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Paramedian pontine reticular formation

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as well as being traversed by nerve fibers involved in eye movements that elsewhere; dysfunction of horizontal saccades will additionally also indirectly disrupt (slow and misdirect) vertical saccades (though slowing of all saccades may also be accounted for by destruction of adjacent omnipause neurons of the interposited raphe nucleus).
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Destructive lesions of the PPRF cause ipsilateral horizontal conjugate gaze palsy and mostly impair ipsilateral horizontal saccades, however, other horizontal and vertical eye movements may also be affected as the PPRF contains multiple distinct populations of neurons important in saccade generation,
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The PPRF generates excitatory bursts that are delivered to the ipsilateral abduecens nucleus to drive ipsilateral saccades (inhibitory saccadic stimuli are meanwhile delivered to the abducens nucleus from the contralateral medulla oblongata).
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characterised by quick twitches directed contralaterally whereas ipsilateral twitches are slow and do not move beyond the midline. More extensive lesions will also affect inhibition of antagonists, abolishing ipsilateral saccades.
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The PPRF (and adjacent regions of the pons) are traversed by fibers projecting to the abducens nucleus that mediate smooth pursuit, vestibular reflexes, and gaze holding.
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of the medial pontine regions are relatively common. Due to the small size of the arteries in the area, the most common cause of a local lesion is an infarction due to
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In the short-term, unilateral lesions of the PPRF may be characterised clinically by contralateral deviation of the eyes; looking contralaterally induces
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Loss of horizontal saccades directed towards the side of the lesion, no matter the current position of gaze
1528: 1378: 1168: 770: 368: 1158: 915: 889: 456: 312: 273: 1338: 25: 1598: 1463: 1438: 1403: 1240: 1111: 1009: 814: 460: 390: 288: 227: 219: 107: 556: 1518: 1508: 1368: 1363: 1328: 1208: 1153: 1067: 239: 1398: 1373: 1353: 1062: 726: 284: 215: 196: 160: 1549: 1603: 1423: 1358: 973: 836: 790: 754: 695: 670: 642: 602: 601:(10th ed.). Philadelphia: Wolters Kluwer Lippincott Williams & Wilkins. p. 156. 572: 532: 500: 244: 164: 35: 1613: 1483: 1453: 1443: 1408: 1284: 1148: 1057: 1018: 956: 831: 564: 426: 397: 269: 184: 156: 68: 39: 1618: 1498: 1493: 1478: 1393: 1313: 1094: 780: 295:
The pararaphal nucleus - one of distinct neuron population in the PPRF - projects to the
159:. It projects to the ipsilateral abducens (cranial nerve VI) nucleus, and contralateral 1513: 1488: 1468: 1448: 1348: 1323: 1186: 1129: 809: 568: 352: 316: 259: 1639: 1633: 1388: 1333: 719: 360: 231: 1413: 1383: 1235: 1139: 863: 800: 356: 311:
The PPRF mediates horizontal conjugate eye movements. It is important in mediating
223: 1433: 1121: 911: 375:, respectively. Unilateral lesions of the PPRF produce characteristic findings: 1556: 1473: 1418: 1303: 431: 372: 364: 300: 102: 56: 287:(specifically the population of its neurons that innervate the contralateral 1580: 1318: 336: 296: 1253: 262:(i.e. simultaneous horizontal movement of both eyes) by projecting to both: 359:. Like other small arteries of the brain, these vessels are vulnerable to 1608: 1308: 120: 436: 168: 711: 1543: 383: 348: 63: 499:(2nd ed.). Hoboken, New Jersey: Wiley-Blackwell. p. 310. 90: 743: 694:(3rd ed.). New York: Oxford University Press. p. 661. 180: 152: 75: 31: 1257: 715: 455:
These two cranial nerve nuclei in turn control the ipsilateral
230:). The frontal eye field meanwhile receives afferents from the 555:
Loftus, Brian D.; Athni, Sudhir S.; Cherches, Igor M. (2010),
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Rostral interstitial nucleus of medial longitudinal fasciculus
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Contralateral gaze deviation (acute lesions, such as early
637:. Contemporary Neurology Series (3rd ed.). New York: 527:
Brazis, Paul W.; Masdeu, Joseph C.; Biller, José (2022).
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Barr's The Human Nervous System: An Anatomical Viewpoint
531:(8th ed.). Philadelphia: Wolters Kluwer Health. 1591: 1536: 1296: 1199: 1179: 1138: 1120: 1107: 1045: 989: 923: 910: 862: 799: 763: 750: 101: 89: 84: 74: 62: 52: 47: 18: 151:mediating horizontal gaze. It is situated in the 597:Kiernan, John A.; Rajakumar, Nagalingam (2013). 495:Patestas, Maria A.; Gartner, Leslie P. (2016). 38:(PPRF not labeled, but region is visible, near 1269: 727: 8: 393:on looking away from the side of the lesion 1276: 1262: 1254: 1117: 920: 760: 734: 720: 712: 24: 476: 448: 249:other parts of the reticular formation. 96:formatio reticularis pontis paramediana 660: 658: 633:Leigh, R. John; Zee, David S. (1999). 161:oculomotor (cranial nerve III) nucleus 133:paramedian pontine reticular formation 118: 19:Paramedian pontine reticular formation 15: 195:. It is continuous caudally with the 7: 628: 626: 624: 622: 620: 618: 550: 548: 522: 520: 518: 516: 490: 488: 486: 484: 482: 480: 363:, especially those generated due to 80:Transverse and lateral pontine veins 692:Neuroanatomy through Clinical Cases 569:10.1016/b978-0-323-05712-7.00002-7 529:Localization in Clinical Neurology 210:The PPRF receives afferents from: 165:conjugate horizontal eye movements 14: 367:or low-flow states in those with 315:. It is probably not involved in 1527: 400:and slowing of vertical saccades 272:(which controls the ipsilateral 143:) is a subset of neurons of the 115:Anatomical terms of neuroanatomy 149:caudal pontine reticular nuclei 885:Medial longitudinal fasciculus 847:Medial longitudinal fasciculus 669:(12th ed.). p. 404. 665:Sinnatamby, Chummy S. (2011). 635:The Neurology of Eye Movements 281:medial longitudinal fasciculus 193:medial longitudinal fasciculus 1: 900:Lateral vestibulospinal tract 197:nucleus prepositus hypoglossi 1083:Lateral parabrachial nucleus 895:Medial vestibulospinal tract 873:Inferior cerebellar peduncle 417:Internuclear ophthalmoplegia 179:The PPRF is situated in the 1078:Medial parabrachial nucleus 852:Vestibulo-oculomotor fibers 285:oculomotor (CN III) nucleus 1656: 497:A Textbook of Neuroanatomy 396:Bilateral lesions produce 183:just ventralmedial to the 1525: 1033:Inferior salivary nucleus 1028:Superior salivary nucleus 878:Vestibulocerebellar tract 260:horizontal conjugate gaze 113: 23: 1565:Ascending and Descending 1090:Superior olivary nucleus 1053:Pedunculopontine nucleus 1005:Trigeminal motor nucleus 825:Ventral trigeminal tract 776:Superior medullary velum 690:Blumenfeld, Hal (2021). 563:, Elsevier, p. 42, 270:abducens (CN VI) nucleus 1073:Subparabrachial nucleus 842:Central tegmental tract 820:Dorsal trigeminal tract 639:Oxford University Press 557:"Clinical Neuroanatomy" 422:One and a half syndrome 413:- vertical gaze center. 369:artificial heart valves 1169:Pontocerebellar fibers 771:Cerebellopontine angle 313:saccadic eye movements 1159:Corticopontine fibers 890:Vestibulospinal tract 457:lateral rectus muscle 398:horizontal gaze palsy 344:Clinical significance 274:lateral rectus muscle 30:Axial section of the 1599:Accidental viewpoint 1010:Facial motor nucleus 815:Trigeminal lemniscus 461:medial rectus muscle 459:, and contralateral 389:Gaze-evoked lateral 289:medial rectus muscle 283:) the contralateral 228:frontopontine fibers 220:middle frontal gyrus 141:paraabducens nucleus 34:at the level of the 1504:Vertical–horizontal 1209:Reticular formation 1154:Corticobulbar tract 1149:Corticospinal tract 1068:Parabrachial nuclei 240:superior colliculus 191:and lateral to the 1604:Auditory illusions 1399:Impossible trident 1200:Other grey: Raphe/ 1142:: Motor/descending 1063:Pneumotaxic center 1046:Grey: Other nuclei 258:The PPRF mediates 1627: 1626: 1619:Temporal illusion 1614:Tactile illusions 1584:(2015 photograph) 1285:Optical illusions 1251: 1250: 1195: 1194: 1103: 1102: 1041: 1040: 974:Vestibular nuclei 837:Lateral lemniscus 791:Facial colliculus 701:978-1-60535-962-5 676:978-0-7295-3752-0 648:978-0-19-512972-4 608:978-1-4511-7327-7 578:978-0-323-05712-7 561:Neurology Secrets 538:978-1-9751-6024-1 506:978-1-118-67746-9 245:vestibular nuclei 216:frontal eye field 139:) (also known as 129: 128: 124: 36:facial colliculus 1647: 1531: 1484:Schroeder stairs 1459:Peripheral drift 1454:Penrose triangle 1278: 1271: 1264: 1255: 1118: 1058:Apneustic center 1019:Abducens nucleus 994: 957:Cochlear nucleus 928: 921: 832:Medial lemniscus 761: 736: 729: 722: 713: 706: 705: 687: 681: 680: 662: 653: 652: 630: 613: 612: 594: 588: 587: 586: 585: 552: 543: 542: 524: 511: 510: 492: 464: 453: 427:Ophthalmoparesis 268:the ipsilateral 187:. It is located 185:abducens nucleus 157:abducens nucleus 155:adjacent to the 121:edit on Wikidata 69:Pontine arteries 40:abducens nucleus 28: 16: 1655: 1654: 1650: 1649: 1648: 1646: 1645: 1644: 1630: 1629: 1628: 1623: 1587: 1537:Popular culture 1532: 1523: 1494:Spinning dancer 1314:Ambiguous image 1292: 1282: 1252: 1247: 1201: 1191: 1175: 1134: 1109: 1099: 1095:Locus coeruleus 1037: 990: 985: 924: 906: 858: 795: 786:Medial eminence 781:Sulcus limitans 752: 746: 742:Anatomy of the 740: 710: 709: 702: 689: 688: 684: 677: 664: 663: 656: 649: 632: 631: 616: 609: 596: 595: 591: 583: 581: 579: 554: 553: 546: 539: 526: 525: 514: 507: 494: 493: 478: 473: 468: 467: 454: 450: 445: 407: 346: 329: 327:Pathophysiology 309: 256: 208: 177: 125: 43: 12: 11: 5: 1653: 1651: 1643: 1642: 1632: 1631: 1625: 1624: 1622: 1621: 1616: 1611: 1606: 1601: 1595: 1593: 1589: 1588: 1586: 1585: 1577: 1576:(1961 drawing) 1569: 1568:(1960 drawing) 1561: 1553: 1546: 1540: 1538: 1534: 1533: 1526: 1524: 1522: 1521: 1516: 1511: 1506: 1501: 1496: 1491: 1489:Shepard tables 1486: 1481: 1476: 1471: 1466: 1461: 1456: 1451: 1449:Penrose stairs 1446: 1441: 1436: 1431: 1426: 1421: 1416: 1411: 1406: 1401: 1396: 1391: 1386: 1381: 1376: 1371: 1366: 1361: 1356: 1351: 1346: 1344:Checker shadow 1341: 1336: 1331: 1326: 1324:Autostereogram 1321: 1316: 1311: 1306: 1300: 1298: 1294: 1293: 1283: 1281: 1280: 1273: 1266: 1258: 1249: 1248: 1246: 1245: 1244: 1243: 1233: 1232: 1231: 1226: 1221: 1216: 1205: 1203: 1197: 1196: 1193: 1192: 1190: 1189: 1187:Basilar sulcus 1183: 1181: 1177: 1176: 1174: 1173: 1172: 1171: 1161: 1156: 1151: 1145: 1143: 1136: 1135: 1133: 1132: 1130:Pontine nuclei 1126: 1124: 1115: 1105: 1104: 1101: 1100: 1098: 1097: 1092: 1087: 1086: 1085: 1080: 1075: 1065: 1060: 1055: 1049: 1047: 1043: 1042: 1039: 1038: 1036: 1035: 1030: 1021: 1012: 1007: 997: 995: 987: 986: 984: 983: 982: 981: 971: 970: 969: 964: 954: 953: 952: 951: 950: 945: 931: 929: 918: 916:Cranial nuclei 908: 907: 905: 904: 903: 902: 897: 892: 882: 881: 880: 869: 867: 860: 859: 857: 856: 855: 854: 844: 839: 834: 829: 828: 827: 822: 812: 810:Trapezoid body 806: 804: 797: 796: 794: 793: 788: 783: 778: 773: 767: 765: 758: 748: 747: 741: 739: 738: 731: 724: 716: 708: 707: 700: 682: 675: 667:Last's Anatomy 654: 647: 614: 607: 589: 577: 544: 537: 512: 505: 475: 474: 472: 469: 466: 465: 447: 446: 444: 441: 440: 439: 434: 429: 424: 419: 414: 406: 403: 402: 401: 394: 387: 380: 353:lipohyalinosis 345: 342: 328: 325: 317:smooth pursuit 308: 305: 293: 292: 277: 255: 252: 251: 250: 247: 242: 237: 214:contralateral 207: 204: 176: 173: 127: 126: 117: 111: 110: 105: 99: 98: 93: 87: 86: 82: 81: 78: 72: 71: 66: 60: 59: 54: 50: 49: 45: 44: 29: 21: 20: 13: 10: 9: 6: 4: 3: 2: 1652: 1641: 1638: 1637: 1635: 1620: 1617: 1615: 1612: 1610: 1607: 1605: 1602: 1600: 1597: 1596: 1594: 1590: 1583: 1582: 1578: 1575: 1574: 1570: 1567: 1566: 1562: 1559: 1558: 1554: 1552: 1551: 1547: 1545: 1542: 1541: 1539: 1535: 1530: 1520: 1517: 1515: 1512: 1510: 1507: 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376: 374: 370: 366: 362: 358: 354: 350: 343: 341: 338: 333: 326: 324: 320: 318: 314: 306: 304: 302: 298: 290: 286: 282: 279:(through the 278: 275: 271: 267: 266: 265: 264: 261: 253: 248: 246: 243: 241: 238: 236: 233: 232:visual cortex 229: 225: 221: 217: 213: 212: 211: 205: 203: 200: 198: 194: 190: 186: 182: 174: 172: 170: 166: 162: 158: 154: 150: 146: 142: 138: 134: 122: 116: 112: 109: 106: 104: 100: 97: 94: 92: 88: 83: 79: 77: 73: 70: 67: 65: 61: 58: 55: 51: 46: 41: 37: 33: 27: 22: 17: 1579: 1571: 1563: 1555: 1550:Trompe-l'Ĺ“il 1548: 1414:Lilac chaser 1384:Gravity hill 1236:Raphe nuclei 1228: 991: 925: 691: 685: 666: 634: 598: 592: 582:, retrieved 560: 528: 496: 451: 357:hypertension 347: 334: 330: 321: 310: 294: 263: 257: 235: 224:frontal lobe 209: 201: 178: 140: 136: 132: 130: 95: 1560:(1864 book) 1464:Poggendorff 1439:Oppel-Kundt 1434:Necker cube 1429:MĂĽller-Lyer 1404:Irradiation 939:Trigeminal 373:arrhythmias 361:microemboli 163:to mediate 85:Identifiers 1557:Spectropia 1474:Rubin vase 1424:McCollough 1419:Mach bands 1369:Ehrenstein 1364:Ebbinghaus 1329:Barberpole 1304:Afterimage 1229:Paramedian 584:2024-07-17 471:References 432:Opsoclonus 365:turbulence 301:cerebellum 103:NeuroNames 57:Brain stem 1609:Illusions 1581:The dress 1573:Waterfall 1374:Flash lag 1354:Cornsweet 1339:CafĂ© wall 1319:Ames room 1297:Illusions 1224:Tegmental 1202:reticular 992:efferent: 943:Principal 926:afferent: 803:: Sensory 755:tegmentum 391:nystagmus 337:nystagmus 297:flocculus 254:Efferents 206:Afferents 1634:Category 1359:Delboeuf 1309:Ambigram 1108:Ventral/ 979:Superior 967:Anterior 866:: Motor 405:See also 307:Function 189:anterior 169:saccades 1592:Related 1519:Zöllner 1509:White's 1444:Orbison 1409:Jastrow 1180:Surface 764:Surface 751:Dorsal/ 437:Saccade 386:, only) 349:Lesions 299:of the 222:of the 218:of the 175:Anatomy 53:Part of 48:Details 1544:Op art 1499:Ternus 1479:Sander 1394:Hering 1334:Bezold 1241:Median 1214:Caudal 962:Dorsal 948:Spinal 698:  673:  645:  605:  575:  535:  503:  384:stroke 64:Artery 1514:Wundt 1469:Ponzo 1349:Chubb 1140:White 864:White 801:White 226:(via 119:[ 91:Latin 1640:Pons 1389:Grid 1289:list 1219:Oral 1122:Grey 1112:base 912:Grey 744:pons 696:ISBN 671:ISBN 643:ISBN 603:ISBN 573:ISBN 533:ISBN 501:ISBN 443:Note 355:and 181:pons 167:and 153:pons 147:and 145:oral 137:PPRF 131:The 108:1399 76:Vein 32:pons 1164:MCP 1024:GVE 1015:GSE 1001:SVE 935:GSA 565:doi 371:or 1636:: 1026:: 1017:: 1003:: 914:: 657:^ 641:. 617:^ 571:, 559:, 547:^ 515:^ 479:^ 319:. 303:. 291:). 276:), 199:. 171:. 1291:) 1287:( 1277:e 1270:t 1263:v 1114:) 1110:( 757:) 753:( 735:e 728:t 721:v 704:. 679:. 651:. 611:. 567:: 541:. 509:. 234:. 135:( 123:] 42:)

Index


pons
facial colliculus
abducens nucleus
Brain stem
Artery
Pontine arteries
Vein
Latin
NeuroNames
1399
Anatomical terms of neuroanatomy
edit on Wikidata
oral
caudal pontine reticular nuclei
pons
abducens nucleus
oculomotor (cranial nerve III) nucleus
conjugate horizontal eye movements
saccades
pons
abducens nucleus
anterior
medial longitudinal fasciculus
nucleus prepositus hypoglossi
frontal eye field
middle frontal gyrus
frontal lobe
frontopontine fibers
visual cortex

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