Brainstem & Thalamus Flashcards
Cranial nerves in the thalamus include…
- optic nerve (CN2)
Cranial nerves in the midbrain include…
- oculomotor (CN3)
- trochlear (CN4)
Cranial nerves in the pons include…
- trigeminal (CN5)
- abducens (CN6)
- facial (CN7)
- vestibulocochlear (CN8)
Cranial nerves in the medulla include…
- glossopharyngeal (CN9)
- vagus (CN10)
- accessory (CN11)
- hypoglossal (CN12)
Brainstem Functions
- conduit for fibers of corticospinal & corticothalamic tracts
- site of emergence for cranial nerves
- integrate nuclei for motor, respiratory, and cardiovascular control
Medulla Functions
- respiration (sensing blood acidity)
- reflexes (vomiting, coughing, sneezing, swallowing)
- contains pyramidal decussation
Olive
Located in the anterior medulla
Bulge containing nuclei for auditory processing
Pyramid
Located in the anterior medulla
Descending corticospinal tracts
Nuclei in the inferior medulla include…
- vestibular
- cochlear
- trigeminal
- olivary
- hypoglossal
- vagal
- nucleus of solitary tract (NST)
Blood Pressure Control
- baroreceptors in the carotid body sense stretch
- information is relayed along glossopharyngeal nerve to the NTS nuclei in the inferior medulla
- vagal nuclei are activated
- heart rate decreases, blood vessels dilate, sympathetic nervous system is inhibited
Respiratory Control
Controlled in the pons and medulla
Dorsal respiratory group sets breathing rhythm and muscle contraction
Pontine respiratory group sets volitional control
PreBotC sets inspiration
RTN sets expiration
Sensory paths and NMS alter rhythm in arousal states
Pons Functions
- respiration, sleep, bladder control
- sensory information (auditory & taste)
- motor control of eyes and face
- behavioral response to threats
Medial eminence
Located on the posterior pons
Midline of the fourth ventricle
Facial colliculus
Located on the posterior pons
Bulge of fibers from facial nerve wrapping around the abducens nucleus
Stria medullaris
Located on the posterior pons
Fibers marking the boundary between the medulla and the pons
Pontine reticular formation
Responsible for complex motor patterns
Integrating motor and cerebellar commands to fine tune motor patterns
Connects to medial reticulospinal tract
Medullary reticular formation
Suppression of pain
Connects to lateral reticulospinal tract
Lateral periaqueductal gray (LPAG)
Circuit to inhibit pathway that controls pain
Modulated by serotonin via raphe