Lecture 12 - Brain: Brainstem & Cerebellum

Chapter 13 - Brain & Cranial Nerves

The Brain Stem

  • 3 Main Components

    • Medulla Oblongata

    • Pons

    • Midbrain

Medulla Oblongata

  • Most inferior portion of the brain

  • Connects to spinal cord

  • Location of grey matter & white matter starts to change

  • Spinal Nerve C1 (last spinal nerve moving upward/first spinal cord encounter when entering into spinal cord)

  • Transmits ascending/descending impulses between brain & spinal cord

  • Pyramids: Nerve tracts, conscious control of skeletal muscle

    • Descending somatic motor neurons

    • Only descending, only part of somatic nervous system

  • Ascending neurons/other motor neurons located in white matter regions of medulla oblongata

  • Contains center for vital reflexes (heart rate, BP, respiration, swallowing, coughing, sneezing)

  • Olives: Nuclei involved in balance, coordination, modulation of sound

    • Sends sensory information to cerebellum

    • Slightly alters how we recieve audio input from inner ear

  • Cranial Nerves: Entering/Exiting into brain

    • Nuclei of cranial nerves 5, 7, 9, 10, 11, 12

    • (V, VII, IX, X, XI, XII)

Key Components of the Medulla Oblongata:

  • Pyramids:

    • White matter bulges on interior side of medulla oblongata

      • Contain descending tracts (carries information from brain down towards spinal cord)

      • Carries motor information, specifically motor tracts that are part of somatic motor system

        • Sent to our skeletal muscles

    • bilateral, just before entering the spinal cord, they cross over to the opposite side of the body

      • Decussation of the Pyramids: 90% of the tracts move from left side to right & right side to the left

        • Why damaging one side of the brain affects the opposite side of the body (Eg. Stroke)

  • Olives:

    • bilateral

    • Concentrations of nuclei

    • (Nucleus = collection of cell bodies in CNS)

    • Relays information from muscles/joints about position to cerebellum

      • Cerebellum helps coordinate smooth movements

    • Information is brought up thorugh spinal cord through brain

    • Involved in sound perception

  • Cranial Nerves

    • Some are entering/exiting medulla oblongata

    • Eg. Hypoglossal Cranial Nerve (Cranial Nerve #12)

      • Bundle of myelinated axons, actual neuron cell bodies are located in various regions in medulla oblongata

    • Hypoglossal Nucleus:

      • Region where cell bodies are all located inside medulla oblongata

    • Vagus Nerve (Cranial Nerve #10)

    • Vagus Nucleus

      • Cell bodies of vagus nerve located in medulla oblongata

      • Dorsal Motor

Pons

  • Superior to medulla oblongata

  • Bridge/connection between different areas of the brain

  • Contains both ascending & descending nerve tracts

  • Several areas of gray matter containing nuclei

  • Sleep center, Respiratory center

    • REM sleep

    • Works w/ medulla oblongata to control respiration

  • Anterior Portion:

    • Pontine Nuclei - Communication between cerebrum & cerebellum

  • Posterior Portion:

    • Nuclei of cranial nerves 5, 6, 7, 8 (V, VI, VII, VIII)

Midbrain

  • most superior portion of brainstem

  • sits between pons & diencephalon

  • Contains both nerve tracts (white matter) & nuclei (gray matter)

  • Also a connection to the thalamus

    • Part of diencephalon

    • Relay center for all sensory information (synapses at thalamus)

  • Visual/auditory reflex centers

  • Nuclei of cranial nerves 3, 4, 5 (III, IV, V)

  • Tectum: 4 nuclei - form mounds on dorsal surface of midbrain

    • Each separate part - Colliculus

      • 2 Superior Colliculi - Involved in visual reflexes

        • Extrinsic muscles of eye - move eyeballs around sockets

        • Intrinsic muscles of eye - smooth muscles (pupil diameter)

        • Region involved in tracking & scanning eye movements

        • Tracking Eye movement: You’re still and your eyes are following a moving object

        • Scanning Eye movement: You’re still and the room is still, but your eyes are moving across the room

      • 2 Inferior Colliculi - Involved in hearing

        • Startle reflex (startled by a loud noise) → signal up to superior colliculi to move the eyes

  • Cerebellar Peduncles: Bundles of axons or white matter (pathways carrying information from one area to another)

    • Superior Cerebellar Peduncle Carries axons to and from the midbrain to the cerebellum

    • Middle Cerebellar Peduncle: Carries information from the pons to the cerebellum

    • Inferior Cerebellar Peduncle: Carries information from the medulla oblongata to the cerebellum

Reticular Formation

  • Group of nuclei scattered throughout brainstem

    • Connected to each other by white matter connections

  • “Cloud” throughout the brainstem

  • Controls cyclic activities such as sleep-wake cycle

    • Maintaining conciousness

    • Bringing you into awakening from sleep phase

The Cerebellum

  • Second largest part of brain

  • Attached to the brain stem on posterior side

  • Attaches to brainstem via Cerebellar Peduncles

  • Space between pons & cerebellum - Fourth Ventricle

  • Arbor Vitae: White matter regions w/in cerebelllum

    • Gathers information from gray matter regions

  • Folia: Folds created by gray matter region surrounding arbor vitae

  • Two hemispheres

    • Lateral Hemispheres (Cerebellar Hemispheres)

      • Anterior Lobe (Superior)

      • Posterior Lobe (Inferior)

  • Primary Fissure: Separates the two lobes

  • Vermis: Separates the two hemispheres of the cerebellum

  • Flocculonodular Lobe: Lobe outside of lateral hemispheres

Functions of Cerebellum:

  • Communicates w/ other regions of CNS:

    • Superior cerebellar peduncle → midbrain

    • Middle cerebellar peduncle → pons

    • Inferior cerebellar peduncle → medulla oblongata

  • 3 Regions:

    1. Flocculonodular Lobe: Balance

      • Takes information from environment (visual, tactile, cutaneous from skin, info from inner ear about position)

    2. Vermis: Gross motor coordination (Anterior), fine motor coordination (Posterior)

      • Gross Motor Movements: walking (big movements w/ lots of muscles involved)

      • Fine motor coordination: Manual dexterity of hands

    3. Cerebellar (Lateral) Hemisphere - Fine motor coordination

      • Takes sensory information and puts it together to be able to have very fine coordination & control over motor functions

Case Study Example

  • 24 yr old female

    • husband and daughter

  • Symptoms:

    • dizziness

    • inability to walk steadily for more than 20 years

    • 4 years old before she could stand unassisted

    • Did not begin to walk unassisted until 7 years old

      • persistently unsteady gait (not very coordinated)

    • Never ran or jumped

    • speech not intelligible until 6

  • Cerebellum is Missing