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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 cardiovascular center, the respiratory center, vomiting and vasomotor centers, responsible for the autonomic functions of breathing, heart rate and blood pressure as well as the sleep–wake cycle. "Medulla" is from Latin, ‘pith or marrow’. And "oblongata" is from Latin, ‘lengthened or longish or elongated'.
The brainstem is the posterior stalk-like part of the brain that connects the cerebrum 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, and sometimes the diencephalon is included in the brainstem.
In neuroanatomy, the trigeminal nerve (lit. triplet nerve), also known as the fifth cranial nerve, cranial nerve V, or simply CN V, is a cranial nerve responsible for sensation in the face and motor functions such as biting and chewing; it is the most complex of the cranial nerves. Its name (trigeminal, from Latin tri- 'three' and -geminus 'twin') derives from each of the two nerves (one on each side of the pons) having three major branches: the ophthalmic nerve (V1), the maxillary nerve (V2), and the mandibular nerve (V3). The ophthalmic and maxillary nerves are purely sensory, whereas the mandibular nerve supplies motor as well as sensory (or "cutaneous") functions. Adding to the complexity of this nerve is that autonomic nerve fibers as well as special sensory fibers (taste) are contained within it.
In neuroanatomy, the mandibular nerve (V3) is the largest of the three divisions of the trigeminal nerve, the fifth cranial nerve (CN V). Unlike the other divisions of the trigeminal nerve (ophthalmic nerve, maxillary nerve) which contain only afferent fibers, the mandibular nerve contains both afferent and efferent fibers. These nerve fibers innervate structures of the lower jaw and face, such as the tongue, lower lip, and chin. The mandibular nerve also innervates the muscles of mastication.
In anatomy, the orbit is the cavity or socket/hole of the skull in which the eye and its appendages are situated. "Orbit" can refer to the bony socket, or it can also be used to imply the contents. In the adult human, the volume of the orbit is about 28 millilitres, of which the eye occupies 6.5 ml. The orbital contents comprise the eye, the orbital and retrobulbar fascia, extraocular muscles, cranial nerves II, III, IV, V, and VI, blood vessels, fat, the lacrimal gland with its sac and duct, the eyelids, medial and lateral palpebral ligaments, cheek ligaments, the suspensory ligament, septum, ciliary ganglion and short ciliary nerves.
The spinothalamic tract is a nerve tract in the anterolateral system in the spinal cord. This tract is an ascending sensory pathway to the thalamus. From the ventral posterolateral nucleus in the thalamus, sensory information is relayed upward to the somatosensory cortex of the postcentral gyrus.
The dorsal column–medial lemniscus pathway (DCML) (also known as the posterior column-medial lemniscus pathway is the major sensory pathway of the central nervous system that conveys sensations of fine touch, vibration, two-point discrimination, and proprioception from the skin and joints. It transmits this information to the somatosensory cortex of the postcentral gyrus in the parietal lobe of the brain. The pathway receives information from sensory receptors throughout the body, and carries this in the gracile fasciculus and the cuneate fasciculus, tracts that make up the white matter dorsal columns of the spinal cord. At the level of the medulla oblongata, the fibers of the tracts decussate and are continued in the medial lemniscus, on to the thalamus and relayed from there through the internal capsule and transmitted to the somatosensory cortex. The name dorsal-column medial lemniscus comes from the two structures that carry the sensory information: the dorsal columns of the spinal cord, and the medial lemniscus in the brainstem.
Medial medullary syndrome, also known as inferior alternating syndrome, hypoglossal alternating hemiplegia, lower alternating hemiplegia, or Dejerine syndrome, is a type of alternating hemiplegia characterized by a set of clinical features resulting from occlusion of the anterior spinal artery. This results in the infarction of medial part of the medulla oblongata.
A dermatome is an area of skin that is mainly supplied by afferent nerve fibres from the dorsal root of any given spinal nerve. There are 8 cervical nerves , 12 thoracic nerves, 5 lumbar nerves and 5 sacral nerves. Each of these nerves relays sensation from a particular region of skin to the brain.
The medial pterygoid muscle is a thick, quadrilateral muscle of the face. It is supplied by the mandibular branch of the trigeminal nerve (V). It is important in mastication (chewing).
The cochlear nucleus (CN) or cochlear nuclear complex comprises two cranial nerve nuclei in the human brainstem, the ventral cochlear nucleus (VCN) and the dorsal cochlear nucleus (DCN). The ventral cochlear nucleus is unlayered whereas the dorsal cochlear nucleus is layered. Auditory nerve fibers, fibers that travel through the auditory nerve carry information from the inner ear, the cochlea, on the same side of the head, to the nerve root in the ventral cochlear nucleus. At the nerve root the fibers branch to innervate the ventral cochlear nucleus and the deep layer of the dorsal cochlear nucleus. All acoustic information thus enters the brain through the cochlear nuclei, where the processing of acoustic information begins. The outputs from the cochlear nuclei are received in higher regions of the auditory brainstem.
In neuroanatomy, the internal arcuate fibers or internal arcuate tract are the axons of second-order sensory neurons that compose the gracile and cuneate nuclei of the medulla oblongata. These second-order neurons begin in the gracile and cuneate nuclei in the medulla. They receive input from first-order sensory neurons, which provide sensation to many areas of the body and have cell bodies in the dorsal root ganglia of the dorsal root of the spinal nerves. Upon decussation from one side of the medulla to the other, also known as the sensory decussation, they are then called the medial lemniscus.
The dorsal column nuclei are a pair of nuclei in the dorsal columns of the dorsal column–medial lemniscus pathway (DCML) in the brainstem. The name refers collectively to the cuneate nucleus and gracile nucleus, which are situated at the lower end of the medulla oblongata. Both nuclei contain second-order neurons of the DCML, which convey fine touch and proprioceptive information from the body to the brain via the thalamus.
The ventral posterior nucleus is the somatosensory relay nucleus in thalamus of the brain.
The ventral posteromedial nucleus (VPM) is a nucleus of the thalamus and serves an analogous somatosensory relay role for the ascending trigeminothalamic tracts as its lateral neighbour the ventral posterolateral nucleus serves for dorsal column–medial lemniscus pathway 2nd-order neurons.
The ventral trigeminal tract, ventral trigeminothalamic tract, anterior trigeminal tract, or anterior trigeminothalamic tract, is a tract composed of second-order neuronal axons. These afferent fibers carry sensory information about discriminative and crude touch, conscious proprioception, pain, and temperature from the head, face, and oral cavity. The ventral trigeminal tract connects the two major components of the brainstem trigeminal complex – the principal, or main sensory nucleus and the spinal trigeminal nucleus, to the ventral posteromedial nucleus of the thalamus.
The trigeminal lemniscus or the trigeminothalamic tracts is a somatosensory tract containing second-order neuron fibers of the trigeminal system. It consists of the ventral and dorsal trigeminal tracts. Its second-order sensory axons convey tactile, pain, and temperature impulses from the skin of the face, the mucous membranes of the nasal and oral cavities, and the eye, as well as proprioceptive information from the facial and masticatory muscles.
The dorsal trigeminal tract are uncrossed second-order sensory fibers conveying fine (discriminative) touch and pressure information from the dorsomedial division of principal sensory nucleus of trigeminal nerve to the ipsilateral ventral posteromedial nucleus of thalamus. Second-order fibers from the ventrolateral division of the principal sensory nucleus meanwhile cross-over to ascend contralaterally in the ventral trigeminal tract along with those fibers arising from the spinal trigeminal nucleus.
A hair plexus or root hair plexus is a special group of nerve fiber endings and serves as a very sensitive mechanoreceptor for touch sensation. Hair contains a number of different types of nerve endings. They are specialized for the detection of different kinds of stimuli and thus different types of neuron innervate these structures within the skin. In particular there are neurons innervating the hair that detect, deflection of the hair, and pulling of the hair. The hair follicles are innervated by at least 5 classes of low threshold mechanical receptors.
References
- ↑ "Lemniscus" at Dorland's Medical Dictionary
- ↑ "Trigeminal Lemniscus - an overview | ScienceDirect Topics". www.sciencedirect.com. Retrieved 2020-09-17.
