THE MEDULLA OBLONGATA

The =medulla oblongata= lies on the basilar part of the occipital bone.

It is quadrilateral in outline, but much wider in front than behind, and

compressed dorso-ventrally. Its length, measured from the root of the

first cervical nerve to the pons, is about two inches (ca. 5 cm.).

Its =ventral surface= is convex in the transverse direction. It is

marked by a =median fissure= (Fissura mediana ventralis) which is

continuous behind with the similar fissure of the spinal cord. The

posterior part of the fissure is faintly marked, but in front it becomes

deeper and ends in a small depression (Foramen cæcum) behind the central

part of a transverse band, the =corpus trapezoideum=. On either side of

the fissure is a rounded tract, the =pyramid= (Pyramis), which is

bounded externally by a faint lateral groove (Sulcus intermedius

ventralis). The pyramids join the pons in front; behind they become

narrower and disappear into the substance of the medulla, in which their

fibers intercross, forming the =decussation of the pyramids= (Decussatio

pyramidum).[190]

The superficial origin of the =sixth cranial nerve= (N. oculomotorius)

is just lateral to the anterior end of the pyramid. The =corpus

trapezoideum= is a transverse band which extends across the surface

immediately behind the pons. It is crossed by the pyramids, which cut

off a small central part. The lateral part extends out to the roots of

the seventh and eighth nerves on either side. Behind the outer part of

the corpus trapezoideum there is a variably developed rounded eminence,

the =tuberculum faciale=. The root-fibers of the twelfth or hypoglossal

nerve form an oblique linear series lateral to the posterior part of the

pyramid.

[Illustration:

FIG. 499.—BASE OF BRAIN OF HORSE, NATURAL SIZE.

]

The =dorsal surface= is largely concealed by the cerebellum and forms

the greater part of the floor of the fourth ventricle. The =dorsal

median fissure= (Fissura mediana dorsalis), the direct continuation of

the corresponding groove of the spinal cord, extends forward to about

the middle of the surface. Here the =restiform bodies=, which constitute

the lips of the fissure, diverge to form the lateral boundaries of a

triangular depression; this is the posterior part of the rhomboid fossa

or floor of the fourth ventricle of the brain. The dorso-lateral fissure

winds outward and forward to the lateral aspect of the medulla, where it

presents the roots of the =ninth=, =tenth=, and =eleventh cranial

nerves=. External to it is a distinct oval eminence on the anterior part

of the lateral column, termed the =tuberculum cinereum=. The central

canal of the cord is continued in the posterior part of the medulla,

inclines dorsally, and opens in the posterior angle of the fourth

ventricle. Hence it is customary to distinguish a closed and an open

part of the medulla. The dorsal aspect of the latter, which is concealed

at present, will be considered later in the description of the fourth

ventricle.

[Illustration:

FIG. 500.—LINE DRAWING OF BASE OF BRAIN OF HORSE. (KEY TO FIG. 499.)

]

The lateral surface is narrow behind, wider and rounded in front. From

it the root-fibers of the ninth, tenth, and eleventh cranial nerves

arise in a linear series, and alongside of it the spinal part of the

eleventh nerve passes forward to join the medullary root. Close

inspection reveals the presence of striæ which curve obliquely downward

and backward from the surface of the restiform body toward the

hypoglossal root-fibers; these are the =external arcuate fibers= (Fibræ

arcuatæ externæ). The recess between the lateral aspect of the medulla

and the cerebellum is occupied by an irregular mass of villous

projections of the pia mater, containing tufts of vessels; this is the

=chorioid plexus of the fourth ventricle=, and is the lateral edge of

the =tela chorioidea= of the ventricle. On raising the chorioid plexus

it is seen that the tela chorioidea is attached to the dorsal aspect of

the medulla, and reinforces here the wall of the fourth ventricle; also

that the restiform body terminates in front by entering the base of the

cerebellum, forming its posterior peduncle.

In the medulla the fiber tracts of the spinal cord either terminate in

the nuclei of the gray matter or undergo changes in their relative

position, and new tracts appear. The gray matter is highly modified

and forms masses which have no homologues in the cord. The central

canal of the closed part of the medulla is surrounded by a thicker

layer of gray matter than is the case in the spinal cord. As the

medulla opens out this gray matter is naturally spread in the floor of

the fourth ventricle. The dorsal horns of gray matter become wide,

spread apart, and are broken up to a great extent in the formatio

reticularis. Two elongated masses of cells appear above the central

gray matter; these are the =nucleus gracilis= and =nucleus cuneatus=,

and in them the fasciculi of like name gradually end. In front of

these are the =terminal nuclei= of the afferent or sensory cranial

nerves and of the sensory portions of the mixed nerves. The ventral

horns are succeeded by the nuclei of =origin= of the efferent or motor

cranial nerves and the motor root-fibers of the mixed nerves. Of the

twelve pairs of cranial nerves, the last eight are connected with

nuclei in the medulla and pons. The =posterior olivary nucleus=

(Nucleus olivaris caudalis) is a conspicuous gray mass which lies

above the pyramid on each side. On cross-sections it appears as a wavy

layer of gray matter which is folded on itself so as to inclose a mass

of white matter. It is about 2 cm. long in the horse, but is smaller

in circumference than in man and hence does not cause any very

distinct external enlargement (olivary eminence), as in the latter. It

is connected with the opposite side of the cerebellum by the

cerebello-olivary fibers. At its inner side are two small accessory

olivary nuclei. The =pyramidal tracts=, which are small in ungulates,

send most of their fibers across to the opposite side in the posterior

part of the medulla, forming the =pyramidal decussation=. Some fibers,

however, continue in the ventral column of the same side of the cord,

and others are connected with the nuclei of the motor nerve-roots.

From the nucleus gracilis and nucleus cuneatus fibers arise which are

traceable forward to the thalamus. These are the =internal arcuate

fibers= (Fibræ arcuatæ internæ), which curve across the median plane

below the central gray matter and form with those of the opposite side

the =decussation of the fillet= (Decussatio lemniscorum). Beyond the

decussation the fibers form an important longitudinal tract which

extends forward in the mid-brain. This is the =fillet= or =lemniscus=,

the chief continuation of the sensory conducting path from the dorsal

roots of the spinal nerves. The =external arcuate fibers=, some of

which were seen on the lateral aspect of the medulla, have a similar

origin. Part of them (Fibræ dorsales) pass directly to the dorsal

aspect of the restiform body of the same side; others (Fibræ

ventrales) cross to the opposite side, descend close to the ventral

fissure, and then curve upward and forward to the restiform body. The

decussation of the arcuate fibers forms the distinct median =raphé=

seen on cross-sections of the medulla anterior to the pyramidal

decussation. The restiform body, situated dorso-laterally, contains,

in addition to the arcuate fibers, the =cerebello-olivary fasciculus=

before mentioned, and the =cerebellospinal fasciculus= or direct

cerebellar tract. The =dorsal longitudinal fasciculus= corresponds to

the ventral ground-bundle of the spinal cord, displaced dorsally by

the decussation of the pyramids and fillet. In the posterior part of

the medulla it is not marked off from the fillet, along the dorsal

edge of which it lies. From the level of the hypoglossal nucleus

forward it is distinct and can be traced as a conspicuous tract in the

ventral margin of the gray matter of the floor of the fourth ventricle

and of the central gray matter of the mid-brain. Below the restiform

body and related externally to the external arcuate fibers, there is a

considerable bundle of longitudinal fibers, the =spinal root= (Tractus

spinalis) =of the fifth nerve=; internal to it is the terminal nucleus

of the sensory root of the nerve.

[Illustration:

A text-book of veterinary anatomy · 第 825 / 1619 题