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Dysfunction of diencephalic, midline, brain stem and nonspecific brain structures

 
, medical expert
Last reviewed: 07.07.2025
 
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Brain dysfunction is a serious pathology in which the functional state of the brain is disrupted. This causes neuropsychiatric disorders and headaches. The disease can be congenital or acquired. The cause may be difficult childbirth, complicated pregnancy, poor care of the newborn, various injuries, infections.

The picture of the pathology is usually generally visible from childhood, but with age it can change significantly. The maximum severity of the pathology is observed by the time the child needs to go to school. It can have various consequences, ranging from mild mental and behavioral disorders to severe organic brain damage with impaired consciousness, blood circulation, breathing, and consciousness.

To diagnose a brain dysfunction, it is necessary to undergo a comprehensive examination, which includes an examination, questioning the patient, conducting laboratory and instrumental studies, functional tests. If several diseases have similar features, they must be differentiated. Then, based on the data obtained, appropriate treatment is prescribed.

Dysfunction of brain structures

It can manifest itself in different ways. The severity of symptoms is determined by the localization of the pathological process, the place where the function is most impaired. However, all types of pathology have some similar features. First of all, dysfunction can be recognized by the very peculiar appearance of the patient. Bone structures are subject to significant changes, the child has pronounced asthenia - damage to the muscles of the tongue, which disrupts speech development. All this can be accompanied by muscle dysfunction, a disorder of normal reflex reactions and the appearance of abnormal ones.

Often there is a violation of diencephalic structures, in which there is great activity, pronounced hyperactivity is observed. There is a sharp change in mood, children are very quick-tempered, aggressive. Anger and rage appear, arising suddenly, like outbursts. Usually, such reactions also quickly disappear when switching attention, but at the moment of the outburst, the child is often unable to control himself.

Social immaturity is also observed, which manifests itself in children's desire to communicate with little children and not to communicate with their peers, and especially with adults. They feel depressed and fearful in the company of their peers or elders.

Sleep is severely disrupted. The child cannot fall asleep during the day for a long time, after which he cannot wake up in the morning. It is very difficult to wake the child, for a long time he does not understand where he is. What is happening around him. Night sleep is restless, he often wakes up, gets scared. Sometimes he screams, often talks in his sleep. The child himself is usually afraid to sleep, asks for someone to sit next to him.

Gradually, learning problems appear, the child poorly assimilates school material. Memory is poor. The child writes illiterately, reads slowly. A characteristic feature is a violation of spatial and temporal orientation. During the research, it was found that most such violations occur against the background of a lack of attention to the child, especially from the parents.

There are two types of brain dysfunction - hypoactive and hyperactive. If a child is hyperactive, he will behave impulsively, thoughtlessly. Such children are emotional, easily aroused, influenced. Attention is scattered, the child is practically unable to concentrate on one task, often starts a task and does not finish it, grabs several tasks at once.

Children with hypoactivity, on the contrary, are slow and inhibited. They often show lethargy, apathy, and have virtually no interests. It is difficult to captivate a child, to interest him in anything. They often have various speech defects and motor disorders. The child withdraws into himself, avoids communication and company, avoids answering questions. He feels comfortable only when alone, and does not trust anyone.

After 15 years, a crisis occurs: such children become aggressive, cruel. They are usually prone to drug and alcohol abuse. Absent-mindedness appears. However, 70% of children require only minor, supportive treatment.

In some cases, very unusual manifestations of dysfunction are observed. For example, some children write in a mirror direction, cannot recognize sides, have short-term speech memory. Dysfunctions are often accompanied by vegetative disorders, such as enuresis, increased heart rate, rapid breathing. Based on these functional disorders, further aggravation of the pathology occurs, dysfunction of the respiratory, cardiovascular and other systems develops, blood circulation is disrupted.

Only a third of children have a favorable prognosis. In other cases, the disease inevitably progresses. A child with dysfunction needs immediate treatment. To do this, you need to undergo diagnostics in a timely manner and make the correct diagnosis. Therefore, when the first signs of the disease appear, you need to see a doctor as soon as possible.

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Dysfunction of deep brain structures

Excessive irritation of deep structures, especially the stem and middle ones, leads to epileptic seizures. Symptoms of speech disorders and vegetative disorders are observed. When the lower parts of the trunks are irritated, there are failures in consciousness. At the same time, a daily routine occurs, a violation of the "sleep-wake" cycle. Intensive disturbances of memory, attention, and perception occur.

If the central parts are irritated, especially the gray tubercle areas and other parts of the hypothalamus, psychopathological disorders are observed. Treatment is mainly etiological, that is, aimed at eliminating the cause of the disease. Instrumental methods of research are mainly carried out. Treatment is aimed at overcoming the main disease, the accompanying symptoms go away after the disease is cured.

Neuropsychological diagnostics has also found wide application. It makes it possible to diagnose speech pathologies. The neurocorrection method is used to eliminate speech disorders.

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Brain stem dysfunction

Stem structures regulate heart activity and regulate temperature. The stem is located between the hemispheres of the brain and the spinal cord. Injury to this area can occur as a result of craniocerebral trauma, during childbirth, and with untimely treatment of concussion.

Such trauma rarely affects behavior. Pathology can be suspected if the child's facial bones of the skull change, and the skeleton is formed incorrectly. All this occurs against the background of asthenia, insufficient speech development. The child's jaw is formed incorrectly, pathological reflexes develop. Increased sweating is noted, sometimes even profuse salivation.

For correct and timely treatment, it is necessary to immediately consult a doctor when the first signs of the disease appear. It is also necessary to undergo a preventive examination immediately after the birth of the child. If you receive any brain injury, you need to consult a doctor as soon as possible. Dysfunction can be reversible only with proper treatment. The main treatment is aimed at restoring normal blood flow and ensuring the mobility of brain structures.

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Dysfunction of the lower brain stem structures

The lower stem structures are normally responsible for the normal provision of the main processes of life. When dysfunction occurs, their main function is disrupted, as a result of which muscle tone and breathing are disrupted, and appetite is sharply reduced. When this section is damaged, muscle spasms, convulsions, and even epileptic seizures may occur. Speech is significantly impaired, and various vegetative disorders develop.

There may also be a failure in consciousness. Quite often there is a disruption of orientation in time. A person cannot distinguish day from night, attention and memory are significantly impaired. In some cases, memory may be partially or completely lost.

Treatment is etiological, i.e. aimed at eliminating the cause of the pathology. Therefore, in order to choose the right treatment, it is necessary to first conduct a thorough diagnosis, accurately determine the cause. Only after this can you begin the appropriate treatment, otherwise it will be ineffective. Treatment can be conservative or surgical. Conservative treatment is based on drug therapy, physiotherapy, and less often folk and homeopathic remedies. Surgical intervention is used when conservative methods are ineffective.

Dysfunction of the upper brainstem structures

The most dangerous condition, since there is a disruption of the activity and function of the cranial nerves and their nuclei. Often, disruption of these structures leads to the development of dysphonia (weakness of the voice), dysarthria (speech disorder, in which speech becomes unintelligible and unclear). The consequence of these two processes is the development of dysphagia, in which the swallowing process is disrupted.

Damage to the upper brain stem structures leads to paralysis and damage to the cranial nerves. Treatment is etiological, that is, it is aimed at eliminating the causes of the pathology. To do this, it is necessary to clearly determine the cause that resulted in the dysfunction. For this, laboratory and instrumental diagnostics are carried out, differential diagnostics may be required. Specific neuropsychological diagnostics are often used, with the help of which speech disorders are determined. Sometimes it is necessary to use computed tomography. It is used to determine damage that occurs as a result of trauma. It is also advisable to conduct an electroencephalogram, which records electrical impulses of the brain. In order to eliminate disorders, various methods are used, including medication, psychological, and neurocorrection methods.

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Dysfunction of midline brain structures

The midbrain structures are responsible for the normal functioning of the autonomic nervous system, normal sleep and human emotions. Dysfunction of the midbrain structures often occurs as a result of birth injuries. The cause may also be a common craniocerebral injury, received from a blow, fall, or accident.

The appearance of thalamic disorders and neuroendocrine symptoms indicates dysfunction of the brain. In particular, the sensitivity of the body and its individual parts decreases sharply, the threshold of pain sensitivity decreases. Severe thalamic pains may develop. Intention tremor, non-standard contractures, unnatural crying and laughter appear. Puberty occurs too early. Neuroendocrine symptoms such as hyperthermia, hypotension, hypertension also make themselves known.

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Dysfunction of the diencephalic structures of the brain

Damage to the diencephalon or diencephalic structures can contribute to metabolic disorders, disruption of normal sleep, and the sleep-wake cycle. In order to make a correct diagnosis, a consultation with an osteopath may be required. The main treatment should be aimed at normalizing blood circulation and restoring normal mobility of brain structures. To normalize the condition, craniosacral manual techniques are used, which make it possible not only to minimize disorders, but also to restore brain function.

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Dysfunction of the mesodiencephalic structures of the brain

Characterize one of the main forms of neurological disorders. It is observed mainly in women. The number of patients is approximately 30% of the population. With increased workload, increased work capacity, mental overstrain, the number of patients increases sharply.

At the same time, a sharp decrease in sensitivity develops. Thalamic pains appear, the pain threshold decreases, and acute thalamic pains and tremors gradually develop. The person is characterized by sharp mood swings, hysteria, and increased excitability. Many hormonal disorders appear. Their nature, severity, and localization are determined by the lesion.

Treatment is carried out at different stages, mainly drug treatment. Preference is given to symptomatic treatment, in which the main therapeutic effect is aimed at eliminating symptoms, stabilization.

In order to correctly prescribe treatment, it is necessary to establish an accurate diagnosis. To do this, it is necessary to determine the stage, localization and form of dysfunction. Such methods as computer or magnetic resonance therapy will help with this.

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Midbrain dysfunction

The main signs of dysfunction are decreased sensitivity. The sensitivity of the trunk and face is mainly impaired, tremors and abnormal mental reactions develop. Violent reactions, unnatural poses, and postural disorders may be observed.

Puberty occurs quickly, various endocrine disorders develop, depending on the location of the lesion. This may be hyperthermia, hypothermia, increased heart rate, increased blood pressure. The midbrain plays an important role in regulating the body's vegetative functions, emotional state. It also controls some vital processes, the entire vegetative nervous system.

Dysfunction occurs as a result of trauma, brain damage, birth trauma. Diagnosed mainly with the help of EEG.

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Dysfunction of subcortical brainstem structures

The brainstem and subcortical structures are responsible for the heartbeat, temperature regulation, and other vital functions. This area is located mainly between the cerebral hemispheres and the spinal cord. There can be many reasons for the dysfunction of the brainstem. But the main ones are craniocerebral trauma, damage received during childbirth.

Often this pathology develops not only internally, but also has external manifestations. Thus, the child's facial bones of the skull change greatly, the skeleton may be incorrectly formed.

Treatment can be effective if it is started in a timely manner. Thus, if dysfunction or injury is suspected, the child should be shown to a doctor as soon as possible. Usually, with proper treatment, blood flow is restored fairly quickly, and the mobility of structures can be restored in the shortest possible time.

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Irritative dysfunction of diencephalic subcortical structures of the brain

Irritation means irritation of various parts of the brain. Signs of pathology may vary and depend on which part of the brain is subject to irritation. Such irritation is not considered an independent disease, but is a symptom of a separate disease that needs to be diagnosed.

Often, such irritation is a consequence of the development of a tumor process. Irritation can be caused by both benign and malignant tumors. Irritative disorders can be eliminated only if the underlying disease is cured. This determines the importance of correct and timely diagnostics.

The main diagnostic methods are computer and magnetic resonance imaging, angiography. Various laboratory and instrumental research methods are also used.

The main location of irritative damage is the subcortex and cortex of the cerebral hemispheres.

Dysfunction of the brain's regulatory systems

There is no such diagnosis in the ICD, so further clarification is required. There are many regulatory systems, and no fewer pathologies of these systems. Additional research is required to determine the exact diagnosis. This category includes many pathologies, in particular, vascular dementia, Alzheimer's disease, Pick's disease and others.

Symptoms depend on which system and which area are damaged. For example, if the posterior section is damaged, attacks occur that are accompanied by hyperkinesis. Similar sensations affect other areas of the body.

When the adversive body is damaged, convulsions occur. They start on one side of the body, wrap around the entire body, and loss of consciousness occurs.

Damage to the operculative zone causes constant uncontrolled swallowing movements. Damage to the central gyrus leads to the development of an epileptic seizure. Facial muscles are the first to suffer, hallucinations appear. Damage to the temporal lobe - mainly olfactory hallucinations, as well as visual disturbances. If symptoms of local damage are not detected, diffuse damage to regulatory structures is diagnosed.

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Dysfunction of the hypothalamic structures of the brain

The hypothalamus is the main element that regulates the main structures of the body. It is entirely responsible for the control of vegetative, endocrine and trophic disorders in the body. Structurally, several sections are distinguished, each of which performs a strictly defined function. The main connection is between the hypothalamus and the pituitary gland. This connection is carried out through the endocrine system and reflex arcs. There is a gradual accumulation of hormones. This process is called neurocrinia. Therefore, with any damage, an imbalance develops and the functional state is disrupted. At the same time, the intensity of capillary blood supply changes. Vascularization can be observed, in which blood circulation increases, the permeability of blood vessels increases significantly. This ensures intensive movement of substances according to the laws of diffusion.

The hypothalamus has close bilateral connections with the cerebral cortex, subcortical and stem structures. Thanks to this area, homeostasis is successfully maintained - the constancy of the external and internal environment. And also ensures the adaptation of the body to changing conditions. The hypothalamus plays a key role in this. Disruption of the normal functioning of the hypothalamus can be caused by bacterial and viral infections, intoxication, craniocerebral trauma. If there is a sharp change in pressure, or the fluid level shifts, the ventricle, hypothalamic nuclei can be damaged. Such damage develops against the background of oncological diseases.

In addition to anatomical damage, dysfunction can be caused by mental disorders, endocrine pathologies, and decreased immunity. Thus, long-term mental trauma, constant exposure of the body to stress factors, can lead to dysfunction of the hypothalamus. In this case, damage can occur immediately after exposure to negative factors, or some time after this exposure. Symptoms are characterized by a high degree of polymorphism. This is explained by the diversity of functions that are regulated by an entire section of the brain. Increased drowsiness or prolonged insomnia, rapid heartbeat, and difficulty breathing may appear. Manifestations can be combined with each other in different ways, which determines the specific nature of clinical manifestations.

Various neuro-endocrine and neurodystrophic disorders develop. Skin and muscles are damaged. Treatment is etiological, aimed at eliminating the cause of the pathology. Both conservative and radical treatment are used. So, if the cause was a tumor, it is removed surgically. In case of a pronounced bacterial infection, antibiotic therapy is used, in case of a viral infection - antiviral therapy. Etiological therapy is also aimed at eliminating the consequences of various injuries, restoring damaged areas.

Pathogenetic - to normalize tone. It is recommended to use antispasmodic drugs, ganglionic blockers. Vitamin therapy, treatment with antidepressants, tranquilizers are used. Psychotherapy techniques have a positive effect.

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Cerebral vascular dysfunction

Headaches of a pulsating nature indicate a disruption in the normal functioning of blood vessels. Most often, they are associated with pressure drops. People with vascular dysfunction are sensitive to weather conditions, often suffer from migraines and headaches.

With the arterial type of dysfunction, a spasm of the vessels develops, which can be easily detected using ultrasound. Over time, the spasm may disappear, then reappear. With the venous type of dysfunction, narrowing of the lumen does not occur, since the veins do not contain smooth muscle components.

If a person has venous congestion, he is bothered by dull pains in the head and neck. Fainting and darkening of the eyes are common. In the first half of the day, a person feels sluggish and depressed. Soft tissues swell, cyanosis and blueness of the face appear.

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Cerebral venous dysfunction

The pathogenesis is based on a violation of venous outflow. This pathology can be provoked by many factors. Often, a violation of the structure and function of the veins occurs after a head injury, as well as during childbirth, with heart failure. Often, the cause of the dysfunction is a neoplasm, an inflammatory process, or thrombosis of the cerebral vessels.

Often, this pathology can be corrected with the help of osteopathy sessions. Timely diagnostics will allow you to quickly diagnose, take the necessary measures and avoid further development of the pathology. The main diagnostic method is transcranial ultrasound. The results of the study reveal vascular spasm. Most often, arteries are subject to spasm.

Venous dysfunction is indicated by the appearance of headaches of a pulsating nature. The pain is especially intense when meteorological conditions change. Often the headache develops into a persistent migraine. There are often cases of fainting, darkening and clouding of the eyes. Soft tissues, in particular the eyelids, often swell.

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