B7.026 Brain Stem Anatomic & Functional Correlations Flashcards
components of the brainstem
from rostral to caudal thalamus midbrain pons medulla
major segments of the neural tube
ventral = motor
central canal
dorsal = sensory
spinal cord framework
central gray -sensory dorsal -motor ventral peripheral white -intersegmental communication - 'long tracts'
endbrain CNs
I, II
midbrain CNs
III, IV
pons CNs
V, VI, VII, VIII
medulla CNs
IX, X, XI, XII
3 layers of brainstem
ventral = motor middle = sensory posterior = nuclear (contains CN nuclei)
general structure of medulla cross section
ventral/motor -pyramidal corticospinal tracts middle/sensory -central: ML tracts -lateral: ALS tracts posterior/nuclear -medial: motor nuclei -lateral: sensory nuclei
general structure of the pons cross section
ventral/motor
-pyramidal corticospinal tracts (basis pontis)
middle/sensory
-central: ML tracts (thinner than medulla)
posterior/nuclear
-medial: motor nuclei
-lateral: sensory nuclei
general structure of the midbrain cross section
ventral/motor -pyramidal corticospinal tracts (cerebral peduncles) middle/sensory -central: ML tracts posterior/nuclear -medial: motor nuclei -lateral: sensory nuclei
SE
somatic efferents
GSA
general somatic afferents
GVE
general visceral efferents
VA
visceral afferents
SVE
special visceral efferents
branchial arch derived skeletal muscle
SSA
special somatic afferents
motion / sound sensing
midbrain SE nuclei
oculomotor
trochlear
pons SE nuclei
abducens
medulla SE nuclei
hypoglossal
midbrain GSA nuclei
mesencephalic
-unconscious proprioception
pons GSA nuclei
proper
-fine tough and proprioception
descending
-pain and temp
medulla GSA nuclei
descending
-pain and temp
midbrain GVE nuclei
pupillomotor
pons GVE nuclei
superior salivatory
-tears
inferior salivatory
-saliva
medulla GVE nuclei
dorsal nucleus X
medulla VA nuceli
solitary nucleus
-gustatory toward top
input to solitary nucleus
carotid body
-baroreceptors and chemoreceptors (IX)
aortic arch
-baroreceptors and chemoreceptors (X)
input to gustatory segment of solitary nucleus
posterior 1/3 tongue -sensory and taste (IX) anterior 2/3 tongue -sensory (V3) -taste (VII)
pons SVE nuclei
motor nucleus V
-mastication
facial nucleus
-facial muscles
medulla SVE nuclei
nucleus ambiguous -pharyngeal -trapezius and SCM accessory nucleus -trapezius and SCM
cervical cord SVE nuclei
accessory nucleus
-trapezius and SCM
pons / medulla SSA nuclei
vestibular
cochlear
CN III nuclei
SE
-oculomotor
GVE
-pupillomotor
CN III functions
medial rectus superior rectus inferior rectus inferior oblique lev palbebrae pupil constriction
CN IV nuclei
SE
-trochlear
CN IV functions
superior oblique
CN VI nuclei
SE
-abducens
CN VI functions
lateral rectus
CN V nuclei
SVE
-motor nucleus V
GSA
-all 3 brainstem nuclei (mesencephalic, proper, descending)
CN V function
muscles of mastication
sensation to face, mouth
CN VII nuclei
SVE -facial nerve GVE -superior salivatory VA -solitary nucleus (gustatory) GSA -descending
CN VII functions
face muscles, stapedius, digastric
taste anterior 2/3 tongue
ear region sensation
lacrimal, submandibular, sublingual glands
CN VIII nuclei
SSA
- vestibular
- cochlear
CN VIII functions
hearing
vestibular
CN IX nuclei
SVE -nucleus ambiguous VA -solitary nucleus -gustatory portion of solitary GSA -descending
CN IX functions
*primarily sensory taste posterior 1/3 tongue sensation posterior pharynx and ear carotid body parotid gland stylopharyngeus
CN X nuclei
SVE -nucleus ambiguous GVE -dorsal nucleus X VA -solitary nucleus GSA -descending nucleus
CN X functions
pharyngeal muscles laryngeal muscles sensation pharynx and ear aortic arch baro / chemo receptors parasympathetic to viscera
CN XI nuclei
SVE
- nucleus ambiguous
- accessory nucleus
CN XI functions
trapezius
SCM
CN XII nuclei
SE
-hypoglossal
CN XII functions
intrinsic tongue muscles
all nuclei in nuclear portion of medulla
medial > lateral hypoglossal dorsal nucleus X solitary nucleus ambiguous descending
CN origins in medulla
X and IX: dorsal nucleus X, solitary, descending, ambiguous
XI: ambiguous
XII: hypoglossal
gag reflex
stimulation of posterior oropharynx via CN IX (descending path)
information shared to nucleus ambiguous
response is palatal elevation via CN X
all nuclei in nuclear portion of pons
medial > lateral abducens facial/motor nucleus superior/inferior salivatory main sensory nucleus
corneal reflex
corneal sensation afferent via CN V
eye closure response via CN VII efferent
CN origins in pons
V: main sensory nucleus, motor nucleus (trigeminal)
VI: abducens
VII: facial, salivatory, main sensory (descending)
all nuclei in nuclear portion of midbrain
medial > lateral
pupillomotor (Edinger Westphal)
oculomotor
mesencephalic
CN origins in midbrain
III: oculomotor, pupillomotor
IV: trochlear
corticobulbar innervation of facial nucleus
bilateral upper face innervation
contralateral lower face innervation
corticobulbar innervation of motor nucleus V
bilateral innervation of mastication muscles
corticobulbar innervation of bulbar motor nuclei
bilateral innervation of nucleus ambiguous and hypoglossal nucleus
UMN lesion of corticobulbar tract
pseudo-bulbar
LMN lesion of corticobulbar tract
bulbar
corticobulbar innervation of spinal accessory nucleus
ipsilateral