Subthalamic Nucleus: Neuroanatomical Review
Arq. bras. neurocir; 39 (4), 2020
Publication year: 2020
Discovered in 1865 by Jules Bernard Luys, the subthalamic nucleus is a set of small
nuclei located in the diencephalon, inferior to the thalamus and superior to the
substantia nigra, that can be visualized in a posterior coronal section. Histologically, it
consists of neurons compactly distributed and filled with a large number of blood
vessels and sparse myelinated fibers. This review presents an analysis of this anatomical
region, considering what is most recent in the literature. Subthalamic neurons are
excitatory and use glutamate as the neurotransmitter. In healthy individuals, these
neurons are inhibited by nerve cells located in the side globus pallidus. However, if the
fibers that make up the afferent circuit are damaged, the neurons become highly
excitable, thus causing motor disturbances that can be classified as hyperkinetic, for
example ballism and chorea, or hypokinetic, for example Parkinson disease (PD). The
advent of deep brain stimulation has given the subthalamic nucleus great visibility.
Studies reveal that the stimulation of this nucleus improves themotor symptoms of PD.
Núcleo Subtalámico/anatomía & histología, Núcleo Subtalámico/anomalías, Núcleo Subtalámico/cirugía, Estimulación Encefálica Profunda/métodos, Enfermedad de Parkinson, Globo Pálido/anatomía & histología, Corteza Cerebral/anatomía & histología, Corteza Motora/anatomía & histología, Sustancia Negra/anatomía & histología, Cuerpo Estriado/anatomía & histología