Medial Longitudinal Fasciculus

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Medial longitudinal fasciculus

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Medial longitudinal fasciculus

Transverse section of mid-brain at level of inferior colliculi. (Medial

longitudinal fasciculus labeled at center right.)

Axial section through mid-brain.

1. Corpora quadrigemina.

2. Cerebral aqueduct.
3. Central gray stratum.

4. Interpeduncular space.

5. Sulcus lateralis.

6. Substantia nigra.

7. Red nucleus of tegmentum.

8. Oculomotor nerve, with 8’, its nucleus oforigin. a. Lemniscus (in

blue) with a’ the medial lemniscus and a" the lateral lemniscus.

b. Medial longitudinal fasciculus. c. Raphe. d. Temporopontine fibers.

e. Portion of medial lemniscus, which runs to the lentiform

nucleus and insula. f. Cerebrospinal fibers. g. Frontopontine fibers.

Details

Identifiers

Latin fasciculus longitudinalis medialis

NeuroNames 1588, 784

NeuroLex ID nlx_144065

TA98 A14.1.04.113

A14.1.05.304

A14.1.06.209

TA2 5867

FMA 83846

Anatomical terms of neuroanatomy

[edit on Wikidata]

The medial longitudinal fasciculus (MLF) is one of a pair of crossed


over tracts, on each side of the brainstem. These bundles of axons are situated
near the midline of the brainstem and are made up of both ascending and
descending fibers that arise from a number of sources and terminate in different
areas. The MLF is the main central connection for the oculomotor
nerve, trochlear nerve, and abducens nerve. The vertical gaze center is at
the rostral interstitial nucleus (riMLF).
The MLF ascends to the interstitial nucleus of Cajal, which lies in the lateral wall
of the third ventricle, just above the cerebral aqueduct.

Contents

 1Function
 2Clinical significance
 3Inputs
 4History
 5See also
 6Additional images
 7References
 8External links

Function[edit]
The medial longitudinal fasciculus carries information about the direction that
the eyes should move.
It connects the cranial nerve nuclei III (Oculomotor nerve), IV (Trochlear nerve)
and VI (Abducens nerve) together, and integrates movements directed by the
gaze centers (frontal eye field) and information about head movement
(from cranial nerve VIII, Vestibulocochlear nerve). It is an integral component
of saccadic eye movements as well as vestibulo-ocular and optokinetic reflexes.
It also carries the descending tectospinal tract and medial vestibulospinal
tracts into the cervical spinal cord, and innervates some muscles of the neck and
upper limbs.

Clinical significance[edit]
A lesion of the MLF produces slowed or absent adduction of the ipsilateral eye
upon contralateral gaze, usually associated with involuntary jerky eye
movements (nystagmus) of the abducting eye, a syndrome called internuclear
ophthalmoplegia. Because multiple sclerosis causes demyelination of the axons
of CNS, it can cause internuclear ophthalmoplegia when MLF axons get
demyelinated,[1] where it presents as pathologic nystagmus and diplopia.

Inputs[edit]
The ascending MLF mainly arises from the superior and medial vestibular
nucleus (VN) and is involved in the generation of the vestibulo-ocular reflex
(VOR). This is achieved by inputs to the VN from:

1. the vestibulocochlear (8th cranial) nerve about head movements,


2. gait adjustments from the flocculus of the cerebellum,
3. head and neck proprioceptors and foot and ankle muscle spindle, via
the fastigial nucleus.

Descending fibers can also arise from the superior colliculus in the rostral
midbrain for visual reflexes, the accessory occulomotor nuclei in the rostral
midbrain for visual tracking, and the pontine reticular formation, which facilitates
extensor muscle tone. Ascending tracts arise from the vestibular nucleus (VN)
and terminate in the III, IV and VI nuclei, which are important for visual tracking.

History[edit]
In 1846 neurologist Benedict Stilling first referred to what is now known as the
MLF as the acusticus, followed by Theodor Meynert in 1872 calling it posterior.
But in 1891, Heinrich Schutz chose the name dorsal to describe the longitudinal
bundle, "for brevity's sake". This name stuck despite other authors attempting
further renaming (Ramon y Cajal's periependymal in 1904, Theodor
Ziehen's nubecula dorsalis in 1913). But finally, it was Wilhelm His Sr. who
changed the name to medial for the sake of the Basle nomenclature to end the
confusion.[2]

See also[edit]
 Listing's law

Additional images[edit]

Decussation of pyramids.

References[edit]
1. ^ Multiple Sclerosis Encyclopaedia
2. ^ F, Schiller (1984).  "When Is Posterior Not Dorsal but Medial?". Neurology. PMID 6366612.
Retrieved 2020-06-04.

External links[edit]
 Atlas image: n2a4p4 at the University of Michigan Health System -
"Brainstem, Cranial Nerve Nuclei, Sagittal Section, Medial View"
 https://web.archive.org/web/20091021004541/http://isc.temple.edu/neuroa
natomy/lab/atlas/papc/

show

Anatomy of the medulla

show

Anatomy of the pons

show

Anatomy of the midbrain

show

Optical illusions (list)

MA: 2776351355

TA98: A14.1.04.113, A14.1.05.304, A14.1.06.209
Categories: 
 Brainstem
 Central nervous system pathways

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