lecture 9 brainstem Flashcards

(37 cards)

1
Q

what 2 types of tracts does the brain stem carry?

A
  • ascending sensory tracts- dorsally located

- descending motor tracts- ventrally located

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what 6 descending tracts originate in the brain stem?

A
  • tectospinal
  • rubrospinal
  • retciulospianal
  • vestibulospinal
  • ceruleospinal
  • raphespinal
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what two things are located on the brainstem?

A

cranial nerve nuclei and colliculi

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what is the ventral division of the brainstem?

A

basilar- structures related to motor activity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what is the dorsal division of stem proper?

A

tegmentum- structure related to sensory input

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what is the additional dorsal layer of the brainstem?

A

tectum- structures related to orienting the auditory and visual input

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what is the function of the medulla?

A

coordination of the head/ neck movement, breathing, swallowing, HR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what 5 structures does the medulla contain?

A
  • pyramids: descending motor tracts; pyramidal decussation- lateral corticospinal tract
  • olives: inferior olivary nucleus: projections to cerebellum and spinal cord (climbing fibers)
  • cranial nuclei: 5,7-10,12
  • cuneate and gracilis tubercles
  • ascending tracts
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the function of the basilar portion of the pons?

A

descending tracts from cortex to pons and spinal levels (corticospinal tracts)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what is the function of the tegmentum portion of the pons?

A

ascending sensory tracts, reticular formation, ANS pathways, sensory CN nuclei 5,6,7, medial longitudinal fasciculas tract for coordination of eye and head

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what is the function of the tectum?

A

posterior to the tegmentum at midbrain level controlling eye muscles and head orientation to sight and sounds

  • pretectal area-aids in pain control; located between the colliculi and cerebral aqueduct
  • superior and inferior colliculi
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what type of CN nuclei is VIII?

A

special for sensory and motor- located in the pons

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what CN has a somatic function for sensory input?

A

V

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what 3 CN have a visceral function for sensory input?

A

VII, IX, X

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what 4 CN are motor and have visceral function?

A

III, VII, IX, X

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what 5 CN are motor and have brachial functions (swallowing, speech production)

A

V, VII, IX, X,XI

17
Q

what 4 CN are motor and have somatic function (muscle)?

A

III, IV,VI, XII

18
Q

what are the 3 functions of the reticular formation?

A
  • integrates sensory and cortical info
  • regulates motor and autonomic functions and consciousness
  • modulates ascending pain with defending influences
19
Q

where is dopamine located and what is its function?

A

Ventral tegmental nuclei

-decision making, feeling or pleasure and addiction

20
Q

where is acetylcholine located and what is its function?

A

Pedunculopontine

-influences movement vis basal ganglia, vestibular and recticulospinal connections

21
Q

where is serotonin located and what is its function?

A

raphe nuclei

-mood, movement modulator, pain inhibition, cardiovascular regulation

22
Q

where is norepinephrine located and what is its function?

A

locus ceruleus

-attention/ sleep regulation, pain inhibition

23
Q

where are norepinephrine and epinephrine located and what is the function?

A

medial reticular area

-autonomic regulation of respiration, viscera, cardiovascular response

24
Q

what structure is located posterior to the cerebral peduncles?

A

substantia nigra

25
what are the 4 components of the mid brain tegmentum?
- superior cerebellar peduncles - red nucleus- rubrospinal tract - preiaquductal gray around the cerebral aqueduct: pain inhibition, fight and flight reactions - CN III-IV
26
what are the 2 components of the midbrain tectum?
- pretectal- pupillary reflexes | - colliculi- superior (reflexive eye movement), inferior (coordinates movement toward sound)
27
what are the 3 functions of the cerebellum?
- coordination of movement - motor planning - attention shifting
28
if there is a brainstem lesion above the cuneate and gracilis nuclei is the damage contralateral or ipsilateral? below?
above- contralateral | below- ipsilateral
29
what is one cause of an UMN lesion?
hypertonicity
30
what is one cause of a LMN lesion?
hypo- reflexia, muscle flaccidity
31
an altered state of consciousness would be indicative of a lesion where?
brainstem or cerebrum | -reticular formation damage results in loss of consciousness, level depends on the extent of damage
32
tumors that press on the brainstem can cause what?
- disrupt homeostasis - nasuea - headache - CN impairments or hydrocphalus
33
tumors in the cerebellum can cause what?
ataxia
34
what is dysphagia?
impaired swallowing
35
what is dysarthria?
impaired speaking
36
what is diplopia?
double vision- lack of coordination of CN 3,4,6; tectal nuclei could be damaged
37
what is dysmetria?
over shooting distance