Motor nucleus of cranial nerve IV
The trochlear nucleus ()[ 1] is the motor nucleus of the trochlear nerve (cranial nerve IV ). It is located in the medial midbrain .[ 2]
Structure
The trochlear nucleus is located in the midbrain , at an intercollicular level between the superior colliculus and inferior colliculus .[ 3] As with all motor nuclei of cranial nerves, it is located near the midline (i.e. in the medial midbrain).[ 2] It is embedded within the medial longitudinal fasciculus . It is situated immediately below the nucleus of the oculomotor nerve (CN III) (the only other cranial nerve with a nucleus in the midbrain besides the mesencephalic nucleus of trigeminal nerve , which functions in preserving dentition).
The trochlear nucleus is unique in that its axons run dorsally and cross the midline at the trochlear decussation (located in the superior medullary velum ) in the midbrain before emerging from the brainstem posteriorly/dorsally.[citation needed ] In other words, trochlear nucleus on one side gives rise to the trochlear nerve on the contralateral side. A lesion of the trochlear nucleus thus affects the contralateral eye, whereas lesions of all other cranial nuclei affect the ipsilateral side.[ 2]
Blood supply
The midbrain receives its arterial blood supply from the posterior cerebral artery , superior cerebellar artery , and basilar artery ; disruption of blood flow through any of these vessels may disrupt blood supply to the trochlear nucleus.[ 2]
Additional images
Nuclei of origin of cranial motor nerves schematically represented; lateral view.
Scheme showing central connections of the optic nerves and optic tracts.
Brain stem sagittal section
References
^ "Trochlear | Definition of Trochlear by Oxford Dictionary on Lexico.com also meaning of Trochlear" . Lexico Dictionaries | English . Archived from the original on November 12, 2020.
^ a b c d Kim, Seung Y.; Motlagh, Mahsaw; Naqvi, Imama A. (2022), "Neuroanatomy, Cranial Nerve 4 (Trochlear)" , StatPearls , Treasure Island (FL): StatPearls Publishing, PMID 30725929 , retrieved 2023-01-03
^ Baxter, Donald; Olsewski, Jerzy (1982). Cytoarchitecture of the Human Brain Stem (2nd ed.). Basel: S. Karger. pp. 50–51. ISBN 3-8055-2210-X .
External links
Atlas image: n2a4p4 at the University of Michigan Health System - "Brainstem, Cranial Nerve Nuclei, Sagittal Section, Medial View"