1. From a clinical point of view the most important connections of the thalamus are those of theventral posterior nucleus. We have seen that this nucleus is divisible into ventral posterolateraland ventral posteromedial parts (that are sometimes mentioned as separate nuclei). This nucleus
receives the terminations of the major sensory pathways ascending from the spinal cord and brainstem (Fig. 13.5b). These include the medial lemniscus, the spinothalamic tracts, the trigeminal lemniscus and the solitariothalamic fibres carrying sensations of taste. Within the nucleus fibres from different parts of the body terminate in a definite sequence. The fibres from the lowest parts of the body end in the most lateral part of the nucleus. The medial lemniscus and spinothalamic tracts carrying sensations from the limbs and trunk end in the ventral posterolateral part; while the trigeminal fibres (from the head) end in the ventral posteromedial part, which also receives the fibres for taste. Different layers of cells within the nucleus respond to different modalities of sensation.
All the sensations reaching the nucleus are carried primarily to the sensory area of the cerebral cortex (SI, areas 3,2,1) by fibres passing through the posterior limb of the internal capsule (superior thalamic radiation). They also reach the second somatosensory area (SII) located in the parietal operculum (of the insula).
2. Theventral lateral nucleusis divisible intoanterior, posterior and medial parts. Each part has distinct connections (Fig. 13.6).
The anterior part of the nucleus receives fibres from the globus pallidus and projects to the premotor and supplemental motor areas of the cerebral cortex.
The medial part receives afferents from the substantia nigra; and gives off a diffuse projection reaching many areas of the cerebral cortex.
3. The connections of theventral anterior nucleusare largely unknown. It probably receivesfibres from the globus pallidus and cerebellar nuclei, and sends efferents to the cerebral cortex (parietal lobe, anterior part). Its functions are unknown.
1. The lateral dorsal nucleus receives impulses from the superior colliculus (Fig. 13.7). Efferent projections reach the cingulate gyrus, the parahippocampal gyrus, and parts of the hippocampal formation. Some fibres reach the cortex of the parietal lobe.
2. The lateral posterior nucleus receives fibres from the superior colliculus. Efferents reach the cerebral cortex of the superior parietal lobule. They also reach the cingulate and parahippocampal gyri.
3. Thepulvinaris divisible into medial, lateral, and inferior parts. (An anterior, or oral, part is also described). All parts receive fibres from the superior colliculus. The inferior part of the pulvinar also receives direct fibres from the retina. It is believed that the entire retina is represented in this part. Efferents from the pulvinar project to extrastriate visual areas in the occipital and parietal lobes; and to visual association areas in the posterior part of the temporal lobe. The inferior part of the pulvinar is thus a centre in an extrageniculate pathway from the retina to the cerebral cortex. However, the projections of the pulvinar to non-visual areas of the cerebral cortex suggest complex functions that may involve recognition and memory.
1. Theanterior nucleusreceives fibres fromthe mamillary body through the mamillothalamic tract. Efferent fibres project to the gyrus cinguli (areas 23, 24, 32).Integrity of this pathway is necessary for recent memory. Some other connections of the nucleus are shown in Fig. 13.8. Anterior thalamic nuclei are probably involved in functions involving attention and memory.
2. Themedial dorsal nucleusis divisibleinto a smaller magnocellular part (placed anteromedially), and a larger parvocellular part (placed posterolaterally). The connections of the nucleus are shown in Fig. 13.9. The nucleus is involved in controlling emotional states. Damage to the nucleus leads to decrease in anxiety, tension and aggression. These functions are similar to those of the prefrontal cortex.
3. Intralaminar nuclei: There are severalnuclei in this group divided into subgroups, anterior and posterior. The posterior subgroup includes the large centromedian nucleus. The nuclei of this group receive inputs from the body through collaterals of spinothalamic tracts (Fig. 13.10). Fibres are also received from the reticular formation, the cerebellar nuclei, and the substantia nigra. The centromedian nucleus receives many fibres from the globus pallidus.
Efferents from intralaminar nuclei reach the cerebral cortex. Those from the anterior subgroup are diffuse reaching many parts of the cortex. Those from the posterior group project to the motor, premotor and supplemental motor areas. Efferents also reach the striatum. Functions of these nuclei are not known.
4. Themidline nucleiconsist of several small groups of neurons (but there is controversyregarding the groups to be included under this heading). The connections of the nuclei (shown in Fig. 13.11) are mainly with the limbic system. Afferents include noradrenergic, serotoninergic and cholinergic bundles ascending from the brainstem. The midline nuclei probably play a role in memory and arousal.
The intralaminar, midline and reticular nuclei, have in the past, been grouped together as nonspecificthalamic nuclei. In the past they have been regarded as part of the ascending reticular activatingsystem which is believed to be responsible for maintaining a state of alertness. They have been described as receiving afferents from the reticular formation (mainly gigantocellular nucleus and ventral reticular nucleus of the medulla; caudal reticular nucleus of pons) and projecting to all parts of the cerebral cortex. Recent investigations have shown, however, that there is no validity in dividing thalamic nuclei into specific and unspecific.
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