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The Brain Stem
neuroscience
41
Medical
Professional
03/13/2011

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Term
ventral nerve root lesion
Definition
LMN signs (flaccid paralysis, atrophy, hyporeflexive)
Term
dorsal nerve root lesion
Definition
ipsilateral loss of sensation
(usually will result in a burning,
tingling pain)
Term
intermediolateral cell column lesion
Definition
loss of autonomic tone
Term
gracile fasciculus
Definition
decreased vib/propreoception sensation
in ipsilateral leg (below T6)
Term
cuneate fasciculus
Definition
decreased vib/prop sensation on ipsilateral arm (T6 and above)
Term
lateral cortical spinal tract
Definition
if in spinal cord = ipsilateral
weakness, UMN findings
(hyper-reflexive, babinski,
spastic weakness)
if in brain stem = contralateral
weakness and UMN signs
Term
spinothalamic tract
Definition
contralateral decrease in pain/temp
Term
ventral/anterior white commisure
Definition
decrease vib/prop bilaterally at level above the lesion
Term
dorsal spinal cerebellar tract
Definition
ipsilateral lower limb ataxia
Term
ventral spinal cerebellar tract lesion
Definition
if lesion above L2, contralateral lower limb ataxia
Term
Accessory nuclei lesion
Definition
LMN findings, atrophy and weakness of ipsilateral SCM and trapezius muscle
Term
internal arcuate fiber function
Definition
carry vib/prop from cuneatus and gracilus nucelei as they cross before becoming medial lemniscus
Term
medial lemniscus lesion
Definition
contralateral weakness
UMN findngs
Term
solitary nucleus and tract lesion
Definition
loss of respiratory reflexes
loss of blood pressure regulation
loss of sense of taste
Term
nucleus ambiguus lesion
Definition
difficulty swallowing and phonation due to ipsilateral paralysis of voluntary muscles in larynx/pharynx
Hiccups
Term
medial longitudinal fasiculus lesion
Definition
paralysis of medial rectus muscle
Diplopia
Nystagmus is normal eye

INO = multiple sclerosis
Term
tectospinal tract function
Definition
turning head in responce to stimuli
Term
inferior olivary nucleus function
Definition
relay nucleus for cerebellum
Term
inferior cerebellar peduncle function? Lesion?
Definition
contains 3 of 4 ascending spinal cord cerebellar pathways

ipsilateral ataxia
Term
medial and inferior vestibular nucleus lesion
Definition
vertigo and nystagmus
Term
lateral vestibulospinal tract lesion
Definition
decerebrate posturing
Term
middle cerebellar peduncle lesion
Definition
ipsilateral ataxia
(only contains 1 pathway: corticopontocerebellar tract)
Term
superior cerebellar peduncle function
Definition
carries efferent pathways
Term
central tegmental tract lesion
Definition
Large bilateral lestion = coma

smaller lesion = palatal myoclonus
Term
dentate nucleus function
Definition
fine motor control (playing piano)
Term
mesencephalic trigeminal nucleus lesion
Definition
increased jaw jerk reflex implies lesion ABOVE the pons
Term
lateral lemniscus function? lesion?
Definition
Function: main ascending auditory pathway and will synapse in inf. colliculus

lesion: doesn't results in hearing loss bc so many other pathways
Term
cerebral aquaduct occlusion?
Definition
non-communicating hydrocephalus, 3rd ventricle dilation
Term
Superior colliculus function?
Definition
head turning to visual stimuli
Term
what does substantia niagro produce?
Definition
dopamine
Term
superior olivary nucleus function?
Definition
auditory, sound localization
Term
principal trigeminal nucleus function?
Definition
light touch (face)
Term
trochlear nerve lesion?
Definition
eye looks down and in
Term
vestibular apparatus lesion
Definition
vertigo
Term
hypglossal nerve lesion?
Definition
LMN, tongue atrophy
points towards lesion
Term
Lissaur's tract function
Definition
pain/temp
crosses in white commisure
Term
Corticospinal tract lesion?
Definition
UMN findings
Term
substantia gelatinosa function?
Definition
pain/temp (face)
Term
Medial medullary syndrome is caused by occlusion of what artery?
Definition
Anterior spinal artery
Term
lateral medullary syndrome is due to occlusion of what artery?
Definition
vertebral artery of PICA
Term
where would a lesion causes Weber's syndrome?
Definition
3rd nerve and cerbral peduncle (posterior cerebral artery)
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