The hypothalamus is a small region beneath the thalamus, weighing only about 4 grams, that acts as the master controller of the body's internal environment. It regulates temperature, hunger, thirst, sleep, circadian rhythm, stress responses and reproduction, mainly by controlling the pituitary gland and the autonomic nervous system.
| Location | Floor and lower side walls of the third ventricle, below the hypothalamic sulcus, extending from the optic chiasm to the mammillary bodies |
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| Blood Supply | Branches of the circle of Willis (anterior cerebral, anterior and posterior communicating, posterior cerebral arteries); Superior hypophyseal arteries |
Maintains homeostasis by controlling hormone release from the pituitary, autonomic activity, body temperature, appetite, thirst, sleep-wake cycles and basic emotional and reproductive behaviour.
Hypothalamic damage from tumours, surgery, trauma or radiation can cause diabetes insipidus, hypothalamic obesity, temperature instability, sleep disturbance and hypopituitarism. Hypothalamic hamartoma causes gelastic (laughing) seizures and early puberty. Many signs of illness, such as fever, are set by the hypothalamus.
Failure of vasopressin production or release after hypothalamic or stalk damage, causing large volumes of dilute urine and intense thirst.
Rapid, hard-to-control weight gain after damage to the hypothalamic centres that regulate appetite and energy balance, often after craniopharyngioma treatment.
A benign developmental mass of hypothalamic tissue that causes gelastic seizures and sometimes precocious puberty.
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