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The medulla ends at the generic of ventolin point where these nerves generic ventolin 100mcg visa asthma flare up symptoms, from midbrain downward bers decussate (see Figure generic of ventolin 7) purchase ventolin 100mcg on line asthma symptoms get worse at night. This is the sequence that has been described for Central: The central portion of the brainstem the bers descending from the cortex is called the tegmentum. The reticular forma- tion occupies the core region of the tegmentum Others may prefer to start the description of the cross- (see Figure 42A and Figure 42B). It is suggested that the learner review these out the brainstem (see Figure 20A, Figure 20B, cross-sections using the text together with the CD-ROM. The brainstem level can often The histological images of the brainstem will be more be identied according generic of ventolin to the ventricular system understandable after this combined approach. Figure 65, figure 65A, AND The aqueduct of the midbrain helps to identify this cross-section as the midbrain area (see Figure 21). Poste- figure 65B rior to the aqueduct are the two pairs of colliculi, which can also be seen on the dorsal view of the isolated brain- The midbrain is the smallest of the three parts of the stem (see Figure 9A and Figure 10). The temporal lobes of the hemispheres usually together form the tectal plate, or tectum, also called the obscure its presence on an inferior view of the brain (see quadrigeminal plate. The pretectal region, located in front of and some- The midbrain area is easily recognizable from the what above the superior colliculus, is the nuclear area for anterior view in a dissected specimen of the isolated brain- the pupillary light generic of ventolin reex (see Figure 41C). The massive cerebral peduncles are located most anteriorly. These peduncles contain axons figure 65: upper midbrain that are a direct continuation of the ber systems of the (photographic view) internal capsule (see Figure 26). Within them are found the pathways descending from the cerebral cortex to the This is a photographic image, enlarged, generic of ventolin of the sectioned brainstem (cortico-bulbar, see Figure 46 and Figure 48 midbrain. As shown in the upper left image, the brainstem to the cerebellum via the pons (cortico-pontine, see Figure was sectioned at the level of the cerebral peduncles; the 48 and Figure 55 and to the spinal cord (cortico-spinal corresponding level is shown on a medial. Many of the structures visible on this gross midbrain region the substantia nigra and the red specimen will be seen in more detail on the histological nucleus, both involved in motor control. The distinctive features identifying this section as The substantia nigra is found throughout the midbrain are: midbrain and is located behind the cerebral peduncles. It derives its name from the dark Anteriorly, the outline of the cerebral peduncles melanin-like pigment found (not in all species) with the fossa in between. The pigment is not retained when in the cell bodies. There- A faint outline of the red nucleus can be seen fore, this nuclear area is clear (appearing white) in the tegmentum, which identies this section in most photographs in atlases, despite its name. With myelin-type stains, the area will appear In the middle toward the back of the specimen empty; with cell stains, the neuronal cell bod- is a narrow channel, which is the aqueduct of ies will be visible. Its function is related to the the midbrain, surrounded by the periaqueductal basal ganglia (see Figure 52 and Figure 53). The red nucleus is found at There are two levels presented for a study of the mid- the superior collicular level. Its function is dis- brain: cussed with the motor systems (see Figure 47). The periaqueductal gray, surrounding the aque- the decussation of the superior cerebellar duct, has been included as part of the reticular formation peduncles. The medial lemniscus, the ascending trigeminal pathway, and the bers of the anterolateral system incor- cross-section porated with them (see Figure 36 and Figure 40) are located in the outer part of the tegmentum, on their way The identifying features of this cross-section of the. The aqueduct is surrounded central region of the brainstem (the tegmentum they are by the periaqueductal gray.

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