傍正中部橋網様体 PPRF
WordNet
- natural process that causes something to form; "the formation of gas in the intestine"; "the formation of crystals"; "the formation of pseudopods"
- the act of fabricating something in a particular shape (同)shaping
- a particular spatial arrangement
- creation by mental activity; "the formation of sentences"; "the formation of memories"
- an arrangement of people or things acting as a unit; "a defensive formation"; "a formation of planes"
PrepTutorEJDIC
- 〈U〉(…の)『形成』,構成,育成《+『of』+『名』》 / 〈C〉形成されたもの,構成物;(その)構造,組織 / 〈U〉〈C〉隊形,陣形
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2013/12/28 12:05:43」(JST)
[Wiki en表示]
Brain: Paramedian pontine reticular formation |
Axial section of the pons at the level of the facial colliculus (PPRF not labeled, but region is visible, near abducens nucleus)
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NeuroNames |
ancil-479 |
The paramedian pontine reticular formation, or PPRF, is part of the pontine reticular formation, a brain region without clearly defined borders in the center of the pons. It is involved in the coordination of eye movements, particularly horizontal gaze and saccades.
Contents
- 1 Input, Output, and Function
- 2 Lesions
- 3 See also
- 4 References
Input, Output, and Function[edit]
The PPRF is located anterior and lateral to the medial longitudinal fasciculus (MLF). It receives input from the superior colliculus via the predorsal bundle and from the frontal eye fields via frontopontine fibers. The rostral PPRF probably coordinates vertical saccades; the caudal PPRF may be the generator of horizontal saccades. In particular, activity of the excitatory burst neurons (EBNs) in the PPRF generates the "pulse" movement that initiates a saccade. In the case of horizontal saccades the "pulse" information is conveyed via axonal fibers to the abducens nucleus, initiating lateral eye movements. The angular velocity of the eye during horizontal saccade ranges from 100 to 700 degrees per second. Larger saccades have faster pulses; the PPRF is involved in this determination.[1]
Lesions[edit]
Unilateral lesions of the PPRF produce characteristic findings:[2]
- Loss of horizontal saccades directed towards the side of the lesion, no matter the current position of gaze
- Contralateral gaze deviation (acute lesions, such as early stroke, only)
- Gaze-evoked lateral nystagmus on looking away from the side of the lesion
Bilateral lesions produce horizontal gaze palsy and slowing of vertical saccades
See also[edit]
- Internuclear ophthalmoplegia
- Multiple sclerosis
- One and a half syndrome
- Ophthalmoparesis
- Reticular formation
- Stroke
- Paramedian reticular nucleus
- Opsoclonus
- Saccade
References[edit]
- ^ Brazis, P.W., Masdeu, J.C., and Biller, J. Localization in Clinical Neurology, 4th edition. Lippincott, Williams, and Wilkins, Philadelphia, 2001; pp. 213–216. ISBN 0-7817-2843-6
- ^ Adapted from Leigh, R.J., and Zee, D.S. The Neurology of Eye Movements, 3rd edition. Oxford University Press, Oxford, England, 1999; p. 499. ISBN 0-19-512972-5
Human brain, rhombencephalon, metencephalon: pons (TA A14.1.05.101–604, GA 9.785)
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Dorsal/
(tegmentum) |
Surface
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Cerebellopontine angle · Superior medullary velum · Sulcus limitans · Medial eminence · Facial colliculus
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White: Sensory/ascending
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Trapezoid body/VIII · Trigeminal lemniscus (Dorsal trigeminal tract, Ventral trigeminal tract) · Medial lemniscus · Lateral lemniscus
MLF, III, IV and VI: Vestibulo-oculomotor fibers
Anterior trigeminothalamic tract · Central tegmental tract
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|
White: Motor/descending
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ICP (Vestibulocerebellar tract)
MLF, III, IV and VI: Vestibulospinal tract (Medial vestibulospinal tract, Lateral vestibulospinal tract)
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|
Grey: Cranial nuclei
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afferent: GSA: Principal V/Spinal V · VIII-c (Dorsal, Anterior)/VIII-v (Superior)
efferent: SVE: Motor V · VII · GSE: VI · GVE: VII: Superior salivary nucleus
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Other grey
|
Apneustic center · Pneumotaxic center (Medial parabrachial nucleus) · Lateral parabrachial nucleus · Superior olivary nucleus · Caerulean nucleus
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|
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Ventral/
(base) |
Grey
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Pontine nuclei
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White: Motor/descending
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Corticospinal tract · Corticobulbar tract · Corticopontine fibers
MCP (Pontocerebellar fibers)
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Surface
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Basilar sulcus
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Other grey: Raphe/
reticular |
Reticular formation (Caudal, Oral, Tegmental, Paramedian) · Raphe nuclei (Median)
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anat (n/s/m/p/4/e/b/d/c/a/f/l/g)/phys/devp
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noco (m/d/e/h/v/s)/cong/tumr, sysi/epon, injr
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proc, drug (N1A/2AB/C/3/4/7A/B/C/D)
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Sensory system: Visual system and eye movement pathways
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Visual perception |
1° (Bipolar cell of Retina) → 2° (Ganglionic cell) → 3° (Optic nerve → Optic chiasm → Optic tract → LGN of Thalamus) → 4° (Optic radiation → Cuneus and Lingual gyrus of Visual cortex → Blobs → Globs)
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Muscles of orbit |
Tracking
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Smooth pursuit: Parietal lobe · Occipital lobe
Saccade: Frontal eye fields
Nystagmus → Fixation reflex → PPRF
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Horizontal gaze
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PPRF → Abducens nucleus → MLF → Oculomotor nucleus → Medial rectus muscle
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Vertical gaze
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Rostral interstitial nucleus → Oculomotor nucleus, Trochlear nucleus → Muscles of orbit
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Vestibulo-ocular reflex
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Semicircular canal → Vestibulocochlear nerve → Vestibular nuclei → Abducens nucleus → MLF (Vestibulo-oculomotor fibers) → Oculomotor nucleus → Medial rectus muscle
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Pupillary reflex |
Pupillary dilation
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1° (Posterior hypothalamus → Ciliospinal center) → 2° (Superior cervical ganglion) → 3° (Sympathetic root of ciliary ganglion → Nasociliary nerve → Long ciliary nerves → Iris dilator muscle)
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Pupillary light reflex
(constriction)
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1° (Retina → Optic nerve → Optic chiasm → Optic tract → Pretectal nucleus) → 2° (Edinger-Westphal nucleus) → 3° (Oculomotor nerve → Parasympathetic root of ciliary ganglion → Ciliary ganglion) → (4° Short ciliary nerves → Iris sphincter muscle)
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Accommodation
vergence
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1° (Retina → Optic nerve → Optic chiasm → Optic tract → Visual cortex → Brodmann area 19 → Pretectal area) → 2° (Edinger-Westphal nucleus) → 3° (Short ciliary nerves → Ciliary ganglion → Ciliary muscle)
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Circadian rhythm |
Retina → Hypothalamus (Suprachiasmatic nucleus)
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anat (g/a/p)/phys/devp/prot
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proc, drug (S1A/1E/1F/1L)
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UpToDate Contents
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- 1. 閉じ込め症候群 locked in syndrome
- 2. 核間性眼筋麻痺 internuclear ophthalmoplegia
- 3. 特発性脳出血:病因、臨床的特徴、および診断 spontaneous intracerebral hemorrhage pathogenesis clinical features and diagnosis
- 4. 幻視患者へのアプローチ approach to the patient with visual hallucinations
- 5. 糸球体半月体形成の機序 mechanisms of glomerular crescent formation
English Journal
- Internuclear ophthalmoplegia plus ataxia indicates a dorsomedial tegmental lesion at the pontomesencephalic junction.
- Lee SU1, Kim HJ2, Park JJ3, Kim JS4.
- Journal of neurology.J Neurol.2016 May;263(5):973-80. doi: 10.1007/s00415-016-8088-1. Epub 2016 Mar 19.
- Internuclear ophthalmoplegia (INO) indicates a lesion involving the medial longitudinal fasciculus (MLF) that interconnects the abducens nucleus and medial rectus subnucleus of the oculomotor nuclear complex. In fact, rostral-caudal localization value of the INO is often limited except when it accom
- PMID 26995360
- Abnormal tuning of saccade-related cells in pontine reticular formation of strabismic monkeys.
- Walton MM1, Mustari MJ2.
- Journal of neurophysiology.J Neurophysiol.2015 Aug;114(2):857-68. doi: 10.1152/jn.00238.2015. Epub 2015 Jun 10.
- Strabismus is a common disorder, characterized by a chronic misalignment of the eyes and numerous visual and oculomotor abnormalities. For example, saccades are often highly disconjugate. For humans with pattern strabismus, the horizontal and vertical disconjugacies vary with eye position. In monkey
- PMID 26063778
- "Nine" syndrome: A new neuro-ophthalmologic syndrome: Report of two cases.
- Mahale RR1, Mehta A1, John AA1, Javali M1, Abbas MM1, Rangasetty S1.
- Annals of Indian Academy of Neurology.Ann Indian Acad Neurol.2015 Jul-Sep;18(3):335-7. doi: 10.4103/0972-2327.157180.
- "Eight-and-a-half" syndrome is a rare condition involving the ipsilateral abducens nucleus or paramedian pontine reticular formation (PPRF), the ipsilateral medial longitudinal fasciculus (MLF), and the adjacent facial colliculus/facial nerve fascicle. The condition is often caused by a lesion (vasc
- PMID 26425014
Japanese Journal
- 異常眼球運動を呈した多発性硬化症例 : 神経耳科学的検討の有用性
- 梅原 毅,濱村 亮次,木村 光宏,川内 秀之
- 耳鼻咽喉科臨床 103(12), 1085-1092, 2010-12-01
- … We report a 62-year-old man with left paramedian pontine reticular formation (PPRF) disorder. …
- NAID 10027449618
- 右椎骨動脈閉塞により同側の傍正中橋網様体の障害の後, 核間性眼筋麻痺が出現した1例
- 宗田 高穂,高垣 匡寿,山田 公人,出原 誠,寺本 佳史,森内 秀祐,伊藤 守
- 脳卒中 32(2), 203-206, 2010-03-25
- NAID 10026430632
- An Isolated Horizontal-Gaze Paresis in a Patient with Pontine Infarction
- Taguchi Yoshiharu,Okamoto Soushi,Takashima Shutaro,Tanaka Kortaro
- Internal Medicine 49(18), 2025-2026, 2010
- NAID 130000336898
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