Mammillothalamic tract

{{Infobox anatomy

| Name = Mammillothalamic tract

| Latin = tractus mammillothalamicus

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The mammillothalamic tract (MMT) (also mammillary fasciculus, mammillothalamic fasciculus, thalamomammillary fasciculus, bundle of Vicq d'Azyr) is an efferent pathway of the mammillary bodies which project to the anterior nuclei of the thalamus. The mammillothalamic tract is part of the Papez circuit (involved in spatial memory), starting and finishing in the hippocampus.Shah, A., Jhawar, S. S., & Goel, A. (2012). Analysis of the anatomy of the Papez circuit and adjoining limbic system by fiber dissection techniques. [Article]. Journal of Clinical Neuroscience, 19(2), 289-298. {{doi|10.1016/j.jocn.2011.04.039}}. The fibers of the MMT are heavily myelinated.{{Cite book |last=Patestas |first=Maria A. |title=A Textbook of Neuroanatomy |last2=Gartner |first2=Leslie P. |date= |publisher=Wiley-Blackwell |year=2016 |isbn=978-1-118-67746-9 |edition=2nd |location=Hoboken, New Jersey |pages=434}}{{cite journal|pmc=4462591|year=2015|last1=Dillingham|first1=C. M|title=How do mammillary body inputs contribute to anterior thalamic function?|journal=Neuroscience & Biobehavioral Reviews|volume=54|pages=108–119|last2=Frizzati|first2=A|last3=Nelson|first3=A. J|last4=Vann|first4=S. D|doi=10.1016/j.neubiorev.2014.07.025|pmid=25107491}}{{cite journal|pmc=2936113|year=2010|last1=Aggleton|first1=J. P|title=Hippocampal–anterior thalamic pathways for memory: Uncovering a network of direct and indirect actions|journal=European Journal of Neuroscience|volume=31|issue=12|pages=2292–2307|last2=O'Mara|first2=S. M|last3=Vann|first3=S. D|last4=Wright|first4=N. F|last5=Tsanov|first5=M|last6=Erichsen|first6=J. T|doi=10.1111/j.1460-9568.2010.07251.x|pmid=20550571}}

It arises from the medial and lateral nuclei of the mammillary bodies, and from fibers that are directly continued from the fornix of the hippocampus.{{cite journal|pmc=4462591|year=2015|last1=Dillingham|first1=C. M|title=How do mammillary body inputs contribute to anterior thalamic function?|journal=Neuroscience & Biobehavioral Reviews|volume=54|pages=108–119|last2=Frizzati|first2=A|last3=Nelson|first3=A. J|last4=Vann|first4=S. D|doi=10.1016/j.neubiorev.2014.07.025|pmid=25107491}}{{cite journal|pmc=2936113|year=2010|last1=Aggleton|first1=J. P|title=Hippocampal–anterior thalamic pathways for memory: Uncovering a network of direct and indirect actions|journal=European Journal of Neuroscience|volume=31|issue=12|pages=2292–2307|last2=O'Mara|first2=S. M|last3=Vann|first3=S. D|last4=Wright|first4=N. F|last5=Tsanov|first5=M|last6=Erichsen|first6=J. T|doi=10.1111/j.1460-9568.2010.07251.x|pmid=20550571}} It connects the mammillary bodies to the dorsal tegmental nuclei, the ventral tegmental nuclei, and the anterior thalamic nuclei.{{cite book|author=Haines DE|year=2003|title=Neuroanatomy: Atlas of Structures, Sections, and Systems, 6th ed (page 148)|publisher=Lippincott Williams & Wilkins|isbn=978-0781746779|url=https://books.google.com/books?id=xP-kmKiziAQC&pg=PA148}}

Structure

Mammillothalamic tract in the [[Papez circuit|thumb]]

Axons divide within the gray matter; the thicker fibres form the MTT while the finer branches descend as the mammillotegmental fasciculus. The MTT spreads fan-like as it terminates in the medial dorsal nucleus. The axons from these nuclei form part of the thalamocortical radiations.{{cite journal | last1=Kamali | first1=Arash | last2=Zhang | first2=Caroline C. | last3=Riascos | first3=Roy F. | last4=Tandon | first4=Nitin | last5=Bonafante-Mejia | first5=Eliana E. | last6=Patel | first6=Rajan | last7=Lincoln | first7=John A. | last8=Rabiei | first8=Pejman | last9=Ocasio | first9=Laura | last10=Younes | first10=Kyan | last11=Hasan | first11=Khader M. | title=Diffusion tensor tractography of the mammillothalamic tract in the human brain using a high spatial resolution DTI technique | journal=Scientific Reports | volume=8 | issue=1 | date=2018-03-27 | issn=2045-2322 | pmid=29588461 | pmc=5869722 | doi=10.1038/s41598-018-23452-w | page=5229| bibcode=2018NatSR...8.5229K }}

Function

The mammillary bodies directly or indirectly connect to the amygdala, hippocampus, and thalami as major structures in the limbic system. The mammillothalamic tract carries signals from the mammillary bodies via the anterior thalamus to support spatial memory.

Clinical significance

Infarction of the region including the mammillothalamic tract has been associated with acute Korsakoff syndrome.{{cite journal |vauthors=Yoneoka Y, Takeda N, Inoue A, etal |title=Acute Korsakoff syndrome following mammillothalamic tract infarction |journal=AJNR Am J Neuroradiol |volume=25 |issue=6 |pages=964–8 |year=2004 |pmid=15205131 |url=http://www.ajnr.org/content/25/6/964.long}}

History

The mammillothalamic tract was first described by the French physician, Félix Vicq d'Azyr, from whom it takes its alternate name (bundle of Vicq d'Azyr).

See also

References

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