Lecture 4-brainstem Flashcards

1
Q

what makes up the general functions of the brainstem

A

cranial n
ascending/descending pathways
integrative functions: consciousness, vital center

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2
Q

what are basic structures of the brainstem around the cerebral aqueduct and ant to 4th ventricle

A

basilar
tectum
tegmentum

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3
Q

what makes up the basilar and what are the functions

A

descending tracts and pontine nuclei
motor functions

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4
Q

what makes up the tegmentum and what are the functions

A

ascending tract and cranial n nuclei
sensory and head/special sensation

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5
Q

what makes up the tectum and what are the functions

A

only in midbrain, deep nuclei
vision and auditory pathway
reflexive pathway

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6
Q

what functions does the sulcus limitans divide

A

dorsal: sensory
ventral: motor

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7
Q

what cranial n nuclei expands from the midbrain to the spinal cord

A

CN V
mesencephalic nucleus

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8
Q

what CN have 4 different functional components

A

CN VII, IX, X

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9
Q

what CN share the same nuclei as CN V

A

CN VII, IX, X
Ss
Spinal trigeminal nucleus

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10
Q

what CN share the solitary tract

A

CN VII, IX, X
Vs

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11
Q

what CN share the ambiguous nucleus

A

CN IX, X
Sm

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12
Q

Longitudinally, the brainstem can be divided into different divisions and what are the functions

A

basilar= motor
tegmentum= sensory
tectum= vision and auditory

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13
Q

what is in the transverse rostral midbrain

A

superior colliculus
periaqueductal gray
cerebral aqueduct
CN V- mesencephalic nucleus
CN III- edwinger wetphal, somatic motor nucleus
red nucleus
substantia nigra
cerebral punducle

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14
Q

what nucleus is paired with CN V in the rostral and caudal midbrain

A

mesencephalic nucleus

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15
Q

what nucleus is paired with CN III in the rostral midbrain and its function

A

edwinger-westphal- parasympathetic
somatic motor nucleus

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16
Q

what is in the transverse section of caudal midbrain

A

inferior colliculus
periaqueductal gray
cerebral aqueduct
CN IV nucleus
CN V- mesencephalic nucleus
superior cerebellar peduncle

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17
Q

what function does the superior cerebellar peduncle do

A

decussation

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18
Q

what is in the rostral pons transverse section

A

4th ventricle
CN V- motor and principal sensory nuclei
pontine nuclei
middle cerebellar penduncle

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19
Q

what is the function of the middle cerebellar peduncle

A

decussated for corticopontine signals to the cerebellum

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20
Q

what is the location of corticopontine fiber synapses

A

pontine nuclei

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21
Q

what is in the caudal pons transverse section

A

4th ventricle: choriod plexus
CN V- spinal trigeminal nucleus, motor and principal nucleus
CN VI- abducens nucleus
CN VII- facial nucleus
CN VIII- vestibular and cochlear nucleus
CN VII/IX- sup/inf salivary nucleus
sup olivary nucleus

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22
Q

what nuclei do CN VII and CN IX share

A

sup/inf salivary nucleus

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23
Q

what is in the rostral medulla transverse section

A

4th ventricle
olive
pyramid
CN V- spinal trigeminal nucleus
CN VIII- vestibulocochlear nucleus
CN IX/X- ambiguous nucleus
CN X- dorsal motor nucleus
CN XII- nucleus
solitary nucleus
inf cerebellar peduncle

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24
Q

what is the function of the inf cerebellar peduncle

A

restiform body

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25
what is the function of the inf olivary nucleus and where is it
olive axons decussate to contra cerebellum
26
what houses the corticospinal tract
pyramid
27
what is the function of the ambiguous nucleus
somatic motor
28
what is the function of dorsal motor nuclei
visceral motor
29
what is the function of solitary nucleus
parasympathetic visceral sensory
30
what is in the caudal medulla transverse section
central canal CN V- spinal trigeminal nuclei CN XII nucleus inf olivary nucleus pyramid
31
what CN are supported by spinal trigeminal nucleus and what is the function
CN VII, IX, X somatic sensory
32
where does CN V connect on the spinal cord
spinal trigeminal nucleus connects to dorsal horn laminae to C2 level
33
where is somatic sensory ascending tract in the brainstem
tegmentum
34
what are the 2 ascending tracts for somatic sensory
dorsal column medial leminscus anterolateral spinothalamic
35
what is the DCML tract
proprioception, vibration, fine touch
36
what is the anterolateral spinathalamic tract
pain, crude touch, temp
37
where is the 3 neuron system of the DCML tract
1= DRG 2= middle medulla, decussate 3= VPL
38
where is the 1st order neuron of the DCML tract if sensation is below T6
fasciculus gracilis
39
where is the 1st order neuron of the DCML tract if sensation is above T6
fasciculus cuneatus
40
once somatic sensory fibers decussate in caudal medulla, what forms
medial leminscus
41
how is the somatotopy maintained
medial leminscus rotates 180 degs
42
where is the somatic motor descending tract in the brainstem
basilar
43
where does rubrospinal and tectospinal tract decussation
midbrain
44
what modulates rubrospinal and tectospinal tract
descending corticonuclear tract in midbrain
45
what is the function of the rubrospinal tract
extremity motor control
46
what is the function of the tectospinal tract
postural control
47
what provides parasympathetic motor for the head
edinger westphal nucleus- CN III salivatory nuclei- sup CN VII, ing CN IX
48
what provides parasympathetic motor for thorax and abdomen
dorsal nucleus- CN X
49
what provides parasympathetic motor for the abdomen and pelvis
pelvic splanchnic n hindgut-pelvis
50
what follows the parasympathetic motor in the brainstem
visceral sensory
51
what nuclei/CN provides visceral sensory and what is the function
solitary nuclei- CN VII,IX,X pelvic splanchnic detects chemical and mechanic stimuli
52
what provides signals into the cerebellum
corticopontine tract descend and synapse with pontine nuclei decussate in pons in middle cerebellar peduncle
53
what. provides signals out of cerebellum
sup cerebellar peduncle decussate in caudal midbrain project to thalamus and into motor cortex ipsi motor function
54
where is reticular formation diffused in the brianstem
along the whole brainstem
55
what is the function of reticular descending tracts
motor and sensory functions
56
what tracts make up descending reticular
reticulospinal periaqueductal gray-raphe nuclei
57
what is the function of reticulospinal tract in the descending reticular pathway
pontine- postural control medullary- fine motor
58
what is the function of periaqueductal gray-raphe nuclei in the descending reticular pathway
inhibit nociception (pain)
59
what is the function of the ascending reticular
arousal and consciousness maintain sleep-wake cycle
60
what is the signal pathway for ascending reticular
brainstem to thalamus to prefontal cortex
61
what happens if forebrain does not have input from brainstem
prolong coma
62
Label ABCDEF
A- caudate B- ant limb of internal capsule C- genu D- putamen E- post limb of internal capsule F- thalamus
63
what is the transverse section of the brainstem
rostral midbrain
64
what is the transverse section of the brainstem
caudal midbrain
65
what is the transverse section of the brainstem
rostral pons
66
what is the transverse section of the brainstem
caudal pons
67
what is the transverse section of the brainstem
rostral medulla
68
what is the transverse section of the brainstem
caudal medulla