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The medulla oblongata or simply medulla is a long stem-like structure which makes up the lower part of the brainstem. [1] It is anterior and partially inferior to the cerebellum . It is a cone-shaped neuronal mass responsible for autonomic (involuntary) functions, ranging from vomiting to sneezing . [ 2 ]
The ventral portion of the medulla oblongata contains the medullary pyramids. These two ridge-like structures travel along the length of the medulla oblongata and are bordered medially by the anterior median fissure. They each have an anterolateral sulcus along their lateral borders, where the hypoglossal nerve emerges from.
The medulla oblongata, often just referred to as the medulla, is the lower half of the brainstem continuous with the spinal cord. Its upper part is continuous with the pons. [11]: 1121 The medulla contains the cardiac, dorsal and ventral respiratory groups, and vasomotor centres, dealing with heart rate, breathing and blood pressure.
The figure shows the cross section of the closed medulla at the level of the sensory decussation. Number 9 illustrates the sensory decussation at the posterior column. At the level of the closed medulla in the posterior white column , two large nuclei namely the gracile nucleus and the cuneate nucleus can be found.
Each cerebellar inferior peduncle connects the spinal cord and medulla oblongata with the cerebellum, and comprises the juxtarestiform body and restiform body. Important fibers running through the inferior cerebellar peduncle include the dorsal spinocerebellar tract and axons from the inferior olivary nucleus , among others.
The lateral corticospinal tract is a descending motor pathway that begins in the cerebral cortex, decussates in the pyramids of the lower medulla [1] (also known as the medulla oblongata or the cervicomedullary junction, which is the most posterior division of the brain [2]) and proceeds down the contralateral side of the spinal cord.
Upon decussation (crossing over) from one side of the medulla to the other, also known as the sensory decussation, they are then called the medial lemniscus. The internal arcuate fibers are part of the second-order neurons of the posterior column-medial lemniscus system , and are important for relaying the sensation of fine touch and ...
The chemoreceptor trigger zone (CTZ) is an area of the medulla oblongata that receives inputs from blood-borne drugs or hormones, and communicates with other structures in the vomiting center to initiate vomiting. The CTZ is located within the area postrema, which is on the floor of the fourth ventricle and is outside of the blood–brain ...
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