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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.
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 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.
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 ...
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 ...
sympathetic fibres, part of the autonomic nervous system, to make heart rate faster. the vagus nerve , part of the parasympathetic branch of the autonomic nervous system , to lower heart rate. The cardiovascular centre also increases the stroke volume of the heart (that is, the amount of blood it pumps).
The medial longitudinal fasciculus (MLF) is a prominent bundle of nerve fibres which pass within the ventral/anterior portion of periaqueductal gray of the mesencephalon (midbrain). [1] It contains the interstitial nucleus of Cajal , responsible for oculomotor control, head posture, and vertical eye movement.
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.