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85 Cards in this Set

  • Front
  • Back
List four functions of the Hypothalamus:
Maintains homeosasis:
-temp
-food and water intake
-balance
-circadian rhythm
What 3 systems influence the hypothalamus?
-ANS
-Endocrine
-Limbic
What forms the anterior border of the hypothalamus, along with the anterior commisure?
Lamina terminalis
What is the most comon location for hypothalamic brain tumors?
Anterior commisure/lamina terminalis
What does an anterior hypothalamic brain tumor do?
Disrupts parasympathetic commands, resulting in unopposed sympathetic function.
How does a patient with an anterior hypothalamic lesion present?
All sympathetic is increased (heart rate, hypetension, etc)
-a lesion here disrupts visual function by putting pressure on optic chiasm resulting in biltemporal hemianopsoa or unilateral nasal hemianopsia
What makes up the posterior boundary of the hypothalamus?
Mamillary bodies (adjacent to mesencephalon)
What happens if the posterior boundary of the hypothalamus is dirupted?
Confusion, loss of short-term/long-term memory, disrupts limbic or emotion thoughts and functions.
How can you tell if there is a tumor in the medial part of the hypothalamus?
The medial portion is the 3rd ventricle, so look for assymtery on MRI
What is the lateral border of the hypothalamus?
Internal capsule
What is the tuber cinereum?
The raised portion of the hypothalamus that surrounds the infundibulum (including the median eminence)
Which hypothalamic nuclei are the main recipients of the hippocampus?
Mamillary bodies
Mamillary bodies
How do mamillary bodies receive projections from the hippocampus?
Hippo----->fornix----->mammillary------>anterior thalamic nucleus (mammilothalamic tract)
What is the "fornix" of the amygdala?
stria terminalis
Where else does the stria terminalis project to, besides the hypothalamus?
septal nucleus
Which hypothalamic nucleus can be called the "sleep center"?
anterior hypothalamic nucleus
anterior hypothalamic nucleus
What does stimulation of the anterior hypothalamic nucleus do?
increases parasympathetic activity
Which part of the anterior hypothalamic nucleus regulates sex functions?
preoptic area
What info does the anterior hypo nuc receive?
Olfactory info, input from amygdala and septum.
Which hypo nucleus prevents overheating?
Which hypo nucleus prevents overheating?
anterior hypo nuc
What is Kallman's syndome:
anosmia and lack of gonad developement
How does Kallman's syndrome develope?
Destruction of cells that release LHRH (anterior hypothalamic nucleus)
Which nucleus produces oxytocin and vasopressin? Which is the major product?
Which nucleus produces oxytocin and vasopressin? Which is the major product?
Oxytocin is mostly produced, by the paraventricular nucleus.
Which nucleus produces oxytocin and vasopressin, mostly vasopressin?
Supraoptic nucleus.
Supraoptic nucleus.
Which nucleus makes you jet-lagged due to Circadian rhythms?
Which nucleus makes you jet-lagged due to Circadian rhythms?
suprachiasmatic nucleus
What is the stalk of the pituitary gland called?
Infundibulum
What part of the hypothalamus is the infundibulum surrounded by?
The tuber cinereum (aka: median eminence)
The tuber cinereum (aka: median eminence)
What is siginificant about the infundibulum?
It is the site where inhbiting and releasing factors are released into the portal system.
What hormone inhibits prolactin release?
Dopamine (NOT A PEPTIDE)
What is the venous drainage of the infundibulum?
PORTAL VEINS
How can the portal veins surrounded the stalk of the pituitary be damaged during birth?
Because its a portal system, there is a watershed area which can result in loss of hormonal control during hypovolemia becasue it bursts from high pressure.
Stimulation of which part of the hypothalamus induces eating?
Lateral hypothalamus. A lesion here would cause you to stop eating (starve).
How does Leptin inhibit eating?
Binds to OB receptors on Hypothalamus (lateral).
Binds to OB receptors on Hypothalamus (lateral).
What part of the hypothalamus causes you to stop eating?
medial hypothalamus. Lesion would cause you to overeat.
medial hypothalamus. Lesion would cause you to overeat.
Stimulation of which part of the hypothalamus increases sympathetic activity?
posterior
Which part of the hypothalamus increases parasympathetic activity?
anterior
Stimulation of which part of they hypothalamus causes waking and heat conservation?
posterior
A lesion at the posterior hypothalamus would result in what symptoms?
piokilothermia (los of heart regulation)
The limibic system is part of which area of the hypothalamus?
anterior hypo
What structure tells us what is dangerous?
Amygdala
What part of the frontal lobe acts as an afferent pathway to the Hypo?
Limbic system
How does the Hypo send efferent information to the frontal lobe?
To the limbic system outside of the hypothalamus.
What is the output of the limbic system?
The Hypothalamus.
limibc-->Hypo------>limbic------>
Which part of the brain is responsible for planning and decision making?
Frontal lobes. Hypothalamus sends this info vai limbic
How is a danger signal sent?
A danger signal from the senses activates the reticular formation, which activates the hypothalamus, which activates the limbic (efferent).
What parts of the temporal lobe are afferent pathways to the Hypothalamus?
septal nuclei, amygdala, hippocampus.
The temporal lobe is responsible for what actions?
memory and emotion of fear and represion of violent behaviors. This is again, the limibic input to the hypo
What part of the brainstem and spinal cord acts as the afferent pathway for the hypothalamus?
medial forebrain bundle from the brainstem RETICULAR FORMATION.
The nucleus solitarios is an example of what kind of pathway to the hypothalamus?
Afferent (part of brainstem/s.c.)
Afferent input from the cortex:
mammilothalamic loop
How does the retina input to the hypothalamus?
Retina------>suprachiasmatic nucleus for circadian rhythms.
What input tells you when to go to sleep, when to eat, etc. Body timings.
Suprachiasmatic nucleus
What monitors oxygen and carbon dioxide, as well as taste receptors?
solitary tract
Which projection comes from the brainstem to the hypothalamus to deal with pain and reticular function?
the dorsal longitudinal fasciculus.
What makes up the dorsal longitudinal fasciculus?
periaqueductla gray, reticular formation dorsal columsn, and medial lemniscal system.
How can the hypothalamus inhhibit pain signals?
by the produciton of beta-endorphin. This stops pain signals at the periaqueductal gray , spinal cord, and substantia gelatinosa.
Why don't afferent/efferent pathway fibers show up well with myelin stains?
All the fibers are thinly myelinated.
What mediates efferent info from the hypothalamus to autonomic preganglionics (sacral spinal cord)?
dorsal longitudinal fasciculus
Where is Beta-endorphin produced and where does it project to?
produced in the dorsal longitudinal fasiculus and projects to the periaqueductal gray of the midbrain.
What mediates projections to the brain stem reticular formation (mesencepaln, pons, medulla) from the hypothalamus?
memmillotegmental tract
What mediates projections from the lateral and preoptic hypothalamus to the habenula?
stria medularis
What part of the pituitary gland responds to hypothalamic releasing hormones?
adenohypophysis
WHat does the adenohypophysis do?
produces and releases hormones into the blood system.
What does the neurohypophysis store?
ADH & oxytocin
Where are ADh and oxytocin produced?
suproptic and paraventricular nuclei of the hypothalamus
Prohormones of ADH & Oxytocin are made in the soma and transported in the axon, what happens during their transportation?
they are converted into the active hormone, accompanied by neurophsin I (oxytocin) or neurophysin II (vasopressin)
The axons of ADH and oxytocin form what tract?
superopticohypophyseal tract.
Destruction of what, will cause diabetes insipids?
destruction of superopticohypophyseal tract.
When is the most common time during developement to get a tumor that results in D.I.?
puberty
What are the effects of a tumor on the axon of the superopticohypophyseal tract?
inability to regulate the body's hormone levels and autonomic system. disruption of cognition and vision.
What inhibits cells in the hypothalamus from releasing?
short loop (pituitary) or ultra short loop (median eminence)
The neurohypophysis receives axons from which hypothalamic nuclei?
praventricular and supraoptic
a prohormone traveling down the axon that is converted to oxytocin is accompanied by what else?
neurophysi I
What monitors blood volume or blood hormones?
subfornial organs of the hypothalamus
Where are the circumventricular organs located?
around the pineal gland, median eminence, lamina terminalis, neurohypophysis, IV ventricle.
Why are circumventricular organs an important site for infeciton or hemmorhage?
because of the reduced blood brain barrier
petechial hemmorhage in the brain is......
ok
petechial hemmorhage in the retina is...
child abuse (strangulation)
What disease causes lack of concentrated urine due to damage of the hypothalamus/pituitary?
Diabets insipius
What kind of tumor arises form glandular epithelial cells in the anterior pituitary and results in a bitemporal hemianopsia?
pituitary adenoma
What is the presentation of pituitary adenoma?
prolactenoma, bitemporal heminaopsia (pressure on optic chiasm), weight gain, dcreased libido.
How do you treat prolactenoma?
dopamine
What does the face of pituitary adenoma patients look like?
round, "moon" face
fat middle, spindly extremities, buffalo hump, bruise easily
What disease is due to increased levels of growth hormone?
acromegaly
What is pituitary apoplexy?
hemorrhage that destroys the pituitary gland associated with tumors. results in visual problems, headache, drowsy, confused, COMA