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OUTLINE
INTRODUCTION
HISTORICAL PERSPECTIVES
CLINICAL RELEVANCE
REFERENCES
INTRODUCTION
The Limbic system is a complex set of brain structures that lies on both sides
of the
thalamus, under the cerebrum.
Limbic system directly connects the lower and higher brain functions
together.
HISTORICAL PERSPECTIVE
Limbic lobe was first used by Paul Pierre Broca in 1878 19th Century French
Surgeon and anthropologist to delineate the tissues constituting the border
between neo cortex and diencephalon.
NB He called the limbic lobe the seat of the lower faculties which
predominates in the beast. The extra limbic mass (neo cortex) as seat of
superior faculties. Neuroanatomist called it rhinencephalon olfactory.
Paul Kluver and Heinrich Bucy in 1939 demonstrated that bilateral removal
of temporal lobes in monkey leads to hyperorality, decrease in
aggression, reduced threshold to Visual stimuli, in ability to recognize
familiar objects.
Paul D. Mclean 1949, expanded the Papez circuit to include the pre frontal
cortex, septum and amygdala, thus inventing the original version of Limbic
system.
Associated nuclei
Septal cortex:
Cortical area just below the knee of corpus callosum/subcallosal
gyrus, closely associated with septum pellucidum and septal nucleu
thus septal region septal cortex + septal pellucidum + septal
nucleus.
Hypocampal formation constituents
i. Hypocampus
ii. Dendate gyrus
iii. Subiculum transitional cortical area situated between the
hypocampus and parahypocampal gyrus
d. Cingualate (fornicate gyrus)
Bnodmann areas 24, 32
Cortical area over-lying corpus callosum
Note:
a. Septal nucleus
b. Amygdala
Septalnc
groupofneuronesunderneaththeseptal cortex.
Constituents:
Medialseptalnc
LateralSeptalnc
Ncaccumbenssepti
@headofcaudatencandlateralseptalnc
Lateralseptalncandnc.Accumbensreceivea
PowerfulDAinnervationfrommidbrain(MesolimbicDopaminergic
system).
Amygdala
Locatedinthepoleofthetemporallobedividedinto 2nc.Groups:
Corticomedialamygdaloid(CMA)
Basolateralamygdaloid(BLA)
CMAreceivesitsmajorinputfromlateralolf.Stria;
BLAcloselyrelatedtothecortexofthetemporal
Lobe.
AssociatedLimbicnc
Receiveinputsfromcorticalandsubcorticallimbicareashencethey
areincludedinlimbicsystem.
Membersofassociatednc:
1. antnc.ofthalamus
2. ncofmamillarybodyof hypothalamus
3. Habenularnc.ofepithalamus
4. Midbraintegmentum(RF)
5. Interpenduncularnc.
ConnectionsofLS
Connectionswithinthesystem(intrinsiccircuitary)
Inputstothesystem
Outputsfromthesystem
Intrinsiccircuitary
AllpartsoftheLimbicsystemareinterconnected
Mostimportantconnectionisbetweenamygdalaandhippocampus.
Amygdala(striateminalis)Septalregion
supracallosalgyrus(longitudinalstriae)
Dentategyrushippocampus.
Hippocampus(Fornix)Septalregion(diagonalbandofBroca)
amygdala.
Inputsintothesystem
Inputsarereceivedintothesystemfromeverysensorysystem.
OlfactorysystemiscloselyconnectedtotheamygdalaandtheUncusof
thehippocampus
andparahippocampalgyrus.
MostsensorycollateralsreachtheseptalregionviatheMedial
ForebrainBundle(MFB).
(MFB=multineuronalpathwayascendingfrommidbrainthroughthelateral
hypothalamus).
Theneocortexofthetemporallobeisalsoconnectedtothesystem
OutputsfromLS
Originateeitherfromhippocampusoramygdala
Fromhippocmpus:
Hippocampusfornixncofmamillarybody
Frommamillarybody:
Mamillotegmentaltract(VicqdAzyr)AT
MamillotegmentaltractRFofmidbrain
MultineuronalconnectionsotherHypothalamicnc
Tocompletethecircuit:
ATCingulategyrushippocampusthus:
Hippocampus(Fornix)Mamillarybody
ThalamusCingulategyrushippocampus
Thisisthefamousreverberatingcircuitsuggested
byPapezin1937asbasistheforemotionalbehaviour.
Becausethecingulategyrusisconnectedtomost
Neocorticalareasthroughintercortical
connections,thePapezcircuitformthelink
betweentheLimbicsystemandneocortex.
FromAmygdala:
StriaMedullarisHabenularncIP(ofmidbrainvia
fasc.Retrof.Meynett)RF.
Summary
OutputsaresentfromtheLimbicsystemtothe
followingstructuresofthebrain:
(1) TheNeocortex
(2)ThehypothalamusfromheretolowerautonomiccentreandtoHypophysis.
(3)BrainstemRF.Therefore,SensoryinformationfilteredthroughtheLimbic
systemcaninfluenceconsciousvoluntarysensorymotoractivity,autonomic
andendocrinefunctionsandgenerallevelofarousal.
The 1st c-shaped is made up of the hippocampus and the fornix while the
2nd c-shaped cingulate and parahippocampal gyri.
In summary, the Limbic system includes many structures in the cerebral pre-
cortex and sub-cortex of the brain.
HIPPOCAMPUS
hippos - horse
campus - seamonster
Described as seahorse or silkworm structures are bilateral.
Hippocampal formation comprises of hippocampus and related structures
such as subiculum, and dentate gyrus.
has three (3) cell layers of cortex which projects into
the floor of the lateral ventricles.
Inner polymorphic cell layer, middle pyramidal cell layer and outer molecular
layer.
Transition from six (6) cellular layer to three (3) cellular layer occur at the
subiculum located in the medial temporal lobe of the brain.
FUNCTIONS
DAMAGE
Memory loss: anterograde (inability to form or retain
new memories)
Disorientation.
CAUSES
Hypoxia, starvation, encephalitis, medial temporal lobe
Epilepsy.
Memory
Spatial Theory
FUNCTION
Conduit for messages to and from the inner limbic system.
C AMYGDALA COMPLEX
Almond-shaped collection of subcortical nuclei that lie in the anterior
pole of each temporal lobe, above the tip of the inferior horn of the
lateral ventricle.
FUNCTION
Explicit memory function responsible for influence on cognitive and
emotional functions.
Face recognition and inpt for making association across stimulus
modalities .
Stimulates the hippocampus to remember details surrounding the
situation.
Help in reward, fear and social functions-mating.
Damage to amygdala results in severe or gross behavioural (emotions,
cognitive and perceptual) abnormalities.
Kluver Bucy syndrome: visual agnosia/psychic blindness (inability to
recognise objects by sights strong oral tendencies.
Loss of fear and aggressiveness
Hypersexual misdirected sexual behaviour
CAUSES
Meningitis, temporal lobe surgery
D HYPOTHALAMUS
Electricalstimulationofamygdalaevokesaggressivebehaviour(anger,
rage)inanimalsandappearanceoforalmechanisms(sniffing,licking,biting,
swallowing).HippocampusandamygdalaandotherstructuresintheLSseem
toplaysignificantroleinviolentbehaviour.Awiderangeofclinicalconditions
(explosivepersonalitydisorder,antisocialpersonalityandpathological
intoxications)havebeencorrelatedwithEEGabnormalityintheLS.
Stimulationofhippocampusevokesrespiratoryandcardiovascular
changes,generalisedarousal,sexualresponses(erection)
Stimulationofseptalareacandecreaseaggressioninmonkeys.
Stimulationofcertainlimbicstructurescanbepleasurableforexperimental
animalshenceexperimentalanimalswithimplantedelectrodescanlearn
quicklyhowtopressleverwhenleverpressingisfollowedbyelectrical
stimulationofpleasurableareasoftheLimbicsystem(selfstimulation).
bilateralablationoftheoralpartsoftemporal lobes(lossofamygdala,
uncus,partsof
hippocampalformationresultsinkluverbucy syndrome(kluver&bucy
1939)characterised by:visualagnosia(inAbilitytorecognise objectby
sight),strongoraltendency,lossoffearandaggressivenesshypersexual
behaviour.
Inhumans,lesionswithintheLimbicsystemresultsindisorderof
memory:Shorttermmemoryisnotconsolidatedintolongtermmemory
Korsakoffssyndrome.
Thepathophysiologicalbasisofthisdisorderishaemorrhageinthemamillary
bodiesand/orotherpartsofthelimbicsystem.
Limbicdementia:
WhendamageisexclusivelytotheLimbicarea,
Gasion&Gilles1973,reportedbehavioural
alterations
Identicaltothoseseeninclassicaldementia
Limbicdementia.
Uncinatefits:
ConstellationofsymptomsseeninTLEarisingfrominvolvementofUncus:
olfactoryaura,involuntarymovements,sensationsofdjvuandjamaisvuare
accompaniedbychangesofbehaviourseeninschizophrenia.
LSandSchizophrenia
LSisparticularlyimplicatedinneuropathologicalstudiesofschizophrenia.
EugenBleulers4Asofschizophrenia:affect,associations,ambivalence&
autism,refertobrainfunctionsservedinpartbyLimbicsystem.
NeuropathologicalandMRIreportsinpersonswithschizophreniashowed
reducedvolumeofhippocampus,amygdala¶hippocampalgyrus.
StudieshaveassociatedschizophreniaandTLEin7%ofcasesstudied;schizmay
bealatesequelofatemporalepilepticfocus.
LimbicLeucotomy
Forreliefofchronicmentalillnessbyinterruptingconnectionsbetweenfrontal
cortexandthelimbicsystem.
Initialimprovementswerefollowedbygrowingevidenceofincreasingside
effectslikeintellectualimpairment,emotionallability,disinhibition,apathy,
incontinence,obesityandepilepsy.
Ithasbecomeratherunpopularworldwide.
REFERENCE
1. HandelmanWJ.StudentsAtlasof Neuroanatomy
Philadephia:WBSaunders; 1994:179.
3. SadockBJ,SadockVA.Functional NeuroanatomyIn:
SadockBJ,SadockVA.eds KaplanandSadock.Synopsis of
psychiatry 10 ed.Walter.
th
4. CompaniontoPsychiatricStudies.8th EditionbyJohnStone.