Chapter II The basal ganglia

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The basal ganglia are a major neural system that receive cortical inputs, process these inputs, and feed them back to the cortex via connections through the midbrain and thalamus. While most cortical areas provide inputs to the basal ganglia, including frontal, parietal, temporal, and limbic cortices, the thalamic feedback is directed principally to frontal cortical areas, including prefrontal, premotor, and supplementary motor areas. This thalamic feedback, which parallels ascending cerebellar connections through the thalamus to primary motor cortex, involves the basal ganglia in motor function. Diseases of the basal ganglia result in profound movement disorders. However, the complexity and variety of such disorders makes characterizing a typical function elusive. Hypokinetic disorders predominate in some diseases, such as in Parkinson's disease, whereas hyperkinetic disorders are typical in Huntington's chorea and Tourette's syndrome. Unlike the cortex in which neurons are distributed in distinct layers that aid in the characterization of functionally distinct areas, the principal components of the basal ganglia are characterized by a homogeneity of neuronal distribution.

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