brainstem and cerebellum Flashcards
what are the general functions of the brainstem?
act as a conduit, cranial nerves and integrative
what is meant by the brainstem is a conduit?
it allows ascending and descending pathways to reach thalamus and cerebellum from spinal cord and relay nuclei
what is meant by the brainstem is integrative?
there is control of cardiovascular and respiratory functions and through the reticular foramen consciousness as well as complex motor patterns such as balance
what are the cranial nerves for?
supply the head, they are for sight, gustation, hearing, equilibrium - relay centres and cranial nerve nuclei
what is a collection of cell bodies or grey matter in the CNS/PNS?
CNS - nucleus
PNS - ganglion
what can aid the synapse function?
collection of cell bodies there as the information can travel from one place to another in a relay
where are the ascending and descending pathways found?
ventral to the reticular foramen which is found in the central aspect of the brainstem
what happens when there is an infarct of the blood vessels supplying the ventral aspect of the brainstem such as the pons?
locked in syndrome
what are the characteristics of locked in syndrome?
reticular foramen is intact, may still be able to move eyes as the cranial nerves emerge more superior and cannot move anything else but are conscious of everything that is happening
where do cranial nerves emerge from?
the brainstem
where does the brainstem sit in the brain and in relation to other structures?
it sits below the thalamus/diencephalon and is rostrally continous with the diencephalon. It is dorsally continuous with the cerebellum and caudally with the spinal cord at the level of the foramen magnum. It is ventrally continuous with the clivus of the occipital bone.
where is the midbrain?
it is just under the mamillary bodies, then the pons and then the medulla
where is CSF found?
channels of the ventricular system - runs in hemispheres and through the brainstem
what is between the pons and the cerebellum and what does it form?
the cerebral aqueduct - drains into the diamond shaped fourth ventricle
how many cranial nerves arise from the brainstem and how many are PNS?
10/12 are PNS and 10/12 from the brainstem - sensory and motor parts
how does the brain develop?
from primary and secondary ventricles - the spaces then form the ventricles
what is in the primary vesicles?
the prosencephalon (forebrain - cerebrum), mesencephalon (midbrain), rhomencephalon (hindbrain)
what does the prosencephalon form?
third (diencephalon) and lateral ventricles (telencephalon). The telencephalon forms the cerebral cortex, cerebral hemispheres, caudate nucleus, putamen and the amygdala and the diencephalon forms the thalamus, hypothalamus, retina and pineal gland, subthalamus and epithalamus
what does the mesencephalon form?
the cerebral aqueduct - midbrain
what does the rhombencephalon form?
the fourth ventricle and hindbrain - this is the metencephalon forming the pons and cerebellum and the myelencephalon forming the medulla
what are the secondary ventricles?
telencephalon and diencephalon, mesencephalon, metencephalon and myelencephalon
what is anterior to the central canal?
central grey matter
what is inferior to the pons?
pyramids
what is the PAG?
the periaqueduct grey - grey matter surrounding the aqueduct
what can be identified at any level of the brainstem
tectum, tegmentum and basal
what is the tectum?
the roof. it’s only significant portion is found in the most dorsal aspect of the brainstem (sup. and inf. colliculi) posterior to the ventricular system cavities
where is the tegmentum found?
anterior to the ventricular system cavities in the middle region of the brain stem and contains reticular information and cranial heads and some ascending and descending pathways
where is the basal?
ventral - descending motor pathways are contained here - pyramids and peduncles
what is the structure of the medulla?
it is the most inferior part of the brainstem and connects with pons through the pontomedullary junction. The ventral surface has tiny bumps on it and the dorsal is smoother
what is the rhomboid fossa?
when the cerebellum is removed there will be a rhomboid shaped space that is the floor of the fourth ventricle
what is at the bottom of the floor of the fourth ventricle and meets the top of the posterior median fissure of the posterior medulla?
the obex
what does the posterior median fissure of the medulla separate?
the two fasciculi gracilis that contain axons
what are lateral to the fasciculi gracilis?
the fasciculus cuneatus
what is on the superior parts of the fasciculi?
the tubercles for each fasciculus respectively - contain cell bodies
on the ventral medulla what is the order from inferior to superior of the emergence of cranial nerves 9-12?
inferior - XI
XII
X (lateral to XII)
IX
what is lateral to the decussation of the pyramids?
the pyramids and then olives
what separates the pyramids from the olives and what is lateral to the olives?
the antero-lateral sulcus separates and the postero-lateral sulcus is lateral to olives
what is the fissure in the middle of the anterior aspect of the ventral medulla?
the anterior median fissure
what is the pyramidal tract?
they are posterior to the pyramids - axons containing descending pathways to control muscles of the body
what happens at decussation of the pyramids?
fibres from one side of the brain cross the midline of the body - travel on one side of ventral pons and medulla and then cross to the other side
where are CN 9 and 10 found?
lateral to the olives
what structure travels through the foramen magnum with the spinal cord?
the hypoglossal nerve