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Thalamus and
Hypothalamus
To MBBS 2nd year
03-03-2017
By Dr. Laxman Khanal
Assistant professor, department of anatomy
BPKIHS, Dharan
Introduction
• The diencephalon is the part of brain between the cerebrum and the
brainstem. The cavity within it is termed third ventricle.
• Hypothalamic sulcus divides the diencephalon into pars dorsalis and
pars ventralis.
• Pars dorsalis consists of thalamus, metathalamus and epithalamus.
• Pars ventralis consists of hypothalamus and subthalamus.
T
3rd ventricle
Thalamus – 2 in number (right and left)
Hypothalamus- single with right and
left half.
Epithalamus
• Habenular nuclei
• Pineal body
Interventricular foramen
Hypothalamic sulcus
T
HT
Where does thalamus lie in
horizontal section ?
Covered on its superior surface
by a thin layer of white matter,
called the stratum zonale.
• Covered on its lateral surface by another
layer, the external medullary lamina.
• Reticular nucleus lies outside of it.
The gray matter of the thalamus is
divided by a vertical sheet of white
matter, the internal medullary lamina
into anterior, medial and lateral parts.
• Medial geniculate body
• Lateral geniculate body
• Subthalamus
Ventral partDorsal part
• Dorsal tire nucleus
• Ventral tire nucleus
• Anterior thalamus
• Medial thalamus
• Lateral thalamus
Intra-laminar nuclei
Q. What are the nuclei of thalamus ?
 Reticular nuclei
 Intralaminar nuclei
Nucleus of-
1. Anterior thalamus
2. Medial thalamus
3. Lateral thalamus
• Dorsal tire nuclei
• Ventral tire nuclei
Anterior nucleus of thalamus
• Adjust your mood with recent memory.
• Have connection with limbic system
• Component of Papez circuit
Cingulate gyrus
Mamillothalamic tract
Hippocampus
Prefrontal cortex
Concerned with thought and behavior.
Dorsomedial nucleus
Adjust behavior and physical and
psychological state according to your mood.
Intra-laminar nuclei
Trigeminal lemniscus
Spinothalamic pathway
Reticular formation
Intra-laminar nuclei act as a switch for Cerebral arousal by
reticular formation.
Cauterization of these nuclei
has been shown to relieve
severe and intractable pain
associated with terminal
cancer.
LD
LP
Pulvinar
1. Anterior thalamus
Anterior nucleus of thalamus
2. Medial thalamus
Dorsomedial nucleus
3. Lateral thalamus
A. Dorsal tire
 Lateral dorsal
 Lateral posterior
 Pulvinar
B. Ventral tire
 Ventral anterior
 Ventral lateral
 Ventral posterior
 VPM
 VPL
VP
VPL
VPM
Trigeminal lemniscus
Gustatory pathway
Long ascending tracts
Motor function
Thalamic syndrome
Thalamic pain
• Occurs as the patient is recovering from a
thalamic infarct.
• The painful sensation may be aroused by
light touch or by cold.
• May fail to respond to powerful analgesic
drugs.
• Excessive pain might be due to overreaction
of thalamus.
Thalamic hand
Wrist is pronated and flexed, MP
joints are flexed and IP joints are
extended with very little
movements.
Hypothalamus
• It forms the floor and lateral wall of anterior part of 3rd ventricle.
• It controls 3 system
1. Autonomic nervous system
2. Endocrine system
3. Limbic system (emotional brain)
• Basically it has major role in maintaining homeostasis.
• Tuber cinerium
• Median eminence• Mammillary bodies
Medial zone
Lateral zone
Lateral zone is mainly occupied by long lateral nucleus (Hunger center)
4 regions
1. Pre optic
2. Supra-optic
3. Tuberal
4. Mammillary
Ant-Post division
1. Preoptic region
2. Supraoptic region
3. Tuberal region
4. Mammillary region
Preoptic region
1. Preoptic nucleus
Supra-optic region
1. Anterior nucleus
2. Supra optic nucleus
3. Suprachiasmatic nucleus
4. Paraventricular nucleus
Tuberal region
1. Dorsomedial nucleus
2. Ventromedial nucleus
3. Arcuate nucleus
Mammillary region
1. Posterior nucleus
2. Mammillary nucleus
Preoptic region
1. Preoptic nucleus
GnRH
FSH
LH
Supra-optic region
1. Supra-chiasmatic nucleus
2. Anterior nucleus
3. Supra-optic nucleus
4. Paraventricular nucleus
Functions
1. Circadian rhythm
2. AC (cooling mechanism)
3. ADH & oxytocin hormone
HHT- hypothalamo-hypophyseal tract
Tuberal region
1. Arcuate nucleus
2. Ventromedial nucleus
3. Dorsomedial nucleus
Functions
1. Releasing factors
2. Satiety & reward center
3. Savage behavior
Mammillary region
1. Mammillary nucleus
2. Posterior nucleus
Functions
1.
• Behavior
• Part of papez circuit
2.
• Heating center
• Sympathetic center
Afferent connection
• Visual afferent
• Corticohypothalmic
• Fornix
• Stria terminalis
• Thalamohypothalamic
tract
• Tegmental fibers
Efferent connection
• Descending hypothalamic
tract
• Mammillothalamic tract
• Mammillotegmental tract
• HHT
Conclusion
• Thalamus acts as relay and integrative station for all the sensory
information except smell.
• Hypothalamus lies anterior to and inferior to the thalamus. It is center
of integration of autonomic and endocrine function.
• Both thalamus and hypothalamus makes the boundaries of 3rd
ventricle.
• Both thalamus and hypothalamus also play a role in memory and
emotion.
There are many nuclei and it is very hard to remember…
But not impossible !!!!!!!!!

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Antomy of Thalamus and hypothalamus

  • 1. Thalamus and Hypothalamus To MBBS 2nd year 03-03-2017 By Dr. Laxman Khanal Assistant professor, department of anatomy BPKIHS, Dharan
  • 2. Introduction • The diencephalon is the part of brain between the cerebrum and the brainstem. The cavity within it is termed third ventricle. • Hypothalamic sulcus divides the diencephalon into pars dorsalis and pars ventralis. • Pars dorsalis consists of thalamus, metathalamus and epithalamus. • Pars ventralis consists of hypothalamus and subthalamus.
  • 3. T 3rd ventricle Thalamus – 2 in number (right and left) Hypothalamus- single with right and left half. Epithalamus • Habenular nuclei • Pineal body
  • 5. Where does thalamus lie in horizontal section ?
  • 6. Covered on its superior surface by a thin layer of white matter, called the stratum zonale. • Covered on its lateral surface by another layer, the external medullary lamina. • Reticular nucleus lies outside of it. The gray matter of the thalamus is divided by a vertical sheet of white matter, the internal medullary lamina into anterior, medial and lateral parts.
  • 7. • Medial geniculate body • Lateral geniculate body • Subthalamus
  • 8. Ventral partDorsal part • Dorsal tire nucleus • Ventral tire nucleus • Anterior thalamus • Medial thalamus • Lateral thalamus Intra-laminar nuclei Q. What are the nuclei of thalamus ?  Reticular nuclei  Intralaminar nuclei Nucleus of- 1. Anterior thalamus 2. Medial thalamus 3. Lateral thalamus • Dorsal tire nuclei • Ventral tire nuclei
  • 9. Anterior nucleus of thalamus • Adjust your mood with recent memory. • Have connection with limbic system • Component of Papez circuit Cingulate gyrus Mamillothalamic tract Hippocampus
  • 10. Prefrontal cortex Concerned with thought and behavior. Dorsomedial nucleus Adjust behavior and physical and psychological state according to your mood.
  • 11. Intra-laminar nuclei Trigeminal lemniscus Spinothalamic pathway Reticular formation Intra-laminar nuclei act as a switch for Cerebral arousal by reticular formation. Cauterization of these nuclei has been shown to relieve severe and intractable pain associated with terminal cancer.
  • 12. LD LP Pulvinar 1. Anterior thalamus Anterior nucleus of thalamus 2. Medial thalamus Dorsomedial nucleus 3. Lateral thalamus A. Dorsal tire  Lateral dorsal  Lateral posterior  Pulvinar B. Ventral tire  Ventral anterior  Ventral lateral  Ventral posterior  VPM  VPL VP VPL VPM Trigeminal lemniscus Gustatory pathway Long ascending tracts Motor function
  • 13. Thalamic syndrome Thalamic pain • Occurs as the patient is recovering from a thalamic infarct. • The painful sensation may be aroused by light touch or by cold. • May fail to respond to powerful analgesic drugs. • Excessive pain might be due to overreaction of thalamus. Thalamic hand Wrist is pronated and flexed, MP joints are flexed and IP joints are extended with very little movements.
  • 14. Hypothalamus • It forms the floor and lateral wall of anterior part of 3rd ventricle. • It controls 3 system 1. Autonomic nervous system 2. Endocrine system 3. Limbic system (emotional brain) • Basically it has major role in maintaining homeostasis.
  • 15. • Tuber cinerium • Median eminence• Mammillary bodies Medial zone Lateral zone
  • 16. Lateral zone is mainly occupied by long lateral nucleus (Hunger center) 4 regions 1. Pre optic 2. Supra-optic 3. Tuberal 4. Mammillary
  • 17. Ant-Post division 1. Preoptic region 2. Supraoptic region 3. Tuberal region 4. Mammillary region
  • 18. Preoptic region 1. Preoptic nucleus Supra-optic region 1. Anterior nucleus 2. Supra optic nucleus 3. Suprachiasmatic nucleus 4. Paraventricular nucleus Tuberal region 1. Dorsomedial nucleus 2. Ventromedial nucleus 3. Arcuate nucleus Mammillary region 1. Posterior nucleus 2. Mammillary nucleus
  • 19. Preoptic region 1. Preoptic nucleus GnRH FSH LH
  • 20. Supra-optic region 1. Supra-chiasmatic nucleus 2. Anterior nucleus 3. Supra-optic nucleus 4. Paraventricular nucleus Functions 1. Circadian rhythm 2. AC (cooling mechanism) 3. ADH & oxytocin hormone HHT- hypothalamo-hypophyseal tract
  • 21. Tuberal region 1. Arcuate nucleus 2. Ventromedial nucleus 3. Dorsomedial nucleus Functions 1. Releasing factors 2. Satiety & reward center 3. Savage behavior
  • 22. Mammillary region 1. Mammillary nucleus 2. Posterior nucleus Functions 1. • Behavior • Part of papez circuit 2. • Heating center • Sympathetic center
  • 23. Afferent connection • Visual afferent • Corticohypothalmic • Fornix • Stria terminalis • Thalamohypothalamic tract • Tegmental fibers
  • 24. Efferent connection • Descending hypothalamic tract • Mammillothalamic tract • Mammillotegmental tract • HHT
  • 25. Conclusion • Thalamus acts as relay and integrative station for all the sensory information except smell. • Hypothalamus lies anterior to and inferior to the thalamus. It is center of integration of autonomic and endocrine function. • Both thalamus and hypothalamus makes the boundaries of 3rd ventricle. • Both thalamus and hypothalamus also play a role in memory and emotion. There are many nuclei and it is very hard to remember… But not impossible !!!!!!!!!