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504        SecTioN iii    Neurology aNd Special SeNSeS  `  neurology—AnAtomy And Physiology                                            Neurology aNd Special SeNSeS  `  neurology—AnAtomy And Physiology





               Ventricular system                                              Lateral ventricles Ž 3rd ventricle via right and
                                                                                left interventricular foramina of Monro.
                                     Lateral ventricles
                                       Anterior                                3rd ventricle Ž 4th ventricle via cerebral
                                        horn                                    aqueduct of Sylvius.
                                      Interventricular
                                       foramina                         Posterior  4th ventricle Ž subarachnoid space via:
                                       of Monro                         horn       ƒ Foramina of Luschka = Lateral.
                                                                        Inferior
                                                                        horn       ƒ Foramen of Magendie = Medial.
                                     Third ventricle
               Inferior                                                Foramen of  CSF made by choroid plexuses located in
                horn                                                   Magendie/
                                     Cerebral aqueduct                          the lateral and fourth ventricles. Travels to
                                       of Sylvius                      medial
                 Foramina of         Fourth ventricle                  aperture  subarachnoid space via foramina of Luschka
               Luschka/lateral                                     Foramina of
                  aperture         Central canal of spinal cord    Luschka/lateral  and Magendie, is reabsorbed by arachnoid
                                                                   aperture     granulations, and then drains into dural venous
                                                                                sinuses.


               Brain stem—ventral view                                         4 CN are above pons (I, II, III, IV).
                                                                               4 CN exit the pons (V, VI, VII, VIII).
                                                           Olfactory bulb
                         Optic chiasm                      (CN I)              4 CN are in medulla (IX, X, XI, XII).
                                                           Olfactory tract     4 CN nuclei are medial (III, IV, VI, XII).
                                                           CN II                “Factors of 12, except 1 and 2.”
                         Infundibulum
                                                           Optic tract
                                                           CN III
                       Mammillary body                     CN IV
                                                           (arises dorsally
                                                            and immediately
                                                            decussates)
                              Pons
                                                           CN V
                       Middle cerebellar                   CN VI
                           peduncle                        CN VII
                                                           CN VIII
                            Pyramid
                                                           CN IX
                           Pyramidal                       CN X
                          decussation                      CN XI
                                                           CN XII
                               C1



               Brain stem—dorsal view (cerebellum removed)                     Pineal gland—melatonin secretion, circadian
                                                                                rhythms.
                                                    3rd ventricle
                                                                               Superior colliculi—direct eye movements
                                                                                to stimuli (noise/movements) or objects of
                                                       Thalamus
                                                                                interest.
                                                       Superior colliculus
                                                                               Inferior colliculi—auditory.
                                                       Inferior colliculus
                            Pineal gland                                       Your eyes are above your ears, and the superior
                                                       Superior cerebellar      colliculus (visual) is above the inferior
                                                       peduncle                 colliculus (auditory).
                                                       Middle cerebellar
                          Anterior wall of             peduncle
                          fourth ventricle
                                                       Inferior cerebellar
                                                       peduncle
                                                       Medulla















          FAS1_2019_12-Neurol.indd   504                                                                                11/8/19   7:39 AM
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