Surgical treatment of brainstem lesions carries a substantial risk of postoperative morbidity because of the risk of injuring the tightly packed cranial nerve nuclei cnn and neural tracts within the rhomboid fossa and brainstem lang et al 1991 historically neurosurgeons considered this area to be a no man s land with most lesions being inoperable baker 1965.
Cranial nerve nuclei in floor of 4th ventricle.
10 3 is formed by the pons and medulla fig.
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.
The back of the upper part of the medulla forms the floor of the fourth ventricle.
The only naturally occurring openings between the ventricles of the brain and the subarachnoid space surrounding the brain are the foramina of luschka and magendie in the fourth ventricle.
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The fibers originate from the ipsilateral abducens nucleus which is located in the caudal pons beneath the floor of the fourth ventricle fig.
The dorsal aspect of the medulla faces almost directly backwards.
Medial to this nucleus are two bundles of fibers.
The fourth ventricle has a roof at its upper posterior surface and a floor at its lower anterior surface and side walls formed by the cerebellar peduncles nerve bundles joining the structure on the posterior side of the ventricle to the structures on the anterior side.
A cranial nerve nucleus is a collection of neurons gray matter in the brain stem that is associated with one or more cranial nerves.
The dorsal nucleus of vagus nerve or posterior nucleus of vagus nerve or dorsal vagal nucleus or nucleus dorsalis nervi vagi or nucleus posterior nervi vagi is a cranial nerve nucleus for the vagus nerve in the medulla that lies ventral to the floor of the fourth ventricle it mostly serves parasympathetic vagal functions in the gastrointestinal tract lungs and other thoracic and abdominal.
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Cranial nerve vi the abducens nerve supplies the lateral rectus which abducts the eye hence the name of the nerve.
Heavily myelinated tract near midline on each side just under oculomotor and trochlear nuclei in mb and under floor of 4th ventricle in midline of pons fibers from medial vestibular nucleus and some superior vestibular nucleus ascend in mlf to oculomotor trochlear abducens nuclei vestibulo ocular reflex eye movements adjusted for head position.
The floor of the fourth ventricle the rhomboid fossa see fig.
Most of the cranial nerve nuclei that migrated from their original position in relation to the floor of fourth ventricle during embryonic development are situated in this grey matter region central grey matter.