Neuroanatomy, Substantia Nigra - StatPearls - NCBI Bookshelf - Deepstash
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Substantia Nigra

The substantia nigra (SN) is a midbrain dopaminergic nucleus which has a critical role in modulating motor movement and reward functions as part of the basal ganglia circuitry. Projections from the SN to the putamen, called the nigrostriatal pathway, are critically involved in the motor deficits observed in Parkinson disease. These dopaminergic neural projections leave the SN via the medial forebrain bundle and forming synapses on multiple neuronal populations throughout the basal ganglia, but especially in the putamen.

The substantia nigra is classically considered to be the primary input into the basal ganglia circuitry and a critical element to these functions. When these subcortical nuclei are damaged such as in stroke or during neurodegeneration, a multitude of neurological conditions can result, including Parkinson disease, Huntington disease, Tourette syndrome, schizophrenia, attention-deficit hyperactivity disorder, and obsessive-compulsive disorder.

Located within the midbrain posterior to the crus cerebri fibers of the cerebral peduncle, the substantia nigra can be functionally and morphologically divided into two regions, the pars compacta containing dopaminergic neurons and the pars reticulata with inhibitor gamma-aminobutyric acid-containing (or GABAergic) neurons.

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Clinical Notes

The substantia nigra is a critical brain region for the production of dopamine and this neurochemical affects many systems of the central nervous system ranging from movement control, cognitive executive functions, and emotional limbic activity. A loss of the dopaminergic neurons of the substantia nigra leads to Parkinson disease, and the symptoms of this disease can be treated using dopamine-supplementation approaches. One such treatment is the oral administration of L-DOPA, the precursor in the biological synthesis of dopamine which has the ability to cross the blood-brain barrier and be used to synthesize dopamine within the central nervous system. The inhibition of the metabolic breakdown of dopamine is also pharmaceutically possible, called monoamine oxidase inhibitors. Dopamine can is replaceable with dopamine receptor agonists such as apomorphine, pramipexole, and ropinirole, but the effects are short-lived and systemic side effects such as emesis and increased sympathetic tone are common.

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