Neuroanatomy Flashcards

1
Q

The nucleus incertus ?

A

This nucleus locates in the midline between the dorsal tegmental nucleus of both sides and display important projections to the hypothalamus, septum, amygdala and hippocampus and is able to modulate the hippocampal theta rhythm which is involved in learning and memory processes.

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2
Q

Dorsal tegmental, laterodorsal tegmental and pedunculopontine tegmental nuclei ?

A

These tegmental nuclei are located surrounding the MEDIAL LONGITUDINAL FASCICULE at the level between the PONS and the MEDULLA.

The laterodorsal and pedunculo-pontine tegmental nuclei are composed of CHOLINERGIC neurons involved in arousal and REM sleep.
The dorsal tegmental nucleus is a spheric –like nucleus which is involved in the configuration of spatial hippocampal maps, particularly in the generation of head orienting cells.

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3
Q

Substantia nigra and ventral tegmental area ?

A

These systems are :

  • The main DOPAMINERGIC centers in the brain
  • Located deep to the cerebral peduncles in the MIDBRAIN.

=> The substantia nigra

Is composed of two compartments : the part COMPACTA and the part RETICULATA.

-> The pars reticulata :

  • Is located more ventrally betsween the bundles of descending cortical axons.
  • Mainly composed of GABAergic neurons which project to the thalamus and superior colliculus.
  • The pars reticulata deeper in respect to the former and is composed of dopaminergic neurons projecting to the striatum.
  • Pathological degeneration of these neurons are the cause of Parkinson’s disease.

=> The ventral tegmental area :

  • Is located in the midline between the substantia nigra of both sides.
  • It is also composed of dopaminergic neurons projecting to both, the nucleus accumbens and the prefrontal cortex.
  • Alterations in these projectos are on the bases of mental illnesses like addictions or schizophrenia.
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4
Q

Parabraquial nuclei ?

A

It is composed of two clearly defined regions :

  • Medial and
  • Lateral.

-> Medial region :
- Receives gustatory projections from the nucleus of the tractus solitaries.

Gustatory projections are sent to the ventral posteromedial thalamic nucleus.

-> Lateral region :
- Receive baroreceptor projections from the same nucleus.

Baroreceptor projections are mainly directed to the reticular formation mediating cardiovascular and respiratory reflexes.

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5
Q

Periaqueductal grey PAG ?

A
  • It consist of a well differenciated cell group around the cerebral aqueduct at MIDBRAIN and PONTINE levels.
  • PAG cells are arranged in longitudinal columns.
  • The definitory element of the columns is the occurrence of NITRIC OXIDE SYNTHETASE (NOS) in the dorsolateral column which leaves a dorsolateral column medially and lateral and ventrolateral columns ventrally.

-> In total, the PAG is composed of :
- Dorsomedial,
- Dorsolateral,
- Lateral and
- Ventrolateral columns.

The PAG receives a strong projection from the prefrontal which deals with conflict situations like a predator atac, there is also an important amygdala projection which deals with fear responses, mainly freezing and hypothalamic projections which is responsible for metabolic adaptation in conflict situations.

In general, the PAG is mainly involved in two kinds of behavior i.e., afensive/defensive mechanisms and nociception.

The PAG organize cop mechanisms.

-> The anterior part of the dorsal column responds to conflict situation by facing the problem and confrontation.

-> The lateral column of the PAG is involved in a flying response to the danger.

Finally, the ventrolateral column is involved in fear responses which require quiescence and freezing.

On the other hand, PAG is involved in endogenous analgesia that is the reduction of nociceptive signal along its progress through the CNS by an inhibitory action starting in the PAG. This inhibitory action may start with opioid transmission in the PAG. Some opioid analgesics, like morphine, potentiate this mechanisms.

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6
Q

Locus coeruleus and adrenergic centers ?

A
  • The locus coeruleus is a tiny structure located over the lateral border of the fourth ventricle at the pontine central grey.
  • It is composed of noradrenergic neurons.

Other noradrenergic groups are dispersed in discrete groups of the reticular formation. These cellular groups provides a broad adrenergic projection throughout all the central nervous system. The main function of these projection is general arousal and control of REM sleep and cortical activation.

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7
Q

What is the graphe nuclei ?

A

It can be considered as the MIDLE RETICULAR FORMATION.
As a common feature for all these nuclei is the occurrence of SEROTONIN (5HT) as neurotransmitter.

From rostral to caudal it can be outline:

  • At the midbrain, the dorsal and linear raphe nuclei
  • At the pons, the median raphe (central superior) and the raphe pontis
  • At the medulla, the raphe magnus, the raphe lucidus and the raphe obscurus

The raphe nuclei display widespread projections ascending and descending as well in such a way that may be considered as a general modulator of the neural function.

The projections from the MEDULLARY RAPHE nuclei are directed towards the SPINAL CORD and are directed to modulate the ascending NOCICEPTIVE information.

In contrast, MIDBRAIN and PONTINE RAPHE nuclei serotoninergic cells project to the TELENCEPHALON and modulates the general telencephalic function, thus mainly involved in AROUSAL.

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8
Q

What are the tegmental nuclei ?

A

Several of these nuclei can be considered at the same time as reticular or tegmental.

Although many discrete nuclei can be outline along the brainstem in the following description we are going to consider the following:

  • The raphe nuclei,
  • Locus coeruleus and adrenergic groups,
  • Periaqueductal grey,
  • Dorsal and ventral tegmental nuclei,
  • Pedunculo-pontine tegmental nucleus,
  • Laterodorsal tegmental nucleus,
  • Midbrain cuneiform nucleus,
  • Interpeduncular nucleus,
  • Ventral tegmental area,
  • Substantia nigra and
  • Nucleus incertus.
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9
Q

Other structures next to the FR

A

Along the rostrocaudal axis a series of segments can be outline :

-> At the level of the MIDBRAIN :

  • Most part is occupied by the RED NUCLEUS.
  • This nucleus receives a strong projection from the CEREBELLUM and projects to the SPINAL CORD (the rubrospinal tract)
  • Afferent fibers from the cerebellum cross the midline to get the red nucleus and in the same way efferents to the spinal cord also cross again to the contralateral side of the red nucleus.
  • The red nucleus also receives an importan projection from the PREMOTOR CORTEX,
  • In addition, the red nucleus also projects to the INFERIOR OLIVARY COMPLEX.

-> At the levels of the PONS :

  • It ca be outline the RETICULARIS PONTIS ORALIS and RETICULARIS PONTIS CAUDALIS which are involved in arousal, including sleep regulation.

-> At the level of the MEDULA :

  • The PARAMEDIAN FORMATION is involved in oculomotor modulation and coordination
  • The RETICULARIS GIGANTOCELLULARIS is involved in motor coordination
  • The RETICULARIS PARVOCELLULARIS in pain modulation.

Also in a diffuse way between the retiucular areas there are some centers involved in cardiorespiratory functions which regulate the rhythm of breathing and also the rhythm of cardiac beating and adjust them according to energy requirements.

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10
Q

Reticular formation

A

All along the brainstem, there are several groups of neurons dispersed among the ascending and descending pathways and surrounding the motor ans sensory nuclei. The group cells dispersed between bundles of ascending, descending and trasversal fiber in which limits and structural isolation is not aparents are refered as RETICULA FORMATION.

NB : Cells arranged in discrete groups that are easily defined are knons as tegmental nuclei.

The RF :

  • The retiucular formation looks to be a continuum of neurons that runs from the SPINAL CORD -> THALAMUS.
  • Typical reticular cell display star-like morphologies with dendritic extending at relatively long distances. Their axons also extend far away.
  • Mainly composed of two longitudinal regions, i.e. MEDIAL and LATERAL
  • In addition, the RAPHE NUCLEI occupy a MEDIAN column and a group of cells can also be defined between the raphe nuclei and the medial column and are defined as PARAMEDIAN column.

-> The MEDIAL region :
- Is composed of large neurons (magnocellular column)
- Extend their axions in rostrocaudal directions
- These neurons are involved in motor modulation and are the origin of the RETICULO-SPINAL PATHWAY.

-> The LATERAL :
- Or parvocellular column is mainly composed of small neurons
- Extending its axons in medial directions
- Involved in sensory modulation.

-> The PARAMEDIAN column :
- Is only present in caudal pons and rostral medulla.
- It is mainly involved in cerebellar functions and oculomotor systems

-> The MEDIAN column :
- Is composed of the RAPHE NUCLEI
- Mainly involved in arousal and as a main feature its cells produce and delivers serotonin.

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11
Q

Auditory sensitivity

A

The cochlear nuclei receive primary acoustic information from the SPIRAL GANGLION cells in the COCHLEA.

Cochlear nuclei locate in the jonction between the pons and the medulla.

Cochlear complex is composed of the :
- DORSAL cochlear nucleus
- VENTRAL SUP cochlear nucleus
- VENTRAL INF cochlear nucleus

Axon arising from the primal ganglion cells project to all of the three cohclear nuclei.

There is a TONOTOPICALLY arrangement of auditory in the three cochlear nuclei.

In the cochlea :

  • HIGH frequencies stimulate preferentially the base of the cochlea
  • LOWER frequencies are more affective in stimulating the apex

This organization is transferred to the cochlear nuclei in a similar way :
- HIGH : represented VENTRALLY
- LOWER : DORSALLY

This is the TONOTOPY.

Cochlear nuclei originates three bundles :

-> DORSAL

  • Cross controlaterally through the floor of the fourth ventricule to form the LATERAL LEMNISCUS on the contralateral side

-> MIDDLE

  • Projects to both, the ipsilateral ans controlatéral SUPERIOR OLIVARY COMPLEX
  • A group of these fibers also run rostrally to join the lateral lemniscus

-> INFERIOR

  • Also called TRAPEZOID DODY
  • Also project to both the ipsilateral and controlateral SUPERIOR OLIVARY COMPLEX

The SUPERIOR OLIVARY COMPLEX :
- Is a group of nuclei : MEDIAL and LATERAL OLAVRY n. + PREOLIVARY n. + TRAPEZOID BODY n.
- Located ventrally between the pons and the medulla
- All components of this complex receive information from both acoustic organs
- The integrated information, the delay in arriving the signal from one ear or the other, and the differences in intensity between both ears are computer to locate the source the sound in the space.

The SUP OLIVARY COMPLEX + n. COCHLEAR = give rise to the LATERAL LEMNISCUS.

LEMNISCUS LATERAL :

  • Is a bundle of fibers running through the label part of the brainstem
  • This bundle arrive to the colliculus inferior
  • Between the tract of the lateral lemniscus the are a groupe of cells which originates the nucleus of the lateral lemniscus (contribute to auditory processing)

INFERIOR COLLICULUS :

  • Located in the caudal part of the midbrain
  • Oval structure composed of a core (that is the central nucleus) and a shell, containing the dorsal and external nucleus
  • The central nucleus receives direct ascending auditory projection which is tonotopically

The central nucleus of the INF COLLICULUS originates to pathway :

  • One to the MEDIAL GENICULATE BODY witch will relay auditory information to the auditory cortex = LEMNISCAL PATHWAY
  • One to the pericentral nuclei and from there to the deep layers of the superior colliculus subserving visual auditory reflex = EXTRALEMNISCAL PATHWAY

The acoustic tracts cross to the contralateral side in multiple places, but from the inf colliculus they do not cross anymore. These crossing alow to compare information from both ears at once and locates the source of the sound.

NB : In addiction to this ascending pathway to the thalamus and cortex, there e is a descending pathway that arise from the neocortex and targets the olivary complex.

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12
Q

Nucleus of the solitary tract ?

A

Baroreceptor and gustatory information is recovered by cranial nerves VII, IX and X.
Axons from these nerves meet together to form the solitary tract which runs dorsally along the caudal levels of the pons and rostral levels of the medulla. Surrounding this bundles différents groups of neurons receive its information and are collectively known as the nucleus of the solitary tract.

There is a topographic distribution of baroreceptive and gustatory information inside the nucleus of the solitary tract :

  • Gustatory information is mainly represented in the rostral aspect of the nucleus
  • Baroreceptor information is mainly managed in the caudal aspect of the nucleus.

In the same way :

  • Fibers from the VII nerve : rostral level
  • IX : intermediate level
  • X : more caudally
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13
Q

What is the tectum ?

A

The tectum is composed of 4 tubercules = CORPORA CUADRIGEMINA + a transition between corpora quadrigemina and thalamus = PRETECTUM.

In turn, corpora quadrigemina is composed of :

-> SUPERIOR COLLICULI

  • Devoted in vision
  • Is a layered structure : composed of 3 k-layers of fibers : SUPERFICIAL GREY / INTERMEDIATE GREY / DEEP GREY, separated by corresponding layers of fibers : OPTIC layer, WHITE MIDDLE layer and DEEP WHITE layer
  • OPTIC layer + WHITE superficial layer are involved in reception of projections from RETINA and relaying the to the pulvinar nucleus and pretectum
  • The rest are mainly involved in OCULOMOTOR coordination and reflexes

-> INFERIOR COLLICULI

  • Devoted to audition
  • Composed of a CENTRAL nucleus and PERICENTRAL nucleus
    The CENTRAL part belong to the direct auditory pathway :
    -It receives projection from different components of the ascending auditory pathway which are organize tonotopically.
    The PERICENTRAL nuclei :
  • Are the dorsal nucleus and the external nucleus
  • Part of the indirect auditory pathway
  • Participate to some aspect of audition
  • Project to the deep layer of the colliculi responsible of auditory visuel reflex

PRETECTUM :

  • Set of nuclei which receive direct information from the retina and from the superior layer of the colliculi superior
  • In turn the pretectal nuclei projects to the accessory oculomotor nuclei = responsive of the coordination mainly referred to vertical gaze
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14
Q

Sensibility of the face ?

A

The sensibility of the face is collected by three nuclei :

  • Mesencephalic trigeminal nucleus
  • Principal trigeminal nucleus
  • Spinal trigeminal nucleus

-> The mesencephalic trigeminal nucleus

  • composed of a row of large cells located laterally in respect to the periacqueducal grey
  • these neurons correspond to ganglion neurons as send one process directly to the receptor s in the roots of the teeth and another process to the motor trigeminal nucleus
  • adjust the strength of the bite according to the pression of the teeth

-> The principal trigeminal nucleus

  • received fibers from the triennal ganglion which carry out information from the three trigeminal branches
  • located in the pons just at the level of the trigeminal fibers

-> The spinal trigeminal nucleus

  • receive small diameter fibers conveying nociceptive information of high threshold and slow adaptation
    located in a bundle lateral to the nucleus
  • there is a somatotopic representation in the spinal trigeminal nucleus (which is reversed to the way they are located in the face) :
  • mandibular occupies rostral position
  • maxillary nerve intermediate
  • ophtalmic nerve is represented caudally

=> Axon from both principal and spinal trigeminal nuclei cross the midline and integrates in the medial aspects of the medial lemniscus, so that information regarding the face appears in continuity to that regarding the neck.

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15
Q

Efferents from the vestibular nuclei targets ?

A

Mainly :

  • Cerebellum,
  • Spinal cord,
  • Oculomotor centers
  • Thalamus

1) Cerebellum

  • The pathway from the cerebellum arise from the medial ans inferior nuclei
  • Targets the vestibulocerebellum as mossy fibers

2) Spinal cord

  • The pathways to the spinal cord arises from the lateral and medial vestibular nuclei
  • The lateral vestibulo-spinal tract (from the lateral nucleus) is a direct ipsilateral pathways which arrives to all levels in the spinal cord
  • In contrast, the medial vestibular nucleus gives rise to bilateral fibres integrating the medial vestibulospinal tracts targets only the cervical ans upper thoracic levels of the spinal cord

3) Oculomotor centers

  • Superior and rostral of the medial vestibular nuclei provides innervation to the oculomotor centers through the FLM

NB :
- The FLM regulating the gaze by meet in contact the oculomotor, the vestibular and the spinal nuclei, and also center integrating information regarding gaze coordination
- The mouvement of the head and eyes and neck are computed with the mouvement of the lymph in the semicircular ducts as being analyzed by the vestibular centers

4) Thalamus

  • Part of the vestibular projections arrives to the thalamus where they are projected through a diffuse way over the ventral posterolateral nucleus.
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16
Q

Vestibular sensitivity

A

The statoacoustic nerve VIII, conveys conjoint sensitivity from the verstibular and cochlear organs (however these sensitivities do not merge at any moment).

The vestibular component of the nerve:

  • pass between the inferior cerebellar pedoncle ans the trigeminospinal nerve and enters in the vestibular nuclear complex
  • the vestibular nuclear complex is composed of 4 nuclei : medial, lateral, superior, inferior

The crests of the semicircular ducts are mainly projected in the superior vestibular nucleus and the medial part of the rostral vestibular nucleus.
Fibers from the utricule and saculum projects to the lateral, inferior, and caudal aspect of the medial nucleus.

NB : Some fibers pass directly to the cerebellum without relay in the vestibular nucleus = juxtarestiformis bundle.

17
Q

Lemniscus median

A

The medial lemniscus is a pathway that starts in the nucleus gracilis and in the nucleus cuneatus.

These fibers crossed ventrally to the contralateral side through the sensitive decussation.

Over the contralateral side the medial lemniscus is a ventral band running longitudinally through the brainstem until arriving the thalamus.

After crossing, the fibers of the medial lemniscus are organized with those corresponding to the lower limb laterally and fibers of the trunk, upper limb and neck occupy progressively more medial positions.

Fibers carrying information of the head and face are incorporated medially along the track in the brainstem.

18
Q

Epicritic and proprioception

A

Somatosensory encapsulated terminals located in the deepest layer of the skin, neuromuscular spindles and articular terminals are sources for epicritic sensitivity.

This sensitivity is fine tactile and reports over the position of the body in the space.

Ganglionar neurons carrying this sensitivity send axons through the dorsal cords which ascend ipsilaterally without relaying in the spinal cord. From caudal to rostral, fibers are added to the cords, so that they are a somatotopically arranged in the dorsal cord i.e. the medialmost fibers are from the lower limb and lateralmost fibers are for upper limb.
When arriving to the medulla the fibers project to two sensitive nuclei i.e. :

  • the nucleus gracilis and
  • the nucleus cuneatus.

The nucleus gracilis receives epicritic and proprioceptive information from the inferior half of the trunk and lower limb while the nucleus cuneatus receives information regarding the superior trunk and upper limb.

The sensitivity of the neck is recovered by a nucleus just lateral to the cuneatrus known as nucleus cuneatus accessories.

These nuclei are the origin of two pathways i.e. :

  • the medial lemniscus and
  • the cerebellum.

The proprioceptive information enters the cerebellum through the inferior cerebellar peduncle.
The medial lemniscus is a pathway that starts in the nucleus gracilis and in the nucleus cuneatus. These fibers crossed ventrally to the contralateral side through the sensitive decussation. Over the contralateral side the medial lemniscus is a ventral band running longitudinally through the brainstem until arriving the thalamus. After crossing, the fibers of the medial lemniscus are organized with those corresponding to the lower limb laterally and fibers of the trunk, upper limb and neck occupy progressively more medial positions. Fibers carrying information of the head and face are incorporated medially along the track in the brainstem.

Also the inferior olivary nuclei located ventrally receive proprioceptive information from the spino- olivary tract. The superior olivary nuclei send projections to the cerebellum which ends as climbing fibers.

19
Q

Décrire le nerf X

A

Le nerf X, vague ou pneumogastrique, est un nerf complet : sensitif, sensoriel, moteur et végétatif.

Son originalité est de contenir un très grand nombre de fibres nerveuses végétatives (para-sympathiques) destinées aux viscères thoraciques et abdominaux. Par ses fibres brachiopodes-motrice il est aussi le nerf de la phonation.

Les neurones viscéraux moteurs du X : proviennent du noyau dorsal du X (noyau cardio-pneumo-entérique). Ils sont destinés à l’innervation des viscères thoraciques ( cour, poumons, oesophage) et à la plus grande partie des viscères abdominales.

Les centres moteurs du X sont communs avec ceux du IX. C’est le noyau ambigu.

20
Q

Décrire le nerf IX

A

Le nerf X glosso-pharyngien, est un nerf : moteur, sensitif, vergetatif et sensitif.

Les centres moteurs du IX sont communs à ceux du X. La colonne unique de motoneurones constitue la “ noyau ambigu”

Fibres motrices ont pour destination :

  • les muscles pariétaux
  • muscles para-pharyngiens
  • muscles de la voie du palais

Les neurones viscéraux moteurs du IX proviennent du noyau salivaire inférieure (para-sympathique crânien) et sont destinés à l’innervation sécrétoire de la glande parotide via le n. petit pétreux, n. tympanique, le ganglion otique et le n. auricule-temoral.

21
Q

Contingent végétatif du VII

A

Le nerf facial intra-pétreux = contingent végétatif, est formé par l’anastomose de fibres végétatives dans la caisse du tympan et ses parois osseuses.

Ses fibres sont fournies par les tronc nerveux du VII et du IX. Les fibres sont destinées à deux ganglions végétatifs pré-viscéraux :

  • Ganglion ptérygo-palatin
  • Ganglion otique

La fonction générale des ganglions pré-viscéraux est de rassembler les fibres ortho et parasympathiques pour les distribuer aux viscères. Les viscères concernées ici sont d’une part la mucquese nasale, et la glande lacrymale et d’autre part la glande parotide.

Ainsi deux voies utilisent le plexus tympanique :

  • Voie lacrymo-nasal par le ganglion ptérygo-palatin
  • Voie salivaire inférieure (parotidienne) par le ganglion otique

La disposition est la suivante :

  • Fibres lacrymo-nasales (parasympathique dans le VII bis) traversent le ganglion géniculé et forment le nerf grand pétreux. Elle rejoint le ganglion ptérygo-palatin.
  • Les fibres salivaires inférieures proviennent du noyau salivaire inférieur. Un petit contingent transite par le VII bis et le ganglion géniculé, la plus grande partie utilise le IX et le nerf tympanique. L’ensemble forme le nerf petit pétreux. Il rejoint le ganglion otique.

There are two centers controlling major salivary and secretory systems of the head :

  • Superior salivary nucleus : contain the preganglionic neurons witch give rise axons joining the VII cranial nerve. These axons innervate the ptrérigopalatine and sublingual ganglia. Regulates the secretion of the nasal cavities, and the lacrymal gland. The last regulates the submaxilarry and sublingual glands.
  • Inferior salivary nucleus contains central preganglionar neurons witch provide axons for the IX glossopharyngeal nerve witch innervate the otic ganglion witch in turn modulates the secretion of the parotide.
22
Q

Décrire le nerf VII

A

Il est le nerf des muscles de la face. Mais c’est en fait un nerf mixte et en plus porteur de fibres vegetative. Il contient donc des fibres motrice, sensitives et végétatives.

Au plan sensitif il est le vecteur de la sensibilité brachiale (gustative région du V lingual).
Au plan végétatif, il contient une partie de la voie lacrymale, et de la voie salivaire supérieure.

Il est donc constitué :

  • Une racine motrice (la plus volumineuse)
  • Une racine sensitive (VII bis ou nerf intermédiaire de Wisberg)
  • Un ganglion sensitif (ganglion géniculé)

La réunion des deux racine forme une angulation = genou du facial.

23
Q

Décrire le nerf V

A
  • C’est le plus volumineux des nerfs crâniens
  • Il est principalement le nerf de la sensibilité de la face, des dents, de la cavité nasale et des sinus pré-nasaux
  • Il contient en plus un contingent de fibres nerveuses motrices, destinée aux muscles masticateurs
  • Certaines de ses branches transportent des fibres nerveuses végétatives (vasomotrices pour la face, et sécrétoires pour les muqueuses et glandes de la région)

Les afférentes de la sensibilité générale de la face sont regroupées pour former 3 troncs nerveux qui concernent chacune des trois territoires de la face:

  • nerf ophtalmique
  • nerf maxillaire
  • nerf mandibulaire

Sous le ganglion se trouve le contingent de fibres motrices masticatrices.

L’ensemble traverse la face ventrale du pont, dans sa moitié latérale.

24
Q

What are the vegetative nuclei of the brainstem ?

A

During the development of the rhombencephalon and midbrain, groups of cells with vegetative function becomes organized at the level of ependymary sulcus (of Monro) between the dorsal (sensitive) and ventral (motor) plates.

These groupe of cells form the Central preganglionar nuclei of the cranial parasympathetic system.

-> The cilliary nucleus = of Edinger-Wesphal

  • located at the midbrain medial to the common oculomotor nucleus.
  • controls the cilliary ganglion in the orbit and its axon go along with the IIIrd nerve
  • regulate the opening of the pupil and the accommodation

-> Salivary nucleus

two centers who control salivary and secretory system of the head = both located in the dorsal aspect part of the FRP (pontine reticular formation)

a) Superior salivary nucleus

  • contient the preganglionic neurons with give rise axons joining the VII cranial nerve
  • these axons innervate the pterigopalatine and sublingual ganglia
  • the former regulates the secretion of the nasal cavities and lacrymal gland, the last regulates the secretion of submaxillary and sublingual glands

b) Inferior salivary nucleus

  • contains central preganglionar neurons witch provide axons for the IX glossopharyngeal nerve witch innervate the otic ganglion, witch in turn modulates the secretion of the parotid gland

-> Dorsal nucleus of the vagus

  • located in the dorsal aspects of the upper medulla and its preganglionar fibers integrate the vagus X nerve witch provides parasympathetic innervation to ganglia located in different visceral including gut, lungs, hearth and kidneys
25
Q

What is the composition of the brainstem ?

A

The brainstem is composed of three segments :

  • Midbrain
  • Pons
  • Medulla

The brainstem is more than a simple crossroad between ascendent and descendent pathways.
Along the brainstem there are sensitive and motor nuclei for the cranial nerves. In addiction, at this level responses are integrated and ascending information is filtered highlighting a couple over the background. It is also a complex processing system which coordinates vegetative functions from many organs.

26
Q

What are the motor nuclei of the brainstem ?

A

1) Oculomotor nuclei

-> Common oculomotor nucleus III
- located in the midbrain, just over the medial longitudinal fascicle (this bundle connects all centers regulating the gaze)
- axons arising leave the nucleus ventrally and medial to the cerebral pédoncules

-> Trochlear nucleus IV

  • more caudally at the level of the inferior colliculus
  • leave the brainstem dorsally
  • innervating the OS

-> Nucleus Abducens VI

  • locates in the same column but more caudally, at the level of the pons
  • surrounded by the fibers of the facial nucleus
    leave the brainstem between the pons and the medulla

2) Masticatory nucleus

-> Motor nucleus of the trigeminus (masticatory V)

  • same column but more caudally at the level of the pons
  • receives direct projections from the mesencephalic nucleus (which is responsible for sensitive to the pression between the teeth what adjust the strength of masticatory muscles)

3) Motor facial nucleus VII

  • locates at the level of the pons
  • the axons arising from this nucleus surrounds the VI and leave the brainstem together with the VIII

4) Nucleus ambigus

-> Motor part of glossopharyngeal nerve (XI) + Motor part of the vagus nerve (X) = emerge into the nucleus ambiguous

  • anterior part = swallowing (déglutition), fibers leave the nucleus to form the glossopharyngeal nerve IX (joins with afferent gustatory fibers)
  • posterior part = phonatory, join other groups (gustatory, sensory, parasympathetic) to form the vagal nerve X

-> Spinal nerve XI

  • located in the lower aspects of the medulla and upper levels of the ventral horn of the spinal cord
  • send axons that form the ventral root and meet to form a nerve witch locates just behind vagus nerve X.
  • innervate the superior aspect of the sternocleidomastoidal and trapezius nerves = responsible of the orientation movements

-> Hipoglossal nerve XII

  • locates in the rostral and dorsal aspect of the medulla
  • fibers leave the nucleus between the pyramids and the inferior olivary complex
  • innervation of the tongue
27
Q

Décrire le nerf X

A

Le nerf X, vague ou pneumogastrique, est un nerf complet : sensitif, sensoriel, moteur et végétatif.

Son originalité est de contenir un très grand nombre de fibres nerveuses végétatives (para-sympathiques) destinées aux viscères thoraciques et abdominaux. Par ses fibres brachiopodes-motrice il est aussi le nerf de la phonation.

Les neurones viscéraux moteurs du X : proviennent du noyau dorsal du X (noyau cardio-pneumo-entérique). Ils sont destinés à l’innervation des viscères thoraciques ( cour, poumons, oesophage) et à la plus grande partie des viscères abdominales.

Les centres moteurs du X sont communs avec ceux du IX. C’est le noyau ambigu.