Basal ganglia: Direct and indirect pathway of movement

64,614views

Basal ganglia: Direct and indirect pathway of movement

TERM 2 - NB2

TERM 2 - NB2

Syringomyelia
Anatomy clinical correlates: Spinal cord pathways
Spinal cord disorders: Pathology review
Syringomyelia: Year of the Zebra
Anatomy of the brainstem
Anatomy of the diencephalon
Anatomy of the limbic system
Anatomy of the white matter tracts
Anatomy clinical correlates: Cerebellum and brainstem
Cranial nerve pathways
Anatomy of the ascending spinal cord pathways
Anatomy of the descending spinal cord pathways
Anatomy clinical correlates: Vertebral canal
Anatomy of the basal ganglia
Anatomy of the ventricular system
Spina bifida
Movement disorders: Pathology review
Ascending and descending spinal tracts
Pyramidal and extrapyramidal tracts
Somatosensory pathways
Somatosensory receptors
Brown-Séquard syndrome: Year of the Zebra
Brown-Sequard Syndrome
Muscle spindles and golgi tendon organs
Central nervous system histology
Spinal infection and abscess: Clinical sciences
Spinal muscular atrophy
Skin histology
Neurocutaneous disorders: Pathology review
Approach to differentiating lesions (motor neuron): Clinical sciences
Approach to differentiating lesions (nerve root, plexus, and peripheral nerve): Clinical sciences
Approach to weakness (focal and generalized): Clinical sciences
Neuromuscular junction disorders: Pathology review
Approach to differentiating lesions (neuromuscular junction): Clinical sciences
Neuromuscular junction and motor unit
Myasthenia gravis: Clinical sciences
Neuromuscular blockers
Corynebacterium diphtheriae (Diphtheria)
Poliovirus
Lambert-Eaton myasthenic syndrome
Myasthenia gravis
Myasthenia gravis: Year of the Zebra 2024
Inflammatory myopathies: Clinical sciences
Basal ganglia: Direct and indirect pathway of movement
Parkinson disease
Anatomy clinical correlates: Cerebral hemispheres
Anatomy of the cerebellum
Cerebellum
Eye conditions: Retinal disorders: Pathology review
Coats disease: Year of the Zebra 2024
Eye conditions: Refractive errors, lens disorders and glaucoma: Pathology review
Photoreception
Approach to acute vision loss: Clinical sciences
Optic pathways and visual fields
Vestibular transduction
Auditory transduction and pathways
Kluver-Bucy syndrome
Childhood and early-onset psychological disorders: Pathology review
Approach to neurodevelopmental disorders: Clinical sciences
Approach to diplopia: Clinical sciences

Flashcards

Basal ganglia: Direct and indirect pathway of movement

0 of 7 complete

Transcript

Watch video only

The basal ganglia or basal nuclei is a structure located deep within the brain, and it’s made up of a group of nuclei - so millions of nerve cell bodies.

Put simply, the cerebral cortex decides how it wants to move the body and sends that input to the basal ganglia, and then the basal ganglia’s job is to help execute a smooth movement.

The basal ganglia are actually two pairs of deep structures - one on the left side and one on the right side of the brain.

Each pair consists of the globus pallidus, which has the internal globus pallidus and the external globus pallidus, and the striatum - which includes the caudate nucleus and the putamen.

The basal ganglia is linked to other brain structures, like the ventral anterior nuclei and ventral lateral nuclei of the thalamus, as well as the substantia nigra of the midbrain.

The basal ganglia can help start, stop, and control desired movements, while also inhibiting undesired movements.

As an example, when you walk, you have to move one leg at a time - so the basal ganglia help one leg to step forward, while inhibiting the other leg, so that it’s stationary - and that prevents you from falling!

Additionally, the basal ganglia is involved in perception.

Let’s take a look at this picture as an example. You can either see a rabbit - with its two long ears - or a duck, with its beak. And you can choose which animal to see, but you can’t see both simultaneously, because the basal ganglia stimulates the vision of one, while it inhibits the vision of the other one. For this reason, the brain can only perceive one image at a time.

For the basal ganglia to work, nearly the entire cerebral cortex projects onto the striatum.

The striatum then projects onto the thalamus, and from there neurons head back to the cerebral cortex through two pathways: the direct pathway - which is excitatory - and the indirect pathway, which is inhibitory.

So the direct pathway and indirect pathway have to be carefully balanced to control smooth movement.

Now, there are two main neurotransmitters involved in these pathways: the excitatory neurotransmitter glutamate, and the inhibitory neurotransmitter GABA.

In the direct pathway, the cerebral cortex sends excitatory projections to the striatum.

Then, the striatum sends inhibitory projections to the internal globus pallidus.

Then, the internal globus pallidus sends inhibitory projections to the thalamus, which is usually in an active state.

With this setup, if the striatum inhibits the internal globus pallidus, then the internal globus pallidus cannot inhibit the thalamus - the two negatives cancel out. As a result, the thalamus is free to send excitatory projections to the motor cortex and this initiates voluntary movements.

In the indirect pathway, the cerebral cortex sends excitatory projections to the striatum once again.

But this time, the striatum sends inhibitory projections to the external globus pallidus, rather than the internal globus pallidus.

Sources

  1. "Medical Physiology" Elsevier (2016)
  2. "Physiology" Elsevier (2017)
  3. "Human Anatomy & Physiology" Pearson (2018)
  4. "Principles of Anatomy and Physiology" Wiley (2014)
  5. "Conditional routing of information to the cortex: A model of the basal ganglia’s role in cognitive coordination." Psychological Review (2010)
  6. "Basal ganglia contributions to motor control: a vigorous tutor" Current Opinion in Neurobiology (2010)