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Brain Stem        

Definition
•        It is the stalk of the brain below the cerebral hemispheres.
•        Major route for communication between the forebrain, the spinal cord, and peripheral nerves.
•        Controls various autonomic functions such as
       respiration
       heart rhythms
       sound localization

The parts
•        The midbrain
•        The pons varolii
•        Medulla oblongata
•        Reticular formation


Midbrain
•        Situated around the cerebral aqueduct between the cerebrum and pons varolii
•        Consists of
       1. nerve cells which serve as relay stations for the ascending and descending fibres
       Pons Varolii
       2. nerve fibres connecting the cerebrum with lower parts of the brain and with the spinal cord

Pons varolii
•        Situated in front of the cerebellum
•        Below the midbrain
•        Above the medulla oblongata
•        Consists of the
       1. Fibres connecting the two hemispheres of the cerebellum
       2. Fibres connecting the higher centres of the brain and the spinal cord
       3. Nuclei of the 5th  6th 7th and 8th cranial nerves
       4. Nuclei which act as relay stations

Medulla Oblongata
•        Extends from the pons varolii above
•        Continues with the spinal cord below
•        2.5 cm
•        Situated within the cranium above the foramen magnum
•        Central fissures anteriorly and posteriorly
•        Outer white matter
•        Inner grey matter – passing from brain to the spinal cord.
•        Some cells to relay sensations to the cerebrum from the spinal sensory fibres

Vital centres
       Medulla contains vital centres
•        Cardiac centre
•        Respiratory centre
•        Vasomotor centre
•        Reflex centres of vomiting, coughing, sneezing and swallowing

Special features
•        Decussation of the pyramids – motor fibres from motor area in the pyramidal tracts cross
•        Sensory decussation – some of the sensory nerves ascending from the spinal cord cross – others cross in the spinal cord itself
•        Cardiac centre – controls the rate and force of cardiac contraction sympathetic and parasympathetic nerve fibres originating in the medulla pass to the heart.
•        Respiratory centre : controls the rate and depth of respiration. Impulses pass to the phrenic and intercostal nerves.
Gets stimulated by excess of CO2 and to a lesser extent, by deficiency of O2 by nerve impulses from the chemoreceptors from the carotid bodies
•        Vasomotor centre : controls the diameter of the blood vessels (small arteries and arterioles) through the autonomic nervous system
•        Reflex centres : irritating substances in the stomach or respiratory tract – stimulate reflex centres – reflex actions of vomiting coughing and sneezing.

Reticular formation
•        A collection of neurones in the centre of the brain stem
•        Surrounded by neural pathways from brain to spinal cord
•        Has links to other parts of the brain
•        Receives information transmitted in ascending and descending tracts

       Functions of reticular formation
•        Coordination
•        Selective awareness
•        Coordination of skeletal muscle activity (associated with voluntary motor movement and        the maintenance of balance)
•        Coordination of activity controlled by the autonomic nervous system, (e.g. cardiovascular,        respiratory and gastrointestinal activity)
•        Sselective blocking or passing sensory information to the cerebreal cortex, (e.g. the slight        sound made bya sick child moving in bed may arouse his mother but the noise of regularly        passing trains may be suppressed)

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learnvell™ is a trademark of Velsundar.K.

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