Brain Stem: Pons Flashcards

1
Q

describe the gross anatomy of the pons

A
  1. basilar pons = ventral surface
  2. pontine tegmentum = dorsal surface and floor of 4th ventricle
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2
Q

where are ascending sensory tracts generally found in the pons?

A

tegmental area (dorsal surface)

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3
Q

where are descending motor tracts generally found in the pons?

A

basilar area (ventral surface)

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4
Q

list the fiber tracts that are found in the basilar pons

A
  1. transverse pontine (pontocerebellar)
  2. corticospinal fiber tract
  3. corticobulbar fiber tract
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5
Q

what type of info is carried by the transverse pontine (pontocerebellar) tract?

A

relayed afferent signals to cerebellum via middle cerebellar peduncle

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6
Q

what type of fibers is the transverse pontine (pontocerebellar) tract made up of?

A

commissural and afferent fibers

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7
Q

where are the corticospinal and corticobulbar fiber tracts?

A

run longitudinally through basilar pons

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8
Q

what type of info is carried by the corticobulbar tract?

A

somatomotor from precentral gyrus to the head

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9
Q

what type of info is carried by the corticospinal tract?

A

somatomotor from precentral gyrus prior to decussation of pyramids heading to the body

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10
Q

what nuclei are found in the basilar pons?

A

deep pontine nuclei

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11
Q

list the fiber tracts that are found in the tegmental pons

A
  1. facial colliculus
  2. S/M/I cerebellar peduncle
  3. medial lemniscus
  4. medial longitudinal fasciculus
  5. spinothalamic
  6. trigeminothalamic
  7. lateral lemniscus
  8. rubrospinal tract
  9. tectospinal tract
  10. spinal nucleus tract of CN 5
  11. descending limbic and hypothalamic fibers
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12
Q

what type of info is carried by the facial colliculus

A

facial nerve CN7 fibers

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13
Q

what type of info is carried by the superior cerebellar peduncle?

A

efferent fibers from cerebellum to brain stem and cortex

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14
Q

what type of info is carried by the middle cerebellar peduncle?

A

afferent fibers from cortex to cerebellum

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15
Q

what type of info is carried by the inferior cerebellar peduncle?

A

afferent fibers from medulla and spinal cord to cerebellum

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16
Q

what type of info is carried by the medial lemniscus at the level of the tegmental pons?

A

touch, pressure and proprioception from the entire body ascending to the cortex

17
Q

what type of info is carried by the spinothalamic tract in the tegmental pons?

A

somatosensory (pain and temperature) from body

18
Q

what type of info is carried by the trigeminothalamic tract in the tegmental pons?

A

afferent somatosensory from head to cortex

19
Q

what type of info is carried by the lateral lemniscus in the tegmental pons?

A

auditory relay circuit to inferior colliculus for auditory reflex movement of head

20
Q

what type of info is carried in the rubrospinal tract?

A

efferent motor signals to the arms

21
Q

what type of info is carried by the tectospinal tract?

A

efferent somatomotor signals to muscles of neck and shoulders (head turning reflex)

22
Q

what type of info is carried by the spinal nucleus tract of CN 5?

A

pain and temperature sensation from head

this transitions into the trigeminothalamic tract (in the medulla)

23
Q

what type of info is carried by the descending limbic and hypothalamic fibers of the tegmental pons?

A

info that is carried to autonomic control centers in medulla and spinal cord

24
Q

list the nuclei that are located in the caudal portion of the tegmental pons

A
  1. facial nucleus CN 7
  2. abducens nucleus CN 6
  3. spinal trigeminal nucleus CN 5
  4. superior olivary nucleus (not pictured below)
  5. trapezoid body
  6. M/I vestibular nucleus
  7. superior salvatory nucleus
25
what does the facial nucleus of CN 7 control?
muscles of facial expression
26
what does the abducens nucles of CN 6 control?
eye muscles (lateral rectus)
27
what do the superior olivary nucleus and trapezoid body do?
they are relays in the auditory pathway
28
what does the superior salvatory nucles do?
fibers are part of CN7 to lacrima, submandibular, and sublingual salivary glands
29
list the nuclei that are located in the rostral pons
1. main sensory nucleus of CN5 2. motor nucleus of CN 5 3. mesencephalic nucleus CN5 (not pictured below) 4. S/L vestibular nucleus 5. locus ceruleus 6. raphe nuclei
30
what is the main sensory nucleus of CN 5?
continuation of spinal trigeminal nucleus (light touch from face via trigeminal ganglion synapses here)
31
what does the motor nucleus of CN 5 supply?
somatomotor to muscles of mastication
32
what does the mesencephalic nucleus of CN 5 do?
proprioception of jaw (from trigeminal ganglion)
33
what is the locus ceruleus?
part of reticular formation (NE) involved in pain modulation
34
what is the raphe nucleus?
part of reticular formation (serotonin) involved in pain modulation
35
what tracts merge together in the rostral pons to form a single tract to the postcentral gyrus?
medial lemniscus spinothalamic trigeminothalamic lateral lemniscus all merge together into the medial lemniscus