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08 – 3 – 25
Histology : Brain Stem
They appear in the anterior part of the medulla at both sides of the anterior fissure
Arcuate nuclei
From gracile and cuneate nuclei other fibres called external arcuate fibres arise and relay in
arcuate nuclei
Then they enter the cerebellum through the inferior cerebral peduncles.
Cranial nerve of the hypoglossal (12th) and of the vagus (10th dorsal motor nucleus)
Appear in the gray mater around the central canal at this level
1. Anterior median fissure. 2. Posterior median sulcus. 3, 3’. Head and base of anterior column (in red). 4.
Hypoglossal nerve. 5. Bases of posterior column. 6. Gracile nucleus. 7. Cuneate nucleus. 8, 8. Lemniscus. 9. Sensory
decussation. 10. Cerebrospinal fasciculus.
IRNA NUR SYAFINAZ BINTI ALI ZAINI
08 – 3 – 25
Histology : Brain Stem
This lesion involves the pyramidal tract and the emerging fibers of the hypoglossal nerve. It
results in the following:
* Involvement of the medial lemniscus leads to loss of proprioceptive sensation together with
loss of sense of localization and fine touch on the opposite side of the lesion.
IRNA NUR SYAFINAZ BINTI ALI ZAINI
08 – 3 – 25
Histology : Brain Stem
References