B7.026 - Brain Stem Flashcards


specialization of rostral segments of brain stem
endbrain - CN 1,2
midbrain - CN 3,4
pons - CN 5, 6, 7, 8
Medulla - CN 9,10,11,12
compare and contrast dorsal neural tube in the spinal cord vs the brain stem
what was rostral in the spinal cord becomes lateral in the brainstem

describe the overall organizatio of the brainstem
the tectum makes up the “roof: of the brain stem
then follows the central canal/tegmentum, midbrain, basis, pons, medulla
3 layers of the brain stem
motor, sensory, nuclear (from most ventral to dorsal







SE
SVE
GVE
VA
GSA
SSA
Somatic afferents
Special visceral efferents
general visceral efferents
visceral afferents
general somatic afferents
special somatic afferents
CN 3
oculomotor
Midbrain
SE and GVE
eye movement CNs
Oculomotor (CN3)
trochlear (CN4)
abducens (CN6)
hypoglossal nerve innervation
motor to intrinsics of the tongue (CN 12)
medulla
SE
trochlear nerve
CN 4
Midbrain
eye movements
abducens nerve
CN 6
Pons
extraocular muscles/eye movement
GSA tracts
midbrain - mesencephalic (unconcious propioception/spindles)
pons - proper (fine touch/proprioception Jaw)
pons/medulla - descending (pain and temp)
cervical/thoracic/lumbar - somatic afferents
somatic sensory nerves
mostly via trigeminal
3 divisions:
V1 - opthalmic (to vertex of skull)
V2 - maxillary
V3 - mandibular
general visceral afferents vs special visceral afferents
general (solitary)
- carotid body
- baroreceptors and chemoreceptors (IX)
- aortic arch
- baroreceptors and chemoreceptors (X)
Special (gustatory)
- anterior 2/3 of tongue
- sensory: V3 of 5
- Taste: chorda tympani branch of CN 7 lingual branch
SVE in cervical SC
accessory nucleus of CN 11 to SCM and trapezius
trigeminal motor nucleus
masticatory muscles
masseters, temporalis, pterygoid and tensor tympani
facial nucleus
facial muscles
from CN 7
CN 3 location and fxn
oculomotor
midbrain
SE oculomotor
GVE pupillomotor
Fxn:
medial, sup, inf rectus, inf oblique, lev palbebrae, pupil constriction
trochlear nerve location and fxn
CN 4
midbrain
superior oblique
abducens nerve location and fxn
CN 6
pons
lateral rectus
testing extraocular muscles

trigeminal nerve location and fuction
CN 5
pons
muscles of mastication, sensation to face, mouth
facial nerve location and function
Pons
face muscles, stapedius, digastric
taste and ant 2/3 tongue
ear rgion sensation
lacrimal, submandibular and sublingual gland
vestibulocochlear location and function
pons/medulla
CN 13
Hearing
vestibular
glossopharyngeal nerve location and function
CN 9
medulla
Stylopharyngeus
taste post 1/3 of tongue
sensation post pharynx and ear region
carotid
parotid gland
vagus nerve location and function
medulla
CN 10
pharyngeal muscles
laryngeal muscles
sensation pharynd and ear region
aortic arch baro/chemo receptors
parasympathetic to viscera
spinal accessory nerve location and fucntion
CN 11
trapezius and sternocledomastoid
medulla and nucleus in cervical SC
hypoglossal nerve location and function
medulla
CN 12
intrinsic tongue muscles


gag reflex
stimulation of posterior oropharynx - CN 9
palatal elevation - CN 10
medullary induced


corneal reflex
assocated with pons
afferent - CN 5 (sensation)
efferent - CN 7 (eye closure)
Crossed - bilateral eye closeure


pupillary light reflex
midbrain
CN 2 and 3
orientation of internal capsule

corticobulbar innervation facial nerve presentation if lost
bilateral upper
contralateral lower
corticobulbar innervation of motor N 5
bilateral
muscles of mastication
UMN lesion of bulbar motor nuclei
pseudobulbar
LMN lesion of bulbar motor nuclei
bulbar