Neuroendocrinology

19


Neuroendocrinology


Sean Barber and Jaime Gasco


19.1 Circumventricular Organs


What is a unique feature of the circumventricular organ’s blood–brain barrier (BBB) capillaries?


They are fenestrated (the BBB is essentially absent).1


What are the functions of the seven circumventricular organs?


1. Subfornical organ: role in regulation of bodily fluid1


2. Vascular organ of the lamina terminalis: may detect proteins and amino acids in the blood


3. Median eminence: hypothalamic-releasing hormones are produced and released here


4. Posterior lobe of pituitary (neurohypophysis): release of oxytocin and ADH


5. Subcommissural organ: function unknown2


6. Pineal gland: regulates circadian rhythms, releases melatonin


7. Area postrema: induces vomiting3


Which is the only paired circumventricular organ?


The area postrema4


19.2 Hypothalamus


19.2.1 Anterior


Above which structure does the anterior hypothalamus lie?


Optic chiasm (known as the chiasmatic region of the hypothalamus)


Which nuclei are contained within the anterior hypothalamus?


Medial and lateral preoptic nuclei, supraoptic nucleus, lateral nucleus, paraventricular nucleus, anterior nucleus, suprachiasmatic nucleus


Which nucleus is responsible for bodily temperature regulation?


Anterior nucleus5


Which nuclei contain the magnocellular neurosecretory cells?


Paraventricular and supraoptic nuclei contain large cells (magnocellular), which are responsible for the production and release of oxytocin and vasopressin, respectively.


To which portion of the pituitary (hypophysis) do the paraventricular and supraoptic nuclei project?


Posterior pituitary


Which anterior-region hypothalamic nucleus mediates circadian rhythms?


Suprachiasmatic nucleus6


19.2.2 Posterior


Which nuclei are contained within the posterior hypothalamus?


Mammillary bodies, posterior nucleus, and lateral nucleus


The posterior hypothalamic nucleus is continuous posteriorly with what midbrain structure?


Periaqueductal gray matter


19.2.3 Lateral


Which nuclei are contained within the lateral tuberal hypothalamus?


Lateral nucleus, lateral tuberal nuclei, and tuberomammillary nucleus


Which nucleus is responsible for the sensation of hunger?


Lateral nuclei


19.2.4 Medial


Which nuclei are contained within the medial tuberal hypothalamus?


Dorsomedial and ventromedial nuclei, arcuate (infundibular) nucleus


Which nucleus is involved with the sensation of satiety?


Ventromedial nucleus7


Which nucleus is involved with the rage response?


Dorsomedial nucleus


Which medial tuberal hypothalamic nucleus secretes small peptides known as hypothalamic-releasing and -inhibiting hormones?


Arcuate nucleus and other median eminence nuclei


Which vessel carries the hypothalamic-releasing and -inhibiting hormones from the median eminence to the anterior pituitary (adenohypophysis)?


The portal vein


19.2.5 Hypothalamic Input/Output Pathways


Which fibers are present in the stria terminalis?


Efferent fibers from the amygdala to the septal nuclei and anterior hypothalamus and reciprocal projections from the hypothalamus to the amygdala



image


Fig. 19.1 Sagittal view of stria terminalis.

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Jul 2, 2016 | Posted by in NEUROSURGERY | Comments Off on Neuroendocrinology

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