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498        SecTioN iii    Neurology aNd Special SeNSeS  `  neurology—AnAtomy And Physiology                                            Neurology aNd Special SeNSeS  `  neurology—AnAtomy And Physiology





               Hypothalamus          Maintains homeostasis by regulating Thirst and water balance, controlling Adenohypophysis
                                       (anterior pituitary) and Neurohypophysis (posterior pituitary) release of hormones produced in
                                       the hypothalamus, and regulating Hunger, Autonomic nervous system, Temperature, and Sexual
                                       urges (TAN HATS).
                                     Inputs (areas not protected by blood-brain barrier): OVLT (senses change in osmolarity), area
                                       postrema (found in dorsal medulla, responds to emetics).
                Lateral nucleus      Hunger. Destruction Ž anorexia, failure   Lateral injury makes you Lean.
                                       to thrive (infants). Stimulated by ghrelin,
                                       inhibited by leptin.
                Ventromedial nucleus  Satiety. Destruction (eg, craniopharyngioma)   VentroMedial injury makes you Very Massive.
                                       Ž hyperphagia. Stimulated by leptin.
                Anterior nucleus     Cooling, parasympathetic.                 A/C = Anterior Cooling.
                Posterior nucleus    Heating, sympathetic.                     Heating controlled by Posterior nucleus
                                                                                (“Hot Pot”).
                Suprachiasmatic      Circadian rhythm.                         SCN is a Sun-Censing Nucleus.
                 nucleus

                Supraoptic and       Synthesize ADH and oxytocin.              SAD POX: Supraoptic = ADH, Paraventricular
                 paraventricular                                                = OXytocin
                 nuclei                                                        ADH and oxytocin are carried by neurophysins
                                                                                down axons to posterior pituitary, where these
                                                                                hormones are stored and released.
                Preoptic nucleus     Thermoregulation, sexual behavior. Releases   Failure of GnRH-producing neurons to migrate
                                      GnRH.                                     from olfactory pit Ž Kallmann syndrome.


               Thalamus             Major relay for all ascending sensory information except olfaction.
                nuClei         inPut                       senses                   destinAtion       mnemoniC
                 Ventral       Spinothalamic and dorsal    Vibration, Pain, Pressure,   1° somatosensory
                 Postero-       columns/medial lemniscus     Proprioception, Light   cortex
                 Lateral                                     touch, temperature
                 nucleus
                 Ventral       Trigeminal and gustatory    Face sensation, taste    1° somatosensory   Makeup goes on
                  postero-      pathway                                              cortex            the face
                 Medial
                 nucleus
                 Lateral       CN II, optic chiasm, optic tract  Vision             1° visual cortex   Lateral = Light
                  geniculate                                                         (calcarine sulcus)
                  nucleus
                 Medial       Superior olive and inferior   Hearing                 Auditory cortex of   Medial = Music
                 geniculate     colliculus of tectum                                 temporal lobe
                 nucleus

                 Ventral lateral  Cerebellum, basal ganglia  Motor                  Motor cortex
                 nucleus

















          FAS1_2019_12-Neurol.indd   498                                                                                11/8/19   7:39 AM
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