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Brainstem and Cranial Nerves – 1. Human Neurobiology ANHB 2217 Avinash Bharadwaj Semester 1, 2006 Week 2. Brainstem and Cranial Nerves. Two topics in one…? 10 out of 12 cranial nerves attached to brainstem. Anatomically and functionally inseparable! For ease of understanding :
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Brainstem and Cranial Nerves – 1 Human Neurobiology ANHB 2217 Avinash Bharadwaj Semester 1, 2006 Week 2
Brainstem and Cranial Nerves • Two topics in one…? • 10 out of 12 cranial nerves attached to brainstem. • Anatomically and functionally inseparable! • For ease of understanding : • Lecture 1 : General features and important concepts. • Lecture 2 : More details of cranial nerves and brainstem.
Brainstem • Rostral part of the brain • Similarities with the spinal cord • Attachments of nerves – cranial nerves • Masses of grey matter inside • Tracts of white matter • Special features • Other nuclei and their connections • Central canal, fourth ventricle • Distinct regional morphology • Connections with the cerebellum • Reticular formation • And more…!
Cerebellar peduncles Midbrain Superior Pons Middle Inferior Medulla oblongata Brainstem :Major Divisions Lab exercise! … And what are the other parts seen here?
Cranial Nerves • Unlike spinal nerves… • No constant pattern • Motor, sensory or mixed • Special sensory nerves (vision, taste, hearing etc) • Twelve pairs • Attached to the brainstem except first two. • Understanding of functions and pattern important!
Names and Numbers…Understand the names! • Olfactory I • Facial VII • Optic II • Vestibulocochlear VIII • Oculomotor III • Glossopharyngeal IX • Trochlear IV • Vagus X • Trigeminal V • Accessory XI • Abducens (t) VI • Hypoglossal XII
III IV V VI VII, VIII IX X XI XII Attachments • I Cerebrum • II Diencephalon • III, IV Midbrain • V Pons • VI, VII, VIII Junction : Pons-Medulla • IX, X, XI, XII Medulla oblongata
Cranial Nerve Nuclei • Motor nuclei • Groups of neurons whose axons form a motor nerve • Compare with cells of ventral horn of spinal grey matter. • Sensory nuclei • Groups of neurons that sensory nerve fibres synapse with. • Axons from these nuclei go to other parts of the CNS. • Compare with cells of spinal cord (dorsal grey matter) which give rise to tracts.
Functional Components • Efferent (Motor), • Afferent (Sensory) • Somatic : To / from “body wall” structures • Visceral : To / from visceral structures (smooth/cardiac muscle, glands) • General • Special • Special senses or developmentally “special” structures • Such components are described for spinal nerves also, we shall understand them better with the ANS.
SSA Alar Basal GSA SVE SVA GSE GVA GVA GVE Functional Components Nuclei (Neurone groups)
Brainstem Organisation • Tracts • Long tracts passing through • Tracts beginning or terminating in the brainstem • Tracts within the brainstem • Nuclei • Nuclei of cranial nerves • Other nuclei • Reticular formation But first, some general features of the brainstem!
IV Ventricle ICP O P G Cu Medulla Oblongata • Central canal • Cuneate and gracile tubercles • Inf. cerebellar peduncle • Pyramid and Olive
Pons • Basilar part, tegmentum, MCP MCP Tegmentum Basilar
Midbrain Tectum SC Tegmentum SN Crus
SC ST III RN CP SN C-Sp CP Nerve III and Midbrain • Oculomotor • “Extrinsic” Muscles of the eyeball : GSE • Nucleus close to the midline • Constrictor of the pupil (smooth muscle) • GVE • Edinger-Westphal nucleus
IC Nerve IV • Trochlear nerve • A muscle of the eyeball winds around a trochlea (pulley) • GSE • Exceptional course