Lab 8 Structures Flashcards
what structures can you use to identify the lower/mid level medulla cross section?
- pyramids
- gracile/cuneate fasciulus/nuclei
- hypoglossal nucleus
- obex
- inferior olivary nucleus
gracile/cuneate nucleus and fasciculus
medulla → level of sensory decussation
lateral (accessory) cuneate nucleus
medulla → level of sensory decussation
serves as synapse site for 1st order neuron of cuneocerebellar tract
internal arcuate fibers and medial lemniscus
medulla → level of sensory decussation
- arcuate fibers are 2nd order neurons of DCML tract leaving the dorsal column nuclei and crossing to contralateral medulla
- medial lemniscus: the bundle of crossed fibers
medial longitudinal fasciculus (MLF)
medulla → level of sensory decussation
white matter pathway that contains descending vestibular information and ascending conjugate gaze control
trigeminothalamic tract
medulla → level of sensory decussation
crossed tract carrying ascending sensory information from face
spinal trigeminal nucleus and tract
medulla → level of sensory decussation
associated with pain and temperature info from face
spinothalamic tract
medulla → level of sensory decussation
pyramids/corticospinal tract
medulla → level of sensory decussation
hypoglossal nucleus
medulla → level of sensory decussation
dorsal motor nucleus of vagus
medulla → level of sensory decussation
solitary nucleus/tract
medulla → level of sensory decussation
taste to posterior 1/3 of tongue (CN IX)
nucleus ambiguus
medulla → level of sensory decussation
motor functions of CN IX and CN X
obex
medulla → level of sensory decussation
region of median aperature closest to 4th ventricle
inferior (principal) olivary nucleus
medulla → level of sensory decussation
- gives rise to climbing fibers to cerebellum
- nucleus deep to external olive
reticular formation
medulla → level of sensory decussation
- diffuse nuclei throughout regions of brainstem
- serve variety of functions (e.g. reticulospinal tracts, pain modulation, cardiac/pulmonary functions)
what structures can you use to identify the upper level medulla cross section?
spinothalamic tract (ALS)
rostral medulla → level of ICP
spinal trigeminal nucleus/tract
rostral medulla → level of ICP
medial lemniscus
rostral medulla → level of ICP
medial longitudinal fasciculus (MLF)
pyramids
rostral medulla → level of ICP
descending sympathetic fibers
rostral medulla → level of ICP
- associated with pupillary dilation, elevation of eyelid, sweating to face
- ipsilateral impact if lesioned
cochlear nuclei (dorsal, ventral)
rostral medulla → level of ICP
associated with aspects of hearing
vestibular nuclei (medial, inferior)
rostral medulla → level of ICP
glossopharyngeal nerve
rostral medulla → level of ICP