to snoo-finity ... and beyond!
to snoo-finity ... and beyond!
Principle Sensory Nucleus of the Trigeminal is located in the Pons, as is the Motor Trigeminal Nucleus of the pons. This presentation is probably dealing more with the Principle Sensory Nucleus.
The mnemonic I like for remembering the locations of the cranial nerves is the "2,2,4,4 rule"
Above brainstem= CN I + II Midbrain= CN III, IV Pons= CN V, VI, VII, VIII Medulla= CN IX, X, XI, XII
I do understand that the principal nucleus of the trigeminal nerve is located at the pons. But since this patient is having trigeminal neuralgia wouldn't you be disrupting the pathway involved in pain and temperature, which in this case would be the spinal nucleus (located in the medulla)?
Besides, I found this at an article
A recent hypothesis attributes the pain of trigeminal neuralgia to a central mechanism involving the pars oralis of the spinal trigeminal nucleus.[5]
I also choose medulla, b/c this patient presented w/ pain, but not any abnormalities in sensation. Pain is mediated by spinal trigeminal nucleus located in Medulla, not Pons
MS is a demyelinating disease. That's why I didn't pick cortex or thalamus; they are grey matter. I picked medulla because I the spinotrigeminal nerves traverse the medulla. I guess we are just supposed to assume the demyelination is happening in the pons? I don't know.
submitted by strugglebus(69), 2019-05-05T15:06:04Z
The pons has nerves 5-8, so the trigeminal would be affected here