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Posterior funiculus The red arrow, a, a’, indicates the course the lateral cerebrospinal fasciculus takes at the level of the decussation of the pyramids; the blue arrow, b, b’, indicates the course which the sensory fibers take.
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 posterior median sulcus of medulla oblongata (or posterior median fissure or dorsal median sulcus) is a narrow groove; and exists only in the closed part of the medulla oblongata; it becomes gradually shallower from below upward, and finally ends about the middle of the medulla oblongata, where the central canal expands into the cavity of the fourth ventricle.
Having crossed over at the middle line, they pass down in the posterior part of the lateral funiculus as the lateral corticospinal tract. The other 10% of the fibers stay uncrossed in the anterior corticospinal tract. The pyramidal decussation marks the border between the spinal cord and the medulla oblongata. [1]
The upper part of the posterior district of the medulla oblongata is occupied by the inferior cerebellar peduncle, a thick rope-like strand situated between the lower part of the fourth ventricle and the roots of the glossopharyngeal and vagus nerves.
The pons meets the medulla at the pontomedullary junction. [12] This region is supplied by the joining of the basilar, vertebral arteries. The posterior inferior cerebellar artery also joins from which a large number of perforating arteries arise. Lateral spinal arteries also emerge to supply the posterior surface of the medulla oblongata. [12]
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.
The cuneate nucleus is wedge-shaped and located in the closed part of the medulla. It lies lateral to the gracile nucleus and medial to the spinal trigeminal nucleus in the medulla. The large number of neurons found there give rise to the cuneate tubercle seen on viewing the posterior aspect of the medulla on the side of the brainstem.