Chapter 14 - Brain & Cranial Nerves (Detailed Look) Flashcards
Brain Stem (3 Parts)
- Medulla Oblongata
- Pons
- Midbrain
Medulla Oblongata
- Begins at foramen magnum
- Between spinal cord & pons
Medullary White Matter Tracts
- Contains sensory tracts (ascending) + motor tracts (descending)
- Both types of tracts run between spinal cord & higher brain centers
Pyramids
Bulges formed by corticospinal tracts
Decussation of Pyramids
Crossing over of pyramids occurs on anterior surface of lower medulla
*90% of upper motor neurons decussate
Medullary Gray Matter
-Contains nuclei that form the 3 Vital Centers:
- Cardiovascular Control
- Medullary Respiratory
- Reflex Centers
Cardiovascular Control Center
Regulates heart rate & force
Medullary Respiratory Center
Regulates rate of breathing
Reflex Centers
Control reflexes for vomiting, coughing, sneezing, hiccupping & swallowing
Pair of Olives
- Lateral to pyramids
- Each olive contains an inferior olivary nucleus, for relaying proprioception info to cerebellum
- Relays to cerebellum info fro, cerebral cortex & red nucleus
Right & Left Gracile & Cuneate Nuclei
Found in posterior medulla & concerned w/ fine touch, light pressure, vibration & proprioception
3 Other Medullary Nuclei
- Gustatory Nuclei
- Cochlear Nuclei
- Vestibular Nuclei
*Nuclei of origin for cranial nerves 8-12
4th Ventricle
Begins in medulla & continues into pons
Pontine White Matter
- Contains ascending (sensory) & descending (motor) tracts
- Contains tracts linking cerebellum & rest of CNS
Pontine Gray Matter
- Pontine nuclei relay nerve impulses from primary motor cortex to the contralateral hemisphere of the cerebellum
- Contains nuclei concerned w/ respiration
- Contains nuclei of origin for cranial nerves 5-8
Pontine Reticular Formation
Reticular formation within the pons has a respiratory area: The Pontine Respiratory Group, which helps the medullary respiratory center to control breathing
Midbrain
- Found between pons & diencephalon
- Conduit for white matter tracts
- Contains nuclei origin for oculomotor & trochlear nerves
- Surrounds aqueduct of the midbrain (AKA “Cerebral Aqueduct”)
Cerebral Peduncles
- Contains motor fibers of:
1. Corticospinal Tracts
2. Corticopontine Tracts
3. Corticobulbar Tracts
-Also contains 2nd order relay fibers that terminate in the thalamus, synapsing w/ 3rd order relay neurons that project to the somatosensory cortex
Corticospinal Tracts
Bundles of UMNs from cerebral cortex that terminate at a specific spinal cord segment
Corticopontine Tracts
Bundles of UMNs that terminate in the pons, synapsing w/ LMNs that travel via cranial nerves to various skeletal muscles:
- Cranial Nerve 5 (Trigeminal) -> Jaw Muscles
- Cranial Nerve 7 (Facial) -> Face Muscles
- Cranial Nerve 12 (Hypoglossal) -> Tongue Muscles
Corticobulbar Tracts
Bundles of UMNs that terminate in the medulla, synapsing w/ LMNs via cranial nerves 3-7 & 9-12
3 Types of Gray Matter Nuclei
- Reflex Centers (within Tectum)
- Red Nuclei
- Substantia Nigra (Right & Left)
Reflex Centers (within Tectum)
- 2 superior colliculi concerned w/ eye, head & trunk movements in response to visual stimuli
- 2 inferior colliculi relay auditory information from cochlea to brain & concerned w/ startle reflex
Red Nuclei
Integrate info from cerebrum & cerebellum to regulate muscle tone & posture
Substantia Nigra (Right & Left)
- Modify regulatory motor output of basal nuclei
- Dopaminergic pathway starts in substantia nigra & ends in basal nuclei
Motor Output of Basal Nuclei
Controls the pyramidal pathway, starting & stopping voluntary motor activity & setting kinetic motor tone
Reticular Formation
- Net-like gray matter within white matter
- Extends entire length of brain stem
- Motor tracts maintain skeletal muscle tone, HR & BP, ventilation
- Sensory tracts = RAS -> Cerebral Cortex
RAS (Reticular Activating System)
3 Functions:
- Maintain consciousness
- Prevent sensory overload
- Arousal from sleep
- Sensory inputs from eyes, ears & skin
- Melatonin & general anesthetics inactivate RAS
- RAS damage -> Possible coma
Cerebellum
- Lies bellow cerebrum, separated from brain stem by 4th ventricle
- Connected to brain stem by 3 sets of paired peduncles (white matter fiber tracts)
3 Sets of Paired Peduncles
- Inferior Cerebellar Peduncle
- Middle Cerebellar Peduncle
- Superior Cerebella Peduncle
Inferior Cerebellar Peduncle
Tracts going to & from cerebellum including:
- Sensory inputs w/ proprioception info from limbs & trunk
- Sensory inputs w/ proprioception info about head
- Inputs from inferior olivary nucleus
- Outputs to vestibular nuclei
- Outputs to reticular formation
Middle Cerebellar Peduncle
Inputs w/ voluntary motor information from cerebral cortex
Superior Cerebellar Peduncle
Outputs to red nucleus & thalamic nuclei -> primary motor cortex
Cerebellar Structure
- 2 cerebellar hemispheres joined by the vermis (3 lobes per hemisphere)
- Cerebellar cortex: Outer gray matter organized as ridges (“folia”)
- Arbor vitae: Interior of cerebellum (white matter tracts & gray matter nuclei)
3 Lobes of the Cerebellar Hemispheres
- Anterior Lobe: Subconscious components of voluntary movement
- Posterior Lobe: Same as anterior
- Flocculo-nodular Lobe: Equilibrium
3 Functions of the Cerebellum
- Skeletal muscle coordination
- Maintenance of muscle tone, posture & balance
- Processing of sensory data
Skeletal Muscle Coordination
- Function of the cerebellum
- Inputs from primary motor cortex & basal nuclei integrated to produce smooth & graceful movements
- Reconciliation of intended movements & actual movements
- Memorize complex motor activities
Maintenance of Muscle Tone, Posture & Balance
- Function of the cerebellum
- Inputs: Vestibular apparatus of inner ear
- Outputs: Muscles responsible for balance
- Ataxia = Lack of coordination, can be caused by trauma, disease, intoxication, etc.
Processing of Sensory Data
- Possible function of cerebellum
- Connections between cerebellum & certain sensory association areas have conjectured roles in processing sensory info, cognition & learning
Diencephalon
- Switching & relay centers to integrate conscious & unconscious sensory & motor pathways
- Consists of the Epithalamus, Hypothalamus, and Thalamus
Epithalamus
- Located above & behind the thalamus
- Contains the habenular nuclei & pineal gland
Habenular Nuclei
Responsible for emotional responses to olfactory stimulation