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Training Collections
Library Memberships
On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Unlock access to our full Course Library and all self-paced Fellowships.
Continuing Medical Education (State CME)
Complete all of your state CME requirements in one convenient place.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
Case Crunch: Rapid Case Review (Free)
Register for free live board reviews.
Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
PET Imaging
Pediatric Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Compliance
NewTrack, fulfill, and report on all your radiologists' credentialing and licensing requirements.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
19 topics, 41 min.
Introduction to Gross Anatomy of the Brain
4 m.Frontal Lobar Anatomy
5 m.Sylvian Fissure
3 m.Middle Frontal Gyrus
2 m.Inferior Parietal Lobule
2 m.Central Sulcus of Rolando
3 m.Intraparietal Sulcus
2 m.Localizing the Intraparietal Lobule Part 2
2 m.Localizing the Intraparietal Lobule Part 3
2 m.Pars Marginalis
2 m.Parieto-occipital Sulcus
2 m.Pars Marginalis on Axial Imaging
3 m.Midline Sagittal Commissures
2 m.Basic Brainstem Anatomy
2 m.Midline Cerebellum (Vermis)
3 m.Midline Cisterns and Spaces
2 m.Midline Sagittal Blood Supplies
4 m.Midline Skeletal Anatomy
3 m.Miscellaneous Midline Structures
3 m.52 topics, 2 hr. 14 min.
The Olfactory Nerve – Cranial Nerve I
4 m.The Olfactory Bulb
5 m.The Olfactory Tracts
5 m.The Optic Nerve – Cranial Nerve II
3 m.The Globe and Optic Pathway
5 m.Chiasm & Retrochiasmatic Pathway
3 m.Destinations of Optic Nerve Signals
3 m.The Oculomotor Nerve – Cranial Nerve III
4 m.Oculomotor Nerve: Course, Adjacent Structures & Destination
4 m.Oculomotor Nerve: Nuclei and Intramedullary Course
3 m.Third Nerve Syndromes
5 m.The Trochlear Nerve - Cranial Nerve IV
3 m.Trochlear Nerve: Course and Pathologies
3 m.The Trigeminal Nerve – Cranial Nerve V
3 m.Trigeminal Nerve Synapses in the Brainstem
6 m.Nuclear Anatomy and Position of the Trigeminal System
4 m.Parasympathetic Ganglia Anatomy of the Head and Neck
2 m.MRI anatomy of the Submandibular Ganglion
4 m.MRI Anatomy of the Pterygopalatine Ganglion
3 m.Trigeminal Nerve - V1 Division
2 m.Trigeminal Nerve - V2 Division
2 m.Trigeminal Nerve - V3 Division
3 m.The Abducens Nerve – Cranial Nerve VI
3 m.Cranial Nerves 1-6: Review
3 m.Abducens Nerve Nucleus and Nerve
4 m.Identifying the Cisternal Abducens Nerve
3 m.The Facial Nerve: Nucleus and Intramedullary Course
3 m.The Facial Nerve – Cranial Nerve VII
2 m.Facial Nerve: Medullary, Cisternal, and Canalicular Segments
3 m.Seventh Nerve Segments on MRI
5 m.Facial Nerve: Motor, Sensory, and Parasympathetic Branches
2 m.Proximal Branches of the Facial Nerve
3 m.Distal Branches of the Facial Nerve
2 m.The Posterior Auricular Nerve
2 m.The Greater Petrosal Nerve
2 m.The Vestibulocochlear Nerve – Cranial Nerve VIII
4 m.Cranial Nerves 7 & 8: Cisternal Course at the CPA
2 m.Vestibulocochlear Nerve: Cochlea and Internal Auditory Canal
2 m.Glossopharyngeal Nerve – Cranial Nerve IX
2 m.Glossopharyngeal Nerve Course
2 m.Exit of the Glossopharyngeal Nerve
2 m.Nuclei of the Glossopharyngeal Nerve
3 m.Glossopharyngeal Nerve Summary
2 m.The Vagus Nerve – Cranial Nerve X
2 m.Nuclei of the Vagus Nerve
2 m.The Innervations of the Vagus Nerve
4 m.Function of Vagal Nuclei
3 m.Accessory Nerve – Cranial Nerve XI
2 m.Accessory Nerve Summary
3 m.The Hypoglossal Nerve – Cranial Nerve XII
3 m.The Descent of the Hypoglossal Nerve
2 m.The Real Origin of the Hypoglossal Nerve
2 m.0:00
Dr. P here.
0:01
I just want to talk a little bit about the function of the
0:05
vagal nuclei at the level of the medulla oblongata.
0:09
There's actually five of them.
0:10
Some books say four,
0:11
but five is probably the right number.
0:13
And there's a lot of function of the vagus nerve,
0:16
as you've heard. There's also a pharyngeal nerve,
0:19
the superior laryngeal nerve.
0:21
There's superior cervical cardiac branches,
0:23
inferior cardiac branches, and the recurrent laryngeal nerve.
0:26
So a lot of laryngeal function is happening
0:28
on behalf of the vagus nerve.
0:31
Now, let's look at those five nuclei.
0:33
We've got the dorsal sensory nucleus, which is a
0:36
little more medial and posterior. Right there.
0:39
Then just behind it is the round nucleus.
0:42
And then the third one is the nucleus of the solitary tract.
0:45
And that one is a little more lateral.
0:48
They kind of form a triangle right here.
0:50
And some of these are going to contribute
0:52
to nine, as well as ten.
0:54
Then we get into two of the motor contributors.
0:58
We've got the nucleus ambiguus.
1:00
This slightly off-midline right here,
1:02
maybe a little further back than that.
1:05
And then we've got the second one,
1:06
which is the nucleus of the solitary tract,
1:08
which lies just in front of this little triad here and
1:12
sits a little more medial than the nucleus of the solitary tract.
1:16
So, these five participate together
1:19
and the vagus nerve includes axons,
1:22
which emerge or converge from all five of these nuclei.
1:26
Now, the dorsal nucleus sends parasympathetics
1:29
to the viscera, especially the intestines.
1:32
The nucleus ambiguus,
1:33
which is right here,
1:35
gives rise to the branchial efferent motor fibers of the
1:39
vagus nerve and preganglionic parasympathetic neurons,
1:43
then innervate the heart. Pretty darn important.
1:47
Then the solitary nucleus, which receives afferent
1:50
taste information and primary afferents
1:53
from the visceral organs,
1:55
aand the solitary nucleus is going to be right here.
1:59
And then finally, one that we haven't discussed,
2:03
one you can kind of add on to these five,
2:06
the spinal trigeminal nucleus.
2:07
I'm not going to draw it.
2:09
It receives information about deep, crude touch,
2:12
pain and temperature of the outer ear,
2:14
the dura of the posterior cranial fossa
2:16
and mucosa of the larynx.
2:17
And if you want to see more about that nucleus,
2:19
you can go to the discussion of nerve number five.
2:23
That concludes our discussion of the
2:25
nuclear function for the vagus nerve.
2:28
There are at least five,
2:29
maybe even six nuclei that are participating.
2:33
Dr. P out.
Interactive Transcript
0:00
Dr. P here.
0:01
I just want to talk a little bit about the function of the
0:05
vagal nuclei at the level of the medulla oblongata.
0:09
There's actually five of them.
0:10
Some books say four,
0:11
but five is probably the right number.
0:13
And there's a lot of function of the vagus nerve,
0:16
as you've heard. There's also a pharyngeal nerve,
0:19
the superior laryngeal nerve.
0:21
There's superior cervical cardiac branches,
0:23
inferior cardiac branches, and the recurrent laryngeal nerve.
0:26
So a lot of laryngeal function is happening
0:28
on behalf of the vagus nerve.
0:31
Now, let's look at those five nuclei.
0:33
We've got the dorsal sensory nucleus, which is a
0:36
little more medial and posterior. Right there.
0:39
Then just behind it is the round nucleus.
0:42
And then the third one is the nucleus of the solitary tract.
0:45
And that one is a little more lateral.
0:48
They kind of form a triangle right here.
0:50
And some of these are going to contribute
0:52
to nine, as well as ten.
0:54
Then we get into two of the motor contributors.
0:58
We've got the nucleus ambiguus.
1:00
This slightly off-midline right here,
1:02
maybe a little further back than that.
1:05
And then we've got the second one,
1:06
which is the nucleus of the solitary tract,
1:08
which lies just in front of this little triad here and
1:12
sits a little more medial than the nucleus of the solitary tract.
1:16
So, these five participate together
1:19
and the vagus nerve includes axons,
1:22
which emerge or converge from all five of these nuclei.
1:26
Now, the dorsal nucleus sends parasympathetics
1:29
to the viscera, especially the intestines.
1:32
The nucleus ambiguus,
1:33
which is right here,
1:35
gives rise to the branchial efferent motor fibers of the
1:39
vagus nerve and preganglionic parasympathetic neurons,
1:43
then innervate the heart. Pretty darn important.
1:47
Then the solitary nucleus, which receives afferent
1:50
taste information and primary afferents
1:53
from the visceral organs,
1:55
aand the solitary nucleus is going to be right here.
1:59
And then finally, one that we haven't discussed,
2:03
one you can kind of add on to these five,
2:06
the spinal trigeminal nucleus.
2:07
I'm not going to draw it.
2:09
It receives information about deep, crude touch,
2:12
pain and temperature of the outer ear,
2:14
the dura of the posterior cranial fossa
2:16
and mucosa of the larynx.
2:17
And if you want to see more about that nucleus,
2:19
you can go to the discussion of nerve number five.
2:23
That concludes our discussion of the
2:25
nuclear function for the vagus nerve.
2:28
There are at least five,
2:29
maybe even six nuclei that are participating.
2:33
Dr. P out.
Report
Description
Faculty
Stephen J Pomeranz, MD
Chief Medical Officer, ProScan Imaging. Founder, MRI Online
ProScan Imaging
Tags
Neuroradiology
MRI
Head and Neck
Carotid Space
Brain
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