18 - Motor control and the corticobulbar tract Flashcards

1
Q

Why isn’t there requirement for an extrapyramidal pathway in the CBT?

A
  • vestibular apparatus in the ear provides feedback to the tract
  • gamma neurones are not required as cranial nerves typically only supply the head and neck region
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2
Q

Where does the UMN in the CBT originate from?

A

Lateral surface of PMC

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3
Q

Where does the UMN exit the internal capsule?

A

Genu

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4
Q

What is the name for an UMN in the CBT?

A

Supranuclear fibre

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5
Q

What is the name for a LMN in the CBT?

A

Cranial nerve

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6
Q

Describe how UMN typically synapse with the cranial nerve nuclei.

A

Bilaterally

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7
Q

Describe how the CN typically emerge from the nuclei.

A

Ispilaterally

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8
Q

What is the exception when the UMN synapses with the cranial nerve nuclei?

A
  • lower nuclei of the facial nerve (CN VII)
  • hypoglossal nerve (CN XII)
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9
Q

Which nerve is the only to emerge posterior from its nuclei?

A

Trochlear (CN IV)

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10
Q

Which nerve is the only to emerge contralaterally from its nuclei?

A

Trochlear (CN IV)

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11
Q

Which nuclei are located in the midbrian?

A
  • oculomotor (CN III)
  • trochlear (CN IV)
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12
Q

Which nuclei are located in the pons?

A
  • trigeminal (CN V)
    Junction to medulla :
  • abducens (CN VI)
  • facial (CN VII)
  • vestibulocochlear (CN VIII)
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13
Q

Which nuclei are located in the medulla?

A
  • nucleus ambiguus
  • accessory (CN XI)
  • hypoglossal (CN XII)
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14
Q

What is the nucleus ambiguus?

A
  • glossopharyngeal (CN IX)
  • vagus (CN X)
  • accessory (CN XI)
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15
Q

Describe the oculomotor nucleus.

A
  • bilateral innervation
  • CN emerge ipsilaterally
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16
Q

Describe the trochlear nucleus.

A
  • bilateral innervation
  • CN emerge contralaterally
  • emerges posteriorly
17
Q

Describe the trigeminal nucleus.

A
  • bilateral innervation
  • CN emerge ipsilaterally
18
Q

Describe the abducens nucleus.

A
  • bilateral innervation
  • CN emerge ipsilaterally
19
Q

Describe the facial nucleus.

A

Upper nuclei
- bilateral innervation
- CN emerge ipsilaterally
Lower nuclei
- contralateral innervation
- CN emerge ipsilaterally

20
Q

Describe the vestibulocochlear nucleus.

A
  • bilateral innervation
  • CN emerge ipsilaterally
21
Q

Describe the nucleus ambiguus.

A
  • multiple cranial nerves in one nucleus (CN IX, X and XI)
  • bilateral innervation
  • CN emerge ipsilaterally
22
Q

Describe the accessory nucleus.

A
  • bilateral innervation
  • CN emerge ipsilaterally
23
Q

Describe the hypoglossal nucleus.

A
  • contralateral innervation only
  • CN emerge ipsilaterally