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Cerebellum(Yuni)

Jun 03, 2018

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    The cerebellum , the second-largest part of the brain

    The cerebellum is posterior to the medulla and pons & inferior to the

    posterior portion of the cerebrum

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    In superior /inferior

    views, the shape of

    the cerebellum is

    somewhat like a

    butterfly

    The centralconstricted area is the

    vermis

    The lateral is

    cerebellar

    hemispheres

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    The cortex of the vermisinfluences the movements of the long

    axis of the body, namely, the neck, the shoulders, the thorax, theabdomen, and the hips.

    Intermediate zone of the cerebellar hemisphereto control themuscles of the distal parts of the limbs, especially the hands andfeet.

    The lateral zone of each cerebellar hemisphereappears to beconcerned with the planning of sequential movements of the entirebody and is involved with the conscious assessment of movementerrors

    The flocculonodular lobeis the simplest part of the cerebellumand helps control balance and eye movements.

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    A deep groove

    known as the

    horizontal fissure

    Each hemispheres

    consists of lobes:

    - Anterior lobe&PosteriorGovern

    subconcious aspect

    of skeletal muscle

    movements

    - Flocculonodular

    lobecontributes

    to equilibrium &

    balance

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    Have 2 part :- superfisial layer

    cerebellar cortex

    (gray matter)

    - deep layer

    whitematter

    .

    The cerebellar cortex

    has ridges called folia.

    The white matter of the

    medulla resembles a

    branching tree and is

    called the arbor vitae.

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    The nuclei of the cerebellum are located in

    the deep inferior center of the white matter

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    Four masses of gray matter are

    embedded in the white matter of the

    cerebellum on each side of the

    midline

    From lateral to medial, these nuclei

    are the dentate, the emboliform, theglobose, and the fastigial.

    Intracerebellar nuclei

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    Intracerebellar nuclei

    Fibers from the dentate, emboliform, and globose nuclei leave the cerebellum

    through the superior cerebellar peduncle.

    Fibers from the fastigial nucleus leave through the inferior cerebellar peduncle.

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    There is a small amount of white matter in the vermis; it closely

    resembles the trunk and branches of a tree and thus is termed the arbor

    vitae.

    There is a large amount of white matter in each cerebellar hemisphere.

    The white matter is made up of three groups of fibers:(1) intrinsic

    (2) afferent

    (3) efferent.

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    Do not leave the cerebellum but connectdifferent regions of the organ.

    Some interconnect folia of the cerebellar cortex

    and vermis on the same side; others connectthe two cerebellar hemispheres together.

    Intrinsik

    fibers

    form the greater part of the white matter andproceed to the cerebellar cortex.

    They enter the cerebellum mainly through theinferior and middle cerebellar peduncles.

    Afferentfibers

    constitute the output of the cerebellum

    The axons of the neurons then leave thecerebellum

    Efferentfibers

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    Climbing fibers

    Mossy fibers

    Purkinje fibers

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    The climbing fibers are the terminal

    fibers of the olivocerebellar tracts

    They are so named because they

    ascend through the layers of the

    cortex like a vine on a tree.

    They pass through the granular layer

    of the cortex and terminate in the

    molecular layer by dividing

    repeatedly.

    Each climbing fiber wraps around

    and makes a large number ofsynaptic contacts with the dendrites

    of a Purkinje cell

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    A single Purkinje neuron makes

    synaptic contact with only oneclimbing fiber.

    However, one climbing fiber

    makes contact with 1 to 10

    Purkinje neurons.

    A few side branches leave each

    climbing fiber and synapse with

    the stellate cells and basket

    cells.

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    A single mossy fibermay stimulate

    thousands of Purkinje

    cells through the

    granule cells

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    Pharmacologic research has suggested that the

    excitatory climbing and mossy afferent fibers use

    glutamate (gamma-aminobutyric acid [GABA])as

    the excitatory transmitter on the dendrites of the

    Purkinje cells.

    Further research has indicated that other afferentfibers entering the cortex liberate norepinephrine and

    serotonin at their endings that possibly modify the

    action of the glutamate on the Purkinje cells.

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    Vestibulocerebellum

    Spinocerebellum

    Neo- orcerebrocerebellum

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    responsible for balance and gait

    is connected to the fastigial nucleusVestibulocerebellum

    concerned with coordinating theactivities of the limb musculature

    connects with the interposednucleus (the globose andemboliform)

    Spinocerebellum

    involved with the overallcoordination of voluntary motoractivities and is also involved inmotor planning

    connects to the dentate nucleus.

    Neo- orcerebrocerebellum

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    Pathway Function Origin Destination

    1)Corticopontocerebellar Conveyscontrol from

    cerebral

    cortex

    Frontal,parietal,

    temporal, and

    occipital

    lobes

    Via pontine nucleiand mossy fibers

    to cerebellar

    cortex

    2)Cerebro-olivocerebellar Conveys

    control from

    cerebral

    cortex

    Frontal,

    parietal,

    temporal, and

    occipital

    lobes

    Via inferior olivary

    nuclei and

    climbing fibers to

    cerebellar cortex

    3)Cerebroreticulocerebellar Conveys

    control fromcerebral

    cortex

    Sensorimotor

    areas

    Via reticular

    formation

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    Pathway Function Origin Destination

    4)Anterior

    spinocerebellar

    Conveys

    information from

    muscles and

    joints

    Muscle

    spindles,

    tendon

    organs, and

    joint

    receptors

    Via mossy fibers

    to cerebellar

    cortex

    5)Posteriorspinocerebellar

    Conveysinformation from

    muscles and

    joints

    Musclespindles,

    tendon

    organs, and

    joint

    receptors

    Via mossy fibersto cerebellar

    cortex

    6) Cuneocerebellar Conveys

    information from

    muscles and

    joints of upper

    limb

    Muscle

    spindles,

    tendon

    organs, and

    joint

    receptors

    Via mossy fibers

    to cerebellar

    cortex

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    Pathway Function Origin Destination

    7)Vestibular nerve Conveys

    information of

    head position

    and

    movement

    Utricle,

    saccule,

    and

    semicircul

    ar canals

    Via mossy fibers

    to cortex of

    flocculonodular

    lobe

    8)Other afferents Conveys

    informationfrom midbrain

    Red nucleus,

    tectum

    Cerebellar cortex

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    Pathway Function Origin Destination

    Globose-

    emboliform-

    rubral

    Influences

    ipsilateral

    motor

    activity

    Globose and

    emboliform

    nuclei

    To contralateral red

    nucleus, then via

    crossed rubrospinal

    tract to ipsilateral

    motor neurons in

    spinal cord

    Dentothalamic Influencesipsilateral

    motor

    activity

    Dentatenucleus

    To contralateralventrolateral nucleus

    of thalamus, then to

    contralateral motor

    cerebral cortex;

    corticospinal tract

    crosses midline andcontrols ipsilateral

    motor neurons in

    spinal cord

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    Note that each cerebellar hemisphere influences the voluntary muscle tone on

    the same side of the body.

    Pathway Function Origin DestinationFastigial

    vestibular

    Influences

    ipsilateral

    extensor muscle

    tone

    Fastigial

    nucleus

    Mainly to ipsilateral

    and to contralateral

    lateral vestibular

    nuclei; vestibulospinal

    tract to ipsilateral

    motor neurons inspinal cord

    Fastigial reticular Influences

    ipsilateral muscle

    tone

    Fastigial

    nucleus

    To neurons of

    reticular formation;

    reticulospinal tract to

    ipsilateral motorneurons to spinal

    cord

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    Cerebellar PedunclesThe cerebellum is linked to other parts of the central nervous system by

    numerous efferent and afferent fibers that are grouped together on each side into

    three large bundles, or peduncles.

    The superior cerebellar peduncles connect the cerebellum to the midbrainThe middle cerebellar peduncles connect the cerebellum to the pons

    The inferior cerebellar peduncles connect the cerebellum to the medulla

    oblongata.