Brain Stem: Medulla Flashcards
what is located in the inferior cerebellar peduncle?
afferent fibers from spinal cord and medulla to cerebellum
(posterior spinocerebellar tract, cuneocerebellar tract)
what general nuclei are located in the medulla?
- CN 8-12
- nuclei of vital centers
- nuclei of reticular formation
list the anterior surface anatomy structures of the medulla
- paired pyramids
- decussation of pyramids
- CN 6 - 12 emerging
- inferior olivary nuclei
what are the paired pyramids on the anterior surface of the medulla?
corticospinal tracts
carrying descending somatomotor signals
What is the decussation of pyramids on the anterior surface of the medulla?
where the descending corticospinal tracts cross to the opposite side of the body
T/F: 75% of the corticospinal tracts from the cerebrum cross at the decussation and form the lateral corticospinal tract?
FALSE
90% do
these mostly supply appendicular muscles
what is the medial corticospinal tract?
the remaining 10% of descending corticospinal tracts that do not cross to the opposite side at the decussation of pyramids in the medulla
mostly axial muscles
what is the role of the inferior olivary nuclei?
cerebellar relay center for perception of time
list the posterior surface anatomy structures of the medulla
- fasciculata cuneatus
- fasciculata gracilis
- tuberculum cuneatus and gracilis
- nuclei cuneatus and gracilis
- open part associated w/4th ventricle underlying the cerebellum
- area postrema
what is the area postrema?
floor of 4th ventricle leading to opening of central canal
vomit center
list the fiber tracts located at the caudal closed medulla (level of pyramid decussation)
- pyramids: corticospinal
- decussation of pyramids
- fasciculus gracilis
- fasciculus cuneatus
- spinothalamic tracts
- anterior spinocerebellar
- posterior spinocerebellar
- CN 5 spinal trigeminal tract

what type of information is carried in the pyramids at the medulla?
efferent voluntary from cerebral cortex to muscles of trunk and appendages
what type of information is carried in the fasciculus gracilis?
sensory touch and proprioception from the legs
(touch, pressure, pain, etc.)
what type of information is carried in the fasciculus cuneatus?
sensory touch and proprioception from the arms
from the brachial plexus (touch, pressure, pain, etc.)
what type of information is carried in the spinothalamic tracts?
sensory pain and temperature from trunk and appendages
what type of information is carried in the anterior spinocerebellar tract?
sensory info from thoracolumbar ventral horn to cerebellum
what type of information is carried in the posterior spinocerebellar tract?
sensory from legs to cerebellum
what type of information is carried by the CN 5 spinal trigeminal tract in the medulla?
localized pain from the face/head
what nuclei are found in the caudal closed medulla
(level of the pyramid decussation)
spinal trigeminal nucleus CN5 = afferent pain and temp of the head
list the fiber tracts found in the rostral closed medulla
(level of decussation of medial lemniscus)
- decussation of medial lemniscus
- pyramids
- CN 5 spinal tract
- anterior spinocerebellar
- posterior spinocerebellar
- spinothalamic tracts
- medial longitudinal fasciculus

what is the decussation of medial lemniscus in the medulla?
crossover point for ascending fibers for proprioception and tactile sensation from the nuceli gracilis and cuneatis (ie. dorsal column tracts)
what type of information is carried by the medal longitudinal fasciculus?
(*list tracts and nuclei)
BALANCE
- afferent ascending sensory from vestibular nuclei
- descending motor from medial vestibulospinal tract
- tectospinal tract (head turner)
list the nuclei found in the rostral closed medulla
- nucleus gracilis
- nucleus cuneatis
- accessory cuneate nucles
- spinal trigeminal nucleus CN5
- reticular formation
- inferior olivary nuclei
- nucleus ambiguous
what is the accessory cuneate nucleus associated with?
cuneocerebellar tract
(sensory info from arms to cerebellum via inferior cerebellar peduncle)

