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The abducens nerve or abducent nerve, also known as the sixth cranial nerve, cranial nerve VI, or simply CN VI, is a cranial nerve in humans and various other animals that controls the movement of the lateral rectus muscle, one of the extraocular muscles responsible for outward gaze. It is a somatic efferent nerve.
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 vestibulo-ocular reflex (VOR) is a reflex that acts to stabilize gaze during head movement, with eye movement due to activation of the vestibular system, it is also known as the Cervico-ocular reflex. The reflex acts to stabilize images on the retinas of the eye during head movement. Gaze is held steadily on a location by producing eye movements in the direction opposite that of head movement. For example, when the head moves to the right, the eyes move to the left, meaning the image a person sees stays the same even though the head has turned. Since slight head movement is present all the time, VOR is necessary for stabilizing vision: people with an impaired reflex find it difficult to read using print, because the eyes do not stabilise during small head tremors, and also because damage to reflex can cause nystagmus.
The medial longitudinal fasciculus (MLF) is a prominent bundle of nerve fibres which pass within the ventral/anterior portion of periaqueductal gray of the mesencephalon (midbrain). It contains the interstitial nucleus of Cajal, responsible for oculomotor control, head posture, and vertical eye movement.
The abducens nucleus is the originating nucleus from which the abducens nerve (VI) emerges—a cranial nerve nucleus. This nucleus is located beneath the fourth ventricle in the caudal portion of the pons near the midline, medial to the sulcus limitans.
The flocculonodular lobe (vestibulocerebellum) is a small lobe of the cerebellum consisting of the unpaired midline nodule and the two flocculi - one flocculus on either side of the nodule. The lobe is involved in maintaining posture and balance as well as coordinating head-eye movements.
Parinaud's syndrome is a constellation of neurological signs indicating injury to the dorsal midbrain. More specifically, compression of the vertical gaze center at the rostral interstitial nucleus of medial longitudinal fasciculus (riMLF).
A cranial nerve nucleus is a collection of neurons in the brain stem that is associated with one or more of the cranial nerves. Axons carrying information to and from the cranial nerves form a synapse first at these nuclei. Lesions occurring at these nuclei can lead to effects resembling those seen by the severing of nerve(s) they are associated with. All the nuclei except that of the trochlear nerve supply nerves of the same side of the body.
The paramedian pontine reticular formation (PPRF) is a subset of neurons of the oral and caudal pontine reticular nuclei mediating horizontal gaze. It is situated in the pons adjacent to the abducens nucleus. It projects to the ipsilateral abducens nucleus, and contralateral oculomotor nucleus to mediate conjugate horizontal eye movements and saccades.
The vestibulospinal tract is a neural tract in the central nervous system. Specifically, it is a component of the extrapyramidal system and is classified as a component of the medial pathway. Like other descending motor pathways, the vestibulospinal fibers of the tract relay information from nuclei to motor neurons. The vestibular nuclei receive information through the vestibulocochlear nerve about changes in the orientation of the head. The nuclei relay motor commands through the vestibulospinal tract. The function of these motor commands is to alter muscle tone, extend, and change the position of the limbs and head with the goal of supporting posture and maintaining balance of the body and head.
The nucleus of the trochlear nerve is a motor nucleus in the medial midbrain giving rise to the trochlear nerve.
The medial vestibular nucleus is one of the vestibular nuclei. It is located in the medulla oblongata.
The rostral interstitial nucleus of medial longitudinal fasciculus (riMLF) is a collection of neurons in the mesencephalon (midbrain) responsible for mediating vertical conjugate eye movements and vertical saccades. It mostly projects efferents to the ipsilateral oculomotor and trochlear nuclei.
The term gaze is frequently used in physiology to describe coordinated motion of the eyes and neck. The lateral gaze is controlled by the paramedian pontine reticular formation (PPRF). The vertical gaze is controlled by the rostral interstitial nucleus of medial longitudinal fasciculus and the interstitial nucleus of Cajal.
The nucleus prepositus or nucleus prepositus hypoglossi is one of the largest of the three perihypoglossal nuclei. It is situated in the caudal pons and rostral medulla oblongata. It contributes to several aspects of gaze control including the horizontal gaze holding system.
Conjugate eye movement refers to motor coordination of the eyes that allows for bilateral fixation on a single object. A conjugate eye movement is a movement of both eyes in the same direction to maintain binocular gaze. This is in contrast to vergence eye movement, where binocular gaze is maintained by moving eyes in opposite directions, such as going “cross eyed” to view an object moving towards the face. Conjugate eye movements can be in any direction, and can accompany both saccadic eye movements and smooth pursuit eye movements.
Perihypoglossal nuclei are three prominent groups of neurons in the caudal medulla oblongata near the hypoglossal nucleus: the nucleus prepositus hypoglossi, intercalated nucleus, and sublingual nucleus. They are involved in controling eye movements: they send their principal projections to the three cranial nerve nuclei controling extrinsic eye muscles via the medial longitudinal fasciculus.
In neuroanatomy, corticomesencephalic tract is a descending nerve tract that originates in the frontal eye field and terminate in the midbrain. Its fibers mediate conjugate eye movement.
The accessory oculomotor nuclei are a group of nuclei situated in the rostral mesencephalon (midbrain) near its junction with the diencephalon, and consist of:
The nucleus of Darkschewitsch is an accessory oculomotor nucleus situated in the ventrolateral portion of the periaqueductal gray of the mesencephalon (midbrain) near its junction with the diencephalon. It is involved in mediating vertical eye movements. It projects to the trochlear nucleus, receives afferents from the visual cortex, and forms a reciprocal (looping) connection with the cerebellum by way of the inferior olive.
References
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