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Page 1 of 11
Learning objectives
Learning objectives :
1. To know the definition and the area where the reticular formation is present in the brain
because it is diffused area occupying the brain.
2. T o know the group of nuclei, functions, afferents and efferents because the RF is
3. To know the nuclei group of the RF involved in various neurological and psychiatric
disorders
Phylogentically it represents old reticular core of brain & contains vital cardiac &
respiratory centers.
The importanc of RF :
1. Median column : lies in midline, termed as raphe nuclei & has three parts, produces
serotonin
c) nuleus raphe magnus-projects to caudal part of sipnal nucleus of V cranial nerve &
influences perception of pain
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3. Lateral column termed parvocellular column includes parvicellular nuclei of
medulla & pons, nucleus locus ceruleus of pons & pedunculopontine nucleus of
midbrain
-Gustatoty system
-Trigeminal pathways
Limbic system mainly from septal areas, amygaloid nucleus & hippocampus
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Images for this section:
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Fig. 2: Tabular Explanation
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Background
Efferent connections :
· Regulates endocrine, visceral & emotional functions through its connections with
hypothalamus & limbic lobe
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Images for this section:
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Findings and procedure details
Preterm birth induces persistent deleterious effects on arousal and sleep wake cycle
and cortical mechanisms throughout development
In the pontine tegmentum, there is an important center for horizontal gaze. The
coordination of for lateral conjugate gaze is carried out at the pontine level by the
paramedian pontine reticular formation (PPRF). This nucleus, which also has
ipsilateral connections to the abducent (VI) nucleus. These PPRF fibers then ascend in
the MLF to the contralateral oculomotor (cranial nerve III) nucleus. If a lesion extends
into the dorsal-medial aspect of the upper pons, it may interrupt these ascending fibers
in the MLF, resulting in difficulties with conjugate gaze to the side opposite the lesion.
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Post traumatic stress syndrome: Patients with this syndrome have significant 50%
decrease in the number of locus coeruleus (LC) neurons,which results in increased
disinhibition of the PPN.
Depression, autism, attention deficit disorder : The exact role of the RAS in the above
mentioned disorders are not identified so far. However, it is said that any neurological
or psychiatric disease that manifests disturbances in arousal and sleep-wake cycle
regulation, there will be a corresponding dysregulation of some elements of the RAS.
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Conclusion
Many hypothesis were given about the involvement of RF in various neurological and
psychiatric disorders. This educational exhibit is to propose the various possibilities
of involvement of the nuclei group of RF in disorders because it's a complex and
diffused area in brain.The specificity of RF improvise the differential diagnosis and clear
knowledge about it is very important.
Page 10 of 11
References
Chp 3:26-30.
Gray's Anatomy for Students , 3rd Edition by Richard L. Drake, A. Wayne Vogl, and Adam
W.M. Mitchell.
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