5 Flashcards

(32 cards)

1
Q

Tracts that originate in the brainstem

A

Tectospinal
rubrospinal
Reticulospinal
Vestibulospinal

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2
Q

sections of the brainstem

A

Basilar
Tegmentum
Midbrain has additional poserior section; tectum

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3
Q

section located anterior part of brainstem and contains predominately motor system structures

A

Basilar section

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4
Q

What does the basilar section of the brainstem contain

A

Descending axons from cerebral cortex

motor nuclei

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5
Q

section located in the posterior part of the brainstem

A

Tegmentum

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6
Q

What does the tegmentum section of the brainstem contain

A

Reticular formation
Sensory nuclei and ascending sensory tracts
Cranial nerve nuclei
Medial longitudinal fasiculus

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7
Q

Adjusts general activity level of nervous system

A

Reticular formation

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8
Q

Tract that coordinates eye and hand movement

A

Medial longitudinal fasiculus

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9
Q

additional posterior section in the midbrain

A

tectum

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10
Q

What does the tectum section of the brainstem contain

A

pretectal area

Superior and inferior colliculi

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11
Q

Reflexive control of eye and head movement

A

Tectum

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12
Q

Main functions of the reticular formation

A

Integrates sensory and cortical info
Regulates somatic motor activity, autonomic func and consciousness
Modulates nociceptive info

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13
Q

Functions of the medulla

A

Contributes to control of eye and head movements
Coordinates swallowing
Helps regulate cardiovascular, respiratory and visceral activity

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14
Q

Which cranial nerves are entirely in the skull

A

CN I and II

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15
Q

CN I

A

Olfactory
Smell
Connection to brain: Inferior frontal lobe
Identify substances

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16
Q

CN II

A

Optic
Vision
Connection to brain: Diencephalon
Check vision/pupillary reflex (sensory)

17
Q

CN III

A

Oculomotor
Moves eye up, down, medially, raises upper eyelid, constricts pupil, adjusts lens shape
Conn to brain: midbrain
Track finger, check eyelids, pupillary reflex (motor)

18
Q

CN IV

A

Trochlear
Move eye medially and down
Con to brain: midbrain
Have track finger

19
Q

CN V

A

Trigeminal
Facial sensation, chewing, sensation from TMJ
CTB: pons
Sensation of face, corneal reflex (sensory), masseter reflex

20
Q

CN VI

A

Abducens
Abducts eye
CTB: between pons and medulla
Have track finger

21
Q

CN VII

A
Facial
Facial expression, closes eye, tears, salvation, taste
CTB between pons and medulla
Facial movements
Corneal reflex (motor part)
22
Q

CN VIII

A
Vestibulocochlear
Sensation of head positions relative to gravity and head movement: hearing
CTB between pons and medulla
Vestibular function
Auditory function
23
Q

CN IX

A

Glossopharyngeal
Swallowing, salvation, taste
CTB medulla
Gag reflex sensory part

24
Q

CN X

A

Vagus
Regulates viscera, swallowing, speech, taste
CTB medulla
Have patient say ah, gag reflex motor

25
CN XI
Accessory Elevates shoulders, turns head CTB spinal cord and medulla MMT sternocleidomastoid and upper trap
26
CN XII
Hypoglossal Moves tongue CTB medulla have patient stick out tongue
27
Facilitates LMN's innervating muscles of head and neck
Corticobulbar tracts
28
Except LMN's to muscles of lower face (CN VII and V) and tongue (CN XII) LMN's are controlled by
Contralateral corticobulbar fibers
29
Disorders of the brainstem signs
Dysphagia Dysarthria Diplopia Dysmetria
30
Lesion to one side of brainstem at CN III, VI, XIII (never all three) also damages nearby corticospinal tract
Alternating hemiplegia
31
Symptoms of alternating hemiplegia of LMN
Flaccid paralysis on the same side of face/head as the lesion
32
Symptoms of alternating hemiplegia of UMN
spasctic paralysis of arm/leg on opposite side of body