The medulla oblongata or simply medulla is a long stem-like structure which makes up the lower part of the brainstem. It is anterior and partially inferior to the cerebellum. It is a cone-shaped neuronal mass responsible for autonomic (involuntary) functions, ranging from vomiting to sneezing. The medulla contains the cardiac, respiratory, vomiting and vasomotor centers, and therefore deals with the autonomic functions of breathing, heart rate and blood pressure as well as the sleep–wake cycle.
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The brainstem is the stalk-like part of the brain that interconnects the cerebrum and diencephalon with the spinal cord. In the human brain, the brainstem is composed of the midbrain, the pons, and the medulla oblongata. The midbrain is continuous with the thalamus of the diencephalon through the tentorial notch.
The midbrain or mesencephalon is the rostral-most portion of the brainstem connecting the diencephalon and cerebrum with the pons. It consists of the cerebral peduncles, tegmentum, and tectum.
The hypoglossal nucleus is a cranial nerve nucleus, found within the medulla. Being a motor nucleus, it is close to the midline. In the open medulla, it is visible as what is known as the hypoglossal trigone, a raised area protruding slightly into the fourth ventricle.
The fourth ventricle is one of the four connected fluid-filled cavities within the human brain. These cavities, known collectively as the ventricular system, consist of the left and right lateral ventricles, the third ventricle, and the fourth ventricle. The fourth ventricle extends from the cerebral aqueduct to the obex, and is filled with cerebrospinal fluid (CSF).
The lateral ventricles are the two largest ventricles of the brain and contain cerebrospinal fluid (CSF). Each cerebral hemisphere contains a lateral ventricle, known as the left or right lateral ventricle, respectively.
In anatomy, the olivary bodies or simply olives are a pair of prominent oval structures in the medulla oblongata, the lower portion of the brainstem. They contain the olivary nuclei.
The posterior inferior cerebellar artery (PICA) is the largest branch of the vertebral artery. It is one of the three main arteries that supply blood to the cerebellum, a part of the brain. Blockage of the posterior inferior cerebellar artery can result in a type of stroke called lateral medullary syndrome.
The vestibular nuclei (VN) are the cranial nuclei for the vestibular nerve located in the brainstem.
Cerebellar peduncles connect the cerebellum to the brain stem. There are six cerebellar peduncles in total, three on each side:
The area postrema, a paired structure in the medulla oblongata of the brainstem, is a circumventricular organ having permeable capillaries and sensory neurons that enable its dual role to detect circulating chemical messengers in the blood and transduce them into neural signals and networks. Its position adjacent to the bilateral nuclei of the solitary tract and role as a sensory transducer allow it to integrate blood-to-brain autonomic functions. Such roles of the area postrema include its detection of circulating hormones involved in vomiting, thirst, hunger, and blood pressure control.
Winding around the inferior cerebellar peduncle in the lower part of the fourth ventricle, and crossing the area acustica and the medial eminence are a number of white strands, the medullary striae, which form a portion of the cochlear division of the vestibulocochlear nerve and disappear into the median sulcus. Stria medullaris are axons of arcuate neurons. Courses in the floor of the fourth ventricle. Joins the restiform body to reach the cerebellum.
The tela choroidea is a region of meningeal pia mater that adheres to the underlying ependyma, and gives rise to the choroid plexus in each of the brain’s four ventricles. Tela is Latin for woven and is used to describe a web-like membrane or layer. The tela choroidea is a very thin part of the loose connective tissue of pia mater overlying and closely adhering to the ependyma. It has a rich blood supply. The ependyma and vascular pia mater – the tela choroidea, form regions of minute projections known as a choroid plexus that projects into each ventricle. The choroid plexus produces most of the cerebrospinal fluid of the central nervous system that circulates through the ventricles of the brain, the central canal of the spinal cord, and the subarachnoid space. The tela choroidea in the ventricles forms from different parts of the roof plate in the development of the embryo.
The sulcus limitans is a groove on either side of the midline in the rhomboid fossa. It separates the cranial nerve motor nuclei, and the sensory nuclei. It is parallel to the median sulcus.
The vagal trigone is a triangular eminence upon the rhomboid fossa produced by the underlying dorsal nucleus of vagus nerve.
In the human brain, the rhomboid fossa is divided into symmetrical halves by a median sulcus which reaches from the upper to the lower angles of the fossa and is deeper below than above. On either side of this sulcus is an elevation, the medial eminence, bounded laterally by a sulcus, the sulcus limitans.
In the upper part of the medulla oblongata, the hypoglossal nucleus approaches the rhomboid fossa, where it lies close to the middle line, under an eminence named the hypoglossal trigone. It is a slight elevation in the floor of the inferior recess of the fourth ventricle, beneath which is the nucleus of origin of the twelfth cranial nerve.
The substantia ferruginea is an underlying patch of deeply pigmented nerve cells located in the floor of the superior part of the sulcus limitans.
