NEURO 3 Flashcards
(57 cards)
The three external components of the brainstem:
- Medulla
- Pons
- Midbrain
Medulla
below the pons
- 80% of nerves cross here
- Cranial nerve XII hypoglossal is housed at the lower boundary of the medulla
-the upper boundary of the medulla is the FORAMEN CECUM, which marks the boundary between the medulla and the pons
Pons
-attached to the cerebellum through the cerebellar peduncles
+Function- acts as a bridge to relay neural fibers b/n the cerebrum, the cerebellum, and the lower structures. Nuclei in the pons help with respiration, swallowing, hearing, eye movements, facial expressions, and general sensations.
-several cranial nerve nuclei are in the pons
Midbrain
-anterior of the midbrain consists of two cerebral peduncles
-The front peduncle is called the crus cerebri, and the back is called the tegmentum
-between these two peduncles is a layer of dark matter called the substantia nigra, and dopamine is produced here (lack of dopamine can result in Parkinson’s)
Tectum
the back part of the midbrain, and contains the paired inferior and superior colliculi.
-auditory center of the midbrain, and is responsible for our startle response to loud noises, and turning our heads and eyes to the source of sound
Cranial Nerve V
- TRIGEMINAL NERVE
-motor and sensory
-3 branches (ophthalmic, maxillary, and the mandibular branch)
-motor portion is the opening and closing movements of the jaw
-sensory portion is responsible for sensation of the face, the nose, the mouth, the scalp, the jaw, the anterior 2/3 of the tongue, and the mucus membranes of the mouth
-also reads proprioceptive muscles for chewing
Cranial Nerve VII
-FACIAL NERVE
-both motor and sensory
-the motor portion has 2 branches, intracranial and extracranial. The extracranial innervates the facial muscles for speech
-its sensory portions are responsible for taste on the anterior 2/3 of the tongue
Cranial Nerve VIII
-VESTIBULARCOCHLEAR NERVE
-auditory nerve and has a cochlear and a vestibular nerve which is used for both HEARING & BALANCE
Cranial Nerve IX
-GLOSSOPHARYNGEAL NERVE
-motor portion elevates the pharynx and larynx, which is important for phonation. This nerve also mediates the gag reflex
-the sensory portion relays sensory info from the eustachian tube, pharynx, and tongue back to the brainstem
Cranial Nerve X
-VAGUS
-mixed nerve
-has 3 branches
spinal
-control pharyngeal constriction and palatal elevation: important for the production of non-nasal sounds
-Main nerve in relation to voice; innervates laryngeal muscles that are responsible for VF vibration
-Velopharyngeal incompetence: velum does not connect to the pharyngeal wall to create a seal; does not allow intro-oral pressure to create plosives
Cranial Nerve XI
-SPINAL ACCESSORY NERVE
-motor nerve
-controls the muscles of the head, neck, and shoulders
-cranial and spinal portions
Spinal portion: controls the muscles that control the head, neck, and shoulder movements
Cranial Nerve XII
-HYPOGLOSSAL NERVE
-motor nerve
originates in the lower portion of the medulla
-controls the muscles of the tongue (main muscle for articulation)
crucial component for swallowing
3 phases of swallowing?
oral prep, pharyngeal, and esophageal phase
What are the tegmental regions?
the tegmentum is the core of the brainstem, which is continuous at each level of the brainstem.
The tegmental areas include:
-reticular formation
-inferior olivary nucleus
-red nucleus
What is the reticular formation?
The nuclei or the groups of specialized cells of the RF that are scattered throughout the tegmentum.
What do these nuclei do? receive axon collaterals from special senses and project axons throughout the brainstem, cerebellum, diencephalon, and cerebral hemispheres
What does the RF do?
it inhibits, facilitates, modifies, and regulates all cortical functions.
-Integrates internal thoughts, emotions, and cognition with sensory and motor stimuli
-Responsible for consciousness, sleep-wake cycle, cardiovascular functions, and respiration, partially responsible for the homeostatic state of the brain.
What forms the reticular activating system (ras)?
within this RF, the multisynaptic ascending projection of the RF to the* brain, thalamus, hypothalamus, and basal ganglia* forms the reticular activating system
what does the RAS do?
controlling influence on levels of cortical arousal and consciousness. the level of alertness is correlated with the electro encephalic activity of the brain. While the cerebral hemisphere is sleeping, the specialized nuclei turn on the metabolic repair systems. After this repair is completed and energy is replenished, the rf clock turns on and awakens the brain.
-RF also functions to regulate respiration and swallowing.
What is the inferior olivary nucleus?
bulge on the medulla, which receives axons from the cerebral cortex and sends the information to the cerebellum
What is the red nucleus?
-paired structure next to the substantia nigra (where dopamine is produced)
-receives projections (axons) from the cerebral cortex, and its axons make up the rubrospinal tract that descends the brainstem, inputting into the ventral horn cells of the spinal cord
-modulates flexor tone in the upper extremities
What are the 3 non-tegmental regions?
-tectum
-cerebral peduncles
-ventral pons
Tectum?
-superior colliculi: connected to vision
-inferior colliculi- involved with hearing, as it projects axons to the auditory center in the thalamus, which then projects to the auditory areas in the cerebral cortex
Cerebral peduncles?
-anterior portions, known as the crus cerebri, bulges on the front side of the midbrain
-lateral corticospinal and lateral corticobulbar tracts runs through here
-lateral corticobulbar tract plays an important role in speech production
Ventral Pons?
-corticopontine fibers originate from the motor cortex and input into ventral pons nuclei, these projections then course to the cerebellum
-thought to play a role in movement error correction when learning new motor skills, and it is involved with learning a new language