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Medulla oblongata, shown by a transverse section passing through the middle of the olive. (Lateral medullary syndrome can affect structures in upper left: #9=vagus nerve, #10=acoustic nucleus, #12=nucleus gracilis, #13=nucleus cuneatus, #14=head of posterior column and lower sensory root of trigeminal nerve and #19=Ligula.) Specialty: Neurology
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.
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.
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.
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
Progressive bulbar palsy, a form of motor neuron disease, is associated with combined lesions of the hypoglossal nucleus and nucleus ambiguus with wasting of the motor nerves of the pons and medulla. This may cause difficulty with tongue movements, speech, chewing and swallowing caused by dysfunction of several cranial nerve nuclei. [2]
The nucleus ambiguus controls the motor innervation of ipsilateral muscles of the soft palate, pharynx, larynx, and upper esophagus. Lesions of nucleus ambiguus result in nasal speech, dysphagia, dysphonia, and deviation of the uvula toward the contralateral side. Preganglionic parasympathetic to the heart also flow through the external ...
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]