Perspectives on disease
The functional anatomy of basal ganglia disorders

https://doi.org/10.1016/0166-2236(89)90074-XGet rights and content

Abstract

Basal ganglia disorders are a heterogeneous group of clinical syndromes with a common anatomic locus within the basal ganglia. To account for the variety of clinical manifestations associated with insults to various parts of the basal ganglia we propose a model in which specific types of basal ganglia disorders are associated with changes in the function of subpopulations of striatal projection neurons. This model is based on a synthesis of experimental animal and post-mortem human anatomic and neurochemical data. Hyperkinetic disorders, which are characterized by an excess of abnormal movements, are postulated to result from the selective impairment of striatal neurons projecting to the lateral globus pallidus. Hypokinetic disorders, such as Parkinson's disease, are hypothesized to result from a complex series of changes in the activity of striatal projection neuron subpopulations resulting in an increase in basal ganglia output. This model suggests that the activity of subpopulations of striatal projection neurons is differentially regulated by striatal afferents and that different striatal projection neuron subpopulations may mediate different aspects of motor control.

References (121)

  • C.D. Marsden

    Neurology

    (1982)
  • J. Yelnik et al.

    J. Comp. Neurol.

    (1984)
  • J. Yelnik et al.

    J. Comp. Neurol.

    (1987)
  • H.J.W. Nauta et al.

    Neuroscience

    (1982)
  • A. Parent

    Comparative Neurobiology of the Basal Ganglia

    (1986)
  • H. Nakanishi et al.

    Brain Res.

    (1987)
  • Y. Smith et al.

    Brain Res.

    (1988)
  • I. Grofova

    The Neostriatum

  • A.M. Graybiel et al.

    Exp. Brain Res.

    (1979)
  • L.D. Loopjuit et al.

    Brain Res.

    (1985)
  • M. DiFiglia

    J. Comp. Neurol.

    (1987)
  • S.R. Vincent

    J. Comp. Neurol.

    (1983)
  • S.R. Vincent et al.

    J. Comp. Neurol.

    (1983)
  • J.M. Kemp et al.

    Brain

    (1970)
  • A.B. Young et al.

    J. Neurosci.

    (1981)
  • K. Hartmann-Von Monakow et al.

    Exp. Brain Res.

    (1978)
  • S. Afsharpour

    J. Comp. Neurol.

    (1985)
  • G.B. Stanton et al.

    J. Comp. Neurol.

    (1988)
  • B. Rouzaire-Dubois et al.

    Neuroscience

    (1987)
  • A. Parent et al.

    Neuroscience

    (1983)
  • R.M. Beckstead

    J. Comp. Neurol.

    (1984)
  • G.J. Royce et al.

    J. Comp. Neurol.

    (1985)
  • C. Francois et al.

    Brain Res.

    (1989)
  • R.Y. Moore et al.

    Brain Res.

    (1971)
  • M.B. Carpenter

    Handbook of Physiology (Vol. 2: The Nervous System)

  • E.G. Jones

    The Thalamus

  • G.R. Schell et al.

    J. Neurosci.

    (1984)
  • T. Araki et al.

    Brain Res.

    (1976)
  • S.A. Kinnier-Wilson

    Modern Problems in Neurology

    (1929)
  • I. Shoulson

    Clin. Neuropharmacol.

    (1986)
  • J.B. Martin et al.

    New Engl. J. Med.

    (1986)
  • G.W. Padberg et al.

    Handbook of Clinical Neurology, Vol. 5(49), Extrapyramidal Disorders

  • J.R. Villablanca et al.

    Exp. Neurol.

    (1976)
  • S.A. Kinnier-Wilson

    Brain

    (1914)
  • O.J.S. Buruma et al.

    Handbook of Clinical Neurology, Vol. 5(49), Extrapyramidal Disorders

  • H.L. Klawans et al.

    New Engl. J. Med.

    (1976)
  • J. Jankovic
  • H.L. Klawans et al.

    Neurology

    (1972)
  • A. Barbeau

    Handbook of Clinical Neurology, Vol. 5(49), Extrapyramidal Disorders

  • J.W. Langston
  • S. Fahn et al.
  • C.D. Marsden et al.

    Brain

    (1985)
  • B.N. Malamud

    J. Pediatr.

    (1950)
  • A. Brun et al.

    Eur. J. Neurol.

    (1979)
  • J.C. Steele et al.

    Arch. Neurol.

    (1964)
  • A.B. Young

    Neurology

    (1986)
  • J.B. Penney et al.

    Annu. Rev. Neurosci.

    (1983)
  • H.S. Pan et al.

    J. Neurosci.

    (1983)
  • H.S. Pan et al.

    J. Neurochem.

    (1985)
  • S.L. Kitai

    Handbook of Physiology (Vol. 2, The Nervous System)

  • Cited by (4264)

    • The role of neuroactive steroids in tic disorders

      2024, Neuroscience and Biobehavioral Reviews
    View all citing articles on Scopus
    View full text