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Chapter 5: Cerebellum
James Knierim, Ph.D., Department of Neuroscience, The Johns Hopkins University
Coordination of voluntary movements. Most movements are composed of a number of different muscle groups acting together
in a temporally coordinated fashion. One major function of the cerebellum is to coordinate the timing and force of these different
muscle groups to produce fluid limb or body movements.
Motor learning. The cerebellum is important for motor learning. The cerebellum plays a major role in adapting and fine-tuning
motor programs to make accurate movements through a trial-and-error process (e.g., learning to hit a baseball).
Cognitive functions. Although the cerebellum is most understood in terms of its contributions to motor control, it is also involved
in certain cognitive functions, such as language. Thus, like the basal ganglia, the cerebellum is historically considered as part of the
motor system, but its functions extend beyond motor control in ways that are not yet well understood.
The cerebellum consists of two major parts (Figure 5.2A). The cerebellar deep nuclei (or cerebellar nuclei) are the sole output
structures of the cerebellum. These nuclei are encased by a highly convoluted sheet of tissue called the cerebellar cortex, which
contains almost all of the neurons in the cerebellum. A cross-section through the cerebellum reveals the intricate pattern of folds
and fissures that characterize the cerebellar cortex (Figure 5.3). Like the cerebral cortex, cerebellar gyri are reproducible across
individuals and have been identified and named. We will only be concerned with some of the larger divisions of the cerebellar
cortex.
Figure 5.2
(A) Cerebellar deep
nuclei and cerebellar
cortex in an idealized
brain section. (B)
External morphology of
the cerebellum.
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A B
Ante rio r lo be
Primary fis s ure
Ve rmis
Po s te rio r lo be
Ce re be llar c o rte x
Figure 5.3
Midsagittal cross-section
of cerebellum showing
the three primary lobes
of the cerebellum.
Divisions of the cerebellum. Two major fissures running mediolaterally divide the cerebellar cortex into three primary
subdivisions (Figure 5.2B and Figure 5.3). The posterolateral fissure separates the flocculonodular lobe from the corpus
cerebelli, and the primary fissure separates the corpus cerebelli into a posterior lobe and an anterior lobe (Figure 5.4). The
cerebellum is also divided sagittally into three zones that run from medial to lateral (Fig. 5.4). The vermis (from the Latin word for
worm) is located along the midsagittal plane of the cerebellum. Directly lateral to the vermis is the intermediate zone. Finally, the
lateral hemispheres are located lateral to the intermediate zone (there are no clear morphological borders between the
intermediate zone and the lateral hemisphere that are visible from a gross specimen).
c 2000 UTHS CH
Ve rmis
Po s te rio r lo be
Figure 5.4
Divisions of cerebellum. Click PLAY to see schematic “unfolding” of cerebellum.
Cerebellar nuclei. All outputs from the cerebellum originate from the cerebellar deep nuclei. Thus, a lesion to the cerebellar
nuclei has the same effect as a complete lesion of the entire cerebellum. It is important to know the inputs, outputs, and
anatomical relationships between the different cerebellar nuclei and the subdivisions of the cerebellum (Figure 5.5).
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1. The fastigial nucleus is the most medially located of
S pino c e rbe llum
the cerebellar nuclei. It receives input from the vermis Ce re bro c e re be llum
c e re bral c o rte x s pino c e re be llar trac t
and from cerebellar afferents that carry vestibular, re tic ular fo rmatio n
proximal somatosensory, auditory, and visual ve s tibular nuc le i
CEREBRO CEREBELLUM
information. It projects to the vestibular nuclei and the
reticular formation. SPINOCEREBELLUM
2. The interposed nuclei comprise the emboliform
nucleus and the globose nucleus. They are situated po ntine VESTIBULOCEREBELLUM
lateral to the fastigial nucleus. They receive input from middle nuc le i
SHOW ALL
the intermediate zone and from cerebellar afferents that ce re be lla r
carry spinal, proximal somatosensory, auditory, and pe duncle
visual information. They project to the contralateral red
infe riro
nucleus (the origin of the rubrospinal tract). ce re be lla r
3. The dentate nucleus is the largest of the cerebellar pe duncle
nuclei, located lateral to the interposed nuclei. It
receives input from the lateral hemisphere and from
cerebellar afferents that carry information from the
cerebral cortex (via the pontine nuclei). It projects to
the contralateral red nucleus and the ventrolateral
(VL) thalamic nucleus. Ve s tibulo c e re be llum
4. The vestibular nuclei are located outside the ve s tibular labyrith
cerebellum, in the medulla. Hence, they are not strictly inte rpos e d
cerebellar nuclei, but they are considered to be nucle i
ve s tibular nuc le i
functionally equivalent to the cerebellar nuclei because de ntate
their connectivity patterns are identical to the cerebellar nuc le us
nuclei. The vestibular nuclei receive input from the s upe rior
ce re be lla r fa s tigia l nucle us
flocculonodular lobe and from the vestibular labyrinth.
pe duncle
They project to various motor nuclei and originate the
VL re tic ular re d ve s tibulo s pinal
vestibulospinal tracts.
thalamus fo rmatio n nuc le us trac ts
In addition to these inputs, all cerebellar nuclei and all regions
of cerebellum get special inputs from the inferior olive of the
medulla (discussed below). late ral me dial
de s c e nding de s c e nding
It is convenient to remember that the anatomical locations of c 2000 UTHS CH trac ts trac ts
the cerebellar nuclei correspond to the cerebellar cortex
regions from which they receive input. Thus, the medially
located fastigial nucleus receives input from the medially Figure 5.5
located vermis; the slightly lateral interposed nuclei receive Input and output pathways of the cerebellum.
input from the slightly lateral intermediate zone; and the Click on the names of each cerebellum functional subdivision (cerebrocerebellum,
most lateral dentate nucleus receives input from the lateral spinocerebellum, and vestibulocerebellum) to view each pathway in isolation.
The cerebellar deep nuclei are the sole outputs of the cerebellum.
hemispheres.
Cerebellar peduncles. Three fiber bundles carry the input and output of the cerebellum.
1. The inferior cerebellar peduncle (also called the restiform body) primarily contains afferent fibers from the medulla, as
well as efferents to the vestibular nuclei.
2. The middle cerebellar peduncle (also called the brachium pontis) primarily contains afferents from the pontine nuclei.
3. The superior cerebellar peduncle (also called the brachium conjunctivum) primarily contains efferent fibers from the
cerebellar nuclei, as well as some afferents from the spinocerebellar tract.
Thus, the inputs to the cerebellum are conveyed primarily through the inferior and middle cerebellar peduncles, whereas the
outputs are conveyed primarily through the superior cerebellar peduncle. The inputs arise from the ipsilateral side of the body, and
the outputs also go to the ipsilateral side of the body. Note that this is true even for the outputs to the contralateral red nucleus.
Recall from the chapter on descending motor pathways that the rubrospinal tract immediately crosses the midline after the fibers
leave the red nucleus. Thus, cerebellar output to the red nucleus affects the ipsilateral side of the body by a double-crossed
pathway. Unlike the cerebral cortex, the cerebellum receives input from, and controls output to, the ipsilateral side of the body, and
damage to the cerebellum therefore results in deficits to the ipsilateral side of the body.
The anatomical subdivisions described above correspond to three major functional subdivisions of the cerebellum.
Vestibulocerebellum. The vestibulocerebellum comprises the flocculonodular lobe and its connections with the lateral
vestibular nuclei. Phylogenetically, the vestibulocerebellum is the oldest part of the cerebellum. As its name implies, it is involved
in vestibular reflexes (such as the vestibuloocular reflex; see below) and in postural maintenance.
Spinocerebellum. The spinocerebellum comprises the vermis and the intermediate zones of the cerebellar cortex, as well as
the fastigial and interposed nuclei. As its name implies, it receives major inputs from the spinocerebellar tract. Its output
projects to rubrospinal, vestibulospinal, and reticulospinal tracts. It is involved in the integration of sensory input with motor
commands to produce adaptive motor coordination.
Cerebrocerebellum. The cerebrocerebellum is the largest functional subdivision of the human cerebellum, comprising the lateral
hemispheres and the dentate nuclei. Its name derives from its extensive connections with the cerebral cortex, via the pontine
nuclei (afferents) and the VL thalamus (efferents). It is involved in the planning and timing of movements. In addition, the
cerebrocerebellum is involved in the cognitive functions of the cerebellum.
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Figure 5.6
Cerebellar circuitry. This basic pattern is repeated throughout all regions of the cerebellum.
Granule cells. Granule cells are very small, densely packed neurons that account for the huge majority of neurons in the
cerebellum. Indeed, cerebellar granule cells account for more than half of the neurons in the entire brain. These cells receive input
from mossy fibers and project to the Purkinje cells.
Figure 5.7
Front view of Purkinje
cell.
Click PLAY to see side
view of the Purkinje cell.
This view shows that the
cell is virtually flat in this
dimension. Note the
parallel fibers of the
granule cells that run
perpendicularly to the
PLAY
Purkinje cell.
Purkinje c e ll
c 2000 UTHS CH
Purkinje cells. The Purkinje cell is one of the most striking cell types in the mammalian brain. Its apical dendrites form a large fan
of finely branched processes (Figure 5.7). Remarkably, this dendritic tree is almost two-dimensional; looked at from the side, the
dendritic tree is flat (click PLAY on Figure 5.7). Moreover, all Purkinje cells are oriented in parallel. This arrangement has important
functional considerations, as we shall see below.
Other cell types. In addition to the major cell types (granule cells and Purkinje cells), the cerebellar cortex also contains various
interneuron types, including the Golgi cell, the basket cell, and the stellate cell.
Connectivity. The cerebellar cortex has a relatively simple, stereotyped connectivity pattern that is identical throughout the whole
structure. Figure 6 illustrates a simplified diagram of the connectivity of the cerebellum. Cerebellar input can be divided into two
distinct classes.
1. Mossy fibers originate in the pontine nuclei, the spinal cord, the brainstem reticular formation, and the vestibular nuclei,
and they make excitatory projections onto the cerebellar nuclei and onto granule cells in the cerebellar cortex. They are called
mossy fibers because of the tufted appearance of their synaptic contacts with granule cells. There is a large degree of
divergence in the mossy fiber-granule cell connection, as each mossy fiber innervates hundreds of granule cells. The granule
cells send axons up toward the cortical surface. Each axon bifurcates in the molecular layer, sending a collateral in opposite
directions. These fibers, called parallel fibers, run parallel to the folds of the cerebellar cortex, where they make excitatory
synapses with Purkinje cells along the way (Figure 5.7, rotated view after PLAY). The two-dimensional arbors of the Purkinje
cell dendrites are oriented perpendicular to the parallel fibers. Thus, the arrangement of Purkinje cells and parallel fibers
resembles telephone lines running between telephone poles. Each parallel fiber makes contact with hundreds of Purkinje cells;
because of the high degree of divergence of the mossy fiber-granule cell synapses, the firing of each Purkinje cell can be
influenced (disynaptically) by thousands of mossy fibers.
2. Climbing fibers originate exclusively in the inferior olive and make excitatory projections onto the cerebellar nuclei and
onto the Purkinje cells of the cerebellar cortex. They are called climbing fibers because their axons climb and wrap around
the dendrites of the Purkinje cell like a climbing vine. Each Purkinje cell receives a single, extremely powerful input from a
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single climbing fiber. In contrast to mossy fibers and parallel fibers, each climbing fiber contacts only 10 Purkinje cells on
average, making ~300 synapses with each Purkinje cell. Thus, the climbing fiber is a restricted, but extremely powerful,
excitatory input onto Purkinje cells.
The Purkinje cell is the sole source of output from the cerebellar cortex. It is important to note that Purkinje cells make
inhibitory connections onto the cerebellar nuclei. (Note the distinction between the Purkinje cells, which constitute the sole output
of the cerebellar cortex, and the cerebellar nuclei, which constitute the sole output of the entire cerebellum.) Almost all of the
spikes generated by the Purkinje cell are caused by its parallel-fiber inputs. These inputs cause the Purkinje cell to fire at a high
resting rate (~70 spikes/sec), tonically inhibiting its cerebellar nucleus targets. The powerful inputs from climbing fibers occur less
frequently (~1 spike/sec); thus, they have a minor influence on the overall firing rate of the Purkinje cell. The Purkinje cell spikes
that are generated by climbing fibers are calcium-spikes, however, which allow the climbing fibers to initiate a number of calcium-
dependent changes in the Purkinje cell. As described below, one important change appears to be a long-lasting change in the
strength of the parallel-fiber inputs to the Purkinje cell.
1. Decomposition of movement. Most of our movements involve the coordinated activity of many muscle groups and different
joints to produce a smooth trajectory of the body part through space. Patients with cerebellar dysfunction are unable to
produce these coordinated, smooth movements. Instead, they often break the movements down into their component parts in
order to execute the desired trajectory. For example, touching one’s finger to one’s nose requires the coordinated activity of
shoulder, elbow, and wrist joints. Cerebellar patients must first perform the shoulder movement, then the elbow movement,
and finally the wrist movement in sequence, rather than as one, uniform motion.
2. Intention tremor. When making a movement to a target, cerebellar patients often produce an involuntary tremor that
increases as they approach closer to the target. For example, if reaching for a cup, the hand starts out in a direct line toward
the cup; as it gets closer, however, the hand begins to move back and forth as it attempts to make contact with the cup.
3. Dysdiadochokinesia. Patients have difficulty performing rapidly alternating movements, such as hitting a surface rapidly and
repeatedly with the palm and back of the hand.
4. Deficits in motor learning. Experimental studies have demonstrated that cerebellar damage causes deficits in motor
learning in both human patients and experimental animals. One prominent experimental model is the vestibuloocular reflex
(VOR). This reflex allows us to maintain gaze on an object when the head is rotated (Figure 5.8). Vestibular signals detect
the head movement, and send signals through the cerebellum to the eye muscles to precisely counter the head rotation and
maintain a stable center of gaze. The motor commands to the eyes must be calibrated precisely with experience, and this
calibration appears to be the job of the cerebellum. Experiments have been performed in which subjects wore prisms that
magnified the visual image. When the subjects’ heads were moved, the VOR caused the visual image to shift on the retina
rather than remaining stable. Over days, however, the VOR slowly adjusted, such that the proper compensatory eye
movements were made to keep the retinal image stable when the head was rotated. In experimental animals, lesions to the
cerebellum prevent this adjustment of the VOR.
Figure 5.8
Vestibuloocular reflex (VOR) and cerebellar learning. Click PLAY to
begin demonstration. Under normal conditions, when a human or
animal subject rotates the head back and forth, the eyes rotate in
an equal and opposite direction in order to keep the image stable on
the retina. The vestibular system provides the input regarding the
head movement, and the motor system has to learn the precise
output commands in order to keep the image stable. When
magnifying glasses are placed on the animal, the eyes do not move
fast enough to compensate for the increased speed of movement of
the magnified image, and thus the image moves along the retina
(termed “retinal slip”) in the direction opposite to the movement of
the head. Over time, however, the motor system learns to move the
eyes faster (e.g., the gain of the eye movement command is
increased), and the image becomes stable again. When the goggles
are removed, the eyes now move too quickly, causing retinal slip in
the same direction as head movement. With time, the system will
learn to calibrate the VOR again. Patients and experimental animals
with damage to the vestibulocerebellum are not able to adapt their
VOR to the addition and removal of the goggles, demonstrating the
role of the cerebellum in this form of motor learning.
A second example of cerebellum-dependent motor learning involves the execution of accurate, coordinated movements. Subjects
wore prism goggles that shifted the visual image to the right, and they were asked to then throw balls at a target on the wall.
Because of the prisms, the accuracy of the subjects was initially quite low, as the balls consistently hit to the left of the target. With
repeated practice, however, the subjects became more and more accurate at hitting the target. When the goggles were removed,
the subject now began to throw the balls to the right of the target, because their motor programs had been recalibrated to use the
shifted visual input. Over time, once again, they gradually increased their accuracy. Patients with cerebellar damage never learned
to compensate for the prism, as their balls always landed to the left of the target when the goggles were worn. When the goggles
were removed, they were immediately accurate at hitting the target, because they never made compensations for the earlier prism
trials.
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A third example involves the Pavlovian classical conditioning of the eye blink reflex. In this task, a neutral stimulus (such as a tone)
is paired with a noxious stimulus (such as a puff of air to the eye) that causes a reflexive eye blink. Over time, experimental
animals will learn to close their eye when the tone occurs, in anticipation of the air puff. This learned eyelid closure is remarkably
well-timed to peak at the expected time of the puff. Animals with cerebellar damage do not learn to produce the eyelid closure in
response to the tone.
In a feedback controller, a desired output is compared continuously with the actual output, and adjustments are made during the
execution of the movement until the actual movement matches the desired movement. A common example of a feedback control
system is the thermostat in your home (Figure 5.9).
Feedback control systems work well only when the sensory feedback about the actual output is fast relative to the actual output. If
the actual output is faster than the sensor’s ability to provide feedback, then the system will tend to oscillate between overshooting
and undershooting the desired output. Thus, a feedback controller is useful for slow movements, like postural adjustments. The role
of the myotatic reflex in posture maintenance is an example of a feedback controller in the spinal cord, and the cerebellum plays a
role in coordinating these postural adjustments. Feedback control is not effective for most of the fast movements we make routinely
(such as an eye movement or reaching out for a cup). For these movements, a feedforward controller is needed.
In a feedforward control system, when a desired output is sent to the controller, the controller evaluates sensory information
about the environment and about the system itself before the output commands are generated. It uses the sensory information to
program the best set of instructions to accomplish the desired output. However, in a pure feedforward system, once the commands
are sent, there is no way to alter them (i.e., there is no feedback loop). The advantage of a feedforward system is that it can
produce the precise set of commands for the effector without needing to constantly check the output and make corrections during
the movement itself. The main disadvantage, however, is that the feedforward controller requires a period of trial-and-error learning
before it can function properly. In most biological systems, it is hard (perhaps impossible) to pre-program all of the possible
sensory conditions that the controller may encounter during the life of the organism. Furthermore, the environment and conditions
under which actions are made are constantly changing, and the feedforward controller must be able to adapt its output commands
to account for these changes.
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Figure 5.10
A feedforward control system is needed for fast movements,
because a feedback system is too slow.
Let us extend the thermostat example to see how a temperature controller operating as a feedforward system would work to raise
the temperature of a room from 70° to 75°. The controller would use diverse sensory information about the environment before
sending its command to the furnace (Figure 5.10). For example, it would read the current temperature, the current humidity level,
the size of the room, the number of people in the room, and so forth. Based on this information, it would direct the furnace to turn
on for a pre-set period of time, and that’s it. There would be no need to continually compare the current temperature with the
desired setting, as the system has predetermined how long the furnace needs to be working in order to achieve the desired
temperature. How did the controller obtain this information? A feedforward controller requires a large amount of experience in
order to learn the appropriate actions needed for each set of environmental conditions. If on one trial it turns the furnace off too
soon and the room does not reach the desired temperature, it adjusts its programming such that the next time it encounters the
same environmental conditions, it turns the furnace on for a longer period of time. Through many such instances of trial and error
learning, the feedforward system creates a “look-up table” that tells it how long the furnace needs to be active under the current
conditions. The key distinction between a feedback and feedforward system is that the feedback system uses sensory information
to generate an error signal during the control of a movement, whereas a feedforward system uses sensory information in advance
of a movement. Any error signal about the final output is used by the feedforward system only to change its programming of future
movements.
The cerebellar involvement in the VOR may be explained in terms of the learning requirements of a feedforward controller. When
the head moves, a compensatory eye movement must be made to maintain a stable gaze. The cerebellum receives sensory input
from the vestibular system informing it that the head is moving. It also receives input from eye muscle proprioceptors and other
relevant sources of information about current conditions in order to make an accurate compensatory eye movement. It evaluates all
of this advance sensory information and calculates the proper eye movement to exactly counterbalance the head movement. What
if the eye movement does not match the head movement, however, and the visual image moves across the retina (such as in the
experimental condition in which a prism was worn, or in a real-life situation in which an individual wears new prescription
eyeglasses)? The retinal slip constitutes an error signal to tell the cerebellum that next time these conditions are met, adjust the
eye movement to decrease the retinal slip. This trial and error sequence will be repeated until the movement is properly calibrated;
moreover, these mechanisms will ensure that the movements stay calibrated.
As another example, the coordination of movements requires that muscle groups be activated in precise temporal sequence. Not
only do the different joints need to be coordinated temporally, but even antagonist muscles that control the same joint need precise
temporal coordination. For example, an extensor muscle needs to be activated to start a reaching movement, and the
corresponding flexor muscle needs to be activated at the end of the movement to stop the movement appropriately. The precise
timing of muscle contractions and the force necessary for each contraction varies with the amount of load placed on a muscle, as
well as on the inherent properties of the muscle itself (e.g., elasticity). These variables are constantly changing throughout life, as
one grows, gains/loses weights, and ages. Moreover, a similar movement will require different patterns of motor activity depending
on the weight being born by the muscle (for example, if an extended hand is empty or holding a heavy weight). The cerebellum
appears necessary for the proper timing and coordination of muscle groups, very likely through a trial-and-error learning
mechanism discussed previously. Such a role helps explain the deficits seen in dysdiadochokinesia, in which patients cannot
perform rapidly alternating sequences of movements.
It is believed that the mossy fiber inputs to the cerebellum convey the sensory information used to evaluate the overall sensory
context of the movement. Mossy fibers are known to respond to sensory stimuli; they are also correlated with different movements
(Figure 5.11). These fibers convey such information as: Where are the appropriate body parts (proprioceptors), what is the current
load on the muscle (proprioceptors, somatosensory receptors, etc.), what other sensory information can predict a useful response
(e.g., the tone in the eye blink conditioning), what are the desired movements (motor cortex). The error signal is believed to be
conveyed by the climbing fiber inputs. Climbing fibers are known to be especially active when an unexpected event occurs, such
as when a greater load than expected is placed on a muscle or when a toe is stubbed. Thus, the large divergence of input from the
mossy fibers to the granule cells to the parallel fibers is believed to create complex representations of the entire sensory context at
present and the desired motor output. When the desired output is not achieved, the climbing fibers signal this error and trigger a
calcium spike in the Purkinje cell. The influx of calcium changes the connection strengths between parallel fibers and Purkinje cells,
such that the next time the same behavioral context occurs, the motor output will be modified to more closely approximate the
desired output.
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Ce re be llar c o rte x
Purkinje c e ll
Mossire
De s ydfibe rs
o utput;
(fro m multiple
e s e ns o sryo urc e s ) Ce re be llar
Ce re be llum advanc
de e p nuc le i
input info rmatio n
Climbing fibe rs
e rro r s ig nal
(fro m infe rio r o live )
Ce re be llum o utput
Figure 5.12
0:00
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Question 2 A B C D E
A. Red nucleus
B. Purkinje cells
C. Basal ganglia
D. Thalamus
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