Forebrain, diencephalon. Meninges of the brain. Cerebro-spinal fluid. The diencephalon • The diencephalon is the region of the embryonic vertebrate neural tube that gives rise to posterior forebrain structures including the thalamus, hypothalamus, posterior portion of the pituitary gland, and pineal gland. • The hypothalamus performs numerous vital functions, most of which relate directly or indirectly to the regulation of visceral activities by way of other brain regions and the autonomic nervous system. THE DIENCEPHALON • • • • EPITHALAMUS THALAMUS SUBTHALAMUS HYPOTHALAMUS Diencephalon • • • • • • • • • • Thalamus dorsal thalamus Hypothalamus pituitary gland Epithalamus habenular nucleus and commissure pineal gland Subthalamus ventral thalamus subthalamic nucleus (STN) field of Forel Diencephalon Hypothalamus Thalamus •Command for the •Chief relay centre for control of autonomic directing sensory messages functions such as heart Helps regulate awareness rate, blood pressure, •Relays commands going hunger, thirst. to the skeletal muscles •Role in emotions and from the motor cortex. motivation (e.g., thoughts about fear get translated into arousal through hypothalamus.) Classification of Thalamic Nuclei • I. Lateral Nuclear Group • II.Medial Nuclear Group • III. Anterior Nuclear Group • IV. Posterior Nuclear Group • V. Metathalamic Nuclear Group • VI. Intralaminar Nuclear Group • VII. Thalamic Reticular Nucleus Summary of Thalamic Connectivity • I. Sensory Input • general sensation • special sensation • taste, equilibrium, hearing, vision • II. Motor Input • cerebellum, basal ganglia • III. Reticular Formation • IV. Limbic System • mammillary nucleus • hippocampal formation • Thalamus • Functions of the thalamus • I. Relay functions • from the spinal cord, brainstem, cerebellum basal ggl. • to the cortex • II. Modulatory functions • Influences the excitability of the cx, synchronised vs. desynchronised states (repetitive and burst firing) • III. Integrative functions • 1. Sensory connections (sensory relay station) • 2. Motor coordination • 3. Psychological functions (instinct, affection, limbic functions etc) • 4. Autonom function control • 5. Cortical activation Clinical Syndromes of the Thalamus Posterolateral thalamic syndromes sensory disorders Thalamic (Dejerine-Roussy) syndrome ----- VP nucleus - pain Medial thalamic syndromes disorders of consciousness thalamic neglect, thalamic amnesia, akinetic mutism Anterolateral thalamic syndromes motor disorders paresis, ataxia, motor incoordination, dysphagia Visual (Optic) Pathway Modality: Vision Receptor: Photoreceptor Cell of Retina Cranial Nerve: II (Optic nerve) 1st Neuron: Bipolar Cell 2nd Neuron: Ganglion Cell optic nerve optic chiasm optic tract 3rd Neuron: Lateral Geniculate Nucleus optic radiation Termination: Visual Areas (V I, V II) Brodmann area 17 (V I), 18, 19 (V II) Visual Pathway 1. Optic nerve 2. Optic chiasm 3. Optic tract 4. Lateral geniculate body 5. Optic radiation 6. Visual cortex Visual (Optic) Pathway Clinical Features of Visual Pathway Lesion 1. optic nerve 2. optic chiasm 3. optic tract 4. 5. optic radiation A. unilateral blindness B. bitemporal hemianopsia C. left homonymous hemianopsia D. left inferior homonymous quadranopsia E. left superior homonymous quadranopsia Signs of Visual Pathway Lesion Optic nerve - ipsilateral blindness Optic chiasm - bitemporal hemianopsia Optic tract - contralateral homonymous hemianopsia Optic radiation - contralateral homonymous quadranopsia - intact light reflex Visual Cortex - contralateral homonymous quadranopsia - macular sparing Visual Field Defect left inferior optic radiation lesion right superior quadranopsia Hypothalamus Limbic System Diencephalon3rd ventricle Surrounded by cerebrum Intermediate mass Hypothalamus Pituitary gland Mammillary body Thalamus Pineal body Epithalamus epithalamus Located at dorsal part of the diencephalons, it includes the pinieal body. It secretes melatonin which signals the nighttime stage of the sleep-wake cycle. pineal body — internal secretion gland habenular triangle— habenular nucleus habenular commissure thalamic medullary stria posterior commissure subthalamus subthalamic nucleus participate in the function of extracorticospinal tract