BRAINSTEM ENTRY INNERVATED FROM SKULL CN I central or projects foramina of nose Olfactory deep process directly to the cribriform of olfactory telencephalon plate of neuron ethmoid bone CN II optic chiasma visual cortex optic canal of eyes Optic on the floor (area 17) of sphenoid bone of occipital lobe diencephalon CN III GSE: Interpeduncula superior orbital medial rectus, Oculomotor oculomotor r fossa of fissure superior nucleus of midbrain rectus, inferior midbrain rectus, inferior GVE: Edinger- oblique, Westphal levator nucleus palpebrae, muscles CN IV contralateral dorsal surface, superior orbital superior Trochlear trochlear caudal to fissure oblique muscle nucleus of inferior midbrain colliculus CN V facial process pons V1: superior muscles of Trigeminal orbital fissure mastication V2: foramen (temporalis, rotundum masseter, V3: foramen lateral and ovale medial pterygoids) CN VI abducent inferior superior orbital lateral rectus Abducens nucleus of pontine sulcus fissure muscle caudal pons CN VII facial nucleus cerebelloponti stylomastoid muscles of Facial of caudal ne angle foramen facial pons expression CN VIII vestibular cerebelloponti internal organ of Corti Vestibulocochl nuclei ne angle auditory ear complex meatus CN IX nucleus postolivary jugular external ear, Glossopharyn ambiguous of sulcus foramen taste buds, geal the lateral parotid gland, medulla stylopharyngo (SVE) us muscle CN X SVE: nucleus postolivary jugular viscera of the Vagus ambiguous of sulcus foramen neck, thorax, lateral and abdomen medulla CN XI cranial: postolivary jugular SCM, Accessory nucleus sulcus foramen trapezius, ambiguous intrinsic spinal: muscles of ventral horn larynx of cortical segments C1- C6 CN XII hypoglossal preolivary hypoglossal intrinsic and Hypoglossal nucleus of sulcus canal extrinsic medulla muscles of the tongue
FIBER SYSTEMS PASSING THROUGH CEREBELLAR PEDUNCLES
PEDUNCLE TYPE FIBER ORIGIN TERMINATI
ON Inferior Afferent olivocerebellar inferior anterior and fibers olivary posterior lobes nucleus Inferior Afferent dorsal nucleus anterior lobe spinocerebellar dorsalis tract Clarke Inferior Afferent cuneocerebellar accessory anterior lobe fibers cuneate and parts of nucleus posterior lobe Inferior Afferent vestibulocerebell vestibular flocculonodular ar fibers apparatus lobe and medial & inferior vestibular nucleus Inferior Afferent arcuate nucleus ventromedial cerebellar medulla lobes Inferior Afferent trigeminal brainstem cerebellar sensory nuclei lobes Inferior Afferent precerebellar brainstem cerebellar lobe reticular nuclei Inferior Afferent cerebellovestibul vestibular flocculonodular ar fibers apparatus lobe and medial & inferior vestibular nucleus Inferior Afferent cerebelloreticula lateral & anterior and r fibers paramedian posterior nucleus and cerebellar reticulotegm lobes ental nucleus
Middle Afferent pontocerebellar deep pontine anterior and
fibers nuclei posterior cerebellar lobes
Superior Afferent ventral ventral anterior lobe
spinocerebellar hornof spinal tract gray matter Superior Afferent trigeminothalami mesencephal vermal and c fibers ic trigeminal paravermal nucleus cerebellar cortex regions Superior Afferent tectocerebellar superior and anterior and fibers inferior posterior colliculi cerebellar lobes Superior Efferent cerebellothalami gray matter anterior lobe c fibers of cervical spinal cord Superior Efferent cerebellorubral red nucleus anterior and fibers posterior lobe
FIBER TRACTS IN INTERNAL CAPSULE
PORTION DESCRIPTIO ORIGIN TERMINATION FUNCTION
N Anterior Anterior anterior cingulate gyrus emotional Limb thalamic nucleus prefrontal cortex learning radiation midline anatomic nucleus regulation and emotions Genu relays to VA/VL of premotor cortex transfer of motor areas thalamus primary motor cerebellar corticobulbar motor cortex cortex input to the tract brainstem at primary (corticonuclear cranial nerve motor cortex ) nuclei motion of striated muscle in the head and face Posterior motor motor cortex motor pathway voluntary Limb pathway VPL/VPM of spinal cord control of thalamus body -corticospinal somatosensory musculature tract pathway transfer of primary sensory somatosensor somatosens information y pathway ory cortex (touch and pain) Retrolenticul association pulvinar association cortex visual ar body lateral visual cortex attention, optic radiation geniculate suppress nucleus irrelevant stimuli and initiate eye movements Sublenticula temporopontin temporal lobe pontine nuclei at processing of r e fibers (superior and basilar part of auditory auditory middle gyri pons information radiations medial auditory cortex geniculate nucleus
AREA OF BRODMANN
AREA BRODMANNS AREA FUNCTION
FRONTAL LOBE
Primary motor are 4 innervates small muscle
groups for fine or skilled movements on the opposite side of the body
Premotor area 6 innervates large muscle
groups for stereotype mass movement
Frontal eye field 8 conjugate deviation of
eyes
Prefrontal area 9, 10, 11, 12 thinking, planning,
judgment, and complex thought processes
Brocas speech area 44, 45 controls motor apparatus
of speech PARIETAL LOBE
Primary 1, 2, 3 receives impulses for
somatosensory area sensory perception and all discriminative senses (two-point discrimination, stereogenesis)
Sensory association 5, 7 determination of body
area scheme Visual speech area 39 interpretation and comprehension of the meaning of written laguage TEMPORAL LOBE
Primary auditory 41 receives fibers for
area auditory sensation
Association areas of 20, 21 memory storage
temporal lobe
Wernickies area 22 comprehension and
interpretation of words heard
Primary center for 34, 28, 38 receives olfaction
olfaction perception
OCCIPITAL LOBE
Primary visual 17 receives fibers for visual
cortex (Striate area) perception
Visual association 18 gives meaning to objects
area (Parastriate seen, for color vision area)
Occipital area 19 conjugate deviation of the
eyes and for following movements and fixation LIMBIC LOBE
Limbic lobe 23, 24, 26, 34 forms part in
reverberating circuit for emotional expression; controls autonomic functions