Internal capsule

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Brain: Internal capsule
Horizontal section of right cerebral hemisphere. (Capsula interna labeled at upper left.)
The motor tract.
Latin capsula interna
Gray's subject #189 836
NeuroNames hier-180
Dorlands/Elsevier c_07/12211417

The internal capsule is an area of white matter in the brain that separates the caudate nucleus and the thalamus from the lenticular nucleus.

It consists of axonal fibres that run between the cerebral cortex and the pyramids of the medulla.

Contents

The internal capsule is V-shaped when cut both coronally (on the same plane as the face) and horizontally/transversely (the same plane as the brim of a top hat).

When cut horizontally:

  • the bend in the V is called the "genu".
  • the part in front of the genu is the "anterior limb". or crus anterius.
  • the part behind the genu is called the "posterior limb" or crus posterius.

There is also a retrolenticular and a sublenticular part to the internal capsule.

  • The posterior limb of the internal capsule contains corticospinal fibers and sensory fibers from the body.

Blood supply is similar to the other structures of the region. Striate arteries, which come off the middle cerebral artery, enter through the anterior perforated substance in the base of the brain.

Infarctions to the internal capsule tend to be small, punctate lesions.

They can affect sensory and motor systems on the opposite side of the body, and possibly eyesight (to the contralateral visual field).

Hearing should not be affected in a single capsule lesion, as this information crosses over to both sides of the brain while in the brainstem.

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