3 brainstem Flashcards
anterior Medulla structures
Pyramidal decussation,
Olive
posterior medulla structures
Obex, Cuneate tubercle, Gracile tubercle,Sulcus limitans Hypoglossal trigone Vagal trigone Facial colliculus
Pons
Basal pons (BP)
Middle cerebellar peduncle (brachium pontis)
V, VI
Facial nerve: motor, sensory and intermediate roots VII
Vestibulocochlear nerve VIII
Superior cerebellar peduncle (brachium conjunctivum)
Lateral lemniscus
midbrain structures
Cerebral aqueduct Superior colliculus (gray matter tectum, visual attention, eye movements) rosral midbrain
Inferior colliculus (auditory pathway) caudal midbrain
Cerebral peduncles
III, IV
Inferior brachium (connects inferior colliculus to auditory pathway
Any brainstem level (rostral to obex) has three areas
Tegmentum: Tissue anterior to ventricle (all CNs are here)
Tectum (“roof”): Tissue posterior to ventricle
Stuff added onto anterior surface
Caudal vs. Rostral Midbrain
caudal: Inferior colliculi IV Decussation of SCP rostral: Superior colliculi III Red nucleus Substantia nigra
caudal pons
Inferior cerebellum peduncle: mostly within cerebellum at this level
Middle cerebellar peduncle attaches pons to cerebellum
ML: horizontal with feet lateral (compare to rostral medulla)
Fourth ventricle present
rostral pons
Superior cerebellar peduncle
ML: horizontal with feet lateral, approaches STT
Small ventricle space: at opening of aqueduct
caudal medulla
Central canal
Graclie and cuneate nuclei & tracts
Internal arcuate fibers form medial lemniscus
Pyramidal decussation
rostral medulla
Fourth ventricle Inferior olivary nuclei XII Internal arcuate fibers from IO to ICP Pyramids