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Medial medullary syndrome, also known as inferior alternating syndrome, hypoglossal alternating hemiplegia, lower alternating hemiplegia, [1] or Dejerine syndrome, [2] is a type of alternating hemiplegia characterized by a set of clinical features resulting from occlusion of the anterior spinal artery.
Blood to the medulla is supplied by a number of arteries. [3] Anterior spinal artery: This supplies the whole medial part of the medulla oblongata. Posterior inferior cerebellar artery: This is a major branch of the vertebral artery, and supplies the posterolateral part of the medulla, where the main sensory tracts run and synapse. It also ...
The cuneate and gracile nuclei reside at the closed (lower) medulla, so the medial lemniscus is not formed at this level. Fibres from these nuclei will pass to the contralateral side of the brainstem, as the internal arcuate fibres. In the midbrain, it is situated dorsal to the substantia nigra, and medial to either red nucleus. [4]
The medulla is above the decussation and the spinal cord below. From behind The appearance of a cadaveric brainstem from behind, with major parts labelled. The most medial part of the medulla is the posterior median sulcus. Moving laterally on each side is the gracile fasciculus, and lateral to that is the cuneate fasciculus.
The medial accessory olivary nucleus (MAO) lies between the primary olivary nucleus and the pyramid, and forms a curved lamina, the concavity of which is directed laterally. The dorsal accessory olivary nucleus (DAO) is the smallest, and appears on transverse section as a curved lamina behind the primary olivary nucleus.
Upon leaving the medulla oblongata between the olive and the inferior cerebellar peduncle, the vagus nerve extends through the jugular foramen, then passes into the carotid sheath between the internal carotid artery and the internal jugular vein down to the neck, chest, and abdomen, where it contributes to the innervation of the viscera, reaching all the way to the colon.
The rostral ventromedial medulla (RVM), or ventromedial nucleus of the spinal cord, [1] [2] is a group of neurons located close to the midline on the floor of the medulla oblongata. The rostral ventromedial medulla sends descending inhibitory and excitatory fibers to the dorsal horn spinal cord neurons . [ 3 ]
The vasomotor center is a collection of integrating neurons in the medulla oblongata of the middle brain stem.The term "vasomotor center" is not truly accurate, since this function relies not on a single brain structure ("center") but rather represents a network of interacting neurons.