13.人体解剖学-脑干-2Internal-structures-of-brain-stem.pptVIP

Review the external structures of brain stem 1. Important marks Pyramids underlying – pyramidal (corticospinal tract) Decussation of pyramids— Olive– within inferior olivary nucleus Gracile tubercle- fasciculus gracilis and nucleus Cuneate tubercle – fasciculus cuneatus and nucleus cuneatus Convex of pon – transverse pontine fiber --- pontocerebellar fibers – middle cerebellar peduncle Facial colliculus –abducens nucleus and fibers of facial nerve 2. CN III ~ XII attachment to brain stem Development of spinal cord brain stem Internal structures in spinal cord Grey matter Nuclei CN connected to cranial nerves relay nuclei of ascending descending tract ( NON cranial nuclei )- Nucleus of ascending and descending tract at different level of the brain stem White matter ascending descending tracts Fibers take part in reflex Grey matter : Cranial nerve nuclei somatic motor nuclei Oculomotor nuclei Trochlear nuclei Abducens nuclei Hypoglossal nuclei Special visceral motor nuclei Trigeminal motor nuclei Facial nuclei Accessory spinal nuclei Ambiguus nuclei General visceral motor nuclei Accessory oculomotor nuclei Superior inferior salivatory nuclei Dorsal motor vagus nuclei sensory nuclei of CN General special visceral sensory nuclei ----Solitary nucleus sensory nuclei of CN General somatic sensory nuclei Trigeminal nuclei : Chief sensory Mesencephlic Spinal Vestibular nuclei from midpons to rostral medulla just lie beneath the vestibular area. Cochlear nuclei between the pons and medulla just lie beneath the lateral recess of rhomboid fossa. White matter ascending tract descending tract Medial lemniscus 1. Ascending tracts conveys general somatic impulses of exteroceptive (light touch, pain, pressure, heat, cold sense) from the opposite side of trunk and limbs conveys impulses of exteroceptive (light touch, pain, pressure,and heat,cold sense) from the opposite side of trigeminal nucleus that the peripheral process distribute to