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Lectures of neuro-anatomy for undergraduate medical students by Dr. Noura El Tahawy

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Page 1: Pons

Pons

By

Dr. Noura El Tahawy

[email protected]

www.slideshare.net/drnosmanhttp://

Page 2: Pons

Ventral view of

the brainstem in

situ.

Page 3: Pons

Principal subdivisions and some important landmarks in the mature brain.

(B) ventral aspect. Cranial nerves are indicated in yellow.

Page 4: Pons

A, Sagittal hemisection of the brain to show the third and fourth ventricles. Pia mater:

red; ependyma: blue. B, Sagittal hemisection through the brain.

Page 5: Pons

Midsagittal section of the skull

Position of pons

Page 6: Pons

Sagittal hemisection of the brain

Page 7: Pons

Median sagittal section through the head and neck.

Page 8: Pons

Sagittal MRI 'slice' of the living brain.

Page 9: Pons

MRI scan of head in sagittal plane.

Page 10: Pons

Horizontal section through the cerebellum and brain stem.

Page 11: Pons

Ventral aspect

of the brain

stem.

Page 12: Pons
Page 13: Pons

(A) Anterior view of the brainstem.

Page 14: Pons

The dorsal aspect of the brain stem. The floor of the fourth ventricle has been

exposed by cutting the cerebellar peduncles and removing the cerebellum.

Page 15: Pons

(B) Posterior view of the brainstem.

Page 16: Pons

(B) Posterior view of

the brainstem.

Page 17: Pons

The cranial nerve nuclei.

Page 18: Pons

Transverse section through the brain stem at the level of the pontine-

mesencephalic junction.

Page 19: Pons

Transverse section through the rostral pons.

Page 20: Pons

Transverse section through the mid-pons at the level of the trigeminal

nerve.

Page 21: Pons

Transverse section through the caudal pons.

Page 22: Pons

Transverse section of the pons at level of facial

colliculus (Caudal pons)

� Tegmentum of

pons directed

upward

continuation of

medulla oblongata

� Basilar part

contain both

longitudinal and

transverse fibers

intermixed with

pontine nuclei

Page 23: Pons

Types of fibers in the basis pontis

� Longitudinal Descending

� Corticospinal

� Corticobulbar

� Corticopontine

� Transverse fibers:

� Pontocerebellar

� Cerebellopontine

Page 24: Pons

Tegmentum (Dorsal part) of the pons

By

Dr. Noura El Tahawy

Page 25: Pons

� Medial lemniscus

� Spinal lemniscus

� Trigeminal lemniscus

� Lateral lemniscus

� Medial longitudinal bundle

Ascending tracts

Page 26: Pons

Superior medullary velum

Superior cerebellar peduncle

Vestibular nuclei

Inferior cerebellar peduncle

Spinal nucleus and tract

of trigeminal nerve

Facial nerve

Abducent nerve

Lateral lemniscus

Cavity of 4 th ventricle

Nucleus of abducent n.

Motor nucleus of

facial n.

Medial long. fasciculus

Facial colliculus

Transverse pontine fibers

Long. Fibers in basis pontisDicussation of

Trapezoid body

Transverse section of the pons at the level of facial colliculus

Reticular

formation

MCP

Page 27: Pons

The central course of the fibres of the facial nerve in a transverse section of the pons, viewed

from the rostral aspect.

Transverse section of the pons

Page 28: Pons

Special visceral motor nuclei

Facial muscles,

platysma, posterior belly

of digastric, stylohyoid,

stapedius muscles

VPonsMotor nucleus of

facial n.

Masticatory musclesVPonsMotor nucleus of

trigeminal n.

FunctionCranial n.SiteNucleus

Cranial nerve nuclei in the Pons

Page 29: Pons

General somatic motor nuclei

Lateral rectusVIPonsNucleus of

abducent n.

FunctionCranial n.SiteNucleus

Submandibular,

sublingual and lacrimal

glands

VIIPonsSuperior salivatory

nucleus

FunctionCranial

n.

SiteNucleus

General visceral motor nuclei

Cranial nerve nuclei in the Pons

Page 30: Pons

General somatic sensory nuclei

Pain &

Temperature of

head

VMedulla

(in caudal

Pons)

Spinal nucleus of

trigeminal

Tactile

sensation of

head

VPonsMain sensory

nucleus of

trigeminal

Proprioception

of head

VMidbrain

(in rostral

Pons)

Mesencephalic

nucleus of

trigeminal n.

FunctionCranial n.SiteNucleus

Cranial nerve nuclei in the Pons

Page 31: Pons

Special somatic sensory nuclei

Sense of

equilibrium

VIIIPons and

medulla

Vestibular

nuclei(Superior, medial,

lateral, inferior)

Sense of hearingVIIIPons and

medulla

Cochlear

nuclei

(dorsal &ventral)

FunctionCranial

n.

SiteNucleus

Cranial nerve nuclei in the Pons

Page 32: Pons

Non-cranial nerve nuclei in pons

Basilar ponsPontine nuclei

Tegmentum of PonsSuperior olivary nucleus

SiteNucleus

Page 33: Pons

Blood Supply of the Pons

Page 34: Pons

The subclavian arteries and their branches.

Page 35: Pons
Page 36: Pons

Arteries on the base of the brain injected with resin.

Page 37: Pons

Vertebro-basilar system

� The two vertebral arteries arise from the

subclavian arteries and ascend the neck in

the foramina transversaria of the upper six

cervical vertebrae. They enter the skull

through the foramen magnum and unite at

the lower border of the pons to form the

basilar artery . The basilar artery ascends to

the upper border of the pons and divides into

two posterior cerebral arteries

Page 38: Pons

The circulus arteriosus on the base of the brain

Page 39: Pons

� About a dozen pontine arteries (from basilar

artery) supply the full thickness of the medial

part of the pons

� The anterior inferior cerebellar and

superior cerebellar arteries (both arise from

basilar artery) supply the side of the pons

before giving branches to the cerebellum .

Page 40: Pons

The arteries on the base of the brain.

Page 41: Pons

You can download this lecture from:

http://www.slideshare.net/drnosman

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