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8/17/2019 CNS cross section quiz
1/13
Neurological Neuroanatomy 177
FIGURE 65: Brainstem Histology — Midbrain (upper — photograph)
Superior colliculus
Aqueduct of midbrain
Periaqueductal gray
Red nucleus
Substantia nigra
Oculomotor nucleus(CN III)
Cerebral peduncle
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8/17/2019 CNS cross section quiz
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Neurological Neuroanatomy 179
FIGURE 65A: Brainstem Histology — Upper Midbrain
Superior colliculus
Brachium of theinferior colliculus
Anterolateral system
Medial lemniscus
Edinger-Westphalnucleus
Oculomotornucleus
Oculomotor nerve (CN III)
Aqueduct of midbrain
Periaqueductal gray
Reticular formation
Red nucleus
Substantia nigra
Parieto-, temporo- andoccipito-pontine fibers
Cortico-spinal tract
Fronto-pontine fibers
MLF
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8/17/2019 CNS cross section quiz
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Neurological Neuroanatomy 181
FIGURE 65B: Brainstem Histology — Lower Midbrain
Brachium of theinferior colliculus
Inferior colliculus
Lateral lemniscus
Mesencephalicnucleus of CN V
Anterolateral system
Medial lemniscus
Trochlear nucleus
Interpeduncularnucleus
Aqueduct of midbrain
Periaqueductal gray
Reticular formation
MLF
Decussation of the superiorcerebellar peduncles
Substantia nigra
Cortico-spinal tract
Fronto-pontine fibers
Parieto-, temporo- andoccipito-pontine fibers
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8/17/2019 CNS cross section quiz
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Neurological Neuroanatomy 183
FIGURE 66: Brainstem Histology — Pons (upper — photograph)
Superiormedullary velum
4th ventricle
Superiorcerebellarpeduncle
Locus ceruleus
Medial lemniscus
Pontine nuclei
Middle cerebellarpeduncle
Ponto-cerebellarfibers
Vestibulocochlearnerve (CN VIII)
Cortico-spinalfibers
Ch Ch
Ch = Cerebellar hemisphere
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8/17/2019 CNS cross section quiz
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Neurological Neuroanatomy 185
FIGURE 66A: Brainstem Histology — Upper Pons
Decussation of CN IV
Mesencephalicnucleus of CN V
Lateral lemniscus
Anterolateral system
Medial lemniscus
Trochlear nerve (CN IV)
Cortico-spinal tract
Lingula of cerebellum
4th ventricle
Locus ceruleus
Superior cerebellar
peduncle
MLF
Reticular formation
Pontine nuclei
Middle cerebellarpeduncle
06 by Taylor & Francis Group, LLC
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8/17/2019 CNS cross section quiz
6/13
Neurological Neuroanatomy 187
FIGURE 66B: Brainstem Histology — Mid-Pons
Superior medullary velum
Sensory n. CN V Motor n. CN V
Lateral lemniscus
Anterolateral system
Medial lemniscus
Trigeminalnerve (CN V)
Cortico-spinal fibers
Lingula of cerebellum
Superior cerebellarpeduncle
4th ventricle
MLF
Reticular formation
Middle cerebellarpeduncle
Pontine nuclei
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7/13
Neurological Neuroanatomy 189
FIGURE 66C: Brainstem Histology — Lower Pons
Nodulus of cerebellum
Vestibular nn.: Medial Superior
Lateral
Spinal t. CN V
Spinal n. CN V
Abducens n.
Anterolateral system
Medial lemniscus
Trapezoid body
Abducens nerve (CN VI)
Cortico-spinal fibers
Dentate n.
Fastigial n.
Globose n.
Emboliform n.
4th ventricle
Cerebellar peduncles: Inferior
Middle
MLF
Reticular formation
Facial n.
Facial nerve (CN VII)
Vestibulocochlearnerve (CN VIII)
Superior olivary complex
Pontine nuclei
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8/17/2019 CNS cross section quiz
8/13
Neurological Neuroanatomy 191
FIGURE 67: Brainstem Histology — Medulla (mid — photograph)
Dentate nucleus
Vermis of cerebellum
Tonsil of cerebellum
Foramen of Magendie
Inferior cerebellarpeduncle
Cerebellar cortex
Medial lemniscus
Inferior olivary nucleus
Cortico-spinal tract(pyramid)
Ch = Cerebellar hemisphere
ChCh
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8/17/2019 CNS cross section quiz
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Neurological Neuroanatomy 193
FIGURE 67A: Brainstem Histology — Upper Medulla
Medial vestibular n.
Inferior vestibular n.
Dorsal cochlear n.
Ventral cochlear n.
Spinal t. CN V
Spinal n. CN V
Anterolateral system
Medial lemniscus
Vestibulocochlearnerve (CN VIII)
Cortico-spinal fibers
Dentate n.
Vermis of cerebellum
Choroid plexus
4th ventricle
Inferior cerebellarpeduncle
Solitary n.Solitary t.
MLF
Reticular formation
Inferior olivary n.
06 by Taylor & Francis Group, LLC
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Neurological Neuroanatomy 195
FIGURE 67B: Brainstem Histology — Mid-Medulla
Inferior vestibular n.
Accessory cuneate n.
Dorsal motor n.
Hypoglossal n.
Spinal t. CN V
Spinal n. CN V
Vagus nerve(CN X)
Anterolateral system
Medial lemniscus
Cortico-spinal fibers
Hypoglossal nerve (CN XII)
Choroid plexus
4th ventricle
Solitary n.
Solitary t.
Inferior cerebellarpeduncle
N. ambiguus
MLF
Reticular formation
Inferior olivary n.
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Neurological Neuroanatomy 197
FIGURE 67C: Brainstem Histology – Lower Medulla
Foramen of Magendie
4th ventricle
Area postrema
Accessory cuneate n.
Solitary n.
Solitary t.
MLF
N. ambiguus
Reticular formation
Inferior olivary n.
Gracilis t.
Gracilis n.
Cuneatus t.
Cuneatus n.
Dorsal motor n.
Hypoglossal n.
Spinal t. CN V
Spinal n. CN V
Vagus nerve (CN X)
Internal arcuate fibers
Anterolateral system
Medial lemniscus
Cortico-spinal fibers
Hypoglossal nerve (CN XII)
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12/13
Neurological Neuroanatomy 199
FIGURE 68: Spinal Cord — Nuclei and Tracts
Dorsal horn
Intermediate gray
Ventral horn
Dorsolateral fasciculus(of Lissauer)
Posteromarginal n.
Substantia gelatinosa
Proper sensory n.
Dorsal n. (of Clarke)
Lateral motor n.(to distal muscles)
Medial motor n.(to axial muscles)
Lateralcortico-spinal t.
Rubro-spinal t.
MLF
Lateral (medullary)reticulo-spinal t.
Medial (pontine)reticulo-spinal t.
Lateral vestibulo-spinal t.
Anterior cortico-spinal t.
Fasciculus gracilis
Fasciculus cuneatus
Dorsolateral fasciculus(of Lissauer)
Dorsalspino-cerebellar t.
Ventralspino-cerebellar t.
Lateralspino-thalamic t.
Anteriorspino-thalamic t.
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8/17/2019 CNS cross section quiz
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Neurological Neuroanatomy 201
FIGURE 69: Spinal Cord Histology — Cross-Sections
Dorsal horn
Intermediate gray
Ventral horn
Dorsal horn
Intermediate gray
Ventral horn
Dorsal horn
Intermediate gray
Ventral horn
Dorsal column:
Fasciculus gracilis
Fasciculus cuneatus
Ventral whitecommissure
Ventral medianfissure
Arachnoid
Pia
Cervical
Lateral horn
Subarachnoidspace
Dura
Dorsal roots
Substantiagelatinosa
Central canal
Ventral roots
Toracic
Lumbar