• Sign Up

Neuroanatomy, Hippocampus


Neuroanatomy, Hippocampus

Article Author:
Leslie Fogwe
Article Author:
Vamsi Reddy
Article Editor:
Fassil Mesfin
Updated:
8/10/2020 5:16:45 PM
For CME on this topic:
Neuroanatomy, Hippocampus CME
PubMed Link:
Neuroanatomy, Hippocampus

Introduction

The hippocampus is the "flash drive" of the human brain and often associated with memory consolidation and decision making, but it is far more complex in structure and function than a flash drive. The hippocampus is a convex elevation of gray matter tissue within the parahippocampal gyrus inside the inferior temporal horn of the lateral ventricle. One can describe it more holistically as a curved and recurved sheet of the cortex that folds into the temporal lobe's medial surface. The hippocampus has three distinct zones: the dentate gyrus, the hippocampus proper, and the subiculum—the dentate gyrus and hippocampus proper form two C-shaped rings that interlock. The subiculum is thus a transition zone, linking the hippocampus proper with the dentate gyrus. The parahippocampal gyrus and cingulate sulci are located on the medial surface of the hemisphere, forming a C-shaped ring. The medial temporal lobe cortex includes major subdivisions such as the hippocampus and the entorhinal cortex. This five centimeter-long hippocampus (from the anterior end at amygdala to posterior end near the splenium of the corpus callosum) divides into a head, body, and tail.[1] the head is expanded and bears two or three shallow grooves called pes hippocampi. The head of the hippocampus is part of the posterior half of the triangular uncus and is separated inferiorly from the parahippocampal gyrus by the uncal sulcus. The alveus, which is the surface of the hippocampus, is covered by the ependymal inside the ventricular cavity.

The fornix, which is the main outflow bundle out of the hippocampus, wraps around the thalamus, where it then becomes separated by the choroidal fissure and the choroid plexus. The hippocampus contains parts like the fimbria, crus, body, and column—the fimbria forms where alveus fibers converge along the medial portion of the lateral ventricle's inferior horn. The white matter of the fimbria separates to form a crux of the ipsilateral fornix at a point beyond the splenium of the corpus callosum. The Cornu Ammonis (CA) is a seahorse-like or ram's horn-like structure that describes the different layers of the hippocampus. There are four hippocampal subfields CA1, CA2, CA3, and CA4. CA3 and CA2 border the hilus of the dentate gyrus on either side. CA3 is the largest in the hippocampus and receives fibers from the dentate granule cells on their proximal dendrites[2]. The pyramidal cell layer is about ten cells thick.

Structure and Function

Three phases of memory include the (1) registration, (2) storage, and (3) retrieval of information. The hippocampus, parahippocampal region of the medial temporal lobe, and the neocortical association have been shown through the autopsy and imaging studies to be essential for memory processing. Impairment of short-term memory leading up to an inability to form new memories occurs when there is bilateral damage to the above mention regions[3]. The hippocampus is closely associated with the amygdala, hypothalamus, septum, and mammillary bodies such that any stimulation of the nearby parts also marginally stimulates the hippocampus. There are also high outgoing signals from the hippocampus, especially through the fornix into the anterior thalamus, hypothalamus, and greater limbic system. The hippocampus is also very hyperexcitable, meaning it can sustain weak electrical stimulate into a long, sustained stimulation that helps in encoding memory from olfaction, visual, auditory, and tactile senses.

In lower animals, the hippocampus helps them determine if they will eat certain foods, based on olfactory discernment, avoid danger; respond to sexual invites through pheromones, or react to life and death decisions. The hippocampus is a site for decision making and committing information to memory for future safety uses. Thus it has a mechanism to convert short-term memory into long-term memory, consolidating the verbal and symbolic thinking into information that can be accessed when needed for decision making. 

Embryology

The hippocampus originates in the isocortex as part of the fifth limbic lobe of the brain in the cerebral hemisphere's medial surface. It is also considered part of the olfactory cortex.[4] It is drawn to the temporal lobe by a strand of fibers called the fornix. Choroid fissure helps the choroid plexus invaginate into the lateral ventricle. The hippocampus itself is a mammalian innovation, while the isocortex as a whole is part of the phylogenetical ancient brain. The hippocampus is a deep structure hidden between the mesencephalon and the medial aspect of the temporal lobe. Three important changes are necessary for the complex shape and location of the hippocampus

  1. Rotation of the lateral parts of the developing telencephalon dorsocaudally, then ventrally and rostrally, forming the parietal, occipital, and temporal lobes.
  2. The hippocampal sulcus then invaginates into the medial wall of the temporal lobe
  3. Finally, the hippocampal sulcus rotates along a longitudinal axis of the hippocampus, forming a complex structure that is present in the medial aspect of the temporal lobe.

Blood Supply and Lymphatics

The anterior choroidal artery runs medially and superiorly to the uncus, between the ambient and semilunar gyrus.[1] It then sends perforating arteries to reach deeper structures. The uncus is closely related to the M1 segment of the middle cerebral arteries and its lenticulostriate arteries.

The P2 segment of the posterior cerebral artery and the basal vein supplies and drains the caudal part of the head of the hippocampus that faces the crus cerebri and crural cistern.[5]

Internal cerebral veins drain into thalamostriatal basal ganglia, thalamus, internal capsule, tela choroidea of 3 ventricles, and hippocampus. The veins on each side unite to form the internal cerebral vein.

Surgical Considerations

A hippocampectomy is a surgical procedure to excise the hippocampus in patients with medial temporal epilepsy due to hippocampal sclerosis[6]. The hippocampus is complex and has a deep location compared to other complex structures. Subpial resection of the hippocampus and perhaps some surrounding structures, like the amygdaloid complex and parahippocampal gyrus, is recommended in this procedure while avoiding lesions to important surrounding landmarks. The hippocampus is only viewable from the inferior horn of the lateral ventricle, which makes a resection especially challenging and complex.

Clinical Significance

Alzheimer's disease is accompanied by early dysfunction and loss of synapses, prominently affecting excitatory transmission in the hippocampus and cerebral cortex.[7] These changes may contribute to memory loss. The loss of neuronal population specifically glutamatergic neurons in the entorhinal cortex and pyramidal neurons of the CA1 sector of the hippocampus are also seen in the seen in Alzheimer’s disease. These pyramidal neurons of the CA1 sector are also more selectively vulnerable to global cerebral ischemia with the severity of pathology depending on the ischemic duration. This abnormalities can be seen on the CA1 field on MRI[8].If a coma persists for less than 12 hours (brief ischemia) it might cause reversible bilateral encephalopathies to the thalamus or hippocampus. Patients with brief ischemia will present with transient confusion or amnesia upon awakening. Some patients may show severe anterograde or variable retrograde amnesia with or without confabulations.

Vascular dementia is the second most common cause of dementia after Alzheimer’s[9]. It can be caused by multiple large cortical infarcts, strategic infarcts involving the hippocampus or thalamus. 



(Click Image to Enlarge)
The Hind-brain or Rhombencephalon, Superficial dissection of brain-stem; Lateral view, External Capsule, Hippocampus, Superior colliculus, Inferior colliculus, Ventral Spinocerebellar fasciculus
The Hind-brain or Rhombencephalon, Superficial dissection of brain-stem; Lateral view, External Capsule, Hippocampus, Superior colliculus, Inferior colliculus, Ventral Spinocerebellar fasciculus
Contributed by Gray's Anatomy Plates

(Click Image to Enlarge)
Horizontal section of right cerebral hemisphere, Genu of Corpus callosum, Anterior cornua of lateral ventricle, Caudate nucleus, Septum pellucidum, Internal capsule (frontal part), Column of fornix, Genu of internal capsule, Putamen, Globus pallidus, Internal capsule (occipital part), Thalamus, Tail of caudate nucleus, Hippocampus, Inferior cornua of lateral ventricle, Area striata, Posterior cornua of lateral ventricle, Optic Radiation, Insula, Claustrum, External capsule
Horizontal section of right cerebral hemisphere, Genu of Corpus callosum, Anterior cornua of lateral ventricle, Caudate nucleus, Septum pellucidum, Internal capsule (frontal part), Column of fornix, Genu of internal capsule, Putamen, Globus pallidus, Internal capsule (occipital part), Thalamus, Tail of caudate nucleus, Hippocampus, Inferior cornua of lateral ventricle, Area striata, Posterior cornua of lateral ventricle, Optic Radiation, Insula, Claustrum, External capsule
Contributed by Gray's Anatomy Plates

(Click Image to Enlarge)
Diagram of the fornix, Body of Fornix, Hippocampal commissure, Crus fornicis, Fimbria, Uncus, Hippocampus, Anterior Pillars of Fornix
Diagram of the fornix, Body of Fornix, Hippocampal commissure, Crus fornicis, Fimbria, Uncus, Hippocampus, Anterior Pillars of Fornix
Contributed by Gray's Anatomy Plates

References

[1] Abuhasan Q,Siddiqui W, Neuroanatomy, Amygdala 2018 Jan;     [PubMed PMID: 30725787]
[2] Daugherty AM,Bender AR,Raz N,Ofen N, Age differences in hippocampal subfield volumes from childhood to late adulthood. Hippocampus. 2016 Feb     [PubMed PMID: 26286891]
[3] Kizilirmak JM,Schott BH,Thuerich H,Sweeney-Reed CM,Richter A,Folta-Schoofs K,Richardson-Klavehn A, Learning of novel semantic relationships via sudden comprehension is associated with a hippocampus-independent network. Consciousness and cognition. 2019 Feb 11;     [PubMed PMID: 30763808]
[4] Wang EW,Du G,Lewis MM,Lee EY,De Jesus S,Kanekar S,Kong L,Huang X, Multimodal MRI evaluation of parkinsonian limbic pathologies. Neurobiology of aging. 2019 Jan 16;     [PubMed PMID: 30739076]
[5] Spallazzi M,Dobisch L,Becke A,Berron D,Stucht D,Oeltze-Jafra S,Caffarra P,Speck O,Düzel E, Hippocampal vascularization patterns: A high-resolution 7 Tesla time-of-flight magnetic resonance angiography study. NeuroImage. Clinical. 2018 Nov 19;     [PubMed PMID: 30581106]
[6] Uda T,Kunihiro N,Nakajo K,Kuki I,Fukuoka M,Ohata K, Seizure freedom from temporal lobe epilepsy with mesial temporal lobe tumor by tumor removal alone without hippocampectomy despite remaining abnormal discharges on intraoperative electrocorticography: Report of two pediatric cases and reconsideration of the surgical strategy. Surgical neurology international. 2018;     [PubMed PMID: 30283714]
[7] Li N,Li Y,Li LJ,Zhu K,Zheng Y,Wang XM, Glutamate receptor delocalization in postsynaptic membrane and reduced hippocampal synaptic plasticity in the early stage of Alzheimer's disease. Neural regeneration research. 2019 Jun;     [PubMed PMID: 30762016]
[8] Bhusal A,Rahman MH,Lee IK,Suk K, Role of Hippocampal Lipocalin-2 in Experimental Diabetic Encephalopathy. Frontiers in endocrinology. 2019;     [PubMed PMID: 30761088]
[9] Tan B,Fox S,Kruger C,Lynch M,Shanagher D,Timmons S, Investigating the healthcare utilisation and other support needs of people with young-onset dementia. Maturitas. 2019 Apr     [PubMed PMID: 30797527]