2002
DOI: 10.1152/nips.01363.2001
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The Basal Ganglia and Disorders of Movement: Pathophysiological Mechanisms

Abstract: The basal ganglia are part of a neuronal network organized in parallel circuits. The "motor circuit" is most relevant to the pathophysiology of movement. Abnormal increment or reduction in the inhibitory output activity of basal ganglia give rise, respectively, to poverty and slowness of movement (i.e., Parkinson's disease) or dyskinesias.

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Cited by 71 publications
(106 citation statements)
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“…The direct pathway, which acts to increase excitatory output from the thalamus to the cortex, contains mainly D 1 dopamine receptors. In contrast, the indirect pathway, which acts to decrease excitatory output from the thalamus to the cortex, contains mainly D 2 dopamine receptors (Obeso, Rodriguez-Oroz, Rodriguez, Arbizu, & Gimenez-Amaya, 2002). Normal motor behavior appears to depend on a balance between the output of the direct and indirect pathways, a balance that both facilitates desired movements and inhibits potentially competing movements.…”
Section: Discussionmentioning
confidence: 99%
“…The direct pathway, which acts to increase excitatory output from the thalamus to the cortex, contains mainly D 1 dopamine receptors. In contrast, the indirect pathway, which acts to decrease excitatory output from the thalamus to the cortex, contains mainly D 2 dopamine receptors (Obeso, Rodriguez-Oroz, Rodriguez, Arbizu, & Gimenez-Amaya, 2002). Normal motor behavior appears to depend on a balance between the output of the direct and indirect pathways, a balance that both facilitates desired movements and inhibits potentially competing movements.…”
Section: Discussionmentioning
confidence: 99%
“…The extent of thalamic activity is increased or decreased by proximal components of the basal nuclei, predominantly the medial globus pallidus (mgp) and substantia nigra pars reticulata (snr). 3,15,39,77 These two nuclei utilize GABA and inhibit thalamic nuclei. Therefore, net cortical activity is the product of innate thalamic activity inhibited to varying degrees by the mgp and snr.…”
Section: Basal Motor Tonementioning
confidence: 99%
“…4C) also begins with excitatory, glutaminergic projections from the cerebral cortex to the striatum. 3,15,77 To engage the indirect pathway, striatal neurons that utilize enkephalin and GABA are activated. These project to and inhibit the lgp.…”
Section: 77mentioning
confidence: 99%
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“…Slowed movement (bradykinesia) is a prominent symptom of hypodopaminergic states, whether induced acutely with supratherapeutic doses of dopamine-blocking neuroleptic drugs (Fleminger, 1992;Breier et al, 2002) or by chronic lesions of dopamine pathways (Denny-Brown, 1968;Marsden, 1989;Breier et al, 2002;Obeso et al, 2002). Although bradykinesia is ultimately caused by abnormal development of muscle force (Berardelli et al, 2001), the link from dopamine dysfunction to peripheral dynamics remains poorly understood.…”
Section: Introductionmentioning
confidence: 99%