Nucleus ambiguus

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Nucleus ambiguus
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Transverse section of medulla oblongata below the middle of the olive. ("Nucleus ambiguus" labeled at center right.)
Details
Identifiers
Latin nucleus ambiguus
NeuroNames 765
NeuroLex ID birnlex_2650
TA98 A14.1.04.253
TA2 6011
FMA 54588
Anatomical terms of neuroanatomy

The nucleus ambiguus ("ambiguous nucleus" in English) is a group of large motor neurons, situated deep in the medullary reticular formation named by Jacob Clarke. [1] The nucleus ambiguus contains the cell bodies of neurons that innervate the muscles of the soft palate, pharynx, and larynx which are associated with speech and swallowing. As well as motor neurons, the nucleus ambiguus contains preganglionic parasympathetic neurons which innervate postganglionic parasympathetic neurons in the heart. [2]

Contents

It is a region of histologically disparate cells located just dorsal (posterior) to the inferior olivary nucleus in the lateral portion of the upper (rostral) medulla. It receives upper motor neuron innervation directly via the corticobulbar tract.

This nucleus gives rise to the branchial efferent motor fibers of the vagus nerve (CN X) terminating in the laryngeal, pharyngeal muscles, and musculus uvulae [ citation needed ]; as well as to the efferent motor fibers of the glossopharyngeal nerve (CN IX) terminating in the stylopharyngeus muscle.

Function

The nucleus ambiguus controls the motor innervation of ipsilateral muscles of the soft palate, pharynx, larynx and upper esophagus. Lesions of nucleus ambiguus results in nasal speech, dysphagia, dysphonia, and deviation of the uvula toward the contralateral side. Preganglionic parasympathetics to the heart also flow through the external formation of the nucleus.

Areas supplied

The muscles supplied by the vagus (included with this is the cranial root of the accessory nerve), such as levator veli palatini, are also necessary to swallow properly through integration by the nucleus of the solitary tract. The vagus also supplies the upper part of the esophagus, and other parts of the pharynx and larynx.

As well as motor neurons, the nucleus ambiguus in its "external formation" contains cholinergic preganglionic parasympathetic neurons for the heart. [2] These neurons are cardioinhibitory. [3] This cardioinhibitory effect is one of the means by which quick changes in blood pressure are achieved by the central nervous system (the primary means being changes in sympathetic nervous system activity, which constricts arterioles and makes the heart pump faster and harder). That is, through integrated and antagonistic system with sympathetic outflow from the vasomotor center of the brainstem, the parasympathetic outflow arising from the nucleus ambiguus and dorsal motor nucleus of the vagus nerve acts to decrease cardiac activity in response to fast increases in blood pressure. The external formation of the nucleus ambiguus also sends bronchoconstrictor fibers to the bronchopulmonary system, which can produce reflexive decreases in pulmonary bronchial airflow. The pathophysiologic relevance of this system, which may act in concert with the cardioinhibitory system, is poorly understood, but likely plays a role in bronchospastic diseases like COPD/emphysema (in which inhaled anticholinergic medications such as Spiriva/tiotropium or ipratropium are standard-of-care treatment) and asthma, particularly for exercise-related asthma exacerbations, which may have a component of autonomic dysregulation.

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See also

Related Research Articles

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The solitary nucleus is a series of sensory nuclei forming a vertical column of grey matter in the medulla oblongata of the brainstem. It receives general visceral and/or special visceral inputs from the facial nerve, glossopharyngeal nerve and vagus nerve ; it receives and relays stimuli related to taste and visceral sensation. It sends outputs to various parts of the brain. Neuron cell bodies of the SN are roughly somatotopically arranged along its length according to function.

<span class="mw-page-title-main">Corticobulbar tract</span> Motor pathway in the brain connecting the motor cortex to the medullary pyramids

In neuroanatomy, the corticobulbartract is a two-neuron white matter motor pathway connecting the motor cortex in the cerebral cortex to the medullary pyramids, which are part of the brainstem's medulla oblongata region, and are primarily involved in carrying the motor function of the non-oculomotor cranial nerves. The corticobulbar tract is one of the pyramidal tracts, the other being the corticospinal tract.

<span class="mw-page-title-main">Pontine tegmentum</span>

The pontine tegmentum, or dorsal pons, is located within the brainstem, and is one of two parts of the pons, the other being the ventral pons or basilar part of the pons. The pontine tegmentum can be defined in contrast to the basilar pons: basilar pons contains the corticospinal tract running craniocaudally and can be considered the rostral extension of the ventral medulla oblongata; however, basilar pons is distinguished from ventral medulla oblongata in that it contains additional transverse pontine fibres that continue laterally to become the middle cerebellar peduncle. The pontine tegmentum is all the material dorsal from the basilar pons to the fourth ventricle. Along with the dorsal surface of the medulla, it forms part of the rhomboid fossa – the floor of the fourth ventricle.

<span class="mw-page-title-main">Edinger–Westphal nucleus</span> One of two nuclei of the oculomotor nerve

The Edinger–Westphal nucleus is one of two nuclei of the oculomotor nerve. It is located in the midbrain. It receives afferents from the both pretectal nuclei. It contains parasympathetic pre-ganglionic neuron cell bodies that synapse in the ciliary ganglion. It contributes the autonomic, parasympathetic component to the oculomotor nerve, ultimately providing innervation to the iris sphincter muscle and ciliary muscle to mediate the pupillary light reflex and accommodation, respectively.

<span class="mw-page-title-main">Nerve plexus</span> Network of nerve fibres

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<span class="mw-page-title-main">Cranial nerve nucleus</span>

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The dorsal longitudinal fasciculus (DLF) is a longitudinal tract interconnecting the posterior hypothalamus, and the inferior medulla oblongata. It contains both ascending tracts and descending tracts, and serves to link the forebrain, and the visceral autonomic centres of the lower brainstem. It conveys both visceral motor signals, and sensory signals.

<span class="mw-page-title-main">Facial motor nucleus</span>

The facial motor nucleus is a collection of neurons in the brainstem that belong to the facial nerve. These lower motor neurons innervate the muscles of facial expression and the stapedius.

<span class="mw-page-title-main">Dorsal nucleus of vagus nerve</span>

The dorsal nucleus of vagus nerve is a cranial nerve nucleus of the vagus nerve situated in the medulla oblongata of the brainstem ventral to the floor of the fourth ventricle. It contains nerve cell bodies of parasympathetic neurons of CN X that provide parasympathetic innervation to the gastrointestinal tract and lungs as well as other thoracic and abdominal organs. These functions include, among others, bronchoconstriction and gland secretion.

<span class="mw-page-title-main">Pharyngeal plexus of vagus nerve</span> Nerve fibers innervating most of the palate and pharynx

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<span class="mw-page-title-main">Salivatory nuclei</span>

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References

  1. Haines, Duane E (1999). "NEUROwords 7 Vague, Uncertain, Ambiguous, Obscure: Imprecision or Modesty?". Journal of the History of the Neurosciences. 8 (3): 294–295. doi:10.1076/jhin.8.3.294.1828.
  2. 1 2 Machado, BH and Brody, MJ. "Role MJ of the nucleus ambiguus in the regulation of heart rate and arterial pressure."
  3. Localization of vagal cardioinhibitory preganglionic neurons with rat brain stem. Nosaka S et al.