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Near East University

Selda Önderoğlu

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anatomy medulla oblongata brain stem medical education

Summary

This document provides detailed information about the anatomy of the medulla oblongata, including its surfaces, internal structures, cranial nerve nuclei, and connections to other brain areas. The information presented is suitable for medical students.

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Prof. Dr. Selda Önderoğlu Near East University Faculty of Medicine Dept. Of Anatomy Oblongata The most inferior part of brain stem. It is like the widening of spinal cord upwards. surfaces of Medulla oblongata Anterio r posteri or anterior surface: external featur...

Prof. Dr. Selda Önderoğlu Near East University Faculty of Medicine Dept. Of Anatomy Oblongata The most inferior part of brain stem. It is like the widening of spinal cord upwards. surfaces of Medulla oblongata Anterio r posteri or anterior surface: external features (from midline laterally) -Ant. Median fissure -Pyramid -pyramidal Decussation -Anterolateral Sulcus exits:Hypoglossal N. -Olive -Retroolivary Sulcus Exits: Glossophryngeal N. vagus N. accessory N. olive Posterolateral surface of Medulla oblongata  glossopharyngeal N.  Vagus N.  Accessory N.  Inferior cerebellar Peduncle Inferior Cerebellar Peduncle connects medulla to cerebellum Contains fibers of: post. Spinocerebellar Tract Some fibers of ant. Spinocerebellar tr.  cuneocerebellar tr. Olivocerebellar tr.  vestibulocerebellar tr. fibers from cerebellum to vestibular&reticular nuclei so, tracts from cerebellum to medulla or the opposite Posterior surface of Medulla Oblangata is the lower triangle of rhomboid fossa(floor of 4th ventricle) 4th ventricle &Rhomboid Fossa 4th ventricle :Is the space bw. Medulla&pons- cerebellum.Filled with cerebrospinal fluid Rhomboid fossa: floor of 4th ventricle shape:quadrangular its Lower triangle is related to: medulla oblon gata Upper triangle to: pons of Medulla Oblongata-from midline laterally has posterior median Sulcus Tuberculum gracilis(medial)- Fasciculus gracilis Tuberculum cuneatus (lateral)- Fasciculus cuneatus Superior part of post. Surface of Medulla oblangata ( Rhomboid fossa’s lower triangle) From midline laterally has:  post. Median sulcus Medial Eminence Sulcus limitans vestibular Area Stria medullaris emerging from medulla oblongata Last 4 cranial nn.  glossopharyngeal n. (9)  Vagus n. (10)  Accessory n. (11)  Hypoglossal n. (12) The nuclei of these nn are located at medulla level(internal structure) Cranial nerve Nuclei in brainstem(9-12) Nuc. ambiguus It is the The motor nucleus of 9-10-11th CN): glossopharyngeal n. (CN9)+Vagus n. (CN10)+Cranial part of accessory nerve (CN11) the nuclei of those 3 nn. Unite and form the nucleus Ambiguus nucleus of Trigeminal nerve(CN V) F: Related to pain and temperature sensation carried from head and neck regions. Located at pons, medulla and upper 1- 2 segments of spinal cord. At medulla level it is located posterolaterally kin innervation of the face: is by the trigeminal nerve branches: ophthalmic,maxillary& mandibular nn. olitary Tract Nucleus Related to taste sensation Facial(7th) and glossopharyng eal(9th) cranial nerves Dorsal Nucleus of Vagus Nerve Parasympathe tic nucl.of vagus n. Inferior Salivatory Nucleus Salivation. P-symp. Nucleus of glossopharyngeal n. (9th.cranial nerve) Brain stem (Cranial nerves) Medulla oblongata Pons mesencephalo n Vestibular Nuclei 4 vestibular nuclei 1- superior 2- inferior 3-medial 4-lateral Medial&inferior are at medulla oblongata level Nuclei at medulla level  Nuc. reticularis lateralis  Nuc. reticularis ventralis  Nuc. reticularis gigantocellularis  Nuc. reticularis parvocellullaris  Nuc. reticularis paramedianus  Nuclei raphes – Nn. raphes obscurus – N. raphes pallidus – N. raphes magnus Internal structure of Medulla Oblongata (transverse section at lower levels) Pyramidal Decussation Fasciculus gracilis Fasciculus cuneatus Transverse section at the level of pyramidal decussation Nuc. cuneatus Nuc. Gracilis Spinal tract& nucleus of trigeminal nerve Transverse section through the inferior level of olive Cuneate nucleus Accessorius cuneate nucleus Nucleus gracilis Spinal tract& nucleus of trigeminal nerve lateral reticular Nucleus the level of inferior olivary complex principal olivary nuc. Nuc.olivarius accessorius posterior Nuc. olivarius accessorius med. accessory cuneate Nuc. through upper levels of medulla Medial vestibular nuc. ınf. vestibular nuc. Gigantocellullar reticular nuc. Dorsal cochlear nuc. inferior olivary nuc. Pyramis Vagus nerve medulla oblongata- level? 4th Ventricle Cerebellar nuclei inf. cerebellar Peduncle Ventral& dorsal cochlear Nuc. medial Lemniscus Arcuate Nuc.

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