Medulla Flashcards

1
Q

What is the inferior olivary nucleus?

A

It is a group of neuronal cell bodies that function as a relay center in the coordination of information between the cerebral cortex and the cerebellum to ensure synchrony of movements.

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2
Q

Where is the inferior olivary nucelus?

A

Immediately lateral to the pyramids on the central surface of the medulla

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3
Q

What are the pyramids?

A

The medullary pyramids form bulbous projections on the ventral surface of the medulla. They contain axons from neuronal cell bodies in the motor cortex which participate in teh regulation of lower motor neurons of cranial nerve nuclei in the brain stem and of the ventral horn of the spinal cord.

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4
Q

What is the route from the inferior olivary nucleus to the cerebellum?

A

Across the midline and through the contralateral inferior cerebellar peduncle to synapse in the cerebellum.

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5
Q

What are the secnodary neurons in the dorsal/posterior columns?

A

Nuclei gracilis and cuneatus

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6
Q

Where and to what does the dorsal column cross the midline?

A

The nuclei gracilis and cuneatus axons cross in the lower medulla to form the contralateral medial lemniscus.

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7
Q

How is the spinothalamic tract localized in the medulla?

A

Same is spinal cord since the fbers decussate in teh spinal cord

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8
Q

What is the cuneocerebellar tract?

A

These fibers carry unconscious proprioception and enter the spinal cord superior to Clark’s nucleus.

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9
Q

What is the course of the cuneocerebellar tract?

A

The fibers ascend in the posterior columns to the level of the accessory cuneate nucleus located in the medulla (near the cuneate nucleus). They synapse with neurons in the accessory cuneate nucleus and those axons form the cuneocerebella tract which go through the ipsiateral inferior cerebellar peduncle to the cerebellum.

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10
Q

What is the inferior cerebellar peduncle?

A

IT is located dorsolaterally in the rostral medulla and is the major comunication cable between the medulla dn the cerebellum.

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11
Q

What is the sulcus limitans?

A

It separates sensory deribative from motor derivatives. Visceral information is closest to it.

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12
Q

Hypoglossal Nucleus?

A

It is present in the midline of the medulla. This group of neurons send ther fibers out of the brainstem just lateral to the pyramids.

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13
Q

What does the hypoglossal nucleus innervate?

A

It innervates the tnogue and when lesioned, it produces lower motor neuron symptoms. Its upper motor neuron is in the cortex.It tavels with the corticospinal fibers and leave the pyramids to synapse in the hypoglossal nucleus.

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14
Q

What is the nucleus ambiguus?

A

A “lower” motor neuron which innervates the muscle s of the larynx and pharynx and soft palate via cranial nerves IX, X and XI The rootlets leave the brainstem lateral to the olive on the ventral surface

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15
Q

Visceral motor nuclei?

A

Parasympathetic preganglionic neurons right next to the somatic motor column. The dorsal motor nucleus of the vagus is the principal parasympatetic nucleus and fibers travel to thoracic and abdominal viscera.

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16
Q

Spinal nucleus and descending tract of V?

A

Pain and temp sensation from the face have primary cell bodies in cranial nerves V, VII, IX and X. Processes of these cells enter the brainstem at the level of the upper pons and descned throug hthe medulla nad upper cervical segments of the spinal cord.

17
Q

Tract and nucleus solitarius?

A

The nucleus solitarius is the principal visceral afferent nucleus of the brainstem, and both gustatory and visceral afferent information are received via the solitary tract. It receives input from fibers of cranial nerves VII, IX and X.

18
Q

Vestibular and cocholear nuclei?

A

Vestibular division of CN VIII terminates in the various vestibular nuclei.Primary auditory afferents have their cell bodies located in the spiral ganglion.

19
Q

What is the reticular formation?

A

It is comprised of neurons intermingled with fibers. It is present in the medulla, pons and midbrain.