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Location of gracilis and cuneatus nuclei
Posterior part of medulla oblongata,
in the depth of homonymous tubercles (cranial end of gracilis and cuneatus fasciculi)

Function of gracilis and cuneatus nuclei
Contain 2nd order neurons of discriminative touch and kinesthetic pathways of trunk and limbs
Course of fibers from gracilis and cuneatus nuclei
Form internal arcuate fibers → curve around central grey matter → cross midline (sensory decussation) → ascend in medial lemniscus to 3rd order neurons
Accessory cuneatus nucleus: location & function
Located dorsolateral to cuneatus nucleus
→ contains 2nd order neurons of proprioceptive pathways
→ sends fibers to cerebellum (cuneo-cerebellar tract)

Location of inferior olivary complex
Lateral part of medulla oblongata → in the depth of the olive

Components of inferior olivary complex
Inferior olivary nucleus,
Medial accessory olivary nucleus,
Dorsal accessory olivary nucleus

Structure of inferior olivary nucleus
C-shaped crenated lamina of grey matter (like a crumpled bag, hilum directed medially)
Function of inferior olivary complex
Motor coordination; receives input from
cerebral cortex,
red nucleus,
spinal cord → sends fibers to cerebellum via inferior cerebellar peduncle

Location of substantia nigra
Throughout midbrain, between tegmentum and crus cerebri

Relation of oculomotor nerve to substantia nigra
Fibers pass through its medial part to reach apparent origin at medial aspect of cerebral peduncle (interpeduncular fossa)
Shape and parts of substantia nigra
Semilunar-shaped; 2 parts: Pars reticulata, Pars compacta

Pars reticulata: features
Adjacent to crus cerebri
contains GABAergic neurons
projects to VA & MD thalamic nuclei, superior colliculus, reticular substance

Pars compacta: features
Adjacent to tegmentum; dopaminergic neurons with melanin; projects mainly to neostriatum, less to globus pallidus and subthalamic nucleus

Connections of substantia nigra
Bilaterally connected to corpus striatum; also sends fibers to thalamus and superior colliculus
Function & clinical relevance of substantia nigra ( pars compacta )
Motor control (extrapyramidal system)
dopaminergic neurons affected in Parkinson disease

Location of red nucleus
Upper midbrain
in tegmentum → medial to substantia nigra

Structures posterolateral to red nucleus
Lemnisci: medial, trigeminal, and spinal
Shape and parts of red nucleus
Ovoid; 2 parts
Magnocellular (caudal, phylogenetically older)
Parvocellular (cranial, phylogenetically newer)

Functions and connections of red nucleus
Part of extrapyramidal system; receives input from cerebellum and cerebral cortex
→ sends: Inputs to cerebellum (directly or via inferior olivary complex),
Fibers to spinal cord (rubrospinal fasciculus for upper limb movement)