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MEDULLA, CAUDAL LEVEL

Nucleus gracilis (sensory lower limbs)


Nucleus cuneatus (sensory upper limbs)
Internal arcuate fibers (from gracilis &
cuneatus)
Spinal nucleus of V (pain & temp face)
Decussation of the Pyramids
Hypoglossal nucleus (motor to tongue)
Spinothalamic tract & Descending
Hypothalamic fibers

387

MEDULLA, OPEN LEVEL


Inferior olive to cerebellum
Spinal nucleus of V P & T face
Solitary nucleus visceral fibers CNs
VII, IX and X
Nucleus ambiguus motor CNs IX &
X (pharynx, larynx, soft palate)
Dorsal motor nucleus visceral
motor neurons to cardiac & smooth
muscles: thorax, GI to splenic flexure.
Hypoglossal nucleus tongue
Medial lemniscus
Spinothalamic tract & descending
hypothalamic fibers
Pyramids (corticospinal tract)

387

PONS AT CNS VI & VII


Corticospinal tract
Medial lemniscus
beginning to move laterally
Spinal nucleus of V
Abducens nucleus
Facial nucleus
Facial nerve
Spinothalamic &
descending
hypothalamic fibers
Medial longitudinal
fasciculus
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PONS AT THE LEVEL OF CN V


Motor nucleus of V muscles of
mastication
Main sensory nucleus (V)
touch from face
Medial lemniscus
Corticospinal tract
Spinothalamic tract &
descending hypothalamic fibers
Medial longitudinal fasciculus
axons to CN III

386

MIDBRAIN AT CN IV
Cerebral aqueduct
Corticospinal tract
Medial Lemniscus
Spinothalamic tract &
descending hypothalamic fibers
Inferior colliculus auditory
nucleus
Trochlear nucleus- innervates
superior oblique
Medial longitudinal fasciculus
ascending axons to CN III

385

MIDBRAIN AT CN III
Cerebral aqueduct
Corticospinal tract
Corticobulbar fibers
Medial Lemniscus
Spinothalamic tract &
descending hypothalamic fibers
Superior colliculus visual
reflexes
Oculomotor nucleus innervates most eye muscles
Medial longitudinal fasciculus

385

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