The mammillary bodies are two small round swellings on the underside of the brain, behind the pituitary stalk and in front of the cerebral peduncles. Anatomically they are part of the posterior hypothalamus, but they belong functionally to the limbic system. They receive the fornix and project to the anterior thalamic nucleus through the mammillothalamic tract.
| Location | Ventral surface of the brain in the interpeduncular fossa, posterior to the tuber cinereum |
|---|---|
| Parts |
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| Connections |
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| Blood Supply | Posterior communicating artery (perforating branches); Posterior cerebral artery (perforating branches) |
Relay memory information from the hippocampus to the thalamus as part of the Papez circuit.
The mammillary bodies are characteristically damaged in thiamine deficiency, as in chronic alcohol misuse, causing Wernicke encephalopathy (confusion, eye movement problems, unsteadiness) and later Korsakoff syndrome. They may appear shrunken on MRI. Early thiamine treatment prevents permanent memory loss.
Acute thiamine deficiency causing confusion, ophthalmoplegia and ataxia with damage to the mammillary bodies.
Lasting memory loss and confabulation following mammillary body and thalamic damage.
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