Brain Stem and Cranial Nerves Flashcards
Brain stem overview
- highway for long tracts: decending, ascending, autonomic
- How many nuclei with projections
- within the brain stem
-to/from the cerebellum
-to/from the rest of the brain
-to/from the spinal cord
Parts of the spinal cord
All
* reticular formation
* medial leminscus, corticospinal, spinothalamic, and autonomic tracts
midbrain
* cerebral peduncle
* red nucleus
* substantia nigra
* superior collicus and inferior colliculus
* CN III, IV
Midbrain-pons
* superopr cerebellar peduncle
Pons
* middle cerebellar peduncle
* CN V, VI, VII, VIII
Pons-medulla
* inferior cerebellar peduncle
* cerebellopontine angle
Medulla
* pyramid/ pyramidal decussation
* olive
* dorsal columns - fasciculus/nucleus cuteantus, fasciculus/nucleus gracilis
*CN IX, X, XI, XII
mid brain - sagittal view
cerebral peduncle
axonal connections between midbrain and thalamus
superior colliculus
part of tectospinal pathway; visual superior reflex
Inferior colliculus
part of tectospinal pathway; auditory reflex
superior cerebellar peduncle
axonal connections between midbrain-pons and cerebellum
Ventral and dorsal views of the brainstem
midbrain - cross section
corticospinal pathway
voluntary motor function (more ventral)
red nucleus
start of rubospinal pathway
hypothesized roles in motor control and tremors
substantia nigra
part of the basal ganglia pathways
medial lemnicus
part of dorsal column medial lemniscus pathway - sensory (light touch, vibration, proprioception)
middle cerebellar peduncle
axonal connections between pons and cerebellum
Inferior cerebellar peduncle
axonal connections between pons-medulla and cerebellum
Pons cross section
pyramid of the medulla
white matter tracts affiliated with corticospinal and corticobulbar pathways (motor)
bulbar relates primarily to motor CNs
olive of the medulla
contains nuclei involved in spinocerebellar pathways (sensory)
Dorsal (posterior) columns
part of dorsal column medial lemniscus pathway
cerebellaopontine angle
point of entry for many neurosurgery techniques
risk of damaging nearby cranial nerves (CN, VI, VII, VIII, IX
pyramidal descussation
areas where axons of corticospinal pathways cross
cross section of the medulla
Spinocerebellar pathway
sensory (proprioception) nucleus gracilis ascending pathways. Becomes the medial lemniscus
Reticular Formation
- extends throughout posterior part of entire brainstem
- part of reticulospinal pathway
- Plays a role in sleep regulation, breathing control, mood, memory
- includes reticular activating system (RAS) in midbrain portion
- Maintains arousal and consciousness