Brainstem Nuclei & Reflexes Flashcards
Ptosis, Anhidrosis, Miosis, associted with lesion of spinal cord above T1 or late stage syringomyelia
Horner Syndrome
Posterior half of a skull cap dermatome
C2
High turtle neck dermatome
C3
Low-collar shirt dermatome
C4
Nipple Dermatome
T4
Xiphoid Process Dermatome
T7
Umbilicus Dermatome, early appendicitis referral pain
T10
Inguinal Ligament Dermatome
L1
Kneecap Dermatome
L4
Erection and sensation of penile and anal zones
S2, 3, 4
Referred pain to right shoulder via phrenic nerve
Diaphragm and GB pain (C3, 4, 5)
Biceps reflex
C5 nerve root
Triceps reflex
C7 nerve root
Patellar Reflex
L4 nerve root
Achilles reflex
S1 nerve root
Cremaster Reflex
L1, L2
Anal Wink Reflex
S3, 4
“Hang on for life” reflex - abduct/extend limbs when startled and then draw together
Moro reflex
Movement of head toward one side if cheek or mouth is stroked
Rooting reflex
Sucking response when roof of mouth is touched
Sucking reflex
Curling of finger if palm is stroked
Palmar reflex
Dorsiflexion of large toe and fanning of other toes with plantar stimulation
Babinski reflex
Stroking along one side of the spine while newborn is face down causing lateral flexion of lower body toward stimulated side
Galant Reflex
Cranial Nerves the lie medially at brain stem
III, IV, XII
CN that arises dorsally and immediately decussates
CN IV
melatonin secretion, circadian rhythms
Pineal Gland
Conjugate vertical gaze center
Superior Colliculi
Auditory brainstem
Inferior Colliculi
Paralysis of conjugate vertical gaze due to lesion in superior colliculi
Parinaud Syndrome
Only CN without thalamic relay to cortex
CN I - Olfactory Nerve
Sight CN
CN II - Optic Nerve
Supplies SR, IR, MR, IO, pupillary constriction, accommodation, levator palpebrae
CN III - Oculomotor Nerve
Edinger-westphal Nucleus
CN III - Oculomotor Nerve
Superior Orbital Muscle
CN IV - Trochlear nerve
Mastication, fascial sensation, somatosensation from anterior 2/3 tongue
CN V - Trigeminal Nerve
Lateral rectus to move eye
CN VI - Abducens Nerve
Facial movement, taste from anterior 2/3, lacrimation, salivation from submandibular and sublingual glands, orbicularis oculi (close eyes), stapedius muscle in ear
CN VII - Facial Nerve
Hearing and Balance
CN VIII - Vestibulocochlear Nerve
Taste and somatosensation from posterior 1/3 tongue, swallowing, parotid gland salivation, monitoring carotid body and sinus chemo- and baroreceptors and stylopharyngeus
CN IX - Glossopharyngeal Nerve
Taste from epiglottic region, swallowing, soft palate elevation, widline uvula, talking, coughing, thoracoabdominal viscera, aortic arch chemo- and baroreceptors
CN X - Vagus Nerve
head turning, shoulder shrugging
CN XI - Accessory Nerve
Tongue movement
CN XII - Hypoglossal Nerve
Midbrain Nuclei
CN III, IV
Pons Nuclei
CN V, VI, VII, VIII
Medulla nuclei
CN IX, X, XII
Spinal Cord Nuclei
CN XI
Corneal Reflex
CNV1 (nasociliary br) in and VII (temporal br, orbicularis oculi)
Lacrimation Reflex
CNV1 in & VII out
loss of this reflex does not preclude emotional tears
Jaw Jerk Reflex
V3 in & V3 out
Pupillary Reflex
CNII in & III out
Gag Reflex
CNIX in & CNX out
Nucleus Solitarius
CN VII, IX, X
Visceral sensory information (taste, baroreceptors, gut distention)
Nucleus Ambiguus
CN IX, X, XI
Motor innervation of pharynx, larynx, and upper esophagus (swallowing, palate elevation)
Dorsal Motor Nucleus
CN X sends autonomic (PS) fibers to heart, lungs, and upper GI
Optic Canal
CN II, ophthalamic artery, central retinal vein
Superior Orbital Fissure
CN III, IV, V1, VI, ophthalmic vein, sympathetic fibers
Foramen Rotundum
CN V2
Foramen Ovale
CN V3
Foramen Spinosum
Middle Meningeal artery
Internal Auditory Meatus
CN VII, VIII
Jugular Foramen
CN IX, X, XI, jugular vein
Hypoglossal Canal
CN XII
Foramen Magnum
Spinal Roots of CN XI, brainstem, vertebral arteries
Cavernous Sinus
CN III, IV, V1, V2, and VI and postganglionic sympathetic fibers, cavernous portion of internal carotid artery
Ophthalmoplegia and decreased corneal and maxillary sensation with normal visual acuity.
Cavernous Sinus Syndrome
CN V motor lesion
Jaw deviates toward side of lesion to unopposed force from opposite pterygoid muscle
CN X lesion
Uvula deviates away from side of lesion
CN XI lesion
Weakness turning head to CL side of lesion (SCM) should droop on side of lesion
CN XII lesion
tongue deviates toward side of lesion
Go drink water
NOW