Intro to Brainstem Flashcards

1
Q

3 main functions of the brainstem

A

conduit, integrative, cranial nerve home (III-XII)

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2
Q

Classic divisions of the brainstem

A

Midbrain, Pons, Medulla

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3
Q

Longitudinal divisions of the brainstem

A

from ventral to dorsal –> Basis, tegmentum, Tectum (“roof”)

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4
Q

Medial and lateral divisions of brainstem

A
  • Alar plate (dorsal; sensory)– separated by septum limitans
  • basal plate (ventral)
  • pneumonic: ASsBM
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5
Q

Conduit function of brainstem

A

transit and processing stations for ascending and descending pathways to and from cerebrum, cerebellum and spinal cord

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6
Q

Integrative function of brainstem

A
  • “Keeps you alive!”: integrative functions like consciousness, sleep wake cycle, muscle tone, posture, respiratory and CV control
  • found thanks to reticular formation
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7
Q

Midbrain main distinguishing features

A

cerebral peduncles, interpeduncular fossa

- also see mammillary bodies (above; part of hypothalamus not brainstem)

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8
Q

Medulla features

A
  • Ventral: pyramids (medial), olive (lateral)
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9
Q

Pons features

A

pontine protuberance, middle cerebellar peduncles (laterally)

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10
Q

Dorsal surface features

A
  • Midbrain: superior/inferior colliculi with 3rd ventricle above
  • Pons: superior/middle/inferior cerebrllar peduncle
  • Medulla:
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11
Q

tract

A

bundle of axons in CNS

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12
Q

nerve

A

bundle of axons in PNS

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13
Q

Peduncle

A

collection of tracts that travel together from one part of brain to another

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14
Q

How many peduncles

A

1- cerebral

3- cerebellar (superior, inferior, middle)

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15
Q

Cerebral Peduncle

A

Information going from cerebrum to spinal cord, pons, and CN nuclei

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16
Q

Superior Cerebellar Peduncle

A
  • Info from anterior spinocerebellar tract to cerebellum

- mostly info from cerebellum to red nucleus and thalamus (VA/VL)

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17
Q

Inferior Cerebellar Peduncle

A
  • into cerebellum (posterior spinocerebellar tract and olive)
  • Information going back and forth between cerebellum and vestibular nucleus
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18
Q

Middle Cerebellar Peduncle

A

information from Cerebral cortex–> PONS –> Cerebellum

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19
Q

Major distinguishing feature midbrain

A

Dorsal: sup/inf canaiculi
Ventral: cerebral peduncles

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20
Q

Pons distinguishng features

A

D: cerebellum
V: Pons

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21
Q

Distinguishing features of rostral medulla

A

D: ICP
V: inferior olive, pyramids

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22
Q

distinguishing features of caudal medulla

A

D: nucleus cuneatus/gracilis
V: pyramids (and their decussation)

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23
Q

Corticospinal tract

A

Motor; Decussates at base of medulla

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24
Q

Dorsal Column Medial Lemniscus

A
  • Fine touch/vibration, proprioception

- Decussates mid medulla then becomes medial lemniscus

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25
Anerolateral System (Spinothalamic)
- Pain/temp | - Decussates at level of spinal cord
26
Most long tract lesions in brainstem will be _______ and most cranial nerve signs will be _______ to the lesion
1) contralateral | 2) ipsilateral
27
Cranial Nerve locations
- Midbrain: 3, 4 - Pons: 5, 6, 7, 8 - Medulla 9, 10, 11, 12
28
(LR6SO4)3
all occulomotor muscles innervated by CN III except lateral rectus (6) and superior oblique (4)
29
CN VII
Motor -- muscles of facial expression | Sensory -- taste ant 2/3
30
CN V
Motor: muscles of mastication
31
CN VIII
l
32
CN IX
l
33
CN X
Vagus
34
CN XI
Accessory nerve
35
Location of CN NUCLEI
Midbrain: III, IV, edinger westphal nucleus Pons: V, VI, VII, VIII (cochlear and vestibular nuclei) Medulla: IX, X, XII, spinal nucleus of V (pain/temp)
36
Nuclei of CN V
mesencephalic, primary motor nucleus, main sensory nucleus, spinal nucleus (in pons/medulla?)
37
CN VIII nuclei
cochlear nucleus and vestibuilar nucleus -- both in Pons
38
Superior vs inferior caniculus
Inferior has "capsule"
39
Pupillary light reflex
shining light in one eye will cause pupillary constriction in both eyes
40
Pupillary light reflex
shining light in one eye will cause pupillary constriction in both eyes
41
MLF
midlongitudinal faniculus - coordinates eye movements with head movements - CN nuclei 3, 4, 6, 8 - also involves cerebellum, medial vestibulospinal tract (too coordinate neck muscles too)
42
Vagal Pathways
Dorsal motor nucleus X, Nucleus ambigusou, solitary nucleus
43
Gag reflex
touch wall fo 1 side fo pharynx elicits bilateral gagging response (tests sensory fibers of IX and nucleus ambiguous of X)
44
Jaw Jerk Reflex
Downward tapping of jaw causes bilateral contraction of masseter - Afferent mesencephalic nucleus of V - Efferent = main motor nucleus of V
45
Corneal Blink Reflex
Cornea touched by foreign object --> both eyes blink - Afferent= spinal nucleus of V - Efferent = motor nucleus of VII
46
Which CN get innervation from bilateral UMN
3, 4, 5, 6, upper of 7, Nucleus ambiguous
47
which CN innervation from contralateral UMN
lower of 7, hypoglossal (12)
48
All LMN are ipsilateral onto targets except for which?
CN IV
49
corticospinal tract
carries info from cerebrum to spinal cord
50
corticopontine tract
carries info from cerebrum to pons
51
corticobulbar tract
carries info from cerebrum to cranial nerves
52
Middle cerebellar peduncle
carries information from Cerebral cortex --> Pons --> Cerebellum
53
Inferior cerebellar peduncle
carries info from posterior spinocerebellar tract and inferior olive to cerebellum; carries info between cerebellum and vestibular nucelsu both ways
54
superior cerebellar peduncle
carries info from cerebellum to red nucleus/thalamus; carries info from anterior spinocerebellar tract to cerebellum
55
midline medial motor nuclei
3, 4, 6, 12
56
Dorsal motor nucleus of X
preganglionic parasympathetic vagal neurons to heart and thoracic and abdominal viscera
57
Nucleus ambiguous
motor vagal neurons to muscles of pharynx, larynx (swallowing, phonation, movement of uvula, gagging). Also contains motor fibers to stylopharyngeus muscle which helps in phonation and swallowing but not gagging
58
gag reflex
afferent (IX sensory fibers) | Efferent (X nucleus ambiguous)
59
which CN get bilateral innervation from corticobulbar tract
3, 4, 5, 6, upper of 7, N. ambiguous
60
CN with contralateral UMN innervation from corticobulbar tract
lower of 7, hypoglossal (12) (note 12 has minor ipsilateral contribution but dominated by contralateral)