Lecture 5.2 Flashcards
what is the brainstem composed of
midbrain, pons, and medulla oblongata
brainstem principal function
- regulates vital functions
- relay/conduit
- integration and regulation of sensory info (reticular formation)
- cranial nerve origin and termination
what vital functions does the brainstem regulate
cardiac activity, respiration, consciousness, sleep
how does the brainstem act as a relay/conduit
ascending and descending nerve connections to and from the motor and sensory systems of the brain pass through the brainstem
how does the brainstem integrate and regulate sensory information (reticular formation)
modulation of brain sensory input (decides what is important) and in the regulation of sleep, arousal, and sleep-wake transitions
what is the rostral limit of the brainstem
the midbrain-diencephalon junction where it meets the thalamus and hypothalamus, below the optic tracts
what is the caudal limit of the brainstem
the level of the foranum magnum and the pyramidal decussation
- everything below the decussation is the spinal cord
what are the cerebellar peduncles
superior cerebellar peduncle, middle cerebellar peduncle, inferior cerebellar peduncle
what does the superior cerebellar peduncle connect to
midbrain
what does the middle cerebellar peduncle connect to
pons (the largest)
what does the inferior cerebellar peduncle connect to
medulla (at the junction between pons and medulla)
what do the pontine nuclei contain
descending neurons from the primary motor cortex —> contralateral cerebellum
where does the posterior spinocerebellar tract originate from
the lower body
characteristics of posterior spinocerebellar decussation
stays ipsilateral
where does the cuneocerebellar tract originate from
the upper body
characteristics of cuneocerebellar decussation
stays ipsilateral
how do the uncrossed tracts of the posterior spinocerebellar tract enter the cerebellum
via the inferior cerebellar peduncles (medulla)
how do the uncrossed tracts of the cuneocerebellar tract enter the cerebellum
via the inferior cerebellar peduncles
where does the anterior spinocerebellar tract originate from
the lower body
characteristics of anterior spinocerebellar tract decussation
decussates in the spinal cord at the level of its entry but decussates again in the brainstem to return to the ipsilateral side of the brain
how does the anterior spinocerebellar tract enter the cerebellum
via the superior cerebellar peduncles (midbrain)
where are the cerebral peduncles found
ventral surface, only midbrain
where are the cerebellar peduncles found
dorsal surface, all levels of brainstem
what is the ventral surface of the midbrain formed by
cerebral peduncels
what do the cerebral peduncles do
link the brainstem to the thalamus and cortex
crus cerebri
the anterior/ventral portion of the cerebral peduncles which carries the motor tracts
what is the view of the pons on the dorsal surface obstructed by
cerebellum
what is the pons attached to the cerebellum with
middle cerebellar peduncles
where are the dorsal columns of the DCML ascending tract visible
in the caudal medulla (closest to the spinal cord)
where do the dorsal column tracts synapse
on their second order neurons in the gracile and cuneate nuclei found in the caudal medulla
what forms the medial lemniscus
the decussation of the tracts from the second order neurons of the dorsal columns
- travels through the rest of the brainstem up to the thalamus
olivary nuclei location
the prominent bulges lateral to the pyramids in the rostral medulla
- not seen in the caudal medulla
main internal components of the brainstem
- cranial nerve nuclei
- long tracts “passing through”
- cerebellar circuitry
- reticular formation
components of the midbrain
tectum, cerebral peduncles, tegmentum (present throughout entire brainstem, not just midbrain)
what does the tegmentum contain
red nucleus and substantia nigra
what is the red nucleus responsible for
controlling basic body and limb movements and fine hand movements
what is the substantia nigra responsible for
integrating voluntary movements for smooth motion
where is the red nucleus located
within the rostral midbrain in the tegmentum
what tract is the red nucleus the origin of
rubrospinal extrapyramidal descending motor tract
periaqueductal gray (PAG) location
gray matter located around the cerebral aqueduct within the tegmentum of the midbrain
what information does the PAG receive
pain and temp from the lateral spinothalamic ascending tracts
what are the neurons of the PAG excited by
endorphins and by opiate analgesics
PAG function
controlling autonomic nervous system responses to painful or threatening stimuli from the lateral spinothalamic ascending tracts
- regulates behavioral and autonomic defensive reactions
what behavioral and autonomic defensive reactions does the PAG regulate
- heart rate and blood pressure changes
- production of vocalizations
- fear and panic reactions (freezing and explosive flight behaviors)
- analgesia (pain reduction)