CHAPTER 11 Basal ganglia
The functional nuclei of the basal ganglia (BG) include:
The circuitry between these functional nuclei forms several pathways, the direct, indirect and hyperdirect, the arrangement of which can be seen in Figure 11.1. The BG is also topographically arranged with each body part represented relative to its innervations.
In basic terms, the BG functions as a selection processor by filtering the vast amount of input it receives and selecting an appropriate response in relation to both novel and well learned movement sequences. By the same process it is also instructive in terms of the planning, initiation and execution of these movements. This filtering occurs through the interaction of the three pathways described above on the output nucleus, the GPi. It is estimated that 1 million cortical cells synapse upon each GPi cell.
As well as the motor loop shown in Figure 11.1, there are three other loops within the BG which have their origins in different cortical areas and carry out specific functions via similar circuitry. Although previously described as discrete parallel loops, recent evidence indicates that there is a high level of interaction between these loops. However, the selection function described above is true for all of them, the motor loop (voluntary movement or learning), the limbic loop (emotions) and the associative loop (cognition and sensory integration). Based on its anatomical connections with the nociceptive system, the BG is also considered crucial in pain modulation. It appears that the interaction of several of these loops make it possible for the BG to influence several dimensions of pain (sensory discrimination, affective and cognitive) as well as the modulation of pain itself via its filtering role.
The pre-frontal cortex (S2.7) provides an idea for movement, a goal, based upon the internal and external environment. A relevant movement plan is selected from learned stored programmes in the supplementary motor area (SMA) and pre-motor area (PMA) (S2.7). At this stage, the BG assists in the selection of an appropriate plan, its initiation and termination. The selected plan is returned to the SMA and PMA for future reference and to the primary motor cortex from which the plan is executed via the descending tracts (S2.14).
The anatomical connections of the three pathways within the BG can be seen in Figure 11.1. Before exploring the detailed workings of how the BG achieves its function, a brief description of the role of each pathway is necessary. In essence, the direct pathway allows the selected motor programme through to the thalamus and is responsible for initiating the plan, while the indirect pathway halts any unwanted motor programmes and terminates the plan. These two pathways are also modulated by the SNpc circuit at the level of the striatum (Fig. 11.1). The neurotransmitter dopamine released by the SNpc cells has the opposite effect on the neurons of each pathway. It is excitatory to the direct pathway, reinforcing its action and is inhibitory to the indirect pathway so reducing its action. In both cases, this results in more chance of a motor programme being released to the thalamus when the SNpc neurons are active. Recent evidence has indicated the existence of a third pathway termed the hyperdirect (Fig. 11.1) which links the cortex directly to the STN and on to the GPi. This pathway is considered to be faster conducting than either the direct or indirect pathways. Its role is the same as the indirect pathway. Ultimately, it is the balance of activity between these three pathways at the GPi that acts as the filtering system to ensure the appropriate selection of a movement programme. The relative contribution of each of these pathways is at present unknown.
The intricate circuitry of the BG is highly complex but the following highlights the basics in a normal nervous system.
There is no input from the cortex but as the GPi is spontaneously active it therefore switches off (inhibits) any thalamic activity. The result is no movement.
There is stimulation from the cortex. The cortex is sending motor programmes to the BG for correct selection and implementation. This occurs as follows:
Recent evidence suggests that the BG is also involved in motor learning. The dopaminergic neurons of the SNpc are thought to have the ability to induce neuroplastic changes in the neurons between the cortex and the striatum. These changes are facilitated in line with reward/reinforcement of a successful voluntary movement with synaptic efficacy being increased within the relevant pathways (direct, indirect and hyperdirect). Therefore, during future use the successful programme will be selected more automatically.
References and Further Reading
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Cunnington R, Windischberger C, Deecke L, et al. The preparation and execution of self-initiated and externally-triggered movement: a study of event related fMRI. Neuroimage. 2002;15:373-385.
Cunnington R, Windischberger C, Moser E. Premovement activity of the presupplementary motor area and the readiness for action: studies of time-resolved event-related functional MRI. Human Movement Science. 2005;24:644-656.
Elsinger CL, Harrington DL, Rao SM. From preparation to online control: reappraisal of neural circuitry mediating internally generated and externally guided actions. Neuroimage. 2006;31:1177-1187.
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Jankowski J, Scheef L, Hüppe C, et al. Distinct striatal regions for planning and executing novel and automated movement sequences. Neuroimage. 2009;44:1369-1379.
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