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Transcript
Brainstem
Steven McLoon
Department of Neuroscience
University of Minnesota
1
Goal Today
• Know the regions of the brainstem.
• Know major landmarks of each region and be able to identify each
region in cross section.
• Understand the continuity of axon tracts from region to region.
2
Brainstem Geography
•
•
Brainstem includes the medulla,
pons and midbrain.
All regions are visible on the
ventral side of the brain.
3
Brainstem Geography
•
Not much of the brainstem is visible in a
posterior view of the brain unless the
forebrain and cerebellum are removed.
4
Brainstem Geography
•
The cerebellum covers the IV ventricle
on the dorsal surface of the brainstem.
5
Brainstem Geography
•
The IV ventricle spans the entire pons
and upper half of the medulla.
6
Brainstem Geography
•
The presence of the ventricle is used to
distinguish upper and lower medulla.
7
Spinal Cord Review
Tracts of ascending axons carrying sensory information:
• Spinocerebellar tracts carrying proprioception
• Dorsal columns carrying proprioception and deep touch (uncrossed)
• Spinothalamic tract carrying pain, temperature and light touch (crossed)
8
Lower Medulla
•
Dorsal columns and dorsal column nuclei
dorsal
ventral
ventral
dorsal
9
Somatosensory Pathway:
Dorsal Columns for Proprioception and Touch
•
The dorsal column axons synapse in
nucleus gracilis and cuneatus.
•
The axons of these neurons cross the
midline and form the medial
lemniscus to thalamus.
10
Lower Medulla
•
Axons in the spinothalamic and spinocerebellar
tracts continue up through the medulla.
dorsal
ventral
11
Lower Medulla
• Pyramids are axons carrying motor
information descending from cortex.
12
Lower Medulla
•
90% of the axons in the pyramids cross in
lower medullar forming the lateral
corticospinal tract.
•
10% remain as the anterior corticospinal
tract.
13
Spinal Cord Review
Tracts of descending axons carrying motor information from cortex:
• Lateral corticospinal tract (crossed)
• Anterior corticospinal tract (uncrossed)
14
Lower Medulla
•
Cranial nerves III – XII are attached to
the brainstem .
•
All have nuclei (sensory and/or motor)
in the brainstem.
dorsal
ventral
ventral
dorsal
15
Upper Medulla
•
IV ventricle (covered by cerebellum)
• choroid plexus
• openings into the subarchnoid
space
dorsal
ventral
ventral
dorsal
16
Upper Medulla
•
Pyramids
dorsal
ventral
ventral
dorsal
17
Upper Medulla
•
Olive (external) and inferior olivary
nucleus (internal)
dorsal
ventral
ventral
dorsal
18
Pons
•
Basal pons with pontine nuclei
dorsal
ventral
ventral
dorsal
19
Pons
•
Superior, middle and inferior
cerebellar peduncles
dorsal
ventral
ventral
dorsal
20
Pons
•
Superior, middle and inferior
cerebellar peduncles
Ventral surface of the cerebellum
21
Pons
•
Corticopontine axons synapse
in pontine nuclei
•
Neurons in pontine nuclei send
their axons to the cerebellum
via the middle cerebellar
peduncle
22
Spinocerebellar Pathway
• Spinocerebellar tracts enter
cerebellum via superior and inferior
cerebellar peduncles.
23
Pons
•
Corticospinal, corticopontine and
corticobulbar tracts (motor) pass
through pontine nuclei.
24
Midbrain
•
Cerebral peduncles
(corticospinal, corticopontine,
corticobubar tracts - motor)
25
Midbrain (lower)
•
Inferior colliculus (auditory)
dorsal
ventral
ventral
dorsal
26
Midbrain (lower)
•
Decussation of the superior cerebellar
peduncles
dorsal
27
ventral
Midbrain (upper)
•
Superior colliculus (vision)
dorsal
ventral
ventral
dorsal
28
Midbrain (upper)
•
Red nucleus – related to the
cerebellum and the motor system
dorsal
29
ventral
Midbrain (upper)
•
Substantia nigra – sends axons to the
basal ganglia; neurotranmitter is
dopamine; degenerates in Parkinson’s
disease
dorsal
30
ventral
Somatosensory Projection to Cortex
Spinothalamic projection:
• Primary sensory axons for pain,
temperature and light touch synapse
on neurons in the dorsal horn.
• Axons of these dorsal horn neurons
cross the spinal cord and ascend in
the spinothalamic tract.
• They synapse in the ventral
posterolateral nucleus (VPL) of the
thalamus.
• Axons from the VPL neurons project
to somatosensory cortex.
31
Somatosensory Projection to Cortex
Dorsal column projection:
• Primary sensory axons for
proprioception and touch enter the
dorsal horn and ascend in the dorsal
columns.
• These axons synapse in nucleus
gracilis (from lower body) and
nucleus cuneatus (from upper body)
in the medulla.
• Axons from these nuclei cross the
medulla and ascend to thalamus.
• They synapse in the ventral
posterolateral nucleus (VPL) of the
thalamus.
• Axons from the VPL neurons project
to somatosensory cortex.
32
Somatosensory Pathway:
Dorsal Columns for Proprioception and Touch
•
Medial lemniscus ascends through the brainstem to thalamus.
33
Somatosensory Pathway:
Spinothalamic Tract for Pain, Temperature & Touch
•
Spinothalamic tract ascends through the brainstem to thalamus.
34
Somatosensory Pathway
•
Medial lemniscus (red) and spinothalamic (yellow)
35
Motor System
• Axons of upper motor neurons descend from
cortex.
36