- •Preface
- •Contents
- •1 Elements of the Nervous System
- •2 Somatosensory System
- •3 Motor System
- •4 Brainstem
- •5 Cerebellum
- •6 Diencephalon and Autonomic Nervous System
- •7 Limbic System
- •8 Basal Ganglia
- •9 Cerebrum
- •10 Coverings of the Brain and Spinal Cord; Cerebrospinal Fluid and Ventricular System
- •Further Reading
- •Index
- •Abbreviations
- •1 Elements of the Nervous System
- •Elements of the Nervous System
- •Information Flow in the Nervous System
- •Synapses
- •Neurotransmitters and Receptors
- •Functional Groups of Neurons
- •Glial Cells
- •Development of the Nervous System
- •2 Somatosensory System
- •Peripheral Nerve, Dorsal Root Ganglion, Posterior Root
- •Peripheral Regulatory Circuits
- •Central Components of the Somatosensory System
- •Posterior and Anterior Spinocerebellar Tracts
- •Posterior Columns
- •Anterior Spinothalamic Tract
- •Lateral Spinothalamic Tract
- •Other Afferent Tracts of the Spinal Cord
- •Central Processing of Somatosensory Information
- •Somatosensory Deficits due to Lesions at Specific Sites along the Somatosensory Pathways
- •3 Motor System
- •Central Components of the Motor System and Clinical Syndromes of Lesions Affecting Them
- •Motor Cortical Areas
- •Corticospinal Tract (Pyramidal Tract)
- •Corticonuclear (Corticobulbar) Tract
- •Other Central Components of the Motor System
- •Lesions of Central Motor Pathways
- •Peripheral Components of the Motor System and Clinical Syndromes of Lesions Affecting Them
- •Clinical Syndromes of Motor Unit Lesions
- •Complex Clinical Syndromes due to Lesions of Specific Components of the Nervous System
- •Spinal Cord Syndromes
- •Vascular Spinal Cord Syndromes
- •Nerve Root Syndromes (Radicular Syndromes)
- •Plexus Syndromes
- •Peripheral Nerve Syndromes
- •Syndromes of the Neuromuscular Junction and Muscle
- •4 Brainstem
- •Surface Anatomy of the Brainstem
- •Medulla
- •Pons
- •Midbrain
- •Olfactory System (CN I)
- •Visual System (CN II)
- •Eye Movements (CN III, IV, and VI)
- •Trigeminal Nerve (CN V)
- •Facial Nerve (CN VII) and Nervus Intermedius
- •Vagal System (CN IX, X, and the Cranial Portion of XI)
- •Hypoglossal Nerve (CN XII)
- •Topographical Anatomy of the Brainstem
- •Internal Structure of the Brainstem
- •5 Cerebellum
- •Surface Anatomy
- •Internal Structure
- •Cerebellar Cortex
- •Cerebellar Nuclei
- •Connections of the Cerebellum with Other Parts of the Nervous System
- •Cerebellar Function and Cerebellar Syndromes
- •Vestibulocerebellum
- •Spinocerebellum
- •Cerebrocerebellum
- •Cerebellar Tumors
- •6 Diencephalon and Autonomic Nervous System
- •Location and Components of the Diencephalon
- •Functions of the Thalamus
- •Syndromes of Thalamic Lesions
- •Thalamic Vascular Syndromes
- •Epithalamus
- •Subthalamus
- •Hypothalamic Nuclei
- •Afferent and Efferent Projections of the Hypothalamus
- •Functions of the Hypothalamus
- •Sympathetic Nervous System
- •Parasympathetic Nervous System
- •Visceral and Referred Pain
- •7 Limbic System
- •Anatomical Overview
- •Internal and External Connections
- •Microanatomy of the Hippocampal Formation
- •Amygdala
- •Functions of the Limbic System
- •Types of Memory
- •8 Basal Ganglia
- •Preliminary Remarks on Terminology
- •The Role of the Basal Ganglia in the Motor System: Phylogenetic Aspects
- •Connections of the Basal Ganglia
- •Function and Dysfunction of the Basal Ganglia
- •Clinical Syndromes of Basal Ganglia Lesions
- •9 Cerebrum
- •Development
- •Gross Anatomy and Subdivision of the Cerebrum
- •Gyri and Sulci
- •Histological Organization of the Cerebral Cortex
- •Laminar Architecture
- •Cerebral White Matter
- •Projection Fibers
- •Association Fibers
- •Commissural Fibers
- •Functional Localization in the Cerebral Cortex
- •Primary Cortical Fields
- •Association Areas
- •Frontal Lobe
- •Coverings of the Brain and Spinal Cord
- •Dura Mater
- •Arachnoid
- •Pia Mater
- •Cerebrospinal Fluid Circulation and Resorption
- •Arteries of the Anterior and Middle Cranial Fossae
- •Arteries of the Posterior Fossa
- •Collateral Circulation in the Brain
- •Dural Sinuses
- •Venous Drainage
- •Cerebral Ischemia
- •Arterial Hypoperfusion
- •Particular Cerebrovascular Syndromes
- •Impaired Venous Drainage from the Brain
- •Intracranial Hemorrhage
- •Intracerebral Hemorrhage (Nontraumatic)
- •Subarachnoid Hemorrhage
- •Subdural and Epidural Hematoma
- •Impaired Venous Drainage
- •Spinal Cord Hemorrhage and Hematoma
- •Further Reading
- •Index
311 7
7 Limbic System
Anatomical Overview . . . . . . . . . . 312
Major Components of the Limbic
System . . . . . . . . . . . . . . . . . . . . . . 315
Functions of the Limbic System . . 319
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7Limbic System
The limbic system is composed of both neocortical and phylogenetically older cortical areas (portions of the archicortex and paleocortex) and a number of nuclei. The cellular architecture of the archicortex and paleocortex differs from that of the neocortex. The major structures of the limbic system are the hippocampal formation, the parahippocampal gyrus and entorhinal area, the cingulate gyrus, the mamillary body, and the amygdala. These structures are interconnected in the Papez circuit and also make extensive connections with other regions of the brain (neocortex, thalamus, brainstem). The limbic system thereby enables communication between mesencephalic, diencephalic, and neocortical structures.
Through its connection with the hypothalamus, and thus with the autonomic nervous system, the limbic system participates in the regulation of drive and affective behavior. Its main function, teleologically speaking, is said to be the generation of behavior that promotes the survival of the individual and of the species. Moreover, the hippocampus plays a very important role in learning and memory. Lesions of the hippocampal formation, or of other structures that are functionally associated with it, produce an amnestic syndrome. Different disturbances of memory can arise, depending on the site of the lesion.
Anatomical Overview
Broca, in 1878, described the ring of brain convolutions surrounding the corpus callosum, diencephalon, and basal ganglia, naming it the “grand lobe limbique” (great limbic lobe, from the Latin limbus, ring). In some respects, this complex of structures can be considered a zone of transition between the brainstem and the neocortex. The cortical areas within it are composed of archicortex (hippocampus and dentate gyrus), paleocortex (piriform cortex), and mesocortex (cingulate gyrus). Further limbic structures are the entorhinal and septal areas, the indusium griseum, the amygdala, and the mamillary bodies (Fig. 7.1). The extensive fiber connections linking all of these structures led Papez, in 1937, to propose that a loop, or circuit, of neural activation (the Papez circuit, see Fig. 7.2) might be the anatomical substrate of emotional feeling and expression and of affective states corresponding to instinctual drive. This theory received support from the studies of Klüver and Bucy (KlüverBucy syndrome). Growing
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Anatomical Overview · 313 7
Cingulate gyrus
Commissure
of the fornices Indusium griseum (medial and lateral longitudinal striae)
Anterior commissure
Fornix
Septal area
Amygdala
Mamillary body
Hippocampus |
Entorhinal area |
Fig. 7.1 The limbic cortex
evidence of the anatomical and functional linkage of the various limbic structures led MacLean to coin the term “limbic system.”
More recently, however, the concept of the limbic system as a discrete functional unit has come into question, as further studies have shown that the limbic structures possess important neural connections not just with each other but with outside structures as well. Thus, the limbic system cannot be regarded as a closed system in either an anatomical or a functional sense. The functions associated with the limbic system, such as instinctual and affective behavior, motivation, and drive, as well as learning and memory (see below), should not be thought of as the preserve of the limbic system alone. These functions depend on an intact cooperation of the limbic system with many other areas of the brain.
Once this has been understood, there is no further objection to the use of the term“limbicsystem,”particularlybecausetheanatomicalconnectionsbetween the various limbic structures, which originally motivated this term, are indeed present,robust,andfunctionallyimportant.Nouniformalternativeterminology has yet come into general use. Pathological changes of the limbic structures are still described, in the clinical setting, as lesions of the limbic system.
Baehr, Duus' Topical Diagnosis in Neurology © 2005 Thieme
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7 314 · 7 Limbic System
Thalamocingulate |
|
tract (radiation) |
Cingulum |
Anterior nucleus of the thalamus
Mamillothalamic tract
Fornix, from the hippocampus to the mamillary body
Cingulum, back to the hippocampus
Fig. 7.2 The Papez circuit (hippocampus − fornix − mamillary body − anterior nucleus of the thalamus − cingulate gyrus − cingulum − hippocampus)
Internal and External Connections
Papez Circuit
A group of limbic structures, including the hippocampus, are connected to one another in the so-called Papez circuit, which contains a number of neural relay stations arranged in a circuit or loop. Beyond the basic wiring diagram of the
Baehr, Duus' Topical Diagnosis in Neurology © 2005 Thieme
All rights reserved. Usage subject to terms and conditions of license.