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Pons
           By
   Dr. Noura El Tahawy


      drnosman@yahoo.com

http://www.slideshare.net/drnosman
Ventral view of
the brainstem in
      situ.
Principal subdivisions and some important landmarks in the mature brain.
        (B) ventral aspect. Cranial nerves are indicated in yellow.
A, Sagittal hemisection of the brain to show the third and fourth ventricles. Pia mater:
            red; ependyma: blue. B, Sagittal hemisection through the brain.
Position of pons




             Midsagittal section of the skull
Sagittal hemisection of the brain
Median sagittal section through the head and neck.
Sagittal MRI 'slice' of the living brain.
MRI scan of head in sagittal plane.
Horizontal section through the cerebellum and brain stem.
Ventral aspect
 of the brain
    stem.
(A) Anterior view of the brainstem.
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.
(B) Posterior view of the brainstem.
(B) Posterior view of
   the brainstem.
The cranial nerve nuclei.
Transverse section through the brain stem at the level of the pontine-
                      mesencephalic junction.
Transverse section through the rostral pons.
Transverse section through the mid-pons at the level of the trigeminal
                               nerve.
Transverse section through the caudal 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
Types of fibers in the basis pontis

 Longitudinal Descending
 Corticospinal
 Corticobulbar
 Corticopontine

 Transverse fibers:
 Pontocerebellar
 Cerebellopontine
Tegmentum (Dorsal part) of the pons

                 By

         Dr. Noura El Tahawy
Ascending tracts
Medial lemniscus
Spinal lemniscus
Trigeminal lemniscus
Lateral lemniscus
Medial longitudinal bundle
Transverse section of the pons at the level of facial colliculus
                                               Medial long. fasciculus
                           Facial colliculus
                                                              Superior medullary velum
                                                                          Cavity of 4 th ventricle
       Superior cerebellar peduncle

             Vestibular nuclei                                                     Nucleus of abducent n.

    Inferior cerebellar peduncle                                                       Motor nucleus of
                                                                                          facial n.
Spinal nucleus and tract
  of trigeminal nerve
                                                                                                     MCP
          Lateral lemniscus


    Transverse pontine fibers                                                                 Reticular
                                                                                             formation

                              Facial nerve
                                Abducent nerve                                      Dicussation of
                                                    Long. Fibers in basis pontis   Trapezoid body
Transverse section of the pons




The central course of the fibres of the facial nerve in a transverse section of the pons, viewed
                                     from the rostral aspect.
Cranial nerve nuclei in the Pons

 Special visceral motor nuclei


         Nucleus         Site    Cranial n.           Function
Motor nucleus of     Pons           V           Masticatory muscles
 trigeminal n.

Motor nucleus of     Pons           V              Facial muscles,
   facial n.                                  platysma, posterior belly
                                              of digastric, stylohyoid,
                                                  stapedius muscles
Cranial nerve nuclei in the Pons
General somatic motor nuclei

      Nucleus             Site Cranial n.               Function

 Nucleus of            Pons          VI               Lateral rectus
 abducent n.


General visceral motor nuclei

      Nucleus                 Site        Cranial         Function
                                            n.
 Superior salivatory          Pons          VII        Submandibular,
      nucleus                                       sublingual and lacrimal
                                                            glands
Cranial nerve nuclei in the Pons
General somatic sensory nuclei

     Nucleus            Site     Cranial n.     Function

  Mesencephalic Midbrain             V        Proprioception
     nucleus of    (in rostral                   of head
   trigeminal n.     Pons)
  Main sensory        Pons           V           Tactile
     nucleus of                                sensation of
    trigeminal                                    head
 Spinal nucleus of Medulla           V           Pain &
     trigeminal    (in caudal                 Temperature of
                     Pons)                        head
Cranial nerve nuclei in the Pons
Special somatic sensory nuclei

    Nucleus              Site     Cranial      Function
                                    n.
    Cochlear           Pons and    VIII     Sense of hearing
     nuclei            medulla
  (dorsal &ventral)


   Vestibular          Pons and    VIII        Sense of
    nuclei             medulla                equilibrium
 (Superior, medial,
  lateral, inferior)
Non-cranial nerve nuclei in pons



       Nucleus                   Site
Superior olivary nucleus   Tegmentum of Pons
    Pontine nuclei           Basilar pons
Blood Supply of the Pons
The subclavian arteries and their branches.
Arteries on the base of the brain injected with resin.
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
The circulus arteriosus on the base of the brain
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 .
The arteries on the base of the brain.
Thanks


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Pons

  • 1. Pons By Dr. Noura El Tahawy drnosman@yahoo.com http://www.slideshare.net/drnosman
  • 2. Ventral view of the brainstem in situ.
  • 3. Principal subdivisions and some important landmarks in the mature brain. (B) ventral aspect. Cranial nerves are indicated in yellow.
  • 4. A, Sagittal hemisection of the brain to show the third and fourth ventricles. Pia mater: red; ependyma: blue. B, Sagittal hemisection through the brain.
  • 5. Position of pons Midsagittal section of the skull
  • 7. Median sagittal section through the head and neck.
  • 8. Sagittal MRI 'slice' of the living brain.
  • 9. MRI scan of head in sagittal plane.
  • 10. Horizontal section through the cerebellum and brain stem.
  • 11. Ventral aspect of the brain stem.
  • 12.
  • 13. (A) Anterior view of the brainstem.
  • 14. 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.
  • 15. (B) Posterior view of the brainstem.
  • 16. (B) Posterior view of the brainstem.
  • 17. The cranial nerve nuclei.
  • 18. Transverse section through the brain stem at the level of the pontine- mesencephalic junction.
  • 19. Transverse section through the rostral pons.
  • 20. Transverse section through the mid-pons at the level of the trigeminal nerve.
  • 21. Transverse section through the caudal pons.
  • 22. 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
  • 23. Types of fibers in the basis pontis Longitudinal Descending Corticospinal Corticobulbar Corticopontine Transverse fibers: Pontocerebellar Cerebellopontine
  • 24. Tegmentum (Dorsal part) of the pons By Dr. Noura El Tahawy
  • 25. Ascending tracts Medial lemniscus Spinal lemniscus Trigeminal lemniscus Lateral lemniscus Medial longitudinal bundle
  • 26. Transverse section of the pons at the level of facial colliculus Medial long. fasciculus Facial colliculus Superior medullary velum Cavity of 4 th ventricle Superior cerebellar peduncle Vestibular nuclei Nucleus of abducent n. Inferior cerebellar peduncle Motor nucleus of facial n. Spinal nucleus and tract of trigeminal nerve MCP Lateral lemniscus Transverse pontine fibers Reticular formation Facial nerve Abducent nerve Dicussation of Long. Fibers in basis pontis Trapezoid body
  • 27. Transverse section of the pons The central course of the fibres of the facial nerve in a transverse section of the pons, viewed from the rostral aspect.
  • 28. Cranial nerve nuclei in the Pons Special visceral motor nuclei Nucleus Site Cranial n. Function Motor nucleus of Pons V Masticatory muscles trigeminal n. Motor nucleus of Pons V Facial muscles, facial n. platysma, posterior belly of digastric, stylohyoid, stapedius muscles
  • 29. Cranial nerve nuclei in the Pons General somatic motor nuclei Nucleus Site Cranial n. Function Nucleus of Pons VI Lateral rectus abducent n. General visceral motor nuclei Nucleus Site Cranial Function n. Superior salivatory Pons VII Submandibular, nucleus sublingual and lacrimal glands
  • 30. Cranial nerve nuclei in the Pons General somatic sensory nuclei Nucleus Site Cranial n. Function Mesencephalic Midbrain V Proprioception nucleus of (in rostral of head trigeminal n. Pons) Main sensory Pons V Tactile nucleus of sensation of trigeminal head Spinal nucleus of Medulla V Pain & trigeminal (in caudal Temperature of Pons) head
  • 31. Cranial nerve nuclei in the Pons Special somatic sensory nuclei Nucleus Site Cranial Function n. Cochlear Pons and VIII Sense of hearing nuclei medulla (dorsal &ventral) Vestibular Pons and VIII Sense of nuclei medulla equilibrium (Superior, medial, lateral, inferior)
  • 32. Non-cranial nerve nuclei in pons Nucleus Site Superior olivary nucleus Tegmentum of Pons Pontine nuclei Basilar pons
  • 33. Blood Supply of the Pons
  • 34. The subclavian arteries and their branches.
  • 35.
  • 36. Arteries on the base of the brain injected with resin.
  • 37. 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
  • 38. The circulus arteriosus on the base of the brain
  • 39. 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 .
  • 40. The arteries on the base of the brain.
  • 41. Thanks You can download this lecture from: http://www.slideshare.net/drnosman