Visualizing the Trigeminovagal Complex in the Human Medulla By
Total Page:16
File Type:pdf, Size:1020Kb
Load more
Recommended publications
-
Cranial Nerves
Cranial Nerves (1,5,7,8,9,10,11 and 12) Slides not included 9th and 10th Cranial 11th and 12th Cranial 8th Cranial Nerve 5th and 7th Cranial 1st Cranial Nerve Nerves Nerves Nerves (3,7,11,12,13,21,23,24) - (10,16) (12,23) Slides included: (14 to 17) *Slides that are not included mostly are slides of summaries or pictures. Nouf Alabdulkarim. Med 435 Olfactory Nerve [The 1st Cranial Nerve] Special Sensory Olfactory pathway 1st order neuron Receptors Axons of 1st order Neurons Olfactory receptors are specialized, ciliated nerve cells The axons of these bipolar cells 12 -20 fibers form the that lie in the olfactory epithelium. true olfactory nerve fibers. Which passes through the cribriform plate of ethmoid → They join the olfactory bulb Preliminary processing of olfactory information It is within the olfactory bulb, which contains interneurones and large Mitral cells; axons from the latter leave the bulb to form the olfactory tract. nd 2 order neuron • It is formed by the Mitral cells of olfactory bulb. • The axons of these cells form the olfactory tract. • Each tract divides into 2 roots at the anterior perforated substance: Lateral root Medial root Carries olfactory fibers to end in cortex of the Uncus & • crosses midline through anterior commissure adjacent part of Hippocampal gyrus (center of smell). and joins the uncrossed lateral root of opposite side. • It connects olfactory centers of 2 cerebral hemispheres. • So each olfactory center receives smell sensation from both halves of nasal cavity. NB. Olfactory pathway is the only sensory pathway which reaches the cerebral cortex without passing through the Thalamus . -
Pharnygeal Arch Set - Motor USMLE, Limited Edition > Neuroscience > Neuroscience
CNs 5, 7, 9, 10 - Pharnygeal Arch Set - Motor USMLE, Limited Edition > Neuroscience > Neuroscience PHARYNGEAL ARCH SET, CNS 5, 7, 9, 10 • They are derived from the pharyngeal (aka branchial) arches • They have special motor and autonomic motor functions CRANIAL NERVES EXIT FROM THE BRAINSTEM CN 5, the trigeminal nerve exits the mid/lower pons.* CN 7, the facial nerve exits the pontomedullary junction.* CN 9, the glossopharyngeal nerve exits the lateral medulla.* CN 10, the vagus nerve exits the lateral medulla.* CRANIAL NERVE NUCLEI AT BRAINSTEM LEVELS Midbrain • The motor trigeminal nucleus of CN 5. Nerve Path: • The motor division of the trigeminal nerve passes laterally to enter cerebellopontine angle cistern. Pons • The facial nucleus of CN 7. • The superior salivatory nucleus of CN 7. Nerve Path: • CN 7 sweeps over the abducens nucleus as it exits the brainstem laterally in an internal genu, which generates a small bump in the floor of the fourth ventricle: the facial colliculus • Fibers emanate from the superior salivatory nucleus, as well. Medulla • The dorsal motor nucleus of the vagus, CN 10 • The inferior salivatory nucleus, CN 9 1 / 3 • The nucleus ambiguus, CNs 9 and 10. Nerve Paths: • CNs 9 and 10 exit the medulla laterally through the post-olivary sulcus to enter the cerebellomedullary cistern. THE TRIGEMINAL NERVE, CN 5  • The motor division of the trigeminal nerve innervates the muscles of mastication • It passes ventrolaterally through the cerebellopontine angle cistern and exits through foramen ovale as part of the mandibular division (CN 5[3]). Clinical Correlation - Trigeminal Neuropathy THE FACIAL NERVE, CN 7  • The facial nucleus innervates the muscles of facial expression • It spans from the lower pons to the pontomedullary junction. -
6 Ways to Instantly Stimulate Your Vagus Nerve to Relieve Inflammation, Depression, Migraines and More
O 6 WAYS TO INSTANTLY STIMULATE YOUR VAGUS NERVE TO RELIEVE INFLAMMATION, DEPRESSION, MIGRAINES AND MORE I read an article yesterday that has me extremely excited about the implications. The article is called “Hacking the Nervous System” by Gaia Vince (http://mosaicscience.com/story/hacking-nervous-system). In the article, the author describes the experience of a woman who suffered from severe, debilitating rheumatoid arthritis and her eventual treatment with a device which minimized inflammation by simply stimulating the vagus nerve. What this means, is that by activating the vagus nerve which works through the parasympathetic nervous system, we can greatly influence inflammation and the immune system. The role of the brain on body inflammation can be profound. If you suffer from digestive complaints, high blood pressure, depression or any inflammatory condition, please read on. Let me explain the possible implications step by step. What is the vagus nerve? First of all, the vagus nerve is the longest nerve in the body which originates in the brain as cranial nerve ten, travels down the from go the neck and then passes around the digestive system, liver, spleen, pancreas, heart and lungs. This nerve is a major player in the parasympathetic nervous system, which is the ‘rest and digest’ part (opposite to the sympathetic nervous system which is ‘fight of flight’). Vagal tone The tone of the vagus nerve is key to activating the parasympathetic nervous system. Vagal tone is measured by tracking your heart-rate alongside your breathing rate. Your heart-rate speeds up a little when your breathe in, and slows down a little when you breathe out. -
A Network of Genetic Repression and Derepression Specifies Projection
A network of genetic repression and derepression INAUGURAL ARTICLE specifies projection fates in the developing neocortex Karpagam Srinivasana,1, Dino P. Leonea, Rosalie K. Batesona, Gergana Dobrevab, Yoshinori Kohwic, Terumi Kohwi-Shigematsuc, Rudolf Grosschedlb, and Susan K. McConnella,2 aDepartment of Biology, Stanford University, Stanford, CA 94305; bMax-Planck Institute of Immunobiology and Epigenetics, 79108 Freiburg, Germany; and cLawrence Berkeley National Laboratory, Berkeley, CA 94720 This contribution is part of the special series of Inaugural Articles by members of the National Academy of Sciences elected in 2011. Contributed by Susan K. McConnell, September 28, 2012 (sent for review August 24, 2012) Neurons within each layer in the mammalian cortex have stereotypic which results in a suppression of corticothalamic and callosal projections. Four genes—Fezf2, Ctip2, Tbr1, and Satb2—regulate fates, respectively, and axon extension along the corticospinal these projection identities. These genes also interact with each tract (CST). Fezf2 mutant neurons fail to repress Satb2 and Tbr1, other, and it is unclear how these interactions shape the final pro- thus their axons cross the CC and/or innervate the thalamus jection identity. Here we show, by generating double mutants of inappropriately. Fezf2, Ctip2, and Satb2, that cortical neurons deploy a complex In callosal projection neurons, Satb2 represses the expression Ctip2 Bhlhb5 genetic switch that uses mutual repression to produce subcortical of and , leading to a repression of subcerebral fates. Satb2 Tbr1 or callosal projections. We discovered that Tbr1, EphA4, and Unc5H3 Interestingly, we found that promotes expression in fi upper layer callosal neurons, and Tbr1 expression in these neu- are critical downstream targets of Satb2 in callosal fate speci ca- fi tion. -
Cortex and Thalamus Lecture.Pptx
Cerebral Cortex and Thalamus Hyperbrain Ch 2 Monica Vetter, PhD January 24, 2013 Learning Objectives: • Anatomy of the lobes of the cortex • Relationship of thalamus to cortex • Layers and connectivity of the cortex • Vascular supply to cortex • Understand the location and function of hypothalamus and pituitary • Anatomy of the basal ganglia • Primary functions of the different lobes/ cortical regions – neurological findings 1 Types of Cortex • Sensory (Primary) • Motor (Primary) • Unimodal association • Multimodal association - necessary for language, reason, plan, imagine, create Note: • Gyri • Sulci • Fissures • Lobes 2 The Thalamus is highly interconnected with the cerebral cortex, and handles most information traveling to or from the cortex. “Specific thalamic Ignore nuclei” – have well- names of defined sensory or thalamic nuclei for motor functions now - A few Other nuclei have will more distributed reappear later function 3 Thalamus Midbrain Pons Limbic lobe = cingulate gyrus Structure of Neocortex (6 layers) white matter gray matter Pyramidal cells 4 Connectivity of neurons in different cortical layers Afferents = inputs Efferents = outputs (reciprocal) brainstem etc Eg. Motor – Eg. Sensory – more efferent more afferent output input Cortico- cortical From Thalamus To spinal cord, brainstem etc. To Thalamus Afferent and efferent connections to different ….Depending on whether they have more layers of cortex afferent or efferent connections 5 Different areas of cortex were defined by differences in layer thickness, and size and -
Questions and Answers About Vagus Nerve Stimulation by Jerry Shih, M.D. 1. WHAT IS VAGUS NERVE STIMULATION? Therapeutic Vagus Ne
Questions and Answers About Vagus Nerve Stimulation By Jerry Shih, M.D. 1. WHAT IS VAGUS NERVE STIMULATION? Therapeutic vagus nerve stimulation (VNS) is chronic, intermittent electrical stimulation of the mid-cervical segment of the left vagus nerve. The stimulation occurs automatically at set intervals, during waking and sleep. The electrical pulses are generated by a pacemaker-like device that is implanted below the clavicle and are delivered by a lead wire that is coiled around the vagus nerve. 2. WHAT IS THE EVIDENCE THAT VAGUS NERVE STIMULATION IS EFFECTIVE IN EPILEPSY? The empirical evidence of antiepileptic efficacy arose sequentially from l) experiments in animal models of epilepsy; 2) anecdotal reports and small case series ofearly human trials, and 3) two prospec-tive, double-blind, controlled studies in large groups of patients with complex partial and secondarily generalized seizures. 3. HOW DOES VAGUS NERVE STIMULATION CONTROL SEIZURES? The mechanisms by which therapeutic VNS reduces seizure activity in humans and in experimental models of epilepsy are unknown. 4. WHEN SHOULD ONE CONSIDER VAGUS NERVE STIMULATION? Medically refractory complex partial and secondarily generalized seizures have been efficaciously treated with adjunctive VNS in the large, randomized studies. Children may benefit considerably from VNS, but large-scale, randomized, controlled studies have not been completed in young children. Thus, any adolescent or adult whose complex partial or secondarily generalized seizures have not been controlled with the appropriate first- and second -line antiepileptic drugs may be a good candidate for VNS. The FDA has specifically approved VNS with the Cyberonics device for adjunctive therapy of refractory partial-onset seizures in persons l2 years of age. -
The Superior and Inferior Colliculi of the Mole (Scalopus Aquaticus Machxinus)
THE SUPERIOR AND INFERIOR COLLICULI OF THE MOLE (SCALOPUS AQUATICUS MACHXINUS) THOMAS N. JOHNSON' Laboratory of Comparative Neurology, Departmmt of Amtomy, Un&versity of hfiehigan, Ann Arbor INTRODUCTION This investigation is a study of the afferent and efferent connections of the tectum of the midbrain in the mole (Scalo- pus aquaticus machrinus). An attempt is made to correlate these findings with the known habits of the animal. A subterranean animal of the middle western portion of the United States, Scalopus aquaticus machrinus is the largest of the genus Scalopus and its habits have been more thor- oughly studied than those of others of this genus according to Jackson ('15) and Hamilton ('43). This animal prefers a well-drained, loose soil. It usually frequents open fields and pastures but also is found in thin woods and meadows. Following a rain, new superficial burrows just below the surface of the ground are pushed in all directions to facili- tate the capture of worms and other soil life. Ten inches or more below the surface the regular permanent highway is constructed; the mole retreats here during long periods of dry weather or when frost is in the ground. The principal food is earthworms although, under some circumstances, larvae and adult insects are the more usual fare. It has been demonstrated conclusively that, under normal conditions, moles will eat vegetable matter. It seems not improbable that they may take considerable quantities of it at times. A dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy in the University of Michigan. -
The Use of Cholinesterase Techniques to Study Topographical Localization in the Hypoglossal Nucleus of the Rat
J. Anat. (1971), 110, 2, pp. 203-213 203 With 1O figures Printed in Great Britain The use of cholinesterase techniques to study topographical localization in the hypoglossal nucleus of the rat P. R. LEWIS*, B. A. FLUMERFELTt AND C. C. D. SHUTE* Department ofAnatomy, University of Cambridge (Accepted 4 August 1971) INTRODUCTION The hypoglossal nucleus is perhaps the most suitable motor nucleus for the experi- mental study of the cytological changes occurring in cholinergic neurons following axotomy. The cells are large and the nucleus is easy to find even in a fresh unfixed brain; furthermore, the nucleus is so close to the midline that it is possible to use one side as a control for the other with complete confidence and to view equivalent control and experimental neurons simultaneously at quite high magnifications. An added advantage is that the hypoglossal nerve trunk in the neck region is almost purely motor; the central effects of axotomy are therefore not complicated by any significant loss of sensory fibres. Our interest in the nucleus was heightened by the discovery that in the rat a group of neurons at the caudal end contained a high concentration of an enzyme resembling in its histochemical reactions pseudocholin- esterase (Shute & Lewis, 1963). The enzyme will hydrolyse acetylthiocholine and is inhibited by ethopropazine, but its most characteristic property is a rapid hydrolysis of butyrylthiocholine; BuChE would thus seem an appropriate abbreviation to distinguish it from true cholinesterase (AChE), the enzyme typically present in motor neurons. It was shown originally by Schwarzacher (1958) that there is a marked decrease in AChE activity in hypoglossal neurons during the second and third weeks following axotomy (although he also looked at the response of pseudocholinesterase he did not comment on the specifically staining group of cells). -
Spinal Cord Organization
Lecture 4 Spinal Cord Organization The spinal cord . Afferent tract • connects with spinal nerves, through afferent BRAIN neuron & efferent axons in spinal roots; reflex receptor interneuron • communicates with the brain, by means of cell ascending and descending pathways that body form tracts in spinal white matter; and white matter muscle • gives rise to spinal reflexes, pre-determined gray matter Efferent neuron by interneuronal circuits. Spinal Cord Section Gross anatomy of the spinal cord: The spinal cord is a cylinder of CNS. The spinal cord exhibits subtle cervical and lumbar (lumbosacral) enlargements produced by extra neurons in segments that innervate limbs. The region of spinal cord caudal to the lumbar enlargement is conus medullaris. Caudal to this, a terminal filament of (nonfunctional) glial tissue extends into the tail. terminal filament lumbar enlargement conus medullaris cervical enlargement A spinal cord segment = a portion of spinal cord that spinal ganglion gives rise to a pair (right & left) of spinal nerves. Each spinal dorsal nerve is attached to the spinal cord by means of dorsal and spinal ventral roots composed of rootlets. Spinal segments, spinal root (rootlets) nerve roots, and spinal nerves are all identified numerically by th region, e.g., 6 cervical (C6) spinal segment. ventral Sacral and caudal spinal roots (surrounding the conus root medullaris and terminal filament and streaming caudally to (rootlets) reach corresponding intervertebral foramina) collectively constitute the cauda equina. Both the spinal cord (CNS) and spinal roots (PNS) are enveloped by meninges within the vertebral canal. Spinal nerves (which are formed in intervertebral foramina) are covered by connective tissue (epineurium, perineurium, & endoneurium) rather than meninges. -
White Matter Tracts - Brain A143 (1)
WHITE MATTER TRACTS - BRAIN A143 (1) White Matter Tracts Last updated: August 8, 2020 CORTICOSPINAL TRACT .......................................................................................................................... 1 ANATOMY .............................................................................................................................................. 1 FUNCTION ............................................................................................................................................. 1 UNCINATE FASCICULUS ........................................................................................................................... 1 ANATOMY .............................................................................................................................................. 1 DTI PROTOCOL ...................................................................................................................................... 4 FUNCTION .............................................................................................................................................. 4 DEVELOPMENT ....................................................................................................................................... 4 CLINICAL SIGNIFICANCE ........................................................................................................................ 4 ARTICLES .............................................................................................................................................. -
Central Neurocircuits Regulating Food Intake in Response to Gut Inputs—Preclinical Evidence
nutrients Review Central Neurocircuits Regulating Food Intake in Response to Gut Inputs—Preclinical Evidence Kirsteen N. Browning * and Kaitlin E. Carson Department of Neural and Behavioral Sciences, Penn State College of Medicine, Hershey, PA 17033, USA; [email protected] * Correspondence: [email protected]; Tel.: +1-717-531-8267 Abstract: The regulation of energy balance requires the complex integration of homeostatic and hedonic pathways, but sensory inputs from the gastrointestinal (GI) tract are increasingly recognized as playing critical roles. The stomach and small intestine relay sensory information to the central nervous system (CNS) via the sensory afferent vagus nerve. This vast volume of complex sensory information is received by neurons of the nucleus of the tractus solitarius (NTS) and is integrated with responses to circulating factors as well as descending inputs from the brainstem, midbrain, and forebrain nuclei involved in autonomic regulation. The integrated signal is relayed to the adjacent dorsal motor nucleus of the vagus (DMV), which supplies the motor output response via the efferent vagus nerve to regulate and modulate gastric motility, tone, secretion, and emptying, as well as intestinal motility and transit; the precise coordination of these responses is essential for the control of meal size, meal termination, and nutrient absorption. The interconnectivity of the NTS implies that many other CNS areas are capable of modulating vagal efferent output, emphasized by the many CNS disorders associated with dysregulated GI functions including feeding. This review will summarize the role of major CNS centers to gut-related inputs in the regulation of gastric function Citation: Browning, K.N.; Carson, with specific reference to the regulation of food intake. -
Trigeminal Nerve Block
Trigeminal Nerve Block Why use this treatment? This procedure is used for trigeminal neuralgia, described by many patients as one of the most painful afflictions known. TN sufferers experience sudden attacks of pain that are typically brief, but severe. TN pain occurs on only one side, involving the upper, middle and/or lower portions of the face. Attacks may come on without warning or be triggered by specific light stimulation in the affected area of the face. Common triggers include touch, talking, eating, drinking, chewing, tooth brushing, hair combing, water from a shower and even kissing. There are a number of causes for trigeminal neuralgia, including pressure from blood vessels on the trigeminal nerve, multiple sclerosis, brain tumors, or injury to the nerve from head trauma, dental or sinus trauma or from failed procedures that were intended to treat the neuralgia. TN pain after traumatic injury is usually constant aching or burning, but can also get worse with exposure to wind or cold. How does a trigeminal nerve block work? A trigeminal nerve block delivers steroids and/or local anesthetic directly into the space around the trigeminal nerve root. The area is bathed in the medicine. The injection is given to reduce inflammation and provide pain relief for several days to several months. How is the procedure done? You will be placed on an x-ray table and your skin will be cleansed and prepared. This procedure is performed under local anesthetic with light IV sedation. A needle is inserted into the skin beside the mouth, and directed through an opening at the base of the skull.