The cerebellum

Chapter 7 The cerebellum







The cerebellum, derived from the Latin meaning ‘little brain’, comprises just 10% of the brain’s volume but contains at least 50% of its neurons. Although it develops as a dorsal outgrowth from the metencephalon, it is not part of the brainstem. The cerebellum receives subconscious proprioceptive information from the body, limbs and head. That sensory input is used to modify and coordinate muscle action for posture and movement.



General anatomy


The cerebellum is sited in the caudal fossa of the neurocranium, and is separated from the cerebral hemispheres by the osseous tentorium and the tentorium cerebelli (see Fig. 3.11).


The cerebellum has a large body that is separated from the small ventral flocculonodular lobe by the uvulonodular fissure. The body of the cerebellum is divided into rostral and caudal lobes by the dorsally located, primary fissure. The flocculonodular lobe comprises a midline nodulus, on either side of which are small, paired lobules called flocculi. The flocculonodular lobe is also known as the vestibulocerebellum as it processes proprioceptive input from the vestibular system (Chapter 8). Dorsal to the flocculus on each side is the paraflocculus. The cerebellum is divided longitudinally into the midline vermis, with its nine lobules and the paired cerebellar hemispheres (Figs. 7.1, A8, A21–A24).



The surface of the cerebellum is corrugated by long, thin folds called folia. Folia are composed of both cortex and white matter and are separated from each other by sulci. The white matter that extends into each folium is called the white lamina of the folium, while the collective name for all the white matter is the arbor vitae (Latin = tree of life). It is named for its tree-like appearance on median section (Fig. 7.1).


The grey matter consists of the three-layered cerebellar cortex, which, from superficial to deep, are the molecular, Purkinje cell (cerebellar pyramidal cell) and granular layers. Grey matter is also deeply located at the base of the arbor vitae, forming the deep cerebellar nuclei. From lateral to medial these are the lateral (’dentate’ nucleus in humans), interposital and fastigial nuclei. Each nucleus receives input from the overlying cerebellar cortex. Hence the cortex of the hemisphere, the paravermis and vermis supply the lateral, interposital and fastigial nuclei, respectively (Figs. 7.2, A21, A22).






Species differences


The size and shape of the cerebellum correlates with the type of movement and posture of the animal. Those animals with mainly trunk musculature and symmetrical limb movement (e.g. reptiles, fish and flightless birds) have a well-developed medial portion and small lateral hemispheres (Fig. 7.4B). Animals with well-developed limbs and independent limb movement have better developed lateral hemispheres, e.g. mammals and flying birds. Primates and humans, which have upright posture and complex, skilled limb movements, have highly developed lateral hemispheres and corticopontocerebellar systems. (The corticopontocerebellar system influences pyramidal tract function, which is also highly developed in these species.) Additionally, the lingula, the lobule of the vermis located just rostral to the nodulus, is well developed in animals with large tails (e.g. the rat compared with the pig) and the paraflocculus is bigger in animals with well-synchronised movements of the axial and appendicular musculature.


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Aug 26, 2016 | Posted by in INTERNAL MEDICINE | Comments Off on The cerebellum

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