| Term 
 | Definition 
 
        | greatly diminished or lack of movement |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | abnormal slowness of movement, sluggishness |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | aberrant movements, there are many types |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | ceaseless occurance of slow, sinuous writhing movements performed involuntarily and especially severe in the hands |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | - ceaseless occurance of a wide variety of rapid, highly complex, jerky movements that appear to be well coordinated but are involuntary |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | rhythmic oscillating movements |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | - unsteady movements, inability to coordinate voluntary movements |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | disorder of muscle tonicity, contortions of muscles of trunk and extremities are ususally related to postural defects like dystonia musculorum deformans |  | 
        |  | 
        
        | Term 
 
        | basal ganglia influence movement ____. it does not directly project to motor neurons in spinal cord or brainstem. The basal ganglia influences output of ___ neurons through a series of ___ . |  | Definition 
 
        | - indirectly - cortical
 - servo-loops
 |  | 
        |  | 
        
        | Term 
 
        | Many areas of the cortex project to the striatum. The striatum projects to the ___ ___, which in turn sends inhibitory projections to the ___. The thalamus then sends ____ projections to the cortex. |  | Definition 
 
        | - globus pallidus - thalamus
 - excitatory
 |  | 
        |  | 
        
        | Term 
 
        | The major nuclei of the basal ganglia include: |  | Definition 
 
        | - caudate nucleus - putamen
 - globus pallidus
 |  | 
        |  | 
        
        | Term 
 
        | The putamen, caudate nucleus, and globus pallidus all together are called the: |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | the caudate and putamen together are called the : |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | the putamen and globus pallidus together are called the: |  | Definition 
 
        | lenticular nuclei aka lentiform 
 PGL
 |  | 
        |  | 
        
        | Term 
 
        | The internal capsule is a sheet of ___ fibers that pass between the ___ and ____ ___. |  | Definition 
 
        | - myelinated - caudate
 - lentiform nucleus
 |  | 
        |  | 
        
        | Term 
 
        | the basal ganglia is part of the extrapyramidal system |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | the caudate nucleus is the major site of ___ from the ___ and the ___ ___ ___. |  | Definition 
 
        | - input - cortex
 - substantia nigra compacta
 |  | 
        |  | 
        
        | Term 
 
        | the putament is major site of input from the __ and __ __ __. |  | Definition 
 
        | - cortex - substantia nigra compacta
 |  | 
        |  | 
        
        | Term 
 
        | what 2 parts of the basal ganglia receive input from the cortex and substantia nigra compacta? |  | Definition 
 
        | - caudate nucleus - putamen
 
 together these are called striatum
 |  | 
        |  | 
        
        | Term 
 
        | The globus pallidus internum is the major source of ___ to the ___. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | In the basal ganglia, what is the major source of output to the thalamaus? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Midbrain important nuclei: |  | Definition 
 
        | - subthalammic nucleus - substantia nigra
 |  | 
        |  | 
        
        | Term 
 
        | what divides the globus pallidus into the globus pallidus internum and externum? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | The internal capsule is/is not part of the basal ganglia. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | The cortex, especially areas 4, 3, 1, 2, 6,  sends excitatory input to the ___ which is made of the ___ and ___. |  | Definition 
 
        | - striatum (caudate nucleus + putamen) |  | 
        |  | 
        
        | Term 
 
        | the substantia nigra compacta sends excitatory and inhibitory inputs to the ____. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | The striatum sends inhibitory information to the ___. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | what kind of information does the striatum send globus pallidus? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | The globus pallidus sends inhibitory information to the ___. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | what kind of signals does the globus pallidus send to the thalamus? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | list 3 diseases associated with the basal ganglia: |  | Definition 
 
        | - Parkinson's disease - Huntington's disease
 - Hemiballism
 |  | 
        |  | 
        
        | Term 
 
        | describe Parkinson's disease: |  | Definition 
 
        | - progressive idiopathic neurodegenerative disease of basal ganglia - onset is between 50 and 65 years of age (but can rarely be earlier)
 - disease is due to a loss of darkly pigmented dopaminergic neurons in the substantia nigra/nigrostrial pathway
 - bilateral degeneration of dopaminergic neurons in the substantia nigra that project to the striatum (nigrostriatal pathway
 |  | 
        |  | 
        
        | Term 
 
        | what disease of the basal ganglia is caused by bilateral degeneration of dopaminergic neurons that project from the substantia nigra to the striatum. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | describe Huntington's disease: |  | Definition 
 
        | bilateral degeneration of GABAergic neurons in the striatum that project to the substantia nigra (striatonigral pathway) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | contralateral damage to subthalamic nucleus 
 - subthalamic nucleus is blocked so you get flailing movements
 |  | 
        |  | 
        
        | Term 
 
        | clinical signs of Parkinson's disease: |  | Definition 
 
        | Tremor (pill-rolling, rhythmic) Rigidity (cog-wheel type)
 Akinesia / Bradykinesia
 Often abnormal posture (Simian), equilibrium and autonomic dysfunctions
 Masked facies (expressionless facial movements)
 Slow, monotonous speech
 Micrographia (small handwriting)
 
 Note: Often there will be NO LOSS of mental capacity.
 |  | 
        |  | 
        
        | Term 
 
        | Parkinson's is due to greater than ___% loss of ___ neurons in the ___ ___. This results in enhanced ___ of the ____, which ultimately under excites the ___ cortex. |  | Definition 
 
        | - 80 - dopaminergic
 - substantia nigra
 - inhibition
 - thalamus
 - motor
 |  | 
        |  | 
        
        | Term 
 
        | what is a drug treatment for PD that is helpul in early stages and how does it work? |  | Definition 
 
        | - Muscarinic anticholinergics- useful in early stages - normally, cholinergic interneurons control inhibitory dopaminergic neruons, but this is lost with PD, so
 - this drug blocks muscarinic receptors which prevents the overactivity of cholinergic interneurons
 |  | 
        |  | 
        
        | Term 
 
        | basal ganglia components: |  | Definition 
 
        | putamen, globus pallidus, caudate nucleus, substantia nigra, subthalamic nucleus |  | 
        |  | 
        
        | Term 
 
        | Huntington's chorea is an autosomal ___ genetic neurodegenerative movement disorder of the ___ ___. |  | Definition 
 
        | - dominant - basal ganglia
 |  | 
        |  | 
        
        | Term 
 
        | HD has both ___ and ___ components. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | onset of Huntington's disease: |  | Definition 
 
        | - between 35 and 45 years old |  | 
        |  | 
        
        | Term 
 
        | HD caused by a mutation of the Huntington gene on ____ _, whose function is unknown. This mutation leads to expanded ___ ____ repeat disease. |  | Definition 
 
        | - chromosome 4 - CAG trinucleotide
 |  | 
        |  | 
        
        | Term 
 
        | HD is due to a loss of striatal _____ and some ___ neurons in the ___ and ___ (striatonigral pathways) |  | Definition 
 
        | - GABAnergic - cholinergic
 - caudate nucleus
 - putamen
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Choreaform “dancey / prancey movements ,”or rigidity if early onset due to loss of GABAergic neurons Cognitive dysfunction
 Psychiatric dysfunction - often     	depression
 |  | 
        |  | 
        
        | Term 
 
        | Hemiballism is caused by a lesion to the ____ ____ nucleus, and is usually due to an ___. |  | Definition 
 
        | - contralateral subthalamic - infarction
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | - involuntary and large violent flailing movements of one extremity (arm or leg) on one side |  | 
        |  | 
        
        | Term 
 
        | Hemiballism often ___ ___ afer several weeks. |  | Definition 
 | 
        |  |