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This syndrome is characterized by sensory deficits that affect the trunk and extremities contralaterally (opposite to the lesion), and sensory deficits of the face and cranial nerves ipsilaterally (same side as the lesion). Specifically a loss of pain and temperature sensation if the lateral spinothalamic tract is involved. The cross body ...
Facial nucleus & facial Nerve (CN.VII) (1) Ipsilateral paralysis of the upper and lower face (lower motor neuron lesion). (2) Ipsilateral loss of lacrimation and reduced salivation. (3) Ipsilateral loss of taste from the anterior two-thirds of the tongue. (4) Loss of corneal reflex (efferent limb). Principal sensory trigeminal nucleus and tract
Axons carrying information to and from the cranial nerves form a synapse first at these nuclei. Lesions occurring at these nuclei can lead to effects resembling those seen by the severing of nerve(s) they are associated with. All the nuclei except that of the trochlear nerve (CN IV) supply nerves of the same side of the body.
In contrast, pseudobulbar palsy is a clinical syndrome similar to bulbar palsy but in which the damage is located in upper motor neurons of the corticobulbar tracts in the mid-pons (i.e., in the cranial nerves IX-XII), that is the nerve cells coming down from the cerebral cortex innervating the motor nuclei in the medulla.
Medulla oblongata, shown by a transverse section passing through the middle of the olive. (Medial medullary syndrome can affect structures in lower left: especially #5, #6, #8.) Specialty: Neurology Diagnostic method: Ipsilateral signs and symptoms - flaccid (lmn) paralysis and atrophy of one half of tongue (hypoglossal nerve)
The hypoglossal nucleus is a cranial nerve nucleus, found within the medulla.Being a motor nucleus, it is close to the midline. In the open medulla, it is visible as what is known as the hypoglossal trigone, a raised area (medial to the vagal trigone) protruding slightly into the fourth ventricle.
The spinal trigeminal nucleus is a nucleus in the medulla that receives information about deep/crude touch, pain, and temperature from the ipsilateral face. In addition to the trigeminal nerve (CN V), the facial (CN VII), glossopharyngeal (CN IX), and vagus nerves (CN X) also convey pain information from their areas to the spinal trigeminal nucleus. [1]
Thanks to the number of different nuclei located within the pontine tegmentum, it is a region associated with a range of functions including sensory and motor functions (due to the cranial nuclei and fiber tracts), control of stages of sleep and levels of arousal and vigilance (due to the ascending cholinergic systems), and some aspects of respiratory control.