Brain Stem I

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Brain Stem I Brain Stem I Basic Neuroscience Basic Neuroscience James H. Baños, Ph.D. James H. Baños, Ph.D.

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Brain Stem I. Basic Neuroscience James H. Baños, Ph.D. Overview. Major external features Transverse sections Pathways: The big Four Neurotransmitter nuclei. Major Brain Stem Activities. Conduit Ascending and descending pathways Integrative functions Complex motor patterns - PowerPoint PPT Presentation

Transcript of Brain Stem I

Page 1: Brain Stem I

Brain Stem IBrain Stem I

Basic NeuroscienceBasic Neuroscience

James H. Baños, Ph.D.James H. Baños, Ph.D.

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OverviewOverview

Major external featuresMajor external features Transverse sectionsTransverse sections Pathways: The big FourPathways: The big Four Neurotransmitter nucleiNeurotransmitter nuclei

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Major Brain Stem Major Brain Stem ActivitiesActivities

ConduitConduit Ascending and descending pathwaysAscending and descending pathways

Integrative functionsIntegrative functions Complex motor patternsComplex motor patterns Respiratory and cardiovascular activityRespiratory and cardiovascular activity Regulation of arousal and level of Regulation of arousal and level of

consciousnessconsciousness Cranial Nerve functionsCranial Nerve functions

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Major External Major External FeaturesFeatures

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Brain StemBrain Stem

Midbrain

Pons

Medulla

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MidbrainMidbrain

Cerebral PedunclesCerebral Peduncles Interpeduncular cisternInterpeduncular cistern

Origin of CN III -- Oculomotor NerveOrigin of CN III -- Oculomotor Nerve

Corpora QuadrigeminaCorpora Quadrigemina Superior ColliculiSuperior Colliculi Inferior ColliculiInferior Colliculi

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MidbrainMidbrainCorporaquadrigemina

Cerebralpeduncles

Interpeduncularcistern

CN III

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PonsPons

Cerebellar PedunclesCerebellar Peduncles Superior (Dives under the colliculi)Superior (Dives under the colliculi) Middle (Bridge of the pons)Middle (Bridge of the pons) Inferior (inferior/medial to middle)Inferior (inferior/medial to middle)

Floor of the 4th VentricleFloor of the 4th Ventricle

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PonsPons

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PonsPons

Middle cerebellar peduncle

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PonsPons

Middle cerebellar peduncle

Inferior cerebellar peduncles

Superior cerebellar peduncles

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PonsPons

4th Ventricle4th Ventricle Inflow from aqueduct of Inflow from aqueduct of

SylviusSylvius Sulcus limitansSulcus limitans

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MedullaMedulla

PyramidsPyramids Pyramidal decussationPyramidal decussation Inferior oliveInferior olive Obex (inferiormost point of the 4th Obex (inferiormost point of the 4th

ventricle)ventricle)

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MedullaMedulla

Pyramids

Obex

Inferior olive

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MedullaMedulla

Inferior Olive

Pyramids

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Transverse Transverse SectionsSections

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Transverse SectionsTransverse Sections

But first…a word about orientation…But first…a word about orientation…

Clinical Anatomical

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MidbrainMidbrain

Cerebral pedunclesCerebral peduncles Substantia nigraSubstantia nigra Red nucleusRed nucleus

Midbrain = Mickey

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MidbrainMidbrain

Cerebral peduncles

Myelin Stained

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MidbrainMidbrain

Substantia nigra

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MidbrainMidbrain

Red Nucleus

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MidbrainMidbrain

Colliculi

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MidbrainMidbrain

Substantia nigra

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MidbrainMidbrain

Substantia nigra

Red nucles

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PonsPons

4th ventricle4th ventricle Pontine nucleiPontine nuclei Locus ceruleusLocus ceruleus

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PonsPonsPontine nuclei

4th vent

Locus ceruleus

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PonsPons

Locus ceruleus

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PonsPons

4th ventricle4th ventricle Pontine nucleiPontine nuclei Locus ceruleusLocus ceruleus

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PonsPons

4th ventricle

Middle cerebellar peduncle

Sulcus Limitans

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PonsPons

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Rostral MedullaRostral Medulla

PyramidsPyramids Inferior OliveInferior Olive

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Rostral MedullaRostral Medulla

PyramidsInferior olive

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Caudal MedullaCaudal Medulla

Sensory nucleiSensory nuclei Nucleus GracilisNucleus Gracilis Nuclues CuneatusNuclues Cuneatus

Pyramidal decussationPyramidal decussation

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Caudal MedullaCaudal Medulla

Nucleus cuneatusNucleus gracilis

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Tectum and TegmentumTectum and Tegmentum

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Tectum and TegmentumTectum and Tegmentum

TectumTectum Area posterior to the ventricular spaceArea posterior to the ventricular space Only prominent in the midbrainOnly prominent in the midbrain

Superior and inferior colliculi (“tectal Superior and inferior colliculi (“tectal plate”)plate”)

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Tectum and TegmentumTectum and Tegmentum

Tectal Plate

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Tectum and TegmentumTectum and Tegmentum TegmentumTegmentum

Area anterior to the ventricular space (but not Area anterior to the ventricular space (but not everything anterior)everything anterior)

This is the embryologically oldest areas of the This is the embryologically oldest areas of the brainstembrainstem

Area anterior to the tegmentum “added on” Area anterior to the tegmentum “added on” during developmentduring development

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Big Four Big Four PathwaysPathways

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Remember the Big Four?Remember the Big Four?

Corticospinal tract

Dorsal Columns

Spinothalamic tract

Spinocerebellar tracts

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Big Four PathwaysBig Four Pathways Corticospinal tractCorticospinal tract

Descending motorDescending motor Spinothalamic tractSpinothalamic tract

Ascending pain/temperatureAscending pain/temperature Dorsal columns/Medial lemniscusDorsal columns/Medial lemniscus

Ascending somatosensory and conscious proprioceptionAscending somatosensory and conscious proprioception Spinocerebellar tractsSpinocerebellar tracts

Ascending unconscious proprioceptionAscending unconscious proprioception

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The Big Four -- Caudal MedullaThe Big Four -- Caudal Medulla

Corticospinal tract

Medial Lemniscus

Spinothalamic tract

Spinocerebellar tracts

Lateral Cuneate Nucleus

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The Big Four -- Rostral MedullaThe Big Four -- Rostral Medulla

Corticospinal tract

Medial Lemniscus

Spinothalamic tract

Spinocerebellar tracts

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The Big Four…err…three -- PonsThe Big Four…err…three -- Pons

Corticospinal tract

Medial Lemniscus

Spinothalamic tract

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The Big Three -- MidbrainThe Big Three -- Midbrain

Corticospinal tract

Medial Lemniscus

Spinothalamic tract

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Brain Stem Brain Stem NucleiNuclei

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Brain Stem NucleiBrain Stem Nuclei

Major neurotransmitter nucleiMajor neurotransmitter nuclei Reticular formation (not really a Reticular formation (not really a

“nucleus” but acts like a group of “nucleus” but acts like a group of nuclei)nuclei)

Nuclei associated with cranial Nuclei associated with cranial nervesnerves

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Raphe NucleiRaphe Nuclei

Ridge of cells along the midline in Ridge of cells along the midline in the center of the brainstemthe center of the brainstem

Multiple nucleiMultiple nuclei Caudal Caudal

projections to the spinal cord and other projections to the spinal cord and other parts of the brainstemparts of the brainstem

Rostral Rostral projections to multiple cortical areasprojections to multiple cortical areas

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Raphe NucleiRaphe Nuclei

Major serotonin nucleiMajor serotonin nuclei Technically part of the reticular formationTechnically part of the reticular formation Complex reciprocal relationships with multiple Complex reciprocal relationships with multiple

areasareas Ascending pathways involved in many Ascending pathways involved in many

neurobehavioral phenomenaneurobehavioral phenomena MoodMood SleepSleep Feeding/satietyFeeding/satiety

Descending pathways modulate spinal cord Descending pathways modulate spinal cord functionfunction PainPain

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Locus CeruleusLocus Ceruleus

Major norepinephrine nucleusMajor norepinephrine nucleus Dorsal wall of the rostral ponsDorsal wall of the rostral pons Projects toProjects to

Spinal cordSpinal cord Brain StemBrain Stem CortexCortex

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Locus CeruleusLocus Ceruleus

FunctionFunction ArousalArousal Modulation of stress responsesModulation of stress responses Linked toLinked to

DepressionDepression AnxietyAnxiety Post-traumatic stress disorderPost-traumatic stress disorder

Accounts for some of the psychiatric Accounts for some of the psychiatric symptoms in Parkinson’s Diseasesymptoms in Parkinson’s Disease

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Locus CeruleusLocus Ceruleus

Normal Parkinson’s Disease

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Substantia NigraSubstantia Nigra

One of a few major dopamine centerOne of a few major dopamine center Projects to the basal gangliaProjects to the basal ganglia FunctionFunction

Modulation of movementsModulation of movements Major role in Parkinson’s DiseaseMajor role in Parkinson’s Disease NOT involved in psychiatric NOT involved in psychiatric

symptomssymptoms

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Substantia NigraSubstantia Nigra

Parkinson’s Disease Normal

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Nucleus Basalis of Nucleus Basalis of MeynertMeynert

NOT in the brainstem, but importantNOT in the brainstem, but important Located in the basal forebrainLocated in the basal forebrain Major acetylcholine nucleus in the Major acetylcholine nucleus in the

brainbrain Provides tonic stimulation to the Provides tonic stimulation to the

hippocampushippocampus

Basal Forebrain

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Nucleus Basalis of Nucleus Basalis of MeynertMeynert

Major neurotransmitter associated Major neurotransmitter associated with Alzheimer’s Diseasewith Alzheimer’s Disease

Major medications for Alzheimer’s Major medications for Alzheimer’s are cholinesterase inhibitorsare cholinesterase inhibitors

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Coming Up…Coming Up…

Reticular formationReticular formation Cranial nerves and their nucleiCranial nerves and their nuclei