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USCSOM: Neuroanatomy: 1-Reticular Formation

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Question
Answer
What are the 3 zones of the RF?   Midline, Medial, Lateral  
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Describe the midline zone.   called the "raphe"; neurotransmitter is serotonin  
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Describe the medial zone.   outputs of the RF; large neurons  
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Describe the lateral zone.   projects axons to the medial zone; small cells  
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What is the normal neurotransmitter in the RF neuron?   ACh  
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What are the 3 general functions of the RF?   Motor fxn, Visceral fxn, Consciousness  
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Where is the origin of the reticulospinal tract?   medial zone of RF; pons and medulla  
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What is the course of the reticulospinal tract?   ventral and lateral funiculi of spinal cord  
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What is the termination of the reticulospinal tract?   mostly ipsilateral; medial ventral horn and intermediate gray  
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What are 2 fxns of the reticulospinal tract?   maintain posture; produce gross body movements  
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What kind of signals are in visceral center projections to the spinal cord?   preganglionic symp and parasymp  
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What kind of signals are sent to the brainstem from the visceral centers?   GVE and SVE nuclei of cranial nerves  
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What is the most important clinical function of the RF?   regulation of sonsciousness  
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What is the ARAS?   ascending reticular activating system  
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What is the origin of the reticulothalamic tract?   medial zone of the RF  
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What is the course of the reticulothalamic tract?   central tegmental tract CTT  
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What is the termination of the reticulothalamic tract?   intralaminar nuclei of the thalamus  
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What tract gives widespread activation of the cortex?   thalamocortical projections  
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What activates ARAS?   somatosensory from lateral spinothalamic tract; visual, auditory, visceral  
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What are some causes of lesions in the RF?   vascular lesions/tumors in brain stem; uncal herniation; tonsilar herniation  
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What are some signs of lesions to the RF?   disturbances of consciousness; changes in mm tone and postural reflexes; visceral dysfunction to cardio/respiratory  
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What are the 3 monoaminergic systems found in the RF?   serotonin, NE, Dopamine  
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What are the ascending and descending fxns of the serotonergic pathway?   desc: pain inhibition; asc; sleep and mood  
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Where does the serotonergic pathway originate?   midline raphe  
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Where do the serotonergic neurons project to?   cerebral hemisphere (sleep/mood); spinal cord (analgesia)  
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What are the fxns of the ascending NorEpi pathways?   mood, attention, memory  
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Where does the NorEpi pathway originate from?   locus ceruleus in upper pons  
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Where do the dopaminergic neurons originate?   substantia nigra and ventral tegmental area  
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Where does the substantia nigra project to?   caudate and putamen  
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Where does the ventral tegmental area project to?   forebrain areas; amygdala, prefrontal cortex, nucleus accumbens  
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Excess dopamine release in prefrontal cortex and amygdala is associated with what disorder?   schizophrenia  
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What are the two pathways and associated fxns with the dopaminergic pathways   nigrostriatal: motor; mesolimbic: behavior and emotion  
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