Exam One - Brainstem/Medulla Flashcards

(41 cards)

1
Q

What are the 3 primary vesicles?

A

Prosencephalon
Mesencephalon
Rhombencephalon

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2
Q

What are the two primary flextures?

A

cervical
cephalic

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3
Q

Where is the cervical flexure?

A

Separates the spinal cord and the rhombencephalon

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4
Q

Where is the cephalic flexture?

A

in the mesencephalon

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5
Q

What are the 5 secondary vesicles?

A

Telencephalon
Diencephalon
Mesencephalon
Metencephalon
Myelencephalon

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6
Q

What are the 2 secondary flexures?

A

Pontine
telencephalic

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7
Q

Where is the pontine flexure?

A

divides hindbrain into metencephalon and myelencephalon

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8
Q

Where is the telencephalic flexure?

A

divides prosencephalon into diencephalon and telencephalon

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9
Q

Describe how CSF moves through the ventricles

A

lateral ventricles -> interventricular foramen -> third ventricle -> cerebral aquaduct -> 4th ventricle -> central canal

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10
Q

Contents of the brainstem

A

White matter
Gray Matter
Major afferent and efferent fiber connections with the cerebellum
Reticular Formation (medial and lateral nuclear components)

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11
Q

White matter in the brainstem

A

1 - ascending sensory fibers that originate from SC neurons and DRG neurons
2 - descending motor fibers that originate from neurons of the telencephalon and diencephalon
3 - ascending and descending fibers that originate from brainstem neurons

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12
Q

Grey matter in the brainstem:

A

Sensory and motor nuclei of cranial nerves

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13
Q

In the Brainstem, there are major ___________ and ____________ fiber connections with the _____________

A

afferent, efferent, cerebellum

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14
Q

Reticular Formation (medial and lateral nuclear components) in the brainstem

A
  • Ascending reticular activating system (RAS)
  • Central pattern generators
  • Pain modulation centers
  • nuclear centers
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15
Q

Reticular formation central pattern generators

A

networks of neurons that generate stereotypes, rhythmic motor behaviors such as walking, running, swimming, breathing, chewing, certain eye movements, shivering, scratching

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16
Q

reticular formation pain modulation centers

A

periaqueductal gray of the midbrain

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17
Q

reticular formation nuclear centers

A

control/modulate visceral special senses and reflexes related to these senses: cardiac and respiratory centers

18
Q

Important ventral structures

A

crus cerebri, basilar pons, pyramids

19
Q

important external features of the ventral surface

A

crus cerebri, basilar pons, anterior median fissure, pyramid, olive, pyramidal decussation

20
Q

Parts of _____ and __________ form the floor of the 4th ventricle

A

pons, medulla

21
Q

Features on the dorsal surface of the brainstem and the rhomboid fossa

A

obex
sulcus limitans

22
Q

obex

A

the most caudal point of the 4th ventricle, as it narrows and communicates with the central canal of the SC

23
Q

What features separates the open and closed medulla?

A

sulcus limitans

24
Q

sulcus limitans

A

important landmark for functional anatomy of brainstem nuclei, separates the cranial nerves’ motor and sensory nuclei, motor nuclei are more MEDIAL and sensory nuclei are LATERAL

25
What continues caudally and rostrally with the medullar oblongata?
caudally - spinal cord at the level of foramen magnum rostrally - pons
26
The medulla is __________. The portion that is caudal to the 4th ventricle is ___________. The portion located within the 4th ventricle is ______________.
subdivided, closed, open
27
What are the contents of the medullar oblongata?
- cranial nerve nuclei 8-12 - components of CN 5 - corticospinal and dorsal column.medial lemniscus - dorsal column nuclei (nucleus gracile and cuneate) - ascending and descending spinal cord tracts - cardiac and respiratory centers - nuclei related to cerebellar function - nuclei specific to the reticular formation
28
Alar and basal plates shift in which ventricle?
4th
29
cell groups medial to the sulcus limitans are ______, cell groups lateral to the sulcus limitans are _____________
motor, sensory
30
At what level does pyramidal decussation occur?
junction of medulla and central cord
31
At what level does sensory decussation occur?
closed medulla
32
What branches off the vertebral artery supply the medulla?
-anterior spinal artery - posterior spinal artery - Post. inf. cerebellar a. (PICA)
33
What branches off the basilar artery supply the medulla?
- ant. inf. cerebellar a (AICA)
34
blood supply of closed medulla (under obex)
-PICA -PSA -ASA -VA
35
blood supply of open medulla
- PICA - VA -ASA
36
blood supply of medulla right under pons
- AICA -PICA -VA -ASA
37
Which CN originate in medulla?
9,10,11,12
38
CN 9 damaged
- glossopharyngeal - ipsilateral loss of pharyngeal sensation
39
CN 10 damaged
- vegus - ipsilateral palatal weakness
40
CN 11 damaged
- spinal accessory - ipsilateral weakness in trap and SCM muscles
41
CN 12 damaged
- hypoglossal - ipsilateral weakness in the tongue