Brain Stem and Cranial Nerves Flashcards

1
Q

3 Main Sections of the Brainstem

A
  1. Midbrain
  2. Pons
  3. Medulla
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2
Q

4 Tracts that Originate in the Brainstem

A
  1. Tectospinal
  2. Rubrospinal
  3. Reticulospinal
  4. Vestibulospinal
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3
Q

“2” Sections of the Brainstem

A
  1. Basilar
  2. Tegmentum
  3. Tectum (posterior section of midbrain)
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4
Q

Term: located in the anterior portion of the brainstem and contains predominately motor system structures

A

Basilar Section

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5
Q

Term: Contains descending motor axons from the cerbral cortex and motor nuclei

A

Basilar Section

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6
Q

Term: Located in the posterior portion of the brainstem

A

Tegmentum Section

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7
Q

Term: Contains the reticular formation, sensory nuclei and ascending tracts, CN nuclei, and the medial longitudinal fasciculus

A

Tegmentum Section

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8
Q

Term: Tract that coordinates eye and head movement

A

Medial longitudinal fasciculus

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9
Q

Term: Contains the pretectal area, superior/inferior colliculi, and reflexive control of eye and head movement

A

Tectum

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10
Q

Term: Reflexive turning of the head, auditory and visual information

A

Superior and Inferior Colliculi

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11
Q

Term: Adjusts general activity of the nervous system - alerting and arousal

A

Reticular Formation

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12
Q

3 Main Functions of the Reticular Area

A
  1. Integrates sensory and cortical information
  2. Regulates somatic motor actvity, autonomic function, and consciousness
  3. Modulates nociceptive information
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13
Q

4 Major Reticular Nuclei

A
  1. Ventral tegmental area
  2. Pedunculopontine nucleus
  3. Raphe nucleus
  4. Locus cereleus and Medial reticular area
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14
Q

Structure: Anterior surface includes pyramids, olives, and CNs (IX, X, XI, XII)

A

Medulla

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15
Q

Structure: Posterior surface includes inferior cerebellar peducnles and central canal

A

Medulla

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16
Q

Structure: Where corticospinal tracts travel

17
Q

Structure: Functions to influence cerebellar activity

18
Q

Structure: White fiber pathways

A

Inferior cerebellar peduncle

19
Q

3 Functions of the Medulla

A
  1. Contributes to control of eye and head movement
  2. Coordinate swallowing
  3. Helps regulate CV, respiratory, and visceral activity (CN X)
20
Q

Identify the Spinal Segment and List Defining Features

A

Inferior Medulla

Features:

  • Central Canal
  • Fasciculus Gracilis/Cuneatus
  • Nucleus Gracilis/Cuneatus
  • Medial Lemniscus
  • Pyramids
21
Q

Identify the Spinal Segment and List Defining Features

A

Upper Medulla

Features:

  • Fourth Ventricle
  • CN X
  • CN XII
  • Inferior Olivary Nucleus
22
Q

Identify the Spinal Segment and List Defining Features

A

Inferior Pons

Features:

  • CN VI
  • CN VII (travels posterior and wraps around)
  • CN VIII
23
Q

Identify the Spinal Segment and List Defining Features

A

Mid/Upper Pons

Features:

  • CN V
24
Q

Identify the Spinal Segment and List Defining Features

A

Lower Midbrain

Features:

  • Inferior Colliculus
  • Cerebral Aqueduct
  • Para-adqueductal Gray
  • CN IV Nuclei (only one that exits posterior)
25
Identify the Spinal Segment and List Defining Features
Upper Midbrain Features: - Superior Colliculus - Red Nucleus - CN III Nuclei
26
3 Tracts Effected by an Anteriormedial Lesion in the Upper Medulla
1. Corticospinal (contralateral motor deficits and UMN sx) 2. Medial Leminiscus (contralateral conscious proprio/discrim touch deficits) 3. Hypoglossal n. (ipsilateral tongue deviation)
27
Term: Lesion to one side of the brainstem that effects CN III, CN VI, OR CN XII AND the nearby corticospinal tract
Alternating Hemiplegia
28
Describe why alternating hemiplegia has its name
Pts. present with UMN sx on the opposite side of the lesion and LMN sx on the same side of the lesion
29
Describe damage to which areas cause the UMN sx and which areas cause the LMN sx in alternating hemiplegia
Damage to the corticospinal tract causes contralateral UMN sx Damage to the CN causes ipsilateral LMN sx