Cuneate nucleus

Cuneate nucleus
Dissection of brain-stem. Dorsal view. (Label for "nucleus cuneatus" is on left, third from the bottom.)
Section of the medulla oblongata at about the middle of the olive.
Details
Identifiers
Latin	nucleus cuneatus
NeuroNames	hier-764
NeuroLex ID	Cuneate nucleus
TA	A14.1.04.206
FMA	68465
*Anatomical terms of neuroanatomy* [edit on Wikidata]

One of the dorsal column nuclei, the cuneate nucleus is a wedge-shaped nucleus in the closed part of the medulla oblongata. It contains cells that give rise to the cuneate tubercle, visible on the posterior aspect of the medulla. It lies laterally to the gracile nucleus and medial to the spinal trigeminal nucleus in the medulla.

Function

The cuneate nucleus is part of posterior column–medial lemniscus pathway, carrying fine touch and proprioceptive information from the upper body (above T6, except the face and ear - the information from the face and ear is carried by the primary sensory trigeminal nucleus) to the contralateral thalamus via the medial lemniscus.

Inputs

It receives direct input from the mechanoreceptors of the upper body as well as indirect input from them via the spinal cord. It is also subject to descending control from the central nervous system.

Pathology

It may be affected by vitamin E deficiency exhibiting neuroaxonal swelling.

Additional images

Decussation of pyramids.
Dissection of brain-stem. Lateral view.
Deep dissection of brain-stem. Lateral view.
Superior terminations of the posterior fasciculi of the medulla spinalis.
Diagram showing the course of the arcuate fibers.
The formatio reticularis of the medulla oblongata, shown by a transverse section passing through the middle of the olive.
Scheme showing the course of the fibers of the lemniscus; medial lemniscus in blue, lateral in red.
Transverse section passing through the sensory decussation.
Deep dissection of cortex and brain-stem.
The sensory tract.
Fourth ventricle.Posterior view.Deep dissection.

External links

Anatomy of the medulla

Grey matter

Cranial nuclei

afferent:	Solitary nucleus tract Dorsal respiratory group Gustatory nucleus Vestibular nuclei Lateral Medial Inferior

efferent:	Hypoglossal nucleus Nucleus ambiguus Dorsal nucleus of vagus nerve Inferior salivatory nucleus

Dorsal

Ventral

White matter

Dorsal	Sensory Sensory decussation Medial lemniscus Juxtarestiform body Ascending dorsal longitudinal fasciculus Medial longitudinal fasciculus Motor Descending dorsal longitudinal fasciculus Medial longitudinal fasciculus

Ventral	Descending tracts Olivocerebellar tract Rubro-olivary tract

Surface

Front	Pyramid decussation Anterior median fissure Anterolateral sulcus Olive Inferior olivary nucleus

Back	Posterior median sulcus Posterolateral sulcus Area postrema Vagal trigone Hypoglossal trigone Medial eminence Inferior cerebellar peduncle

Grey

Brain and spinal cord: neural tracts and fasciculi

Sensory/
ascending

PCML

1°:	Pacinian corpuscle/Meissner's corpuscle → Posterior column (Gracile fasciculus/Cuneate fasciculus) → Gracile nucleus/Cuneate nucleus

2°:	→ sensory decussation/arcuate fibers (Posterior external arcuate fibers, Internal arcuate fibers) → Medial lemniscus/Trigeminal lemniscus → Thalamus (VPL, VPM)

3°:	→ Posterior limb of internal capsule → Postcentral gyrus

Anterolateral/
pain

Fast/lateral	1° (Free nerve ending → A delta fiber) → 2° (Anterior white commissure → Lateral and Anterior Spinothalamic tract → Spinal lemniscus → VPL of Thalamus) → 3° (Postcentral gyrus) → 4° (Posterior parietal cortex) 2° (Spinomesencephalic tract → Superior colliculus of Midbrain tectum)

Slow/medial	1° (Group C nerve fiber → Spinoreticular tract → Reticular formation) → 2° (MD of Thalamus) → 3° (Cingulate cortex)

Motor/
descending

Pyramidal

flexion: Primary motor cortex → Posterior limb of internal capsule → Decussation of pyramids → Corticospinal tract (Lateral, Anterior) → Neuromuscular junction

Extrapyramidal

flexion:	Primary motor cortex → Genu of internal capsule → Corticobulbar tract → Facial motor nucleus → Facial muscles

flexion:	Red nucleus → Rubrospinal tract

extension:	Vestibulocerebellum → Vestibular nuclei → Vestibulospinal tract

extension:	Vestibulocerebellum → Reticular formation → Reticulospinal tract

Midbrain tectum → Tectospinal tract → muscles of neck

Basal ganglia

direct:	1° (Motor cortex → Striatum) → 2° (GPi) → 3° (Lenticular fasciculus/Ansa lenticularis → Thalamic fasciculus → VL of Thalamus) → 4° (Thalamocortical radiations → Supplementary motor area) → 5° (Motor cortex)

indirect:	1° (Motor cortex → Striatum) → 2° (GPe) → 3° (Subthalamic fasciculus → Subthalamic nucleus) → 4° (Subthalamic fasciculus → GPi) → 5° (Lenticular fasciculus/Ansa lenticularis → Thalamic fasciculus → VL of Thalamus) → 6° (Thalamocortical radiations → Supplementary motor area) → 7° (Motor cortex)

nigrostriatal pathway:	Pars compacta → Striatum

Cerebellar

Afferent

Vestibular nuclei → Vestibulocerebellar tract → ICP → Cerebellum → Granule cell

Pontine nuclei → Pontocerebellar fibers → MCP → Deep cerebellar nuclei → Granule cell

Inferior olivary nucleus → Olivocerebellar tract → ICP → Hemisphere → Purkinje cell → Deep cerebellar nuclei

Efferent

Dentate nucleus in Lateral hemisphere/pontocerebellum → SCP → Dentatothalamic tract → Thalamus (VL) → Motor cortex

Interposed nucleus in Intermediate hemisphere/spinocerebellum → SCP → Reticular formation, or → Cerebellothalamic tract → Red nucleus → Thalamus (VL) → Motor cortex

Fastigial nucleus in Flocculonodular lobe/vestibulocerebellum → Vestibulocerebellar tract → Vestibular nuclei

Bidirectional:
Spinocerebellar

Unconscious proprioception	lower limb → 1° (muscle spindles → DRG) → 2° (Posterior thoracic nucleus → Dorsal/posterior spinocerebellar tract → ICP → Cerebellar vermis) upper limb → 1° (muscle spindles → DRG) → 2° (Accessory cuneate nucleus → Cuneocerebellar tract → ICP → Anterior lobe of cerebellum)

Reflex arc	lower limb → 1° (Golgi tendon organ) → 2° (Ventral/anterior spinocerebellar tract→ SCP → Cerebellar vermis) upper limb → 1° (Golgi tendon organ) → 2° (Rostral spinocerebellar tract → ICP → Cerebellum)

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