)$ ', "he brain$"e+re"i!&lar ,'r+a"i'n%
6ri+ar* '&")&"$ ', "he li+bi!$*$"e+ are (ire!"e( "' "he
h*)'"hala+&$% Thi$arrange+en" all'$ "he li+bi!$*$"e+ "' al"er "he a!"i#i"* ',"he h*)'"hala+&$ in re$)'n$e"' $en$'r* in)&"%
Be!a&$e "he h*)'"hala+&$)r'#i(e$ "he in"egra"ing
+e!hani$+ ,'r (iCeren" ,'r+$', e+'"i'nal beha#i'r$ a$ ella$ ,'r '"her #i$!eral an(a&"'n'+i! re$)'n$e$> "heli+bi! $*$"e+ $er#e$ a$ a e*+'(&la"ing regi'n ', "he$e)r'!e$$e$ b* #ir"&e ', i"$ in)&"$in"' "he h*)'"hala+&$%
Information %o! to andfrom te limbic system
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HI11OCAM1AL
FORMATION
S" " "i" " "h
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S"r&!"&re$ !'n$"i"&"e "heHi))'!a+)al F'r+a"i'n
1% S&bi!&l&+
2% Den"a"e g*r&$
3% Hi))'!a+)&$ )r')er
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&i$$ocam$alformation in relationto oter limbicstructures'
A( amy"dala)AC( anteriorcommissure) AN(anterior nucleus ofte talamus)*+F( basofrontal
re"ion)CC( cor$us callosum,b( body) "( "enu) s(s$lenium-)C.( cin"ulate "yrus)E+RC( entorinal
cortex)F( fornix)Fm( /mbria)&F( i$$ocam$alformation)I.( indusium"riseum)
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0ia"ram illustrates te istolo"ical a$$earance of te celllayers !itin te i$$ocam$us and loci of te i$$ocam$al/elds( dentate "yrus( and subicular cortex' CA1+CA2 denote
te four sectors of te i$$ocam$us
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Semiscematic dia"ram illustrates3 ,1- in$uts from te entorinalre"ion( !ic include te $erforant and al4ear $at!ays) ,5-internal circuitry( !ic includes te connections of te mossy
/bers and Scaer collaterals) and ,6- eerent $ro#ections of tei$$ocam$al formation trou" te /mbria+fornix system of
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Ma#or $ro#ection tar"ets of te i$$ocam$al formation' Te $rimary out$utis trou" te fornix to dience$alon ,i'e'( medial y$otalamus(mammillary bodies( and anterior talamic nucleus- 4ia te $ostcommissuralfornix and to te se$tal area 4ia te $recommissural fornix' Oterconnections so!n include eerent /bers tat syna$se in entorinal
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HI66O/AM6AL FIBERS )r'e!" "' "he MAMMILLARY BODIES> hi!h> in"&rn> )r'e!" "hr'&gh "he MAMMILLOTHALAMI/ TRA/T "' "he ANTERIORNU/LEUS% The an"eri'r "hala+i! n&!le&$ "hen )r'e!"$ "' "he
/INULATE YRUS> an( "he a7'n$ ', "he !ing&la"e g*r&$ "hen )r'e!"
7a$e8circuit
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OFC( orbitofrontal cortexFAC( Frontal associationcortex7MC( $remotor cortexAAC(auditory association
cortexSAC(somatosensoryassociation cortexS79 ( su$erior $arietal lobuleI79( inferior $arietal lobuleTAC( tem$oral associationcortex(
:AC( 4isual associationcortex
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*FC( basal frontal cortexOFC( orbitofrontal cortexFAC( Frontal associationcortex7MC( $remotor cortexC.( cin"ulate "yrusCC( cor$us callosum
7AC( $arietal associationcortexSAC(somatosensoryassociation cortexTAC( tem$oral associationcortex(:AC( 4isual association
cortexA( amy"dala&( i$$ocam$usE( entorinal cortex
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&I77OCAM7A9AFFERENTS
&I77OCAM7A9EFFERENTS
9"F( lon"itudinal/ssure7CS( $recentralsulcusCS( central sulcus9F( lateral /ssureSTS( su$eriortem$oral sulcusMTS( middletem$oral sulcusITS( inferior tem$oral
sulcusCoS( collateral sulcus
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HY1OTHALAMUS
A% The a))r'7i+a"e b'&n(arie$
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A% The a))r'7i+a"e b'&n(arie$', "he an"eri'r> +i((le> an()'$"eri'r (i#i$i'n$ ', "heH*)'"hala+&$
B% The +e(ial an( la"eral 'ne$
', "he h*)'"hala+&$$ha(e(4%H*)'"hala+i! !ell$ a(a!en" "'"he "hir( #en"ri!le i$)ara#en"ri!&lar 'ne%
Abbre#ia"i'n$ a+*g(alaA/> an"eri'r !'++i$$&re
A!N> a!!&+ben$ n&!le&$/N> !a&(a"e n&!le&$/6> !erebral )e(&n!le$F!> !'l&+n$ ', "he ,'rni7F!r&$> !r&$ ', ,'rni7In,> in,&n(ib&l&+
MB> +a++illar* b'(*O/> ')"i! !hia$+ON> ')"i! ner#eOT> ')"i! "ra!"6> )&"a+en6i"> )i"&i"ar* glan(S> $e)"al n&!lei
SN> $&b$"an"ia nigraS&bT $&b"hala+&$
&Y7OT&A9AMIC;7IT
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CONNECTIONS'
The $osterior $ortion of te$ituitary ,neuroy$o$ysis- i$inner#a"e( b* h*)'"hala+i!
ne&r'n$ "ha" "ran$)'r" "heh*)'"hala+i! h'r+'ne$ '7*"'!inan( #a$')re$$in4 ('n "heir a7'n$"' be relea$e( in"' !a)illar* be($', "he )'$"eri'r )i"&i"ar* ,r'+here "he* en"er "he general
!ir!&la"i'n% B* !'n"ra$"> "he!a)illar* be($ ', "he anterior$ituitary ,adenoy$o$ysis-are $&))lie( i"h h*)'"hala+i!h'r+'ne$ ei"her relea$ing 'rinhibi"'r* ,a!"'r$4 #ia a bl''(
)'r"al $*$"e+ ,r'+ !a)illar* be($in "he h*)'"hala+&$ i"$el,% On!erelea$e( in"' "hea(en'h*)')h*$i$> "he$eh*)'"hala+i! h'r+'ne$ "hen$"i+&la"e )i"&i"ar* !ell$ "'$*n"he$ie an( $e!re"e "heir 'n
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SE7TA9 AREA
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To$o"ra$ically or"ani8ed $ro#ections from tei$$ocam$al formation to te se$tal area ,left side- andto$o"ra$ically arran"ed eerent $ro#ections from tedia"onal band of *roca to te i$$ocam$al formation
,ri"t side-'
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0ia"ram illustrates oter $ro#ections from te se$talarea to te medial y$otalamus( mammillarybodies( medial talamus( $refrontal cortex( and
anterior cin"ulate "yrus'
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AMY.0A9A
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te or"ani8ation of te nuclei of te amy"dala
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Te ma#or eerent $ro#ections of te amy"dala' One $rinci$al out$utincludes te stria terminalis( !ic $ro#ects to te bed nucleus of testria terminalis and to te rostro+caudal extent of te medialy$otalamus' Fibers from te bed nucleus also su$$ly similar re"ions