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MENTAL AND
NEUROBEHAVIOR
DISORDERS
Erial Bahar
2012
Learning Objectives
1. Describe the structures involved in psychiatric and
neurobehavioral disorders
2. Describe and diagram the basic morphology of the
structures comprising the limbic system
3. Describe and diagram the input-output
relationships of limbic nuclei
4. Characterize the functions of limbic brain
structures and their underlying mechanisms (where
known)
5. Develop an understanding of the structural and
functional bases for clinical and behavioral
disorders associated with dysfunctions of the limbic
system
OVERVIEW
1. Anatomy of neurobehavior system
1. Overview of the human nervous system
2. Anatomy of the brain
1.
2.
Cortex cerebri
Anatomy of the Limbic system
Pyramidal system
Extrapyramidal system
4. Emotion
Structures Involved in
Psychiatric and
Neurobehavioral
Disorders
Hippocampal formation
1.
2. Amygdala
3. Orbitofrontal cortex
4. Cingulate gyrus
5. Hypothalamus
6. Mammilary bodies
7. Anterior thalamic nucleus
8. Medial dorsal thalamis nucleus
9. Ventral striatum
10. Frontal lobe
11. Rhinencephalon
12. Mesencephalon
1.
2.
3.
Substantia Nigra
Ventral tegmental area (VTA)
Formatio reticularis
Limbic system
OVERVIEW OF THE
FUNCTIONAL ANATOMY
OF THE BRAIN
Areas of the human cerebral cortex defined by Brodmann in his 1909 publication
OVERVIEW OF THE
LIMBIC SYSTEM
LIMBIC SYSTEM
Is a system that concerns with specific motivated or goaloriented behaviors, directly aimed at the maintenance of
homeostasis and at the survival of the individual and of the
species (Nieuwenhuys, 1996)
The limbic system receives input from many parts of the cortex
and contains multimodal association areas where various
aspects of sensory experience come together to form a single
experience.
The hippocampus, within the limbic system, plays crucial roles
in spatial problem solving and in memory.
Functions:
Maintenance of homeostasis
Motivated and goal-oriented behaviors
Survival of the individual
Survival of the species
Learning and memory
Hippocampal
formation
(archicortex,
three layers)
Hippocampus
Dentate gyrus
Phylogenetically
oldest
Amygdala
Limbic system
Limbic lobe,
(mesocortex, three
to five layers)
Parahippocampal gyrus
Cingulate gyrus
Subcallosal gyrus
Neocortex,
(five to six layers)
Newest
Diagram of the structure of the cerebral cortex. A: Golgi neuronal stain. B: Nissl
cellular stain. C: Weigart myelin stain. D: Neuronal connections. Roman and Arabic
numerals indicate the layers of the isocortex (neocortex); 4, external line of
Baillarger (line of Gennari in the occipital lobe); 5b, internal line of Baillarger.
Hypothalamus
Amygdala
Septal area
Hippocampal formation
Cingulate gyrus
Structure
Dentate
gyrus
Upper cortex and white matter tracts of the brain removed, revealing
the close relationship of the limbic system (hippocampus and fornix)
and striatum in the center of the brain.
Papez
HIPPOCAMPAL
circuitFIBERS
RHINENCEPHALON AND
OLFACTORY SYSTEM
Olfactory System
Olfaction (the sense of smell)
is one of the oldest senses
from a phylogenetic point of
view.
The olfactory system
constitutes an important
input to the limbic system.
The olfactory receptors are
specialized neurons located
in the olfactory mucous
membrane, a portion of the
nasal mucosa.
The axons of the olfactory
receptors travel to the
olfactory bulb.
Olfactory
System,cont.
Olfactory
System,cont
The mitral cells of the olfactory bulb send
Olfactory pathway
MITRAL CELL
TUFTED CELL
OLFACTORY
RECEPTOR
Discrimination
POSTEROLATERAL
ORBITOFRONTAL CORTEX
uncinate fasciculus
Stria terminalis
Conscious perception
DORSOMEDIAL NUCLEUS(DMmc)
Emotion
AMYGDALA
Behavior
ANS
Endocrine response
HYPOTHALAMUS
Olfactory
System,Dysfunction
1. Anosmia (loss of smell):
1. Nasal infection
2. Head trauma that damages the
cribrous plate
HIPPOCAMPAL
FORMATION
1. Hippocampus proper
(also called Ammon's horn) :
2. Dentate gyrus :
3. Subiculum
Schematic illustration of the major connections to, within, and from the
hippocampal formation. Dentate granule cells (DG) project to pyramidal neurons
in the hippocampus. CA1 through CA4 are sectors of the hippocampus
Clinical Neuroanatomy, Waxman,25th ed
Hippocampal
formation in relation
to other limbic
structures.
A, amygdala;
AC, anterior
commissure; AN,
anterior nucleus of
the thalamus;
B-F, basofrontal
region;
CC, corpus callosum
(b, body; g, genu; s,
splenium);
CG, cingulate gyrus;
E-RC, entorhinal
cortex;
F, fornix;
Fm, fimbria;
HF, hippocampal
formation;
IG, indusium
griseum;
HIPPOCAMPAL
AFFERENTS
LgF, longitudinal
fissure
PCS, precentral
sulcus
CS, central sulcus
LF, lateral fissure
STS, superior
temporal sulcus
MTS, middle
HIPPOCAMPAL temporal sulcus
EFFERENTS ITS, inferior temporal
sulcus
CoS, collateral sulcus
HYPOTHALAMUS
Abbreviations:
A, amygdala;
AC,
anterior commissure;
AcN,
accumbens nucleus;
CN,
caudate nucleus;
CP,
cerebral peduncles;
Fc,
columns of the fornix;
Fcrus, crus of fornix;
Inf,
infundibulum;
MB,
mammillary body;
OC,
optic chiasm;
ON,
optic nerve;
OT,
optic tract;
P, putamen;
Pit,
pituitary gland;
S, septal nuclei;
SN,
substantia nigra;
SubT,
subthalamus;
HYPOTHALAMICPITUITARY
CONNECTIONS.
SEPTAL AREA
AMYGDALA
AMYGDAL
A amygdala
The
(amygdaloid nuclear
complex) is a gray matter
mass that lies in the medial
temporal pole between the
uncus and the
parahippocampal gyrus.
It is situated just anterior to
the tip of the anterior horn
of the lateral ventricle.
Its fiber connections include
:
1. the semicircular stria terminalis
to the septal area, preoptic areas
and anterior hypothalamus.
2. amygdalofugal pathway to the
middle portion of the
hypothalamus.
Nuclei of
Two distinct groups of neurons:
Amygdala
1. the large basolateral nuclear group.
Klver-Bucy
Syndrome
Temporal Lobe
Epilepsy
The temporal lobe (especially the hippocampus and amygdala)
has a lower threshold for epileptic seizure activity than the other
cortical areas.
Seizures that originate in these regions, called psychomotor
(complex partial) seizures, differ from the jacksonian seizures
that originate in or near the motor cortex.
Temporal lobe epilepsy may include abnormal sensations,
especially bizarre olfactory sensations, sometimes called uncinate
fits; repeated involuntary movements such as chewing,
swallowing, and lip smacking; disorders of consciousness; memory
loss; hallucinations; and disorders of recall and recognition.
Etiology:
tumor (eg, astrocytoma or oligodendroglioma) may be responsible,
glial scar formation after trauma to the temporal poles may trigger seizures.
PREFRONTAL CORTEX
PREFRONTAL CORTEX
Located in front of the motor cortex. This
is one of the anatomic structures that
distinguishes humans from other mammal.
Comprises 29% of the total cortex.
Dysfunction in the PFC is implicated as a
possible source of pathology in many
psychiatric disorders depression,
schizophrenia, anxiety, and attention
deficit hyperactivity disorder (ADHD) as
well as anger and violence.
FRONTAL CORTEX
The frontal lobe can be divided into three sections.
The first, occupying the precentral gyrus, is the
PRIMARY MOTOR CORTEX. Conscious movements are
mediated in the primary motor cortex.
the second, lying just anterior to it, is the PREMOTOR
CORTEX. The planning of complex actions occurs in the
premotor cortex.
The third area, is the PREFRONTAL CORTEX. The
prefrontal cortex is the portion of the frontal cortex lying
anterior to the premotor and primary motor cortices.
Executive/Dorsolateral
Prefrontal Cortex
The dorsolateral prefrontal cortex receives
innervation from both the parietal and the
temporal association cortices.
The dorsolateral prefrontal cortex is responsible for
executive aspects of cognition.
Paralimbic/Orbitofrontal
Cortex
An acetylcholinesterase-rich matrix.
rich in D2 receptors with close connections to the substantia
nigra.
whereas the matrix is a major component of the extrapyramidal
motor system.
1. hippocampus;
2. parahippocampal gyrus;
3. fusiform gyrus;
4. inferior temporal gyrus;
5. middle temporal gyrus;
6. superior temporal gyrus;
7. lateral fissure;
8. postcentral gyrus;
9. central sulcus;
10. precentral gyrus;
11. superior frontal gyrus;
12. cingulate gyrus;
13. corpus callosum;
14. lateral ventricle;
14. caudate nucleus;
15. thalamus;
16. putamen;
17. temporal (inferior) horn
of the lateral ventricle;
18. red nucleus;
19. substantia nigra;
20. pons;
21. tentorium cerebelli;
22. ambient cistern
1.hippocampal body
2.head and digitationes
hippocampi (internal
digitations)
3.hippocampal tail
4.fimbria
5.crus of fornix
6.Subiculum
7.splenium of the corpus
callosum;
8.calcar avis
9.collateral trigone
10.collateral eminence
11.uncal recess of the
temporal horn
Afferents of Amygdala
AC
Olfactory
System
Association cortical area/
higher sensory area
(associated with visual,
auditory, tactile senses)
(associated with visual,
auditory, tactile senses)
Diencephalon, Septum
Nacc. striatum
Brainstem
(viscerosensory relay nuclei: solitary
nucleus and parbrachial nucleus for taste)
Hypothalamus
VTA
AMYGDALA
Corticomedial Nuclear
Group
Basolateral Nuclear
Group
Central Nucleus
Efferents of Amygdala
association cortical area
higher order sensory area
AC
Amygdalocortical Fibers
striatum
Amygdalostriatal Fibers
Septal Nuclei
Hypothalamus
AMYGDALA
Stria Terminalis
Corticomedial Nuclear
Group
DM of Thalamic Nucleus
Nacc.
Hypothalamus
HF, EC
Basolateral Nuclear
Group
Central Nucleus
Nuclei of
ANS
Ventral
Amygdalofugal Fibers
Nucleus accumbens
(Nacc.)
Reward centre
MOTOR CORTEX
PMA/SMA
PREFRONTAL
CORTEX
DA
Glu
VTA
Herorine
nicotine
GP
DA
VA/VLP
PRESS LEVER
ACC
ACG
ATTENTION,FREEZ,ARREST REACTION
Neurocircuitry of reward:
The mesolimbic dopaminergic
pathway
http://journals.prous.com/journals/dof/20073205/html/df320429/images/fig01.jpg