Lecture 71 - Reticular System Flashcards

1
Q

The Reticular Formation is a central core of nuclei that run through the length of the brainstem from the ________ down to the ______ zone of the Spinal cord. For the most part, they’re located in the _______ (Tectum, Tegentum, or Basalis?)

A

Diencephalon

Inermediat zone

Tegmentum

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2
Q

The ______ (Rostral or Caudal?) end of the Reticular Formation is associated with Consciousness (projecting to the ________ nuclei of the Thalamus, Cerebral cortex, Hypothalamus, and Basal forebrain), while the ______ (Rostral or Caudal?) end - continuous with the _______ zone of the Spinal cord - of the Reticular Formation is assoiated with Motor and Autonomic functions.

A

Rostral

Intralaminar nuclei of the Thalamus

Caudal

Intermediate zone of the Spinal cord

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3
Q

Order the following Reticular Formation nuclei from Medial to Lateral and describe what they control:

Raphe Nucleus

Gigantocellular

Parvocellular

A

Raphe –> most medial and responsible for Mood and Wakefullness

Gigantocellular –> Lateral to Raphe and responsible for Motor function

Parvocellular –> Most lateral and responsible for Respiration

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4
Q

One of the Subsets of the Reticular Formation is the Reticular Activating System (RAS). It is comprised of nuclei in the _______ (so the Rostral portion of te Reticular Formation), and these nuclei are responsible for producing all the ______ of the Reticular Formation.

The RAS functions include:

_______ processing and integration.

Regulation of _______ and the ____-____ cycle.

Regulation of ______ behavior.

A

Thalamus

NTs (Noradrenerigic, Serotonergic, Cholinergic, and Dopaminergic)

Sensory processing and integration

Regulation of Consciousness and Sleep-wake cycle

Regulation of Emotional behavior

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5
Q

In the Rostral Pons, Noradrenergic (produce Norepi) neurons are in the _____ ______ (Near the 4th ventricle).

As you move from the Pons into the medulla, the Noradrenergic neurons are in the ______ ______ area.

Keep in mind these neurons project out to all areas of the brain, and their functions include regulating Attention, _____-_____ states, Mood, ______ modulation, and BP.

A

Locus Ceruleus

Lateral Tegmental Area

Sleep-wake states

Pain

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6
Q

Dopaminergic neurons of the RAS are located in the ______ ______ and _____ ______ area of the Ventral Midbrain.

A

Substantia Nigra (specifically in the pars compacta)

Ventral Tegmental area

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7
Q

The Substantia nigra Dopaminergic neurons project to Subcortical regions, particularly the ______ and ______, responsible for movement. This is considered the ________ dopaminergic pathway.

The Ventral Tegmental dopaminergic neurons comprise 2 dopaminergic pathways:

The _________ pathway neurons arise from the Ventral Tegmental area and project to the ______ system strucures (medial temporal cortex, amygdala, cingulate gyrus, nucleus accumbens) and are involved in ______ and ______, as well as the _______ (positive or negative?) symptoms of Schizophrenia.

The _______ pathway neurons arise from the Ventral Tegmental area and project to the prefrontal cortex (so involved with Working memory and _______ aspects of motor initiation, as well as _______ (positive or negative?) symptoms of Schizophrenia.

A

Caudate and Putamen

Mesostrial dopaminergic pathway

Mesolimbic

Limbic

Reward and Addiction

Positive (Hallucinations)

Mesocortical

Attentional aspects

Negative (anhedonia, flat affect, etc.)

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8
Q

Serotonergic neurons in the RAS are located in the ______ nuclei. Those from the Rostral end of these nuclei project to the _____, _____, and _____ _____. Those from the Caudal end project to the ______, _____, and _____ _____.

A

Raphe Nuclei

Rostral –> Cortex, Thalamus, and Basal Ganglia

Caudal –> Cerebellum, Medulla, and Spinal Cord

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9
Q

Serotonergic neurons in the RAS are involved in regulating _______ state, ________ modulation, _______, and ________.

A

Psychiatric state

Pain modulation

Breathing

Temperature

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10
Q

Cholinergic neurons of the RAS are located in the Brainstem within the _________ tegemental nuclei and the ________ tegmental nuclei. They are also located in the Basal Forebrain within the Medial ______ nuclei, Nucleus of _______ ______, and the Nucleus _______.

The Brainstem nuclei project to _______ (cortical or subcortical?) areas and the ____ ____.

The Basal Forebrain nuclei present to the Hippocampus and the Entire cerebral cortex. Which Basal Forebrain nuclei project to which?

A

Brainstem –> Pedunculopontine Tegmental nuclei and Laterodorsall Tegmental nuclei.

Basal Forebrain –> Medial Septal nuclei, Nucleus of diagonal band, and Nucleus Basalis.

Brainstem nuclei –> project to Subcortical areas and the Spinal cord

Basal Forebrain nuclei –> Medial septal + Nucleus of diagonal band project to the Hippocampus; Nucleus Basalis projects to the Entire cerebral cortex.

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11
Q

The Pontomesencephalic aspect of the Reticular Formation is responsible for regulating _______.

Is it located Rostrally or Caudally?

Where does it project to?

A

Consciousness

It is located Rostrally in the Reticular Formation

It projects to both Thalami, which then project to the Cerebral Cortex bilaterally.

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12
Q

What are the 3 areas in which Lesions would cause Loss of Consciousness?

A

Upper Brainstem Reticular Formation (Rostral)

Bilateral Thalami

Extensive Bilateral Cortex

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13
Q

Sleeping actually requires several active neural circuits.

  • The Sleep-promoting regions in the _______ (i.e. the _______ Reticular Formation and the Nucleus ______).
  • The Anterior ________ (i.e. the ________ nucleus)
  • The Basal ________.
A

Medulla

Medullary Reticular Formation

Nucleus Solitarius

Anterior Hypothalamus

Suprachiasmatic Nucleus (SCN)

Basal Forebrain

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14
Q

________ inputs to the Thalamus have an arousal effect on the brain, as the Thalamus then projects to the cortex causing wakefullness.

Similarly, neurons in the Posteriolateral Hypothalamus cause wakefullness by exciting the _______ and Hypothalamic arousal systems with release of ________ (Hypocretins) and _______ (which is why Benadryl makes you sleepy).

A

Cholinergic

Brainstem

Orexins (Hypocretins)

Histamine

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15
Q

There are _______ neurons in the ______ of the anterior hypothalamus that inhibit the neurons in the RAS and the posterior thalamus.

What effect does this have on the Sleep-wake cycle?

A

GABAergic

VLPO

Inhibiting the RAS –> inhibit Orexin and Histamine –> promotes Non-REM sleep.

Inhibiting Posterior Thalamus –> Inhibits Cholinergic neurons –> so no ACh goes to the cortex –> Promotes Non-REM sleep.

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16
Q

Promotion of REM sleep requires activity from the _____-__ cells in the Pontine Reticular Formation. These cells secrete GABA that reduces the action of ______ and _____ –> this in turn Disinhibits the Cholinergic neurons in the Pontine tegmental area –> increased ACh to the Thalamus.

Keep in mind the ACh from the Pontine tegmental nuclei acting on the Thalamus is the key for REM sleep!

A

REM-on cells

Norepi

Serotonin

17
Q

Modulation of pain requires input from the Hpothalamus, Amygdala, and the Cortex to the __________ _____ area –> this inhibits transmission in the dorsal horn via a relay called the ____ ____ ____ (at the pontomedullary junction) –> this projects _______ neurons from the Raphe nucleus to the Spinal cord (one mech of pain modulation) AND it sends Substance P to the _____ _____, which then sends Norepi to the Dorsal horn (another mech of pain modulation).

A

Periaqueductal gray area (PAG)

Rostral Ventral Medulla (RVM)

Serotonergic neurons

Locus Ceruleus

18
Q

The __________ tracts in the Reticular Formation are responsible for modulating motor functions of _____, _____, and _____. These are ______ (ascending or descending?) tracts that _____ (do or do not?) decussate.

There are 2 main origins for these tracts. 1. _______ Reticular Nucleus. 2. Medullary reticular formation (specifically the ________ nucleus).

Which one Excites anti-gravity extensors and which one Inhibits axial extensors and controls Breathing?

A

Reticulospinal tracts

Posture, Tone, and Balance

Descending tracts

DO NOT decussate

  1. Pontine reticular nucleus
  2. Gigantocellular nucleus

Pontine Reticulospinal Tract (Medial RST) excites anti-gravity extensors.

Medullary Reticulospinal Tract (Lateral RST) Inhibits Axial Extensors and controls Breathing.

19
Q

The Caudal portion of the Red Nucleus is comprised of ________ neurons that make up the _______ tract.

Inputs: _______ and ________ (contra or ipsilateral?) Motor cortex.

Outputs: Ipsilateral in ______, Contralateral _______ _______, and Contralateral ________ _____ (this one being the Rubrospinal tract.)

The Rubrospinal tract decussates in the Ventral ______ ______ and Terminates in the _______ (region?) Spinal cord. It is responsible for movements like contralateral arm swing when walking/running.

A

Magnocellular

Rubrospinal tract

Inputs: Cerebellum and Ipsilateral Motor Cortex

Outputs: Ipsilateral Inferior Olive, Contralateral Reticular Formation, and Contralateral Rubrospinal Tract

20
Q

______ posture refers to posture with the Arms flexed at the elbow and pointing up.

_______ posutre refers to posture with the Arms extended at the elbow and pointing down.

What is the localization of the lesions that would lead to each of these?

A

Decorticate –> Lesion ABOVE Red Nucleus (knocks out the Reticulospinal tract)

Decerebrate –> Lesion BELOW Red Nucleus (knocks out the Rubrospinal tract)

21
Q

Autonomic Regulation of Heart rate as part of the Reticular Formation structures occurs via inputs From CN ___ and CN ____ (they detect changes in _____) –> to the caudal _______ nucleus –> Nucleus _______ and Ventrolateral ________ ______ area –> change in heart rate to accomodate BP.

A

CN IX and CN X

BP

Caudal Solitary nucleus

Nucleus Ambiguous and Ventrolateral Medullary Depressor area

22
Q

Which nucleus in the Medulla is responsible for regulating respiration?

A

Solitary Nucleus (Nucleus Solitarius)