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Medulla Oblongata Anatomy
By,
Dr. Geeta Dolli
Introduction to Brainstem
Anatomy of the brainstem includes
( midbrain-pons-medulla ) is very
complicated !!
It connects spinal cord to the
cerebrum.
 The mid brain pons, and medulla are
connected to cerebellum posteriorly.
1 - ascending an descending tracts
that connect brain to spinal cord.
2 - cranial nerves nuclei and their
connections
3 - Reticular formation
4 - others e.g
(olivarynucleus in MO tapizusbody in
pons and red nucleus in MB )
Medulla oblongata
The medulla oblongata is the part of the
brainstem between the pons and spinal
cord
It extends through the foramen magnum
to the level of the atlas.
Medulla is vital for our function, without
medulla we die.
Above the foramen magnum it is
embraced dorsally by the cerebellar
hemispheres.
1.The lower end which contains the
upward continuation of the central canal
of the spinal cord is the closed part of the
medulla,
2.The upper end, where the canal comes to
the surface as the lower part of the floor
of the fourth ventricle, is the open part.
Medulla contd..
MO is lowest 3 cm of the
brainstem
it extend from the ponto-
medullary junction until plane
below foramina magnum for
about 0.5 cm.
Medulla spinalis have a central
canal which prolonged into its
lower half to open in the fourth
ventricle at its upper half.
CSF is encircle the MO from
outside ( subarachnoid space )
and inside ( central canal ).
MO is between the two lobes of
cerebellum ( anterior cerebellar
notch )
EXTERNAL FEATURES AND RELATIONS
 3Cm long.
 Located at the caudal portion of brainstem
 Upper limit is cerebello-pontine angle
 Transverse plane that above C1 (suboccipital)
intersects upper border of atlas dorsally and
centre of dens ventrally marks lower limit
VENTRAL SURFACE
 Ventral median fissure extends from foramen
coecum to caudal end of pyramid decussation
 Lateral to median fissure is pyramid
 Lat to pyramid is the ventrolateral sulcus (VLS)
 Hypoglossal nerve rootlets emerge from VLS
 Lat to VLS is olive which contains inf olivary
nucleus
 Inferior cerebellar peduncle connects medulla
with cerebellum and forms side wall of caudal
half of fourth ventricle
Detailed Anatomy of Medulla Oblongata ppt
Ventral Surface
Pyramid:
Swelling on each side of anterior
median fissure.
 Composed of bundles of nerve fibers,
(corticospinal fibers) originate from
the precentral gyrus of the cerebral
cortex.
 The pyramids taper inferiorly and
majority of the descending fibers
decussate to the opposite side.
Olive:
 Olives are the anterolateral oval
elevations produced by the underlying
inferior olivary nuclei.
 From the groove between the
pyramid and the olive, the rootlets of
the hypoglossal nerve emerge
Detailed Anatomy of Medulla Oblongata ppt
Detailed Anatomy of Medulla Oblongata ppt
LATERAL ASPECT
 Roots of
glossopharyngeal ,
vagus and cranial
division of
accessory nerves
are attached to the
medulla dorsal to
olive.
Dorsal surface
At dorsal surface of closed part of
medulla, gracile and cuneate
fasciculi continue from the spinal
cord
Tuberculum cinereum, lateral to
cuneate fasciculus marks the
position of trigeminal spinal tract.
 Obex is apex of the V-shaped
boundary of the inferior part of the
fourth ventricle, which is folded
caudally over the most rostral 1 to 2
mm of the central canal,
 The cochlear division of the
vestibulocochlear nerve ends in the
dorsal and ventral cochlear nuclei,
which are situated on the base of
the inferior cerebellar peduncle.
The vestibular division penetrates
the brain stem deep to the root of
the inferior cerebellar peduncle.
Detailed Anatomy of Medulla Oblongata ppt
Detailed Anatomy of Medulla Oblongata ppt
Detailed Anatomy of Medulla Oblongata ppt
Internal structures
Medial lemnisci
 The great sensory decussation.
 The lemnisci have been formed by the
internal arcuate fibers, which emerge
from the anterior aspects of the
nucleus gracilis and nucleus cuneatus.
 The deussation takes place anterior to
the central grey mater.
Detailed Anatomy of Medulla Oblongata ppt
Detailed Anatomy of Medulla Oblongata ppt
superior part of the olivary nuclei just inferior
to the pons.
Functions
1. Connects the higher levels of the brain to the
spinal cord.
2. Responsible for regulating several basic
functions of the autonomic nervous system which
include:
 Respiration chemoreceptors.
Cardiac center  sympathetic and
parasympathetic nervous system.
Vasomotor center- baroreceptors.
Reflex centers of vomiting, coughing,
sneezing, and swallowing
Applied Anatomy
 The vital centres i.e respiratory and vasomotor
are situated in the lower part of floor of the
fourth ventricle formed by Medulla. An injury to
the medulla is therefore usually fatal.
 Bulbar paralysis
 Pseudobulbar palsy
 Common vascular lesions involving the medulla
a) Thrombosis of Post-inf-Cerebellar artery
b) Thrombosis of vertibral artery
Detailed Anatomy of Medulla Oblongata ppt
Detailed Anatomy of Medulla Oblongata ppt
Detailed Anatomy of Medulla Oblongata ppt
Detailed Anatomy of Medulla Oblongata ppt

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Detailed Anatomy of Medulla Oblongata ppt

  • 2. Introduction to Brainstem Anatomy of the brainstem includes ( midbrain-pons-medulla ) is very complicated !! It connects spinal cord to the cerebrum. The mid brain pons, and medulla are connected to cerebellum posteriorly. 1 - ascending an descending tracts that connect brain to spinal cord. 2 - cranial nerves nuclei and their connections 3 - Reticular formation 4 - others e.g (olivarynucleus in MO tapizusbody in pons and red nucleus in MB )
  • 3. Medulla oblongata The medulla oblongata is the part of the brainstem between the pons and spinal cord It extends through the foramen magnum to the level of the atlas. Medulla is vital for our function, without medulla we die. Above the foramen magnum it is embraced dorsally by the cerebellar hemispheres. 1.The lower end which contains the upward continuation of the central canal of the spinal cord is the closed part of the medulla, 2.The upper end, where the canal comes to the surface as the lower part of the floor of the fourth ventricle, is the open part.
  • 4. Medulla contd.. MO is lowest 3 cm of the brainstem it extend from the ponto- medullary junction until plane below foramina magnum for about 0.5 cm. Medulla spinalis have a central canal which prolonged into its lower half to open in the fourth ventricle at its upper half. CSF is encircle the MO from outside ( subarachnoid space ) and inside ( central canal ). MO is between the two lobes of cerebellum ( anterior cerebellar notch )
  • 5. EXTERNAL FEATURES AND RELATIONS 3Cm long. Located at the caudal portion of brainstem Upper limit is cerebello-pontine angle Transverse plane that above C1 (suboccipital) intersects upper border of atlas dorsally and centre of dens ventrally marks lower limit
  • 6. VENTRAL SURFACE Ventral median fissure extends from foramen coecum to caudal end of pyramid decussation Lateral to median fissure is pyramid Lat to pyramid is the ventrolateral sulcus (VLS) Hypoglossal nerve rootlets emerge from VLS Lat to VLS is olive which contains inf olivary nucleus Inferior cerebellar peduncle connects medulla with cerebellum and forms side wall of caudal half of fourth ventricle
  • 8. Ventral Surface Pyramid: Swelling on each side of anterior median fissure. Composed of bundles of nerve fibers, (corticospinal fibers) originate from the precentral gyrus of the cerebral cortex. The pyramids taper inferiorly and majority of the descending fibers decussate to the opposite side. Olive: Olives are the anterolateral oval elevations produced by the underlying inferior olivary nuclei. From the groove between the pyramid and the olive, the rootlets of the hypoglossal nerve emerge
  • 11. LATERAL ASPECT Roots of glossopharyngeal , vagus and cranial division of accessory nerves are attached to the medulla dorsal to olive.
  • 12. Dorsal surface At dorsal surface of closed part of medulla, gracile and cuneate fasciculi continue from the spinal cord Tuberculum cinereum, lateral to cuneate fasciculus marks the position of trigeminal spinal tract. Obex is apex of the V-shaped boundary of the inferior part of the fourth ventricle, which is folded caudally over the most rostral 1 to 2 mm of the central canal, The cochlear division of the vestibulocochlear nerve ends in the dorsal and ventral cochlear nuclei, which are situated on the base of the inferior cerebellar peduncle. The vestibular division penetrates the brain stem deep to the root of the inferior cerebellar peduncle.
  • 17. Medial lemnisci The great sensory decussation. The lemnisci have been formed by the internal arcuate fibers, which emerge from the anterior aspects of the nucleus gracilis and nucleus cuneatus. The deussation takes place anterior to the central grey mater.
  • 20. superior part of the olivary nuclei just inferior to the pons.
  • 21. Functions 1. Connects the higher levels of the brain to the spinal cord. 2. Responsible for regulating several basic functions of the autonomic nervous system which include: Respiration chemoreceptors. Cardiac center sympathetic and parasympathetic nervous system. Vasomotor center- baroreceptors. Reflex centers of vomiting, coughing, sneezing, and swallowing
  • 22. Applied Anatomy The vital centres i.e respiratory and vasomotor are situated in the lower part of floor of the fourth ventricle formed by Medulla. An injury to the medulla is therefore usually fatal. Bulbar paralysis Pseudobulbar palsy Common vascular lesions involving the medulla a) Thrombosis of Post-inf-Cerebellar artery b) Thrombosis of vertibral artery