Crniopharyngiomas

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Introduction

The midbrain or mesencephalon (from the Greek mesos, middle, and enkephalos, brain is a portion of the central nervous system associated with vision, hearing, motor control, sleep/wake, arousal (alertness), and temperature regulation.

Structure

The midbrain comprises the tectum (or corpora quadrigemina), tegmentum, the cerebral aqueduct (or ventricular mesocoelia or "iter"), and the cerebral peduncles, as well as several nuclei and fasciculi. Caudally the midbrain adjoins the metencephalon (afterbrain) (pons and cerebellum) while rostrally it adjoins the diencephalon (thalamus, hypothalamus, etc.). The midbrain is located below the cerebral cortex, and above the hindbrain placing it near the center of the brain.

Specifically, the midbrain consists of:

tectum
inferior colliculi
superior colliculi
cerebral peduncle
midbrain tegmentum
crus cerebri
substantia nigra

Corpora quadrigemina

The corpora quadrigemina ("quadruplet bodies") are four solid lobes on the dorsal side of the cerebral aqueduct, where the superior posterior pair are called the superior colliculi and the inferior posterior pair are called the inferior colliculi.

The four solid lobes help to decussate several fibres of the optic nerve. However, some fibers also show ipsilateral arrangement (i.e., they run parallel on the same side without decussating.)

The superior colliculus is involved with saccadic eye movements; while the inferior is a synapsing point for sound information. The trochlear nerve comes out of the posterior surface of the midbrain, below the inferior colliculus.y other reports of large series of children with equal sex distribution.

Cerebral peduncle

The cerebral peduncles are paired structures, present on the ventral side of the cerebral aqueduct, and they further carry tegmentum on the dorsal side and cresta or pes on the ventral side, and both of them accommodate the corticospinal tract fibres, from the internal capsule (i.e., ascending + descending tracts = longitudinal tract.) the middle part of cerebral peduncles carry substantia nigra (literally "Black Matter"), which is a type of basal nucleus. It is the only part of the brain that carries melanin pigment.

Between the peduncles is the interpeduncular fossa, which is a cistern filled with cerebrospinal fluid. The oculomotor nerve comes out between the peduncles, and the trochlear nerve is visible wrapping around the outside of the peduncles. The oculomotor is responsible for pupil constriction (parasympathetic) and certain eye movements.

Anatomical features of cross-sections through the midbrain

Cross-section of the midbrain at the level of the superior colliculus.

Cross-section of the midbrain at the level of the inferior colliculus.
Midbrainsuperiorcolliculus.png
The midbrain is usually sectioned at the level of the superior and inferior colliculi.


Mesencephalon of human embryo
A horizontal (transverse) cross-section at the level of the superior colliculus shows the red nucleus, the nuclei of the oculomotor nerve (and associated Edinger-Westphal nucleus), the cerebral peduncles or crus cerebri, and the substantia nigra.[5]
A horizontal (transverse) cross-section at the level of the inferior colliculus still shows the substantia nigra. Also apparent are the trochlear nerve nucleus, and the decussation of the superior cerebellar peduncles.[6]
Both sections will show the cerebral aqueduct, which connects the third and fourth ventricle and the periaqueductal gray.[7]
One mnemonic for remembering the structures of the midbrain involves visualizing the mesencephalic cross-section as an upside down bear face. The two red nuclei are the eyes of the bear and the cerebral crura are the ears. The tectum is the chin and the cerebral peduncles are the face and ears.

Development
During embryonic development, the midbrain arises from the second vesicle, also known as the mesencephalon, of the neural tube. Unlike the other two vesicles, the forebrain and hindbrain, the midbrain remains undivided for the remainder of neural development. It does not split into other brain areas. while the forebrain, for example, divides into the telencephalon and the diencephalon.[8]

Throughout embryonic development, the cells within the midbrain continually multiply and compress the still-forming cerebral aqueduct. Partial or total obstruction of the cerebral aqueduct during development can lead to congenital hydrocephalus.

Function
The mesencephalon is considered part of the brainstem. Its substantia nigra is closely associated with motor system pathways of the basal ganglia. The human mesencephalon is archipallian in origin, meaning that its general architecture is shared with the most ancient of vertebrates. Dopamine produced in the substantia nigra and ventral tegmental area plays a role in motivation and habituation of species from humans to the most elementary animals such as insects. Laboratory house mice from lines that have been selectively bred for high voluntary wheel running have enlarged midbrains.[10] The midbrain helps to relay information for vision and hearing.

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