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Internal Structure of Pons: 1-Lower Level 2-Mid-Level: 3-Upper Level
Internal Structure of Pons: 1-Lower Level 2-Mid-Level: 3-Upper Level
There are 3 levels of transverse sections : 1-lower level : level of facial colliculus. 2-mid-level : level of trigeminal nerve. 3-upper level : level of 4 lemnisci. The pons is divided into 2 main divisions by the transversely running fibres of trapezoid body : 1-Basilar part (Basis pontis) : it is the ventral part of pons, -its contents are constant in all levels. 2-Tegmentum : it is the dorsal part of pons. Superiorly,tegmentum of pons is continuous with tegmentum of midbrain. -its contents vary in the 3 levels of pons.
It is marked by numerous transverse pontocerebellar fibres which arise from pontine nuclei.
Caudal pons
These Pontocerebellar transverse fibres cross the midline to pass to contralateral cerebellum, forming middle cerebellar peduncle (brachium pontis),where trigeminal nerve (V) pierce it.
nucleus,then pass anterolaterally to emerge at the junction between pons & olive of medulla, (supplying muscles of facial expression).
Trigeminal motor nucleus : medial in position. its axons form the motor root of trigeminal N. which passes along mandibular N. (supplying muscles of mustication). Trigeminal sensory nucleus : lateral in position. It receives afferent touch sensation from face & scalp. -It sends efferent fibres, cross to opposite side to join axons of spinal nucleus of trigeminal, forming trigeminal lemniscus in rostral pons midbrain - thalamus. Superior cerebellar peduncle : lies posterolateral to motor nucleus of trigeminal
Medial longitudinal fasciculus, spinal lemniscus , medial lemniscus & trapezoid body.
Dorsal (tegmental) part of Rostral Pons at level of 4 lemnisci : Types of fibres in the S.C.P. :
(A) Afferent fibres : 1-ventral spino-cerebellar tract : it carries proprioceptive impulses from the limbs to cerebellum. 2-tecto-cerebellar tract : it carries auditory & visual impulses from tectum of midbrain to cerebellum. (B)Efferent fibres : 1-Dendato-rubral tract : it is concerned with coordination of movement. it ends in red nucleus of midbrain thalamusmotor & premotor area of cortex. 2-Dentato-thalamic tract : to carry proprioceptive deep sensation from dentate nucleus of cerebellum to end in V.L.N. of thalamus. T.S of rostral pons
ascending Fs. carrying proprioceptive sensation from opposite side of body. -It is the upward continuation of gracile & cuneate tracts of opposite side. -It lies in tegmentum, posterior to substantia nigra. It ends in PLVN of thalamus.
-on either side of corticobulbar & corticospinal fibres, crus cerebri contains cortico-pontine, temporo-pontine + fronto-pontine fibres -These Fs. arise from cerebral cortex and ends in pontine nuclei of ventral pons to pass via M.C.P into cerebellum, (cortico-ponto-cerebellar pathway ) to involve in coordination of movement.
Pretectal nucleus : It lies close to superio- lateral part of superior colliculus. -The visual Fs. running in optic tract just rostral to superior colliculus end in pretectal N. -it has connections with parasymp. nucleus of oculomotor N. of both sides (Edinger-Westphal nucleus) to control smooth ms. of eye (sphincter pupillae) and to mediate pupillary light reflex.
Reticular formation :
It is a complex matrix of neurones that extends throughout the length of brain stem, made up of deeply placed nerve cells & fibres. It has widespread afferent & efferent connections with other parts of CNS. It has important functions for vital centers as respiratory & cardiovascular centres, through its connection to autonomic neurones of hypothalamus & limbic system. It has descending reticulospinal tracts arise from medullary + pontine reticular formation ,that influence muscle tone & posture ( spinal motor function ). It has ascending fibres, the reticular activating system, for activation of thalamus, hypothalamus & cerebral cortex, and arousal (alertness) occurs. Damage to RAS can produce coma.
Reticular formation:
Raphe nuclei : are a group of midline nuclei that extend throughout the length of brain stem. -they are serotonergic nuclei (their transmitter is serotonine). -Their ascending fibres to forebrain are involved in neural mechanisms regulating sleep. -Descending fibres to the spinal cord are involved in pain control pathway.
Raphe nuclei
Locus coeruleus
A unilateral brain stem lesion : caused by stroke,tumour or multiple sclerosis causes : 1-epsilateral cranial nerve dysfunction + contralateral spastic hemiparesis. 2-hyperreflexia & an extensor plantar response (upper motor neurone lesion). 3-contalateral hemisensory loss. 4-ipsilateral incoordination (ataxia). 5-it can affect eye movements through demyelination of medial longitudinal fasciculus, producing internuclear ophthalmoplegia which interferes with conjugate ocular deviation (abducting eye moves normally, but adducting eye fails to follow), adduction is preserved on convergence. A bilateral lesion : destroys the vital
centers for respiration & circulation, leading to coma & death.