08 Midbrain

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    Divisions

    Midbrain is formally divided into dorsal and

    ventral parts at the level of cerebral

    aqueduct

    The dorsal portion is known as tectum

    which largely consists of inferior and

    superior colliculi

    The ventral portion is known as tegmentum

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    Divisions

    Tegmentum is bounded ventrally by themassive fibre system of the crus cerebri

    The term cerebral peduncle issometimes used as a synonym for cruscerebri

    Or the cerebral peduncle refers to thewhole midbrain on either side excludingthe tectum

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    Caudal Part

    In the caudal part of the midbrain the inferiorcolliculus constitutes part of the ascendingacoustic projection

    Ascending auditory fibres run in the laterallemniscus which terminates in the inferiorcolliculus

    Efferent fibres from the colliculus terminate inthe medial geniculate nucleus of the thalamus

    This nucleus projects to the auditory cortex ofthe temporal lobe

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    Rostral Part

    The superior colliculus of the rostralarea of the midbrain is part of the visualsystem

    Its main afferents are corticotectal fibresoriginating from the visual cortex of theoccipital lobe and from the frontal eye

    field of the frontal lobe

    These inputs are concerned with

    controlling movements of the eyes

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    Eye Movements

    These movements of eyes are thoseoccurring when a moving object isfollowed

    Or when the direction of the gaze isaltered (saccadic eye movement)

    Corticotectal fibres from the visualcortex are involved in theaccommodation reflex

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    Pretectal Nucleus

    A small number of visual fibres runningin the optic tract terminate just rostral tothe superior colliculus in the pretectal

    nucleus

    This nucleus has connections with

    parasympathetic neurons controlling thesmooth muscle of the eye and is part ofthe circuit mediating the pupillary lightreflex

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    Cerebral Aqueduct

    Ventral to the colliculi the cerebral

    aqueduct runs the length of the midbrain

    Surrounding the aqueduct is a pear

    shaped arrangement of grey matter

    called periaqueductal grey

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    Nuclei

    In the ventral part of the periaqueductalgrey at the level of the inferior and superiorcolliculi lie the trochlear and oculomotornuclei respectively

    These innervate the extraocular musclescontrolling the eye movements

    Close to the nuclei runs the mediallongitudinal fasciculus which links them tothe abducens nucleus in the pons and is

    important in the control of gaze

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    Superior Cerebellar

    Peduncle

    At the level of the inferior colliculus the

    central portion of the tegmentum is

    dominated by the superior cerebellar

    peduncles

    These fibres originate in the cerebellum

    coursing ventromedially as they run intothe midbrain

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    Red Nucleus

    Beneath the inferior colliculus the superiorcerebellar peduncles decussate in themidline

    Rostral to the decussation at the level ofthe superior colliculus the portion of thetegmentum is occupied by red nucleus

    Some of the fibres of the superiorcerebellar peduncles terminate in the rednucleus

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    Red Nucleus

    The red nucleus is involved in motor control

    Its other major source of afferents is the motorcortex of the frontal lobe

    Efferent fibres from the red nucleus cross inthe ventral tegmental decussation anddescend to the spinal cord in the rubrospinal

    tract

    The red nucleus also projects to the inferiorolivary nucleus of the medulla via the centraltegmental tract

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    Substantia Nigra

    The most ventral part of the midbraintegmentum is occupied by the substantianigra

    A subdivision of this nucleus known as parscompacta

    It consists of pigmented melanin containingneurones that synthesise dopamine astheir transmitter

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    Substantia Nigra

    These neurones project to the caudate

    nucleus and putamen of the basal ganglia

    in the forebrain

    Degeneration of the pars compacta of the

    substantia nigra is associated with

    Parkinsons disease

    Other non pigmented subdivision of the

    substantia nigra is called the pars reticulata

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    Substantia Nigra

    Pars reticulata is considered to be a

    functional homologue of the medial

    segment of the globus pallidus which isalso part of the basal ganglia

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    Crus Cerebri

    Ventral to the substantia nigra lies themassive crus cerebri

    This consists entirely of descending corticalefferent fibres that have left the cerebralhemisphere by traversing the internalcapsule

    Approximately the middle 50% of the crusconsists of corticobulbar and corticospinalfibres

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    Fibres

    The corticobulbar fibres end

    predominantly in or near the motor

    cranial nerve nuclei of the brain stem

    The corticospinal fibres traverse the

    pons to enter the medullary pyramid and

    thence the corticospinal tract

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    Middle Cerebellar Peduncle

    On either side of the corticobulbar andcorticospinal fibres the crus cerebricontains corticopontine fibres that originate

    from widespread regions of the cerebralcortex and terminate in the pontine nucleiof the ventral pons

    From the pontine nuclei connections areestablished with the cerebellum via themiddle cerebellar peduncle which areinvolved in the coordination of movement

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