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Cerebellum Developmental sequence of brain Fourth week Fifth week Location of cerebellum Lies above and behind the medullar and pons and occupies posterior cranial fossa Location of cerebellum External structures Consists of two cerebellar hemispheres united in the midline by the vermis Primary fissure External structures Lobules of cerebellum: Anterior lobe, posterior lobe, flocculonodular lobe. Posterolateral fissure External structures • Tonsil of cerebellum two elevated masses on inferior surface of hemispheric portion, just nearby foramen magnum • Cerebellar tonsilar hernia Internal structures • Cerebellar cortex – gray matter Granular layer, piriform (Purkinje) cell layer, molecular layer • Cerebellar medulla – white matter Superior / Middle / Inferior cerebellar peduncles • Cerebellar nuclei – gray matter within white matter Fastigial, globose, emboliform, dentate nuclei Interposed nucleus Cerebellar cortex Molecular layer Piriform cell layer Granular layer White matter Cerebellar nuclei Fastigial, globose, emboliform, dentate nuclei Cerebellar peduncles Cerebellar peduncles superior cerebellar peduncle (brachium conjunctivum) connects with midbrain, contain mostly efferent fibers middle cerebellar peduncle (brachium pontis) connects with pons, contain afferent fibers inferior cerebellar peduncle (restiform body) connects with medulla and with spinal cord, contain both afferent and efferent fibers Functional divisions of cerebellum Lateral zone Intermediate zone Vermis • Vestibulocerebellum – Archicerebellum – Flocculonodular lobe • Spinocerebellum – Paleocerebellum – Vermis and intermediate zone • Cerebrocerebellum – Neocerebellum – Lateral zone Flocculonodular lobe Connections and functions of cerebellum Vestibulocerebellum • Connections – Afferents: receives inputs from vestibular nuclei and vestibular ganglion – Efferents: projects to the vestibular nucleus → vestibulospinal tract and medial longitudinal fasciculus → motor neurons of anterior horn and cranial nuclei innervating extraocular muscles Function: regulation of eyeball movements and maintenance of body equilibrium. Spinocerebellum Connections • • Afferents: receives somatic sensory information via spinocerebellar tracts Efferents: • Vermis projects to the fastigial nucleus → vestibular nuclei and reticular formation → vestibulospinal tract and reticulospinal tract → motor neurons of anterior horn • Intermediate zone projects to the interposed nuclei – Contralateral red nucleus → rubrospinal tract →motor neurons of anterior horn – Contralateral VL of thalamus →cerebral cortex→ coticospinal tract→motor neurons of anterior horn • Function: modulate the muscular tension. Cerebrocerebellum • Connections – Afferents: receives input from the cerebral cortex via a relay in pontine nuclei – Efferents: projects to dentate nucleus → VL of thalamus → primary motor cortex → corticospinal tract → motor neurons of anterior horn • Function: modulate the coordination of voluntary and fineness movement, including determination of movement strength, direction and amplitude. Cerebellar functions • Cerebellum has functions of 1. maintaining body posture, 2. controlling muscular tension, 3. coordinating of voluntary movement, but NOT initiating and performing voluntary movement. Cerebellar injury symptoms Typical signs of cerebellar injury: a. Ataxia: incoordination of voluntary movement b. Nystagmus: tremor of eyeball c. Intention tremor Nose-to-finger test Diencephalon Location Location Located between midbrain and telencephalon, mostly surrounded by cerebral hemispheres Divisions of diencephalon • • • • • (dorsal) thalamus metathalamus epithalamus subthalamus hypothalamus Dorsal thalamus External features • • • • • • A large egg-shaped nucleus mass, Right and left portion of thalamus are joined by interthalamic adhesion Anterior end called anterior thalamic tubercle, Posterior end called pulvinar Terminal stria Hypothalamic sulcus Dorsal thalamus Subdivision Ant. nuclear group Principal Nuclei Common abbreviation Anterior Med. nuclear group dorsomedial Lat. nuclear group Dorsal layer Lateral dorsal LD Lateral posterior LP Pulvinar Ventral layer Ventral anterior Ventral lateral (intermediate) Ventral posterior VA VL (VI) VP Ventral posterolateral VPL Ventral posteromedial VPM Functional subdivision Non-specific projecting nuclei ---- receive afferents from olfactory brain and reticular formation of brain stem (ascending reticular activating system), project to hypothalamus, corpus striatum and diffusely to cerebral cortex. • Midline nuclei • Intralaminar nuclei • Thalamic reticular nuclei Internuncial nuclei ---- receive a wide variety of afferent fibers and in turn project widely to association areas of cerebral cortex, involved in higher nervous activity of brain. • Anterior nuclear group • Medial nuclear group • Dorsal layer of lateral nuclear group Functional subdivision Specific relaying nuclei • Ventral anterior nucleus (VA) • Ventral lateral nucleus (VL) Receive inputs from corpus striatum, dentate nucleus, and substantia nigra, project to motor cortex to regulate body movement. • Ventral posteromedial nucleus (VPM) -receives trigeminal lemniscus and taste fibers • Ventral posterolateral nucleus (VPL) -receives medial lemniscus and spinal lemniscus Projects to primary somatic sensory area via central thalamic radiations Metathalamus Lateral geniculate body (LGN) Medial geniculate body (MGN) Specific relaying nuclei Metathalamus • Medial geniculate body (MGN) – – – • Relay station of audition Receive fibers from (brachium of) inferior colliculus Projects to auditory area via acoustic radiation Lateral geniculate body (LGN) – – – Relay station of vision Receive fibers from retina (optic tract) Projects to visual area via optic radiation Epithalamus Includes • Thalamic medullary stria • Habenular trigone • Habenular commissure • Pineal body: Melatonin • posterior commissure Dorsal view Subthalamus • Ventrally to the dorsal thalamus • Contains subthalamic nucleus involved in movement regulation. subthalamic nucleus Hypothalamus Position-lies ventral to thalamus Boundaries • Superior: hypothalamic sulcus • Inferior: – optic chiasma – tuber cinereum – Infundibulum (hypophysis) – mamillary body • Anterior: interventricular foramen • Posterior: continues with midbrain tegmentum Hypothalamus Hypothalamic divisions Anterior to posterior • Preoptic region • Supraoptic region • Tuberal region • Mamillary region A P Principal nuclei in hypothalamus • Preoptic region: preoptic nucleus • Supraoptic region – Supraoptic nucleus – Paraventricular nucleus produce antidiuretic hormone (ADH or vasopressin) and oxytocin • Tuberal region – Infundibular (Arcuate) nucleus – Ventromedial nucleus – Dorsomedial nucleus • Mamillary region – Mamillary nucleus – Posterior hypothalamic nucleus Paraventricular nucleus Anterior commissure Preoptic nucleus Anterior hypothalamic nucleus Supraoptic nucleus Suprachiasmatic nucleus Optic chiasma Infundibulum (stalk of the pituitary gland) Fornix Dorsomedial nucleus Posterior hypothalamic nucleus Lateral hypothalamic area Arcuate nucleus Ventromedial nucleus Mammillary body Pituitary gland The main hypothalamic nuclei Hypothalamus -- connection • Connects with limbic system, brainstem, spinal cord and dorsal thalamus • Connects with hypophysis Hypothalamus -- connection • Supraoptic nucleus → supraopticohypophysial tract → posterior lobe of hypophysis (neurohypophysis) • Paraventricular nucleus → paraventriculohypophysial tract → posterior lobe of hypophysis (neurohypophysis) Hypothalamus -- connection Parvicellular neurons in the arcuate nucleus and nearby region secrete releasing and inhibiting hormones → tuberoinfundibular tract → portal vein of hypophysis → anterior lobe of hypophysis Thyroidstimulating hormone Adrenocorticot ropic hormone Functions of hypothalamus • Neuroendocrine center • Subcortical higher regulatory center of the visceral activity, such as temperature regulation food ingestion reproduction fluid and electrolyte balance • Regulate emotional responses and biological rhythms Third ventricle • Position: a narrow ventriclar cleft lies within diencephalon – Lateral wall: dorsal thalamus and hypothalamus • Communication Lateral ventricles → third ventricle →midbrain aqueduct → fourth ventricle