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Brainstem I
Brainstem Lectures
 Brainstem I
 External structure
 Cerebellum
 Cranial nerves
 Brainstem II
 Internal structure
• Cranial nerve
nuclei
• Reticular
formation
• Location of
selected tracts
midbrain
pons
medulla oblongata
cerebellum
Brainstem Organization
tectum
tegmentum
basis
pyramid
Ventral Brainstem
 Cerebral peduncles
 Interpeduncular
fossa
 Basilar pons
 Pyramids &
decussation
 Olives
 Anterior median
fissure
 Olivary sulci
 Bulbopontine
sulcus
 Cerebellar angle
Dorsal Brainstem
 Colliculi & brachia
 Cerebellar
peduncles
 Rhomboid fossa
 Tuberculum
Gracilis
 Tuberculum
Cuneatus
 Tuberculum
Cinereum
“Open” vs. “Closed” Medulla
Dorsal Brainstem –
Rhomboid Fossa
 Isthmus
 Velum
 Obex
 Posterior median
sulcus
 Medial eminence
 Facial colliculus
 Sulcus limitans
 Stria Medullares
 Trigones
 Hypoglossal
 Vagal
Cerebellum
 Outgrowth of pons
 Connects to
brainstem through
cerebellar
peduncles
 Functions
 Muscle tone
regulation
 Coordinated
movement
 Postural control
 Motor learning
Cerebellum
 Cerebellar cortex
surrounding white
matter
 Series of fissures
and folia
Cerebellum
Anterior lobe
Posterior lobe
Floculonodular
lobe
Fissures
Tonsils
Vermis
Cranial Nerve Functional
Classifications
 GSE – motor innervation of somatic
musculature
 SVE – motor innervation of branchiomeric
musculature
 GVE – motor innervation of viscera
 GVA – sensory input from viscera
 SVA – taste and smell sensory input
 GSA – general somatosensory input
 SSA – special senses of vision and
hearing/balance
I
II
III
IV
V
VI
VII VIII
IX
X
XI
XII
Cranial Nerves –
Telencephalon &
Diencephalon
 Olfactory –
 smell (SVA)
 Optic –
 vision (SSA)
I, II
Cranial Nerves –
Mesencephalon
 Oculomotor –
 extraocular eye
muscles (GSE)
 PSNS to eye (GVE)
 Trochlear –
 extraocular muscle
(sup. oblique) (GSE)
III, IV
Cranial Nerves –
Metencephalon
 Trigeminal –
 Muscles of
mastication (SVE)
 General sensation
of the head and
face (GSA)
 Abducens –
 extraocular
muscle (lat.
rectus) (GSE)
V, VI
Cranial Nerves –
Metencephalon
 Facial –
 Facial expression
muscles (SVE)
 Glands
(submandibular,
sublingual & lacrimal)
(GVE)
 Taste (SVA)
 General sensation of
ear (GSA)
 Vestibulocochlear –
 Hearing and balance
(SSA)
VII, VIII
Cranial Nerves –
Mylencephalon
 Glossopharyngeal
 Stylopharyngeus
muscle (SVE)
 PSNS to parotid gland
(GVE)
 Taste (SVA)
 Carotid body sensation
(GVA)
 General sensation from
ear & tongue (GSA)
IX
Cranial Nerves –
Mylencephalon
 Vagus
 Muscles of larynx &
pharynx (SVE)
 PSNS to thorax and
upper abdomen
(GVE)
 Sensory from viscera
(GVA)
 General sensation
from ear (GSA)
 Taste (SSA)
X
Cranial Nerves –
Mylencephalon
 Accessory –
 innervates trapezius
and
sternocleidomastoid
(SVE or GSE)
 Hypoglossal –
 tongue muscles
(GSE)
XI, XII
Cranial Nerve Groups
 Parasympathetic
 III, VII, IX, X
 Motor
 III, IV, VI, XI, XII
 Sensory
 I, II, VIII
 Mixed
 V, VII, IX, X
Descending
Pathway
 Pyramidal or
Corticospinal
Ascending
Pathways
 Dorsal
Column/Medial
Lemniscal Pathway
 Anterolateral
System
 Spinocerebellar
Tracts
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