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LIMBIC SYSTEM
sherlockradiology.com
Review
Terminology
• Definitions
Limbic lobe
• Phylogenetically older cortex
• Fewer layers than neocortex
• Major role in memory, olfaction, emotion
• Composed of
subcallosal, cingulate, parahippocampal
gyri + hippocampus, dentate
gyrus, subiculum, entorhinal cortex
Limbic system
• Limbic lobe
• Plus some subcortical structures (e.g.,
amygdala,mammillary bodies, septal
nuclei, etc.)
Gross Anatomy
• Overview
Limbic lobe
• formed by nested "C-shaped" arches of
tissues surrounding diencephalon, basal
ganglia
Outer arch
• Largest of the three arches
• Extends from temporal to frontal lobes, comprised of
- Uncus (anterior end of parahippocampal gyrus)
- Parahippocampal gyrus (swings medially at posterior
temporal lobe, becomes isthmus of cingulate gyrus)
- Cingulate gyrus (anterosuperior continuation of
parahippocampal gyrus)
- Subcallosal (paraolfactory area) is anteroinferior
continuation of cingulate gyrus
• Curves above callosal sulcus (continuous with
hippocampal sulcus of temporal lobe)
Middle arch
• Extends from temporal to frontal lobes,
comprised of
- Hippocampus proper (Ammon horn)
- Dentate gyrus
- Supracallosal gyrus (indusium griseum, a thin
strip of gray matter that extends from
dentate/hippocampus all the way around corpus
callosum to paraterminal gyrus)
- Paraterminal gyrus (below corpus callosum
rostrum)
• Curves over corpus callosum, below callosal
sulcus
Inner arch
• Smallest arch
• Extends from temporal lobe to mamillary
bodies
• Comprised of fornix, fimbria
Imaging Anatomy
• Overview
Hippocampus
• Curved structure on medial aspect of temporal lobe that
bulges into floor of temporal horn
• Consists of two interlocking "U-shaped" gray matter
structures
- Hippocampus proper (Ammon horn) forms more
superolateral, upside-down U
- Dentate gyrus forms inferomedial U
• Has three anatomic subdivisions
- Head (pes hippocampus): Most anterior part, oriented
transversely; has 3-4 digitations on superior surface
- Body: Cylindrical, oriented parasagittally
- Tail: Most posterior portion; narrows then curves
around splenium to form indusium griseum above corpus
callosum (CC)
Ammon horn (hippocampus
proper)
• Subdivided into four zones (based on histology of main cell
layers)
- CA1 (Sommer sector): Small pyramidal cells (most
vulnerable; commonly affected by anoxia, mesial temporal
sclerosis)
- CA2: Narrow, dense band of large pyramidal cells ("resistant
sector")
- CA3: Wide loose band of large pyramidal cells
- CA4 (end-folium): Loosely structured inner zone,enveloped
by dentate gyrus
• Blends laterally into subiculum
- Subiculum forms transition to neocortex of parahippocampal
gyrus (entorhinal cortex)
• Covered by layer of efferent fibers, the alveus
- Alveus borders temporal horn of lateral ventricle ventricle
- Forms fimbria → crus of fornix
Fornix
• Primary efferent system from hippocampus
• Four parts
- Crura (arch under CC splenium, form part of
medial wall of lateral ventricles)
- Commissure (connects crura)
- Body (formed by convergence of crura,
attached to inferior surface of septum
pellucidum)
- Columns (curve inferiorly to mammillary
bodies,anterior thalamus, mamillary bodies,
septal nuclei)
Amygdala
• Large complex of gray nuclei medial to
uncus, just in front of temporal horn of
lateral ventricle
• Tail of caudate nucleus ends in amygdala
• Major efferent is stria terminalis
- Stria terminalis arches in sulcus between
caudate nucleus, thalamus
- Forms one margin of choroid fissure
(other is fornix)
Imaging Pitfalls
• Normal variant is incomplete fusion of
hippocampal sulcus → CSF-containing
"cysts" along medial hippocampus
Reference
• Diagnostic and surgical imaging anatomy. Brain, head &
neck, spine /H. Ric Harnsbcrger... [et al.] ; managing
editor, Andre Macdonald. - - 1st ed. p.76-85 ; I cm.

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Limbic system

  • 3. Limbic lobe • Phylogenetically older cortex • Fewer layers than neocortex • Major role in memory, olfaction, emotion • Composed of subcallosal, cingulate, parahippocampal gyri + hippocampus, dentate gyrus, subiculum, entorhinal cortex
  • 4. Limbic system • Limbic lobe • Plus some subcortical structures (e.g., amygdala,mammillary bodies, septal nuclei, etc.)
  • 6. Limbic lobe • formed by nested "C-shaped" arches of tissues surrounding diencephalon, basal ganglia
  • 7. Outer arch • Largest of the three arches • Extends from temporal to frontal lobes, comprised of - Uncus (anterior end of parahippocampal gyrus) - Parahippocampal gyrus (swings medially at posterior temporal lobe, becomes isthmus of cingulate gyrus) - Cingulate gyrus (anterosuperior continuation of parahippocampal gyrus) - Subcallosal (paraolfactory area) is anteroinferior continuation of cingulate gyrus • Curves above callosal sulcus (continuous with hippocampal sulcus of temporal lobe)
  • 8. Middle arch • Extends from temporal to frontal lobes, comprised of - Hippocampus proper (Ammon horn) - Dentate gyrus - Supracallosal gyrus (indusium griseum, a thin strip of gray matter that extends from dentate/hippocampus all the way around corpus callosum to paraterminal gyrus) - Paraterminal gyrus (below corpus callosum rostrum) • Curves over corpus callosum, below callosal sulcus
  • 9. Inner arch • Smallest arch • Extends from temporal lobe to mamillary bodies • Comprised of fornix, fimbria
  • 11. Hippocampus • Curved structure on medial aspect of temporal lobe that bulges into floor of temporal horn • Consists of two interlocking "U-shaped" gray matter structures - Hippocampus proper (Ammon horn) forms more superolateral, upside-down U - Dentate gyrus forms inferomedial U • Has three anatomic subdivisions - Head (pes hippocampus): Most anterior part, oriented transversely; has 3-4 digitations on superior surface - Body: Cylindrical, oriented parasagittally - Tail: Most posterior portion; narrows then curves around splenium to form indusium griseum above corpus callosum (CC)
  • 12. Ammon horn (hippocampus proper) • Subdivided into four zones (based on histology of main cell layers) - CA1 (Sommer sector): Small pyramidal cells (most vulnerable; commonly affected by anoxia, mesial temporal sclerosis) - CA2: Narrow, dense band of large pyramidal cells ("resistant sector") - CA3: Wide loose band of large pyramidal cells - CA4 (end-folium): Loosely structured inner zone,enveloped by dentate gyrus • Blends laterally into subiculum - Subiculum forms transition to neocortex of parahippocampal gyrus (entorhinal cortex) • Covered by layer of efferent fibers, the alveus - Alveus borders temporal horn of lateral ventricle ventricle - Forms fimbria → crus of fornix
  • 13. Fornix • Primary efferent system from hippocampus • Four parts - Crura (arch under CC splenium, form part of medial wall of lateral ventricles) - Commissure (connects crura) - Body (formed by convergence of crura, attached to inferior surface of septum pellucidum) - Columns (curve inferiorly to mammillary bodies,anterior thalamus, mamillary bodies, septal nuclei)
  • 14. Amygdala • Large complex of gray nuclei medial to uncus, just in front of temporal horn of lateral ventricle • Tail of caudate nucleus ends in amygdala • Major efferent is stria terminalis - Stria terminalis arches in sulcus between caudate nucleus, thalamus - Forms one margin of choroid fissure (other is fornix)
  • 15. Imaging Pitfalls • Normal variant is incomplete fusion of hippocampal sulcus → CSF-containing "cysts" along medial hippocampus
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  • 41. Reference • Diagnostic and surgical imaging anatomy. Brain, head & neck, spine /H. Ric Harnsbcrger... [et al.] ; managing editor, Andre Macdonald. - - 1st ed. p.76-85 ; I cm.