- د.وجيه الحسيني
- د.وجيه الحسيني
- د.ايمن خنفورمن 26:56 الى 41:00
- د.ايمن خنفور
- د. محمد حسين 2026
🧠 Brainstem Anatomy and Associated Structures
🟣 1. General Development and Structure
🖇 Origin:
The brain develops from the neural tube, which closes at both ends.
The upper part expands into three primary vesicles:
- Forebrain (Prosencephalon)
- Midbrain (Mesencephalon)
- Hindbrain (Rhombencephalon)
📌 Ventricles & Connections:
- The lateral ventricle is the largest.
- The Pons and Medulla form the floor of the 4th ventricle (rhomboid fossa).
- The Cerebellum connects to the brainstem via three peduncles — the middle cerebellar peduncle is the largest.
📌 Gray vs. White Matter:
- Gray matter → neuron cell bodies (nuclei inside the CNS).
- White matter → nerve fibers (axons).
- Cerebrum: gray outside, white inside.
- Brainstem & Spinal Cord: gray inside, white outside.
🟠 2. The Pons
🖇 Location:
Between the Midbrain (above) and Medulla Oblongata (below).
📌 External Features:
- Anterior surface: convex with a basilar sulcus (for basilar artery).
- Posterior surface: forms part of the 4th ventricle; separated from the medulla by striae medullares (striae acusticae).
📌 Internal Structure:
Divided into two parts:
- Basilar portion (anterior):
- Contains Pontine nuclei (gray matter).
- Two fiber directions:
- Transverse fibers (Pontine fibers) → connect to cerebellum via the middle peduncle.
- Vertical fibers (Corticopontine fibers) → descend from cerebrum to Pontine nuclei.
- Tegmentum (posterior):
- Contains ascending sensory tracts → Medial, Spinal, Lateral, and Trigeminal Lemnisci.
📌 Cranial Nerves from the Pons:
- CN V (Trigeminal): middle of the pons.
- CN VI (Abducens), CN VII (Facial), CN VIII (Vestibulocochlear): emerge at the ponto-medullary junction.
الأسئلة موجودة في محاضرة ال MIDBrain