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pirotte Neuro
basal ganglia and it's disorders
45
Other
Not Applicable
09/21/2005

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Cards

Term
what nuclei comprise the basal ganglia
Definition
caudate, putamen, GP, substantia nigra, STN, amygdala, claustrum
Term
what do CAG repeats do to striatal cells?
Definition
cause apoptosis
Term
two primary sx of HD
Definition
chorea, dementia
Term
other name for BG?
Definition
extrapyramidal motor system
Term
fxn of ventral striatal basal ganglia system?
Definition
cognition, emotion
Term
components of the ventral striatal basal ganglia system?
Definition
n. accumbens (ventral striatum), ventral palladium, ventral tegmental area
Term
what projects from the VTA and where does it go?
Definition
mesolimbic DA to ventral striatum, mesocortical DA to frontal cortex
Term
effect of "direct" path on movement?
Definition
go
Term
effect of "indirect path on movement?
Definition
stop
Term
DAR in the direct pathway?
Definition
D1
Term
DAR in the indirect pathyway?
Definition
D2
Term
GP NT in the go pathway?
Definition
GABA, SP
Term
GP NT in the stop pathway?
Definition
GABA, ENK
Term
lesion in PD?
Definition
striatal neurons
Term
two routes from GP to thalamus
Definition
lenticular fasciculus, ansa lenticularis
Term
effect of large lesion in the STN?
Definition
hemiballismus
Term
striatal element of the dorsal striatal system?
Definition
caud, put
Term
striatal element of the ventral striatal system?
Definition
n. accumbens
Term
pallidal element of the dorsal striatal system?
Definition
SN
Term
pallidal element of the ventral striatal system?
Definition
VTA
Term
cortical input of the dorsal striatal system?
Definition
neo
Term
cortical input of the ventral striatal system?
Definition
limbic, hippo
Term
thalamic target of the dorsal striatal system?
Definition
VL-VA (motor stuff)
Term
thalamic target of the ventral striatal system?
Definition
MD (attention, emotion)
Term
cortical target of the dorsal striatal system?
Definition
motor
Term
cortical target of the ventral striatal system?
Definition
prefrontal
Term
what is the D2 receptor blocker used to treat schizo?
Definition
haldol
Term
what is the long term SE of the haldol?
Definition
tardive dyskinesia
Term
what structure is sometimes submitted to DBS to treat PD?
Definition
STN
Term
what is the anatomy of the bradykinesia in PD?
Definition
inc inhib output of GPm to the VL thalamic motor nucleus impairs stim of motor cortex
Term
what is the anatomy of hyperkinesic disorders in the basal ganglia?
Definition
dec inhib output of GPm to VL enhances stim of motor cortex
Term
4 primary sx of PD
Definition
resting tremor, rigid, bradykin, postural problems
Term
2nday sx of PD (5)
Definition
masked fascies, hypophonic speech, stooped posture with shuffling/propulsive gait, micrographia, autonomic disfxn
Term
what are Lewy bodies?
Definition
eosinophilic, intraneuronal cytoplasmic inclusions
Term
why give anticholinergics to PD pts?
Definition
counteract 'unnopposed' cholinergic system
Term
SEof dopamine therapy?
Definition
hallucination, psychosis,chorea, dystonia, nv, hyperkinesia
Term
two surgical procedures for PD
Definition
pallidotomy (GPm), STN stim
Term
gross path of HD?
Definition
atrophy of caudate
Term
rx for HD?
Definition
haldol (DA antag)
Term
put to GPl +/-?
Definition
-
Term
GPl to STN +/-?
Definition
-
Term
STN to GPm +/-?
Definition
+
Term
GPm to VA/VL +/-?
Definition
-
Term
VA/VL to cortex +/-?
Definition
+
Term
put to GPm +/-?
Definition
-
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