About Brain Injury:

A Guide to Brain Anatomy, Function and Symptoms

The Cerebellum And The Brain Stem

Brain Structure  Function  Associated Signs and Symptoms 

Cerebellum 

 

Coordination and control of voluntary movement. 
  • Tremors.
  • Nystagmus (Involuntary movement of the eye).
  • Ataxia, lack of coordination. 
Brain Stem:     
  • Midbrain

 

 

Nerve pathway of cerebral hemispheres.

Auditory and Visual reflex centers.

Cranial Nerves:

  • CN III - Oculomotor (Related to eye movement), [motor].
  • CN IV - Trochlear (Superior oblique muscle of the eye which rotates the eye down and out), [motor]. 
    • Weber's: CN III palsy and ptosis (drooping) ipsalateral (same side of body).
    • Pupils:
    Size: Midposition to dilated. 
    Reactivity: Sluggish to fixed.
    • LOC (Loss of consciousness): Varies
    • Movement: Abnormal extensor ( muscle that extends a part).
    • Respiratory: Hyperventilating.
    • CN (Cranial Nerve) Deficits: CN III, CN IV.
    • Pons 

     

    Respiratory Center.

    Cranial Nerves:

  • CN V - Trigeminal (Skin of face, tongue, teeth; muscle of mastication), [motor and sensory].
  • CN VI - Abducens (Lateral rectus muscle of eye which rotates eye outward), [motor].
  • CN VII - Facial (Muscles of expression), [motor and sensory].
  • CN VIII - Acoustic (Internal auditory passage), [sensory]. 
    • Pupils:
    Size: Pinpoint
    • LOC:
    Semi-coma
    "Akinetic Mute".
    "Locked In" Syndrome.
    •  Movement:
    Abnormal extensor.
    Withdrawal.
    • Respiratory:
    Apneustic (Abnormal respiration marked by sustained inhalation).
    Hyperventilation.
    • CN Deficits: CN VI, CN VII.
    • Medulla  Oblongata

     

    Crossing of motor tracts.

    Cardiac Center.

    Respiratory Center.

    Vasomotor (nerves having muscular control of the blood vessel walls) Center 

    Centers for cough, gag, swallow, and vomit.

    Cranial Nerves:

  • CN IX - Glossopharyneal (Muscles and mucous membranes of pharynx, the constricted openings from the mouth and the oral pharynx and the posterior third of tongue.), [mixed].
  • CN X - Vagus (Pharynx, larynx, heart, lungs, stomach), [mixed].
  • CN XI - Accessory (Rotation of the head and shoulder), [motor].
  • CN XII - Hypoglossal (Intrinsic muscles of the tongue), [motor].
    • Movement: Ipsilateral (same side) plegia (paralysis).
    • Pupils:
    Size: Dilated.
    Reactivity: Fixed.
    • LOC: Comatose.
    • Respiratory:
    Abnormal breathing patterns.
    Ataxic.
    Clustered.
    Hiccups.
    • CN Palsies (Inability to control movement):
    Absent Cough.
    Gag. 

    Return To Previous Page

    Return To Brain Anatomy

    Intracranial Pressure

    Understanding Coma

    Rancho Los Amigos Scale/ The Levels of Coma

    Objectives of Neurosurgery

    A Glossary of Terms  

     

     

    Attorney Gordon S. Johnson, Jr.

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