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    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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    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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    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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    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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    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

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    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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    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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    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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    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.

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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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    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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    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