Introduction to Neuroanatomy
- Overview of high yield concepts in neuroanatomy crucial for exams.
Basic Concepts
- Gray Matter vs. White Matter:
- Gray matter consists of cell bodies; white matter consists of axons.
- Gray matter in CNS is termed nuclei; in PNS, it is termed ganglia.
Brain Vesicles
- Development of brain vesicles begins in the fourth week of gestation.
- Three primary brain vesicles: Proencephalon, Mesencephalon, Rhombencephalon.
Structure of the Brain
- Cranial Nerves: 12 pairs, with specific functions and clinical significance. For a deeper understanding of cranial nerves, refer to the Comprehensive Overview of Skull Anatomy and Related Structures.
- Spinal Cord: Structure, function, and the significance of various tracts.
Key Structures and Functions
- Cerebellum: Functions in coordination and balance, divided into lobes and lobules.
- Thalamus and Hypothalamus: Roles in sensory processing and homeostasis.
Clinical Correlations
- Common conditions related to cranial nerve damage, such as Horner's syndrome and vestibular schwannoma. Understanding these conditions is crucial, as highlighted in the Understanding the Brain: The Link Between Neuroanatomy and Personality.
- Importance of understanding the anatomy for diagnosing neurological conditions. For a broader context, see the Comprehensive Guide to Cell Biology: Free Revision Batch Lecture Summary.
Conclusion
- Recap of essential neuroanatomy concepts and their relevance in medical education and practice.
[Music] hello guys so now we shall be discussing uh regarding the high yield Concepts in
neuroanatomy okay so these high yield Concepts will cover most of your mcqs from your exams okay so regarding this
high content let us start from the complete basic okay let us start with a little bit basic for let us say 10 15
minutes and after that directly we'll dive into the important topics so the basics are little bit confusing it means
uh most of you don't know what are what is called as gray matter what is called as white matter actually you know color
is gray so gray matter white so white matter fine but gray matter is made up of what white matter is made up of what
what is called as a gangon what is called as a nucleus what is called as a nerve what is called as a tract so these
are some basic disturbances regarding the neuro Anatomy which keep on coming in your mind so let us clear all these
important things now okay so coming to uh this important thing the first important thing we shall come across is
this one see let us say these are cell bodies all of you know right these are your cell bodies
like this and this is an axon axon terminal axon and axon terminal okay you know these important things right now if
I divide these regions into two important parts for example let us say this entire part which I'm highlighting
with the lellow over here okay see tell me all these group what are these group these are the group of cell bodies yes
or no these are the group of cell Bodies Okay so these group of cell bodies together you call it as gray matter okay
so if you find any lag in the video I prefer you to put it at 1.1 or 1.2 or 1. 5x okay so that would be better for you
so gray matter so group of cell bodies together is called as a gray matter okay in the same way in the same way uh let
me highlight another important part this one what are these these are a group of axons okay so group of cell
bodies are called as gray matter then what do you call group of axons see all these are axon right so these are group
of axons what are these group of axons called they form the white white matter group of axons form the white matter now
you might get a doubt how are the axons looking white actually surrounding this axon you very well know that we have got
a specific sheath what is this sheath called as mine sheath right so this because of this myin sheath because of
this myin sheath the group of axons they look white in color so that is why they comprise of white matter right now
coming to the gray matter coming to the gray matter now gray matter matter is different in different locations what do
you mean is that for example gray matter you find in the central nervous system gray matter you see in the central
nervous system and peripheral nervous system for example the gray matter which is located in the central nervous system
is called as nucleus okay the gray matter which is located in the peripheral nervous system
is called as gangon for example group of cell bodies in the central nervous system is called nuclei group of cell
bodies in the peripheral n system is called as gangon okay now in the same way if you look at the white matter so
group of axons form the white matter right now group of axons in the central nervous system and in the peripheral
nervous system group of axons in the central nervous system in the central nervous system are called as
tracks okay they are called as tracks or they are called as lisy or they are called as
fuli f in the same way group of axons in the peripheral nervous system you call this
as nerve you call this as nerve okay so these are the important Basics which you
have to know here okay and by the way you know very importantly that we have got two different types of neurons one
are called as melinated neurons and the other one are called as unmated neurons okay so the the electric conduction
right the what do you say the depolarization right or the electrical impulses they are very fast in which one
mated or unmated they are very fast in the mated neurons and in unmated neurons they're very slow okay now second
important thing I want to highlight here is that uh let us say let us say that this is your central nervous
system okay we'll go in detail about this this is your central nervous system you know very well that we have got
neurons in the central nervous system right you know we have also got neurons in the peripheral nervous system so this
is a neuron here okay this is a neuron of central nervous system and this is a neuron of a peripheral nervous system
okay now the neurons of central nervous system okay listen carefully the neurons of central nervous system on both the
sides they are covered by mine okay both the sides they're covered by mine in the same way the neurons of
peripheral nervous system on both the sides here also they are covered by milin like this so both the sides
central nervous system and peripheral nervous system the neurons are covered by milin so this is your
CNS and this is your pns now the important point I want to highlight over here is that what are the cells that are
forming the myin in the central nervous system these are oligodendrocytes
oligo dendrocytes okay these are oligodendrocytes oligodendrocytes they
form the mine sheath of the neurons in the central nervous system okay so they form mileen
sheath of neurons in CNS okay they form the Ming sh of neurons in CNS now coming to
the pns per pereral nervous system okay so what cells form the milein sheet in the peripheral nervous system that is
the Squan cells that is your Squan cels okay Squan cels form the mine of the neurons of the peripheral nervous system
clear so these are some of the basics which you have to know and next important thing is that we shall
directly discuss about the brain vesicles okay so we shall start our discussion with the brain
vesicles now coming to these brain vesicles what do you know about these brain vesicles
guys so first of all these brain vesicles are mainly three okay so from these brain vesicles itself the brain
development starts okay the central nervous system development starts so first thing you have to know is that
these brain vesicles they start developing at fourth week okay the development of brain vesicles they
start their development at fourth
week they start their development at fourth week okay now coming to this brain vesicles how many brain vesicles
do we have see for example this is one brain vesicle okay now coming to this is another brain vesicle over here this is
a third brain vesicle over here okay how many brain vesicles are there these are the three important brain vesicles now
what is this particular first brain vesicle over here called as this first brain vesicle over here is called as
your proen sealon okay so this is called as proen sealon in the same way what is the
next brain vesicle over here is called as this is called as misen sealon Nan sephon and finally what is
this particular brain V over here is called as this is called as Roman seon
Roman seon so how many brain vesicles we have got we have got proen seon we have got mlon we have got renon okay now next
important thing is that how these brain vesicles in future they are going to develop into for example if you look at
pron okay if you look at PR enlon this is how it is going to develop this is your PR enlon okay after
that this part is your mlon and after that this part over here is your romen sealon okay so when I color these things
you'll understand for example proen seon is this one you see this entire part including this one so completely these
three parts together is called as pren seon it means proen seon is developing into these three parts okay in the same
way if you look at mean seon mean seon is alone I mean it is not developing into anything and when it comes to Roman
sephon again here Roman sephon develops into two important things okay Roman sephon develops into two important
things clear all of you right so now what are the names of these important things over here for example these two
important this one is called as your tlon this part is called as tan sephon the lower part is called as
Dian sealon tlon and the lower part is called as dianon the middle part is alone and
this is called as your mlon no change and the lower part if you see this is called as metan
seon and milen seon milen sealon so what did I tell you guys what did I tell you here is that we
just talked that proen seon is going to develop into these two important things that is your Tien seon and Dian seon
mean seon will not develop into anything it remains alone whereas Roman sephon will develop into metan seon and milen
seon these are the important things which I want you to remember now Within These brain vesicles slowly what will
happen slowly ventricles are formed okay within this brain vles you see this is one ventricle that is connecting with
another ventricle over here see how many ventricles have drawn so far two ventricles right so there are two
ventricles that are formed where are they formed in the T ofon next there is a small connecting duct and there's a
small connecting duct again there is another ventricle here can I tell this is as a third ventricle right in the
same way there is a small connecting de again and again you have got another ventricle over here can I tell that this
is a fourth ventricle right and fourth ventricle is in continuous downward in this way okay fourth ventricle is
continuous in this way so how many ventricles do we have so basically we have actually we have actually got these
two are your first two ventricles first two ventricles are connected to the third ventricle like this and third
ventricle is finally connected to your fourth ventricle actually we have got five ventricles I will tell you where is
the fifth ventricle later on not now right but just remember we have got five ventricles okay so this is first and
second ventricle this is your third this is your fourth ventricle and remember right now here itself that the first two
ventricles are connected to the third ventricle with the help of this small opening here this opening is called as
foramen of Monro foramen of Monro okay in the same way the third ventricle is connected to
the fourth ventricle with the help of this particular duct here this is called as Aqueduct of
sylvus Aqueduct of sylvus or you can also call it as cerebral Aqueduct cerebral
Aqueduct Aqueduct of sylvus or you can call it as cerebral Aqueduct okay so these are the important things which I
want you to focus okay now if I ask you tillan sephon will in future what it will develop you told me that proen seon
in future it will develop into tlon and dlon now I'm telling you asking you that teal and sephon in the future what it
will develop into in the same way Dian sephon in the future what it will develop in same way in each one of the
point we'll discuss right now okay so first let us discuss about the t sephon t seon so what will T and seon develop
in the future you can see here these two are called as two cerebral hemispheres okay how many cerebral hemispheres we
have got two cerebral hemispheres one is called as a right another one is called as left so tlon will develop into the
first important thing that is your cerebral hemispheres
it would develop into Cal hemispheres next it would also develop into lateral ventricles I told you right first and
second ventricle so it would develop into those two lateral ventricles okay now after T and seon the next part what
do we have here dianon right so what will dianon develop into dianon what will Dian seon develop into
so this part over here was your tlon like this down here you have got another part
this is called as dlon right now within the cavity of dianon which ventricle do you have ventricle number three okay so
dianon will first develop into third ventricle so cavity of third ventricle where is it it is the dianon dianon the
third ventricle cavity I mean cavity of dlon is your third ventricle okay second important thing what is the second
important thing which you see see second important thing is that here you have got this particular
part over here called as hypothalamus okay so along with hypothalamus you have got a pitutary stock what is this
pitutary stock and here you have got anterior pituitary you have got posterior pituitary okay so what should
I write here you even have got hypothalamus over here
hypothalamus okay you have got this pitutary stock pitutary stock and remember one thing
attached to the hypo hypo when I tell hypothalamus it means this entire thing is called as a hypothalamus okay so
attached to the hypothalamus we have got pitutary gland pitutary gland okay so and fifth
important thing we also have this is the thalamus Thalamus okay Thalamus hypothalamus pitutary stock pitutary
gland these are the structures that are present within the andon along with the third ventricle okay along with the
third ventricle next fourth important thing what is the fourth important thing over here fourth important thing over
here is that uh me and sephon okay let us discuss about me and sephon now me sephon so let us see how does
this meon sephon develop into so you must be particular about this that you can see here you can see here that these
two are called as Cal hemispheres okay let me let me put up this picture so that you'll understand here all of you
see here so this is your cerebral Hemisphere okay after the Cal hemisphere here we have got what what is this this
is called as a midbrain next after that we have got pawns after that we have got medula what is this medula oblata and
then we have got spinal called I hope you know this right now we are already done with tan seon and Dian seon okay
that means the Cal hemisphere part as well as the dianon third ventricle part okay now now what we will do is that we
shall see how is mean sephon developing into see here mean sephon is exactly the middle part okay so mean seon will
develop into midbrain midbrain along with midbrain in the center you have got a duct what is that Aqueduct of sylvus
or cerebral Aqueduct okay so mlon will develop into midbrain Plus
Aqueduct of sylvus or cerebral Aqueduct okay after mlon we have got what metan
seon after mlon we have got metan seon where is metan seon see this is metan seon so what will metan seon develop
into after midbrain midbrain was developed by what midbrain was developed by mlon right after this midbrain after
this midbrain you have got what pawns after pawns what do you have medula obl now tell me mlon is developing into mid
brain then metan Zeon can I tell it will develop into pawns right yes so metan seon will develop into pawns and
cerebellum it develops into pawns and cereum and what is the only part that is left that is your medo oblong as well as
the spinal cord and your milon your
mlon will develop into medula oang milin seon will develop into medula O Okay so these are the structures over
here guys so what are the different structures which you can see here tlon Dian seon meanon metan seon as well as M
and seon so these are this will cover up the introductory part okay of the neuro Anatomy here and one clinical point I
just wanted to share with you just keep that thing in mind that from where is the eighth nerve so one very important
clinical point I just wanted to share with you that uh all of you just look here that we have got we have got this
is your midbrain right midbrain here we have got pawns here we have got medula oblongata and down over
here we have got spinal cord okay so here we have got midbrain and this is your pawns this is
your med oblongata now one very important thing is that from the pawns and Meda oblongata you have got a nerve
that is passing here right so can I tell that this nerve is passing through the Ponto medular Junction and this nerve is
called as your eighth pair of cranial nerve and remember one thing this eighth pair of cranial nerve once if it is
damaged right basically the name of this nerve is vestibulo cckar nerve right so if this
vestibular coar nerve is damaged you should remember one thing that the vestibular part is responsible for
balance and the cckar part is responsible for hearing both of them will be lost so if there is any injury
to the Ponto medular Junction or if there is any kind of tumor that is formed in the Ponto medular Junction
right what can happen there can be damage to your eighth pair of cranial now where your vestibular nerve and
cckar nerve both of them will be damaged leading to loss of balance as well as hearing so now we shall be uh discussing
after this important topic which we have discussed regarding the basics and all now we shall discuss some of the basics
of a nervous tissue okay basics of your nervous tissue now coming to the basics of
nervous tissue first of all you have to know that your nervous tissue is uh divided into three important parts okay
one is called as neuronal tissue proper another one is called as specialized connective tissue another one is called
as ordinary connective tissue so your nervous tissue is in turn divided into how many parts three parts so what are
these three parts over here what are these three parts over here one is called as neuronal tissue
proper one is called as neuronal tissue prop proper another one is called as specialized connective
tissue specialized connective tissue and the third one is called as ordinary connective
tissue ordinary connective tissue okay so what is this neuronal tissue proper what is this specialized connective
tissue and what is this ordinary connective tissue we'll discuss for example all your neurons okay all your
neurons or nerve cells whatever are there all those come under neuronal tissue proper so the neurons which you
have in your body okay they come under this neuronal tissue proper what is specialized connective tissue
specialized connective tissue is a type of nervous tissue okay what is the specialized connective tissue is that
for example you know you've got gal cells right so these GES they come under the specialized connective tissue
ordinary connective tissue in the sense the meninges ordinary connective tissue in
the S the meninges what are the three different layers of meninges you have got you have got the outer Dura matter
middle you have got eroid matter okay and inner you have got what P matter inner you have got P matter so Dura
matter arid matter and patter together you call it as ordinary connective tissue now first we shall discuss about
the neurons then we'll go to gal cells and finally the menes okay so coming to the neurons what are the important
things you can see this is one type of classification guys okay this is one type of classification there are
multiple classifications based upon function based upon the length of the neuron also there are classifications
okay we'll discuss about that so first of all let us put the heading neuron over here so when it comes to
neuron when it comes to neuron what are the two important things you can see in a neuron there are two important parts
within a neuron okay what is the first important part all of you know we have got cell body okay what is the other
name for cell body that is your peric Carion other name for cell body is your peric
carum okay now attached to the cell body you know we have got axons attached to the cell body you know we have got
dendrites so what are dendrites and axones called These are called processes processes of a cell
body okay these are called processes or you can also call them as neurites processes or neurites of a cell
body so what are the two different types of processes you know one is called as your axons okay other name is called as
what nerve fiber axon is also called as your nerve fiber another one is called as your dendroides another one is called
as your dendroides let us start from complete Basics okay so some are called as axon or nerve fibers and the other
one are called as dries now let us look at the structure of a neuron and let us see what are the structures that are
located within it in detail okay so what did I tell you it will have a cell body see this is your cell body
okay now after cell body attached to the cell body what do you have you have got processes I told you see attached to the
cell body you have got processes like this so these processes which you have over here are called as D
rites okay these processes over here are called as your Den rites next down to the cell body what do you have you have
got what is this this is called as your axon this is called as your axon okay next attached to the axon here you have
got what here you have got structures like this these are called as terminal buttons what are these called These are
called terminal buttons okay now in the center you have got a very important thing what is this important thing in
the center this is called as nucleus okay now surrounding the nucleus you have got a green color substance like
this you know what is this this substance is called nissle substance what is this substance called nissle
substance so let us write down one by one so the the first important structure which we have got over here this is
called as dendrites this is called as your dite and this one over here is called as your
cell body okay in the center of the cell body what is this this is called as your
nucleus and what is this particular substance over here this is called as your nissle substance n SSL substance
nissle substance so this is the nissle substance which you have over here okay next important thing next important
thing is that you see this particular location which I'll be highlighting right now see this particular location
which I'm highlighting with the green you see can I call this as the neck neck region of the uh neuron right so this
neck is called as axon hilock what is this called this neck portion is called as Aon hilock and one very important
thing I want to tell you about this is that this is the place from where the action potential are generated axon hog
is the one which generates your action potentials is the one which generates your action potentials now if I ask you
that within the cell body okay within this entire cell body what are the organal you have got what are the
organal you have got within the cell body the first important organal which you have over here is nissel substance
what is nissle substance what is nissle substance nissle substance is nothing but your
rough endoplasmic reticulum you know rough endoplasmic reticulum and smooth endoplasmic reticulum you also know that
rough endoplasmic reticulum synthesizes protein smooth endoplasmic reticulum for lipids right in the same way the second
important substance is neuronal filaments neuronal filaments so these are the two important organal that are
present within this particular cell body okay okay so this is a typical structure of a neuron now we are done discussing
about the neuron the next topic we shall be discussing is your gal cells okay now what are the different kinds of gal
cells you have got now gal cells are located where are these gal cells located these gal cells
are located in the central nervous system gal cells are also located in the peripheral nervous system okay so what
are those gal cells in the central nervous system peripheral nervous system what is the name of them what is the
name of those GL cells for example you know the name oligodendrocytes which I've have
discussed already oligodendrocytes are what these are the gal cells in the central nervous system if I ask you the
function what will be the function the function of these oligodendrocytes is they will cause what myelination they
will form the mine around the neurons of central nervous system now second important cells we have got is asroy
star shaped cells are called as astrocytes third important cells we have got is
microglia what are they they are called as microglia and fourth important cells are your endal
cells fourth important cells you have got is endal cells next important thing is peripheral nervous system in
peripheral nervous system what are the two important things we have got over here one you call it as a Squan
cells one you have the Squan cells second one you have is the satellite cells okay one you have got what Squan
cells and the second one you have got is a satellite cells so these are the two different types of cells that are
located in the peripheral nervous system okay so these are some of the important things which you have regarding this
Galis okay so now tell me what is the function of your oligodendrocytes oligodendrocytes they form the mine
sheet of Central or peripheral nervous system central nervous system Squan they form the milein sheath of your
peripheral nervous system now what are the different types of neurons what are the different types of neurons based on
poles based on poles what are the different types of neurons based upon poles what do you mean by this by this
we mean that we have got neurons called as unipolar neuron bipolar neuron pseudo unipolar neuron multipolar neuron right
so what are the different types of neurons based upon poles for example let us discuss the first important thing see
here here I'm drawing a nucleus and a cell body or peric Carion now for example if I am telling
you that there are multiple poles over here okay now through these multiple poles what structures are coming see see
through one pole through one pole we come across a DDE like this okay so here also there is one more DDE here also
there is another DDE now through another pole we see an axon that is coming like this okay so here how many poles are
there so how many poles are there here we have got okay let me rub this out so how many poles from how many poles the
structures are coming 1 2 3 4 more than two poles so can I call this as a multipolar neuron yes so this neuron is
called as a multi molar neuron this neuron over here is called multipolar neuron where are these
multipolar neurons present the first important thing is these multipolar neurons are present in your cerebral
cortex now when I cut down the Cal cortex you have got gray matter you have got white matter yes or no now what is
what is gray matter first of all tell me gray matter is collection of cell bodies or gray matter is collection of axons
gay matter is collection of cell bodies right now we are talking about poles where are poles attached to attached to
the Aon or attach it to the cell body cell body so where do you find these multipolar neurons you would see in the
cerebral cortex especially in the gray matter or white matter that is the gray matter gray matter okay in the same way
coming to the second important thing second important thing is that where do you find other other than this cell
cortex you even see in cere cortex okay cerebellar cortex okay again the same the gray matter of cere
CeX gray matter of cere CeX and third most important thing is that you will find multipolar neurons in the anterior
Horn of spinal cord anterior Horn of spinal cord okay so don't confuse here regarding the anterior and
posterior horns let us say this is your spinal cord over here this is your spinal cord over here
right now if I divide this spinal cord into two halves what are the things I'm going to get this is called as the this
is called as the um anterior region this is called as a posterior region okay or you can call this as a dorsal region or
this is called as a vental region all the neurons that are present here see you see all the neurons every neuron
that is present in the dorsal region these neurons together you call it as what sensory neurons and all the neurons
that are present down over here all the neurons that are present down over here which I'm highlighting with the blue all
these neurons are what motar neurons which will innervate your muscles okay so above all these neurons are called as
sensory all these neurons are are called as Sensory neurons and here all of them are called as your motor
neurons Sensory neurons as well as the motor neurons okay now what I'm telling you is that anterior Horn of spinal cord
in the sense so the neurons that are present in the anterior Horn of spinal cord all these neurons here all of them
are multipolar neurons okay all of them are multipolar neurons so after this first point multi polar neuron
discussion is done coming to the second important thing now second important thing you will tell me this let us say
this is the nucleus and this is a cell body okay now um let us say that from here dendrites are coming and down here
we have got an axon dividing into two parts now tell me how many poles have been used here so this is one pole and
this is one pole one pole for axone one pole for these dries so can I call such neurons as bipolar neurons
bipolar neurons such neurons are called as what bipolar neurons now where are these bipolar neurons present in two
separate locations for example your all Factory neurons are bipolar neurons you know your all Factory neurons which you
have these neurons are bipolar neurons and your retina of the eyeball also retina
of eyeball right retina of eyeball also is a bipolar neuron and all Factor neurons are also bipolar
neurons now coming to the third important type of neuron that is this one see here this is called as pseudo
unipolar neuron pseudo unipolar neuron okay so why it is basically called as a pseudo
unipolar neuron actually it is not a pseudo unipolar it is a bipolar neuron only but look here what has happened
this is a neuron here okay so uh to this neuron we have got two important things see there are
two structures that are passing out okay from two separate poles now tell me what is this neuron unipolar or bipolar this
is a bipolar neuron so what has happened is that there is a small depression that is developed over here now into this
depression what has happened is that the nucleus will invaginate into this depression okay and not only this you
see there are two poles over here pole number one and pole number two these two poles they will come towards each other
these two poles are pulled towards each other okay when these two poles are pulled towards each other see one pole
is coming from here one pole is coming both the poles joined together so what will happen here is that look at the
next picture over here so both the poles from here and here they're coming towards each other and this is how it
looks this is a single pole and from this single pole you see there are two
processes here so this is one and this is two there are two processes now in the later on stage of development this
is how it looks this is a neuron it looks as if it is a single pole but actually it is not a single pole Two
Poles fused together and there are two processes in this way you see now tell me how many poles have been used here
this is a unipolar so I have to call this as a unipolar neur but once you know this entire history then you will
tell that this is not a true unipolar neuron actually it was a bipolar neuron which converted into a unipolar neuron
right so that is why you call it as pseudo unipolar neuron so where do you see the Pudo unipolar neurons the first
important location where do you see this is your spinal ganglia so where are these uh neurons that are basically
present the first important place is your spinal ganglia spinal gang is a place where
these neurons are present second important thing is your sensory ganglia sensory ganglia sensory ganglia is the
second place where these neurons are basically present okay so basically sensory ganglia of your fifth nerve
right seventh nerve uh ninth nerve as well as the 10th cranial nerve okay so fifth 7th 9th and 10th cranial NES okay
now uh we are done with multipolar neuron bipolar neuron pseudo unipolar neuron and now we shall come across
another important neuron here look here so let us say this is the this is a cell body right I mean this is a nucleus and
this is a cell body okay so here here we have got we have got what are these these structures are called as
dendrites right now do we have any axones over here we don't have any axon over here here so such neurons where
only ddes are present no axon is present is called as an aonic neuron an aonic neuron so what is an
aonic neuron an aonic neuron is consisting of only axons sorry only
dendrites only derides and there are no hones only derides and there are no axones over here so the best example is
amacrine cells ofia retina okay anine cells of retina amacrine cells of retina okay next after this the next
important thing the next important thing is that so these are another different kinds of neurons but these neurons are
like this only cell bodies are present there is no axon there is no pole there is no dendrites okay so what are the
what are present over here there are no poles no axons and no dendrites okay so such type
of neurons are called as apolar neurons neurons with no poles are called as apolar neurons so when I tell apolar
neurons apolar neurons are those neurons which have got only what they have got only cell
bodies they have got only cell cell Bodies Okay such neurons are called apolar neurons and where are these
apolar neurons present they are present in the adrenal medula okay so all of you know adrenal gland right adrenal gland
has got adrenal medula so they are present in your adrenal medula adrenal medula okay now coming to
the next important classification based upon the function of a neuron how are they
classified based on function of a neuron how are these neurons classified So based upon the function
these neurons are classified into four different types of neurons what are those four different types of neurons
some are called as Sensory neurons right or sensory fibers Sensory neurons right second one is called as
motar neurons motar neurons third different kind is called as intermediate
neurons intermediate neurons and fourth important type is called as atomic neurons Atomic neurons so what are the
four different types Sensory neurons motor neurons interneurons as well as autonomic neurons so these neurons here
you can either call them as intermediate neurons or interneurons or internuncial neurons
intertial neurons okay these are these can also be called as internuncial neurons okay now
what are these Sensory neurons over here so as I have already told this important thing that all the neurons that are
located in the dorsal root of your spinal cord this is your spinal cord okay so
let us say let me rub this part now here these are called as dorsal horns now in this dorsal horns whatever neuron you
have got over here right so this is called as dorsal root ganglia what is this this is called as drg dorsal root
ganglia okay so the neuron which you have over here if you see here it is having a peripheral process it is also
having a central process so such kind of neuron is called as pseudo unipolar neuron I also told you there that sudo
unipolar neurons example is dorsal root gangas that is your spinal gangas okay so this is a central process next in the
center here you have got one more neuron like this there is one more neuron and after that you have got a red color
neuron this is your motor neuron so all of you know this basic thing what is the basic thing over here this neuron is
called as your sensory neuron this neuron is called as your motar neuron and in between the neuron which you have
here is called called as what internuncial neuron internuncial
neuron internuncial neuron so sensory neuron you know the function Sensations right it brings the sensations to the
spinal cord and after that these Sensations are relayed on the internal neurons and internal neurons will send
the message to the motor neurons and these motor neurons will inate your muscles and start Contracting your Muses
now when it comes to autonomic neurons you you know this basic thing Atomic neurons
there are two different types right what are these two different types we have got sympathetic neurons in this
sympathetic neurons we have also got parasympathetic parasympathetic so sympathetic and
parasympathetic neurons together you call them as what Atomic neurons okay sympathetic parasympathetic together you
call as atomic neurons so this is based upon the function okay now based upon the length also we classify the neurons
into short axons long axons okay so based upon the length based on the length also we
classify these into two types one are called as long axons and the other one are called as
short axons long axons and short axons so what are these long axons Golgi type one
GOI type 1 neurons whatever are there GGI type 1 neurons are your long axons next Gogi type two
neurons GOI type two neurons whatever are there they are called as short axons so Gog type 1 neurons are long axons Gog
type two neurons are short axons okay now one important thing uh you need to understand is that usually the neurons
whatever mature neuron we have got mature neurons these neurons they do not have centrioles okay if there are no
centrioles then the neuron cannot divide why is the neuron not dividing well let us say my radial nerve is cut off why is
my radial nerve not dividing because the radial nerve is not having Centrio so when centrioles are present only then
the neurons will divide so out of all neurons in your body right all Factory neurons are those neurons which have
centrioles that is the reason why Al Factory nerves can regenerate again okay so this important thing is that
normally centrioles are needed for division of a neuron division of a
neuron division of a neuron okay so in our body all the neurons what we have mature neurons what we have these mature
neurons they lack what they lack centrioles they lack centrioles and that is the reason why what there is no
division but all Factory neurons all Factory neurons they have centrioles they have cental centrioles
are present and that is the reason why they regenerate they regenerate that is the reason why they
regenerate okay so this is one of the important thing you have to know so this completes the complete basics of neuron
anatomy and now on we can start directly with the topics of neuron so Guys these are the important things uh which
covered up your entire basics of neuron Anatomy so these are the basic things which we discuss that a group of cell
bodies together you call it as a gray matter in the CNS you call it as nucleus in the pns you call it as ganglia group
of axons together you call it as a white matter in the CNF you call them as tracks a group of axons in the CNS are
called tracks lonis culi in the pns you call it as a nerve okay like for example you have got radial nerve alar nerve all
these are per Al they coming out of the central nervous system right bra let us say youve got median nerve right common
peronal nerve all these nerves are what they are nothing but axons right so Central peripheral nervous system
central nervous system May what is the how is the milein formed with the help of which cells olgod dendroides
peripheral nervous system it is because of Squan cells we discuss that olgod dendroides and Squan cells they are a
specialized connective tissue right specialized neuronal connective tissue which means the gal cells right right
and here we discussed about the brain vesicles if you remember three types of brain vesicle proen seon mlon and Roman
seon proen seon dividing into three structures tlon and dianon right so I mean two tlon and dianon so tlon is
having what cerebral hemispheres and first and second ventricle now dianon is having what dianon will develop into
your hypothalamus Thalamus right the pitutary gland and all okay and also third ventricle over here now mean seon
is having what midbrain will develop into midbrain and a duct in the center what is this Aqueduct of sylvus metan
seon over here will develop into what pawns as well as cereum and finally medo by m and and next important thing I told
you is the nervous tissue is of three types neuronal tissue proper specialized connective tissue and ordinary
connective tissue neuronal tissue proper is your neurons right neurons are having two process one is called as a cell body
or peric Carion other one are the processes process in the sense this axon is one process in the same way you have
got what is this this is called as your drites and this part this part the neck part is called as a axon hog which
generates your action potentials okay what are the organal Nile substance and neuronal filaments nil substance are
nothing but your rough endoplasmic reticulum Galis as I just told you right oligodendrocytes astrocytes microand
endal here it is Squan cells and satellite cells so types of neurons based upon the poles so how many poles
you have got multiple poles so multipolar neuron cerebral cortex cere cortex anterior Horn of spinal cord they
have these neurons okay next bipolar neurons are located in O what is this Alla Factory neurons and retina of
eyeball pseudo unipolar neurons are located in spinal ganglia which I already told you that is your dorsal
root ganglia right and they are also present where in the sensory ganglia of fifth 7th 9th and 10th cranial NOS where
are neurons located no poles no aons no dries only cell bodies are located that is your adal materal based upon the
functions you know Sensory neurons are always on the top motor neurons are always on the bottom in between them
youve got inter neurons okay so these are some of the important things which you need to understand over here uh
regarding this important topic right so after this uh we shall discuss right now we as I already told you we shall enter
into the real topics over here real important topics that the first topic which we shall cover is white
matter now tell me what is white matter gray matter is collection of cell bodies then what is white matter white
matter is a bundle of unmated axones or melinated axones melinated so it is nothing but a bundle
of melinated axons bundle of melinated axons is called as your white matter okay so actually within the cortex
cerebral cortex when you cut down the cerebral cortex within the cerebral cortex there are some fibers running
from one end to other end running from right side to left side okay so these fibers running from one end to other end
these fibers together you call them as what these fibers are called as repeat now when you cut down the cerebral
cortex in the cerebral cortex you will see fibers running from one end to other end okay you will see fibers running
from one cortex to other cortex so all these fibers are mated fibers so how they're running how they're moving from
one side to other side right so based upon their movement they are divided into three types right even if you're
not understanding right now whatever I'm telling when I draw the picture you will completely understand it okay so white
matter fibers right the white matter is compressed of mated axon and these mated axons they start at one point and they
project to another location right so this kind of projection over here are given three names there are three
different types of projection or there are three different types of fibers what are these three different types of
fibers some fibers are called as Association fibers some fibers are called as Association fibers some fibers
are called as projection fibers okay some fibers are called projection fibers and third type of fibers are called as
cural fibers chural fibers okay now let us see what are these Association fibers what
are these projection and what are this chural fibers for example let us say let me draw the cerebral cortex
here this is the cerebral cortex okay and remember one thing this particular
sulcus which you can see over here this is called as syvan Fisher this is called as syvan
fisher syvan fisher or you can call it as lateral sulcus we will discuss about this in detail okay syvan Fisher or you
can call it as lateral sulcus now what about the fibers yeah about the fibers now some fibers are running from one
part of the cortex to another part you see how these fibers are running you see these fibers are running
from one part of the cortex to another part it means these fibers are they Crossing to the opposite side see if
this is your right Cal hemisphere this is your left Cal hemisphere are these fibers Crossing from one Cal hemisphere
to another no these fibers they are C they are present in a single I mean in each cerebral cortex they are not
Crossing to the opposite side okay so in one cerebral cortex they start at one point and end at one point they do not
cross to the other side so such fibers over here these fibers over here are called as Association fibers okay so if
I have to write about Association fibers what is the important point will I uh write over here guys tell me what is the
important point I will write over here near Association fibers they connect Association fibers they connect
the cortical regions they connect the cortical regions in the same cerebral hemisphere regions in the same cerebral
hemisphere they connect the cortical regions in the same cerebral hemisphere of the brain next after this we have got
a next group of fibers so why do we need this is that information from one point has to be taken to another point so that
is the only reason and what are these fibers these fibers are nothing but your melinated fibers right right the next
important fibers which we will discuss right now is your commissural fibers okay what are your okay what is the next
here projection right what are these projection fibers projection fibers are those fibers which take the information
from one part of the cortex all the way from the higher centers you see they're taking the information from the higher
centers down to the lower centers they take the information down to the lower centers like
this it means let us say let us say that from the cortex from the cortex the information is taken down to the lower
Center lower Center in the sense your midbrains right so what what is the next Center you have over here you what is
this this is your midbrain after that you have got your pawns you have got your medo oblata you have got your
spinal cord so if the fibers are coming all the way taking information from the sensory cortex right from the cortex
this is the motor cortex basically from the cortex and the these fibers are going to the lower centers like this
either to the midbrain or let us say complete brain stem or to the spinal cord like this right so these fibers are
called as projection fibers right so if I have to write about this what will I write projection fibers are those fibers
projection fibers are those fibers they they run from the higher to lower what higher to lower centers higher to lower
centers vice versa vice versa in the sense from lower to higher also right for example from the cortex if a if a
group of fibers are coming to my spinal cord this is called corticospinal tract yes or no coros spinal track so can I
tell this C in this cortical spinal track all these fibers are called projection fibers because they are
taking the information from higher Center to the lower center right next important thing is that from the spinal
cord if the information if the fibers are going from the spinal cord to the higher centers this is called as what is
this spinothalamic tract or spino cortical tract right from the spinal cord to the cortex so from the lower
centers to the higher centers so these fibers are called as projection fibers next next fibers are interesting fibers
here these fibers connect one half to the other half it means it is connecting the right cerbral hemisphere with the
left like this you see these fibers are connecting the right cerebral hemisphere with the left cerebral hemisphere in the
same way these fibers connect right cere hemisphere with the left cere hemisphere not only this these fibers also connect
one half of the spinal cord to the other half of the spinal cord okay so these fibers which are connecting the two
identical structures right like right and left right right and left c space right and left cereum right and left
brain strem right so if they are connecting the two identical structures on either side this is called as
commissural fibers okay so what are commissural fibers commissural fibers they
interconnect interconnect parts of CNS for example for example they connect the cerebral hemispheres okay they connect
the two halves of cerebellum they connect the two halves of cereum they connect the spinal cord
spinal cord not only that brain stem right brain stem so when they're interconnecting like this when they're
interconnecting the two halves like this these fibers are called as commissural fibers so what are the fibers which we
have over here guys these fibers are called as Association fibers these red color fibers are called as commissional
fibers and these blue color fibers are called as projection fibers okay so these are the important fibers which we
have over here okay now now first we shall discuss about Association fibers okay first we shall discuss about
Association fibers let us see what are the names of these Association fibers okay so another very important simple
example I wanted to just share with all of you that what did I tell you regarding Association fibers within the
same cerebral hemisphere from one location to other location these fibers are going and these are called
Association fibers okay see let us say this is my right seral hemisphere my right Sur hemisphere is having frontal L
my right Sur hemisphere is having temporal l peral l and occipital L my left side is also having the same now if
fiber is going from frontal lobe to occipital glob on the same side not onto the opposite side like this on the same
side these are called Association from frontal L to temporal L let us say from peral L to O from peral L to temporal L
from peral L to oxital L these fibers are called as Association fibers so let us say what are the names of these
Association fibers there are different kinds of Association fibers so let us look at the names of each and every
Association Fiber One By One so before I discuss about the association fibers you have to know one very important thing
that these are two halves of Cal hemispheres now whatever you can see this part and this part right this on
the top this is called as a superolateral surface Superior and lateral surfaces okay superolateral
surface of Cal hemisphere now when I'm dividing the two Cal hemispheres and when I'm showing it to you the inner
part this is called as a medial side of the Cal hemisphere what is this medial side in the medial side of Cal
hemisphere you see a circle Half Half Moon shaped Circle this half moon shaped circle is called as Corpus calm what is
this called This is called as Corpus calos okay so just look at the picture now I'm drawing directly the medial
surface now okay this is the medial surface where is
Corpus calm exactly here this is your Corpus calm you know what is Corpus calm that is a type of
commisural fiber connecting the right Cal hemisphere with the left Cal Hemisphere okay so you will understand
in the later on lectures it is not necessary that you have to understand everything right now slowly as I'll be
discussing you'll understand each and everything okay now first important thing what is a first important thing
first important thing is that we have got we have got one Association fiber okay we have got one Association fiber
and this Association fiber starts all the way in the front and by the way guys you know this that what are the lobes
here I hope you know this this is your frontal lobe right and and and this is your temporal L this is your occipital
lobe this is your paral lob I hope you know this right now if there are a group of fibers if there are group of fibers
from frontal L to temporal L like this group of fibers from frontal L to temporal L right now these group of
fibers are called Association fibers but the name that is given to them is uncinate tulus okay so what is this
uncinate fasiculus I'm just writing it as a right what is a over here a is unate fasiculus okay and uncinate physic
and also right from and to from where it is starting and to where it is going uncinate fular starts from the frontal
lob these are the association fibers starting from the frontal lobe all the way they go to your temporal L easy they
go to your temporal Lo this is the thing I want you to remember okay second important thing second important thing
is that what is this thing Corpus kosm what is this thing Corpus kosom right now surrounding Corpus kosom we have got
a g okay surrounding Corpus kosom see here surrounding Corpus kosm we have got a
gyus like this so this let me highlight this part like with the green over here you'll understand it better see
surrounding Corpus kosm we have got a gyus this particular gyus is called as singulate gyus what is this gyus
singulate gyus I hope you heard this name before right this gyus is called singulate Gus okay in the same way in
the same way uh let me highlight another location see this particular location which I'm highlighting to you right now
this is called as rhinal cortex what is this cortex rhinal cortex okay now what is this green one singulate gyus and
this is what rhinal cortex now look at the next group of fibers now these next group of fibers
they start all the way from your singulate Gus like this you see these fibers are starting all the way from
from singulate gyus and finally where are they ending they are ending in your rhinal cortex like
this singulate gyus all the way till the rhinal cortex you see all these fibers are going and ending in your rhinal
cortex so let us name these fibers as as B okay fibers B so what is B okay so these fibers are called as
singul singul what is singul singul are the association f iers they are starting from singulate
gyus singulate gyus all the way till the rhinal cortex rhinal cortex you basically call
it as Endor rinal cortex okay rhinal cortex next next important fibers these fibers now look here these fibers they
are starting from here okay let me use another color yeah these fibers they start at the frontal L and these fibers
are going all the way back from the frontal lobe all the way back to the occipital lobe like this
okay these are the fibers like this you see these are the fibers which are starting in the frontal lobe and all
the way they go back and they enter into your oxital L now tell me what are these fibers here these fibers are called as
Superior longitudinal facular when I tell Superior longitudinal facular there will also be inferior longitudinal pesus
right let us say fibers C so let us write down what are these fibers c c are superior
longitudinal facular so these Superior longitudinal faul they start from frontal
L they start from where they start from frontal lobe all the way they end at the oxital L frontal L till the oxital L
this is called as Superior longitudinal fulus now when I tell Superior longitudinal D will be inferior
longitudinal inferior longitudinal facul so from where these inferior longitudinal facular start see all of
you just look at the picture now now these inferior longitudinal facular fibers they start all the way from the
occipital lob and they come like this to which lob now what is this LOB temporal
low you see these are your fibers so let us write it down fibers D over here they are starting from the occipital L and
all the way they go to your temporal L okay from occipital till the temporal Lo so these are what
your so they start all the way from your occipital L occipital L all the way to the
temporal l temporal so these fibers over here are called as what these fibers over here
are called as your Association fibers so these are the association fibers guys and there is one last Association fiber
which you have to know so what is that last Association fiber is I cannot show it to you here so let me draw the
picture over here and right now I'm not drawing Corpus cisum here if I don't draw Corpus cisum
it means what surface is this this is a superolateral Surface what is this superolateral surface okay now in the
superolateral surface this is what I was telling you that you have got a Fisher in the sulcus like this this is called
lateral sulcus or syvan Fisher Okay and next important thing is that here exactly here you have got an area what
is this area called this area is called as your brokas area in the same way in the temporal region here you have got
another area what is this we will discuss in detail what is this area called This is called as verik area so
what are these two areas what are these two areas this is called as broa area and this area is called as verik
area vernik area okay now coming to this brokas area and verik area there are fibers that are going all the way like
this making an arch and connecting here going all the way like this making an arch and connecting you see these fibers
are making an arch here right these fibers which are making an arch connecting the broa area to verik
area these fibers are called as your e what is e here rq8 fasiculus rq8 faic what are these fibers these
fibers are your rate facular now where is your brokas area located can I tell brokas area is located in your frontal L
yes broa area is located in your frontal L and where is ver Niki's area located in the temporal Lo temporal Lo so these
are the areas which you have to remember here guys so there are five important fibers five important Association fibers
so fibers a right they are starting in the frontal L till the temporal L this is called as uncinate fulus next all the
way from the frontal till occipital Superior longitudinal fulus occipital till temporal inferior longitudinal
fulus next all the way from the sing gyus to the endoral cortex this is called as what is what fibers are these
These are called as singul these fibers together you called as singul okay and the last fibers which are Arc shaped
connecting the frontal L to the temporal L especially speaking broas area to the verus area these fibers are called as
your rate vesicular now we are done discussing we are done discussing regarding what
regarding your Association fibers now let let us move on to what are projection fibers okay I'll just write
down the names you just have to memorize them projection fibers what did I tell about projection fibers from higher
centers to lower centers or lower centers to higher centers okay for example Corona
radiator Corona radiator okay next important example is internal capsule internal capsule third important thing
is fim a fimbria so projection fibers are Corona radiator internal capsule and fima all these three together you call
it as projection fibers coming to commissural fibers the last one we are discussing is the commissural
fibers so what are these chural fibers so there are four important chal fibers what are these four important what did I
tell you see let us say this is one uh cerebral hemisphere this is another cerebral hemisphere this is your
midbrain pawns like this okay so if one calisphere is connected to the other so in this manner like this right so what
is this called These are called Comal fibers and the name of this particular fiber is Corpus
calm this fiber is Corpus Calin okay in the same way we have got the next important commer called as hippoc cample
commission hippoc cample commiss what do you mean by by hippocampal commissure it means it is connecting hippocampus on
one side to the hippocampus on the other side in the same way we have got two important commissures one is called as
anterior commissure another one is called as posterior commission opposite of
anterior is posterior fifth important thing is here we have got a nucleus called habin nuclei here also we have
got a nucleus called habenular nuclei connecting both the habenular nucle got a commissioner called as habenular
commissioner so the last one is your habenular commissioner okay so wherever see the
what are the all these Corpus CM hippocampal commiss anterior commission poster commiss habol commiss all these
are your commissural fibers all these are your what commissural fibers okay now if you look at Corpus calm
especially this is very very very important guys okay if you look at Corpus calm I'm just drawing a small
picture over here see this part over here is your Corpus C when I'm drawing Corpus Calum
it means which surface is this medial surface okay now this Corpus cism is having few important parts for example
in the starting of Corpus cism you see a pink color body in the end of Corpus cism you see a green color body over
here right so this part of Corp Corpus cism is called as genu G nuu genu of Corpus cism and this part is called as
body of Corpus gism and the last part is called as splenium of Corpus gism Corpus gism is having how many parts three
parts one is called as genu body and splenium and remember one more important thing that attached to okay attached to
the ginu you have got a very stock like thing here this will all so be included in the part of Corpus calm and this part
over here is called as Rostrum so if I ask you what are the different parts of Corpus Calum what will you tell first
Rostrum then ginu then body then splenium okay so you are able to look at these structures in this way G see here
the hanging part is for example if I'm if I'm hanging something here what is this this hanging part is called as rrum
what is this ginu and what is all this body and finally you have got the splenium now
if if you wanted to see all the structures which angle is better you will see from front if you see from the
anterior wave can you see the splenium on the back if you see from the back can you see the Rostrum and the ginu from
the front from the side also you cannot see what will I do is that I will stretch this Corpus cism like this and I
will show it to you like this when I show it to you like this every part you can see okay so this is the corpus scism
here you see ignore the fibers okay look concentrate on the center part you see the center part which we have over here
the center part is Corpus calm I have just stretched it out okay I have completely stretched it so Corpus cism
is having what did I tell you the first part rrum R stands for what rrum after that what did I tell you Gino after that
what did I tell you body body is larger and lastly we have got splenium yes or no now you can see some fibers coming
out of rrum on both the sides in the same way from the ginu on both the sides right so let us look at what are the
different names of these fibers these were also asked once in the exam okay so these fibers over here these this is
called as your Corpus calm this is called as what Corpus calm now in this Corpus calm what are the
important things see here the fibers on either sides coming out of G know the fibers this pink color fibers which you
can see coming on either side these pink color fibers are called forceps minor forceps minor so from now onwards
if anyone is asking you what is forp minor these are the commissural fibers that are coming on either side of the
ginu ginu of Corpus Cal next when I tell forceps minor there will be forceps major see these red color fibers which
are coming out of splenium is called as forceps major one is called forceps minor other one is called forceps major
next one in the center which are coming out from the body this is called as tum these fibers together are called as tum
okay so I just want to remember these fibers what is forceps minor you should know what is forceps major you should
know what isum also you should know okay so these are some of the important things right these are some of the
important things regarding the white matter so what did we discuss what did we discuss in the white matter guys
white matter is nothing but bundle of mated a Association projection commissional okay so two cortexes So
within the same cortex from one place to other place these are called Association fibers from higher centers to lower
centers and from lower centers to higher centers that is projection fibers from one half to other half like this what
are these white color fibers here commissional fibers okay so these are the fibers here to Association fibers
Association fibers from the frontal L till the temporal L this is called as uncinate fulus from the frontal L to the
occipital L these fibers are called as Superior longitudinal facular next from the occipital L till the temporal Lo
these are called as inferior longitudinal phicus next these fibers is called as singul right and finally
connecting the frontal lobe to the temporal lobe that is the broas area to the verik area is your AR
phic coming to the projection Corona radiator internal capsule and fima chural fibers I told you Corpus Calum
hippocampal commiss anterior posterior and habol commiss so these are the important things which you should know
so this is all you need to know the important things about your white matter uh so now we shall be discussing what
are the different kinds of neural tube defects we have got okay so neural tube defects neural tube defects they one of
the very important part in the neuro Anatomy which you have to know so if you can look at this picture here actually
there are three uh germ layers which we have got so this germ layer which you can see over here is called as
ectoderm this is called as ectoderm this part in the center is called as misom and this part down over here is
called as endod so how many parts we have got we have got ectom we have got misom we have got endom okay and NTC
here stands for Noto Cod okay now what is this part over here this part is nothing but the precursor of neural tube
what is this this is a precursor of neural tube this is a precursor of neural tube
in the same way we have got cells on either side you see these cells are called as neural crest cells these are
called as neural crest cells so these is called as a precursor of neural tube and these are called as a neural crest cells
now what will happen at the next stage of development is that within the precursors of the neural tube there a
small depression you can see right so this invagination or this depression you can see here a small Groove is formed
this groove is called as neural Groove this group is called neural group and what is exactly Happening Here is that
the neural crest cells on the right side and the neural crystals on the left side they are pulling against each other like
magnets okay so when they both come towards each other they when they both come towards each other a complete
circle is formed which you can see in the next picture like this right so what is this particular thing over here this
is nothing but called as your neural tube okay whatever is formed right now over here is your neural tube you
know whatever is formed right now over here is called has neural tube you know this neural tube is formed when is it
formed it is formed on day 20 neural tube is formed on day 20 okay now next important thing is that see the first
CSF is formed by you see the fluid within this neural tube so this fluid whatever is there within the neural tube
here this is your CSF what is this this is your CSF and this CSF is formed by by what who is forming the first CSF see
normally right now in my body in my brain the CSF is formed by choid Plexus right but during day 20 right the Cs of
who is forming the Cs of the amniotic fluid itself is forming the CSF there okay so the first CSF is formed by the
amniotic fluid so the first CSF the first CSF is nothing but your amniotic fluid
amniotic fluid later choid plexus forms the CSF but during the embryonic time the amniotic fluid is the one which is
considered as a first CSF okay right so what did I tell you here uh these are the important things over here neural
tube neural uh Noto cord and yeah by the way here you have got your Noto cord down and you have got neural tube over
here now now we will see what is this neural tube actually forming see this is a neural tube so what will this neural
tube develop in future and what these neural crest cells will develop in future so if you look at the neural tube
in the future neural tube will be developed as CNS central nervous system in the same way neural crust cells will
be formed as pns that is your peripheral nervous system okay so your neural tube will be formed as your central nervous
system and neural C they form as peripheral nervous system okay now one very before we discuss neural tube
defects let me finish up one small Point regarding these neural crest cells so there are there are some specific type
of neural crest cells right so when these neural cresses they fail to migrate Cally to the distal colon what
do I mean by that what do I mean by that is that see here you have got your ascending colog like
this this is your transverse colon this is your descending colon over here this is your descending colon like
this okay now distal colon in the sense the descending part the descending part of the colon is called as a distal colon
okay now what is happening over here is that see normally neural crest cells whatever are there these neural crest
cells they start migrating down to the colog now once these neural cels start migrating to the colog what are doing
they are forming the nervous system in the colog what is this nervous system I'm not going in detail I'm just telling
you that the enteric nervous system is what orx plexus right miners as well as orx plexus so this enteric nervous
system is formed by these neural cels so normally neural cels are migrating down and these neural cels here they are
forming what enteric nervous system here they are forming enteric nervous system but some sometimes it might happen like
this so sometimes what can happen is that so all the neural cels here are forming your entc nervous system why do
we need entric nervous system then without this nervous system how do you think your muscles of the colon will
contract how there will be peristalsis if there's no peristalsis the feal matter will not go forward yes or no so
you need peristalsis it means you need nervous system if you want nervous system then it means the neural Crystle
should migrate here so what will happen is that usually this problem usually happens during fourth to 7th week of
development during fourth to 7th week of development what usually happens is that these neural crest cells during fourth
to 7th week of development they stop migrating when they stop migrating see here there are no neural crest cells all
over when there are no neural crest cells here do you think the distal part of the colog okay do you think the
distal colog mainly do you think here there is any nervous system that is formed no if nervous system is not
formed don't you think the distal part of the colog um cannot undergo peristalsis when it cannot undergo
peristalsis what will happen the fal matter whatever is there it gets accumulated within the distal colog and
once the fal matter gets accumulated within the distal colog and this entire distal colog will swell out like a
balloon you see this entire distal colog is swelling out like a balloon like this okay so what is this entire content
consisting of it is consisting of all the feal matter and this condition you call it as toxic Mega colon toxic
Mega colon you call this condition as toxic Mega colon okay now because of this toxic Mega colon what is happening
what is happening is that the abdomen will be distended right now another important thing is that this condition
in this condition what is happening there is failure of what there is failure of neural crest
cells to migrate cly neural crest cells to migrate codly failure of neural crystals to
migrate codly where to your distal colon okay so this condition you call it as haong dis
disas hrung disease so what is this HPR disease HPR disease is nothing but failure of the
neural crest cells failure of the neural CR cells to migrate qually during fourth to 7th week to the distal colon this
would lead to the formation of a toxic Mega colon so this is uh about
the toxic Mega colon which you have have to know right regarding this hrung disease right second important thing
second important thing I want to highlight here is that we shall right now discuss about this thing see we
right now discussed about what will happen if the neural cells do not migrate qually that would lead to hip
sprung disease which would eventually lead to toxic Mega colon now we will discuss what will happen in the neural
tube I mean what are the defects that you see basically in the neural tube okay so basically we in the neural tube
we have got two defects if you see the neural tube see this is a neural tube yes or no right in the longitudinal
section this is how the neural tube looks yes or no this is your neural tube okay so roughly let me draw this part
that let us say this is the neck region this is your head which is not looking like a head let us say this is the head
like this okay and shoulder right this is just a rough picture Okay
rough picture now in this picture this is the neural tube okay the neural tube is more thicker right let me so this is
your neural tube here okay now this particular neural tube is having two openings you see right what are the two
openings see this particular opening over here is called as anterior neuropore what is this anterior neurop
this opening over here you call it as posterior ior neuropore what is this anterior neuropore and posterior
neuropore normally you and me anterior neuropore should close should close by day 25 should close by day
25 posterior neuropore normally it should close by day 28 okay normally it should close
by day 28 Okay so this neurop power which usually should close by day 25 which is not closing
right if it will not close by day 25 that would lead to a condition called as ananal that would lead to a condition
called as anal nnal what is nnal nnal is nothing but if the anterior neurop is not
closing by day 25 that would lead to a condition called nnar in the same way if posterior neuropore is not closing by
day 8 that would lead to a condition called as Spina bipa that would lead to a condition
called as what Spina bipa so we have got two important things over here one is called as ananal another one is called
as pipa right now why these neural tube defects are happening it is because insufficient during the pregnancy there
should be sufficient intake of folic acid if there is insufficient intake of folic acid that would lead to neural
tube defects so normally the amount of folic acid a pregnant female should consume per day should be somewhere
around 300 to 400 microG per day 300 to 400 microgr per day okay if this is not consumed then this would lead to a
condition called NTD that is your neural tube defense so what are the neural tube defects I told you annil and spinal bipa
so this is how annil looks this is Ann you see absence of the part of the cortex here right part of the brain is
absent here this condition over here is called as nnal
nnal okay after this we have got what the poster neurop for if it is not closing you call this a spab bifida so
let us discuss about spab bifida in detail spina bifida in detail over here coming to spinabifida there are four
different types of spinabifida okay how many types spinabifida we have got four different types of spinabifida one is
called as spina bifida Ulta one is called as spifida Ulta another one is called as spab bifida
with manoil mosil another one is spina bifida with Milo meningo or meningo milil both
of them are the same Milo mosil and finally we have got rakis
kisses rakis kisses okay out of all you know rakis kisses is the most common one okay now when I tell meningo seil only
meninges are present here just write it down I know you can't understand what is meninges here what is meningo seil just
listen to my words here meningo SE B meninges Milo and meningo seal in the sense Milo in the sense spinal cord
meningo in the sense meninges so both spinal cord and menes spinal cord and manages okay so two important things
manes over here and here we have got Milo menos okay and here you have got this rakis kisses clear so this is one
very important thing you have to know now what are the risk factors over here risk factors are very important
what are the risk factors over here so as I already told you as I already told you if there is folic acid deficiency
that is your folet deficiency folet deficiency what is your folic acid vitamin B9 okay next second
important thing is that for example if mother is taking anti- convulsions during pregnancy that is also a risk
factor anti convulsion
during pregnancy anti- convulsion during pregnancy that is also risk factor and
third important thing is diabetes melitus right mother having diabetes melus is also a risk factor so first we
shall discuss about this rakis kisses okay so what is this rakis kisses basically is that if you can look at
this particular picture in this particular picture you know that these are called as transverse process this is
called as spinus proces and this Arch which you can see is called as dorsal Arch actually how is this dorsal Arch
formed see dorsal Arch closes on the top like this and it continues as spinus process here okay it forms like this and
it continues as spinus process if dorsal Arch is not formed will the spinus process be there no right it won't be
there and next important thing is that here you have got spinal cord see this is your spinal cord okay and tell me
surrounding the spinal cord what do you have you have got meninges surrounding the spinal cord you have got meninges
okay so what will happen when the uh dorsal Arch is open when the dorsal Arch is open is that this spinal cord
whatever is there will herniate outside in this way it will herniate outside and surrounding the spinal cord even you see
the meninges the meninges are also herniating outside in this way both the spinal cord and the
meninges are herniating outside so can I n and and by the way what do you have in between here you have got your CSF this
is a CSF so here here both the manes and the spinal cord are herniating outside why it is because the vertebra is open
everything is open so look at this condition now so this is how that condition looks exactly you see here
that these vertebra you see the vertebra over here these vertebra are not fused actually this vertebra has to fuse like
this right so the vertebra not fused so what can I write over here I can write that these are open
vertebra okay what are these These are open vertebra and spinal cord is also exposed right so open spinal
cord open vertebra open spinal cord and third important thing is there is leakage of CSF you see all this glitter
here right so this is all the leak CSF leakage of CSF so whenever you see open open spinal cord and leakage of CSF that
gives you a diagnosis of Rises rakis kisses and this is a very very very very important thing very very
important question okay rakis is a very important question so once after rakis kisses is done the next important thing
what is the next important thing once after this rakis kisses is done we will discuss about spinal bipa Ulta you can
see this particular picture here in the lumbo sacral region you you see a TFT of hair right so you see a tuft of hair
where do you see this TFT of hair in the lumbosacral region lumbosacral region tough of hair in the
lumbosacral region is what is called as Spina bipa with Ulta okay this is what is called as a Spina bipa with Ulta now
look at this particular picture in this particular picture what is the first picture about the first picture you can
see the lumbosacral region at tough of here here so this what is this called as this is called as spina
bifida Ulta spinal bifida with Ulta okay now coming to Patient number two and patient number three now in patient
number two what will happen is that you can see the green color layer is the menes the meninges herniating outside
not the spinal cord okay and obviously you see the CSF that is present within the manes
look at the third picture in the third picture the men the the spinal cord is herniating outside attached to the
spinal cord the meninges is also herniating outside like this okay and by the way this is all the CSF over here so
now tell me which is only meningo which is Milo meningo Cil so patient number two here we have got meningo why manoil
because only meninges is herniating outside why Milo meningo seil because because
Milo mosil because both the meninges as well as a spinal cord is herting outside okay how do you identify see here you
can see that in the lumbosacral region you see a cyst you see a cyst here also but look at compare both the cyst can I
tell that this cyst is shiny yes or no this cyst is shiny and this cyst is
glowing this cyst is shiny and glowing but tell me is this is shiny or glowing no so why because there is spinal cord
also here right so the cyst which is shiny and glowing right this is called as only Mingo seal right this is called
as meningo seal and this is called as milom menos which is not glowing is called milom mosil so once the once the
meninges are herniating outside within the meninges what do we have you have got only CSF so if the CSF is increasing
increasing increasing what will happen the CST will enlarge enlarge and at one time the cyst will rupture right so this
is a ruptured cyst over here okay this is a ruptured cyst over here clear so this is one very important
thing now once the patient is having meningo seil right here spinal cord is not involved so there won't be any kind
of paralysis but here spinal cord is involved so what do you think one spinal cord is herting outside don't you think
there will be compression of nerves so compression of nerves in which region thoracic region cervical region or
lumbosacral region lumbosacral region so when the nerves get compressed in lumbosacral region in case of milomingo
seal what will happen is that the lower part the lower limbs the lower part of the region the lower part of the bubble
where your bladder is there and the lower part of the bubble so there will be incontinence incontinence no
control no control okay next patient will have paralysis also apart from paralysis patient will have fluidity
sorry patient will have paresthesia and if you look at the paralysis what kind of paralysis patient
will have FID paralysis you know there are two different kinds of paralysis one is called paralysis another one
is called FD paralysis if a patient is let us say uh a patient is affected with a patient has inhaled spores of Clum
tetany let us say when there is a open cut wound into that open cut W spores of claustrum tetany went inside so patient
will have will have what kind of tetanus there so that kind of tetanus is called tetanus or that kind of
paralysis is called paralysis where the muscles are contracted too much right opposite to that for example
if patient has consumed raw honey right or let us say contaminated food whatever it is so because of this claustrum
botolinum went into his body right so this time the patient will have a paralysis called as f ID paralysis so
paralysis means the body is contracted like this placd paralysis means the body is very weak he can't
even raise his hand okay so that is called as FD paralysis so here in this case in milomingo what do you see you
see flid paralysis so how do you diagnose this before the delivery itself you can diagnose the mother by doing
ultrasonography okay so apart if you don't find anything in ultrasonography you can do amniotic fluid analysis is
amniotic fluid analysis you can do amniotic fluid analysis now in the amniotic fluid analysis what are you
searching for you are searching for Alpha feto protein okay usually the alphao protein level will be too high
too high okay so because of this increased alphao protein you can diagnose that this might be some kind of
neural tube defect okay so this is one of the very important thing which you have to keep in your mind now we shall
discuss how the CSF is formed the copal fluid is formed at the same time how does it move within the subarid space
okay and finally weight does it go we'll look at the pathway of the cerebral spinal fluid flow okay so first of all
look at this particular picture which I've drawn over here now in this particular picture what are the
important things you can see so the first important thing which you can see over here is that see this outermost
layer whatever is there this outermost layer whatever is is there this is called as your Duram matter okay the
outermost layer is called as your Duram matter now after this Dura matter the next important thing just beneath the
Duram matter whatever this yellow color space you have got this is called as subdural
space subdural space next beneath that this pink color layer what you have here is called as your eroid matter okay this
is your eroid matter now beneath that erid matter whatever this blue color space you have got this is called as sub
eroid space sub eroid space and finally this red color layer over here is called as
your P matter so all of you know that we have got Dura matter subdural space arid matter subid space and finally P matter
outside the dura matter also we have got a space called extra Dural space okay extra Dural space or epid neural space
right whatever it is if you look at subid space subid space over here this blue color thing whatever is there which
have drawn here this is your subid space and this subid space is having some projections finger like projections
right these finger like projections are called as sub eroid granulations okay what are these finger like projections
called These are called as sub eroid granulation subarid granulations and where are the
subid granulations projecting into these subarid granulations are projecting into this particular sinus over here this is
called as Dural Venus sinus Dural Venus sinus so this sinus over here is
called as Dural Venus sinus okay so let me highlight this particular sinus over here um yeah you see this particular
sinus right so this sinus over here is called as as your Dural Venus sinus yeah this sinus over here is
called Dural Venus sinus now and these are your ventricles all of you know that we have already discussed in the
starting that this is your first ventricle this is your second ventricle okay now both the ventricles with the
help of foran of Monro right you should know that this part is called as foramen of
Monro foramen of Monro so with the help of foran of mon they are entering into your third ventricle from the third
ventricle with the help of aqu uh from the third ventricle with the help of Aqueduct of Sylvia so this is called as
cerebral Aqueduct or Aqueduct of Sylvia cerebral Aqueduct or Aqueduct of sylvus it is entering into your fourth
ventricle okay and fourth ventricle continues down into the spinal canol so whatever whatever you have got with the
green here okay is all CS CF so this is all CSF over here so what is all this this is all CSF then what is with the
blue over here the blue color thing over here in the subarid space is also CSF okay then how did how do both the csfs
usually meet first of all we should know from where is CSF produced okay now before I tell you the detail things you
have to know one thing that here lining your ventricles these are your ventricles lining your ventricles you
have got some epithelium like this you see lining the ventricles you have got some epithelium now these epithelium is
having Celia here and these cells over here which have drawn just now are called as what endal cells so these
cells which have drawn over here are called as endal cells these cells over here are
called as endal cells now next important thing is that uh Within These vent over here you have got such projections here
these projections over here are called as granulations right sorry these are called as choid plexus so we have got
finger leg projections inside the ventricles these finger like projections are called as choid plexus over here so
here also you have got choid plexus like this here also you have got choid plexus like this right so even choid plexus is
also located in the roof of the fourth ventricle like this this is a choid plexus that is located like this now
what is the use of this choroid plexus what is the use of this choid plexus is that it is with the help of this choroid
plexus your CSF is secreted who is releasing your CSF choid plexus is the one which is forming and releasing the
CSF into the ventricles so this CSF is completely spreading over in the first ventricle and the second ventricle now
from here the CSF from both the sides they meet and they enter into for of Monro from here the CSF enters down all
the way into the third ventricle okay in the third ventricle some additional CSF is released by this choroid plexus so
all this CSF through the cerebral Aqueduct it is entering into the fourth ventricle in the fourth ventricle also
some more additional CSF is released and overall all this CSF is traveling down all the way to the spinal canol now
within this fourth ventricle you have got a foramen here right so what is the name of this particular for over here
this is called as foramen of lushka foran of lashka there is one more foran on the top called as foran of
magenda okay we have got foran of lashka foran of magenda so what is happening over here is that through this
foramin through this foramin of lashka the Cs of whatever is there slowly it will enter into a subarid space you see
through the for of lushka the CSF is enter entering into your subid space once it enters into the subid space and
this CSF flows all the way in the subid space like this okay it flows all the way in the
subarchnoid space and finally with the and finally with the help of these ericoid granulations right sub aroid
granulations the CSF enters into your Dural Venus sinus so this is the CSF that is present in the Dural Venus sinus
now from here where it is going from here where it is going from the
Dural Venus sinus the CSF will now enter into a last sinus called as Superior seal
sinus now we shall write down how the CSF flow is happening over here so the CSF flow first of all it starts where it
starts in the choid plexus it starts in the choroid plexus now from the choid plexus the Cs of
whatever is released it will now enter into your lateral ventricles lateral ventric lateral ventricles are
one and two ventricles okay from there through foramen of Monro by Crossing foramen
of Monro the the CSF now it will enter into your third ventricle enter into your third
ventricle now from the third ventricle from the third ventricle with Aqueduct of sylvus or cerebral Aqueduct aqueduct
of Sy cerebral acqueduct now it will enter into your fourth
ventricle CSF will enter into your fourth ventricle okay now what is going to happen now what is going to happen is
that from the fourth ventricle right now the CSF will enter into the subarid space subid
space okay CSF is going to enter into subarid space how by the foren of lush and mendi for
ammen lashka and mendi for of flash can meend this CSF
will enter into the snoid space now from the subid space what did I tell you the CSF will enter into
subid Sub eroid granulations sub eroid granulations subarid granulations okay from the subid gran finally the CSF will
be drained into your Dural Venus sinus Dural Venus sinus and from there finally it will enter into a superior
sagital sinus Superior sagital sinus so it means this is how your CSF is Flowing okay now
if there is any obstruction any kind of obstruction in any of this pathway that would lead to increase in buildup of
pleasure for example for example let us say there is excess amount of CSF that is accumulated within the ventricles by
chance within the ventricles the level of CSF is too much increased if the level of CF is CSF is too much increased
this condition you call it as what hydris okay so what do you what what is this condition called as
hydris what do you mean by hydrophilus hydris is nothing but accumulation of excess CSF in the ventricles
okay accumulation I will tell you how it is accumulated accumulation of
excess CSF in ventricles okay accumulation of excess CSF in ventricles is called hydrus now
uh remember one thing for example let us say there is uh a tumor let us say that here we have got your um these cells
what are these cells endal cells what are these cells endal cells let us say there is a tumor of endal cells tumor of
endal cells is called ependymoma now because of this tumor the tumor cells are increasing in number like this so
because of this tumor what has happened the the Lumen the foramin of Monro whatever is there the duct whatever is
there it has become much narrow so when it has become much narrow now tell me uh can can the CSF in the first and second
ventricle properly drain into the third ventricle no so what will happen there is buildup of CSF here within the first
two ventricles now when there is buildup of CSF within the first two ventricles can I call this condition as excess
accumulation of CSF in the ventricles called hydras this is called hydrus now in this hydras is the first two
ventricles communicating with the third ventricle no there is no communication because of a tumor over here so first
two ventricles are behaving as a separate chamber and now the next third and fourth are behaving as a separate
chamber right so this kind of hydras is called communicating hydras or non-communicating hydras it is called
non-communicating hydras so this hydris is called as non noncommunicating hydrus okay so what
is non-communicating hydrus non-communicating hydrus is a condition where there is obstruction to ventricles
either it might be because of a tumor obstruction of ventricles construction of intergal and this problem is a
congenital problem okay this problem is a congenital problem in the same way there is another important kind what is
that another important thing is that uh let us say there is no tumor here there is no tumor but but what is happening is
that these uh choid plexus whatever is there let me write it down the name of this is your choid
plexus this choid plexus what whatever is it this choroid plexus started releasing excess amount of Cs okay this
choroid plexus started releasing excess and excess amount of CSF now when this choroid plexus started releasing excess
amount of CSF obviously within all the ventricles the CSF level will be high right and as there is no tumor you see
all the ventricles are communicating with each other communicating with each ER and additional adding upon that what
is happening because of excess uh work of this choid plexus excess CSF is secreted so overall the volume of CSF
within the ventricles is increased so that will also lead to hydris right but this time in this hydr there is no
obstruction right there is no obstruction so that is why you call it as communicating
hydris communicating hydris in this communicating hydris the main reason is simply because of
excess CSF production by whom by your choid plexus okay and by the way this problem is not congenital this problem
is acquired problem this problem is what acquired problem so if you can see at this these are your normal ventricles
one and two right once this ventricles are enlarged this is how it looks you see the ventricles from all the sides
they are completely enlarged okay so what is this condition over here this condition over here is
called as Hydro seph hydrus now there is one more condition okay what is that condition is that you
already know that this is your fourth ventricle right so this is your fourth ventricle now what did I tell you fourth
ventricle is having some uh this is from this is from uh in a coronal section repeat so this is your fourth ventricle
right now if you look at the fourth ventricle guys if you look at the fourth ventricle from the side okay okay not
from the side first let me show it to you like this so this is your fourth ventricle okay a diamond shape structure
like this this is your fourth ventricle now you know you have got some forens here two forens these are called as
foran of mendi okay the foren down here is called as foren of lashka okay we have got forens here for ammen of mendi
as well as your for ammen of lushka like this mendi as well as lashka now what if these foramens are closed let us say
these for are completely closed now if these forment are closed within this fourth ventricle within this
fourth ventricle don't you think there is excess CSF because uh because right now you cannot drain this CSF into the
sub aroid space if you cannot drain it what will happen there is excess amount of CSF within the um fourth ventricle
now because of this increased pressure within the fourth ventricle you know what happens what will happen is that
there is a small pouch that is developed Okay so let me show it to you from the lateral aspect okay so in the lateral
aspect let us say in the lateral aspect let us say that this is your central nervous system midbrain pawns Med oblata
and down here is your spinal cord okay and here you have got your what this is your cereum over here okay now here I'm
drawing a ventricle like this see this particular ventricle which I've drawn just now right see this particular
ventricle is your fourth ventricle let us say all the for amens of the fourth ventricle are closed if all the for
amens of fourth ventricle are closed what will happen just now I told you that there will be increased pressure
within the fourth vle because of this increased pressure what is going to happen what is going to happen is that
you would actually see a pouch that will be developed like this you see there is an out pouch there is a pouch that will
be developed obviously with because of excess pressure the fourth ventricle some part of the wall will be weakened
and that wall will out poach like this same like in the lower limb we discussed about popal fosa right you see because
of excess pressure within the coval cavity what will happen the sinovial cavity the layers are out pouched which
would lead to popal cyst or Baker cyst right so here also there is outpouching of this now because of this out pouch
because of this out pouch what will happen is that the developing cerebellum this cerebelum it stops
developing further there will be a plasia of the cereum or hypoplasia of the cereum okay okay so this out pouch
of fourth ventricle because of this out pouching of fourth ventricle because of excess pressure within this uh within
the fourth ventricle because of closure of all the for amens right this cyst or this out pouch whatever is there this is
called as blak pouch what is this called as this is called as Blake pouch so once again for the notes
purpose uh just tell me how is the Blake pouch form yes for example if there is closure of
foramen if there is closure of foramen of fourth ventricle foramens of fourth ventricle what are these forens of
fourth ventricle called one is called as lashka another one is called as mendi lashka and mendi because of this
closure what is going to happen what is going to happen is that there is increased pressure in the fourth
ventrical there is increased pressure in the fourth ventricle because of this there is pouch or cyst that is formed
pouch or cyst that is formed and that is what is called as your Blake pouch so if you can look at this particular picture
this green color highlighted part whatever is there this is your fourth ventricle okay this is your fourth
ventricle fourth ventricle now look at this this is the zoomed in picture of fourth ventricle okay so here actually
we have those for amens if these for amens are closed what will happen this fourth vle will out pouch in this way
you're getting it now look at this this is a normal MRI scan in this normal MRI scan what are the important things you
can figure out over here see here first important thing is that see you see this small cavity here right this small
cavity over here is called as your fourth ventricle fourth ventricle and by the
way not to forget this is your midbrain this is your pawns this is your medular obl right now look at the same picture
down when it will out pouch you see this exactly there is there is an complete out pouch and this is all the CSF over
here right here also you see this this is a complete outp here right and this is all the CSF now can I tell that this
particular structure whichever has been out ped over here is called as Blake pouch this is called as Blake pouch
Blake pouch and this deformity which I told you just now this deformity which I told you just now is called as dandy
walker Mal formation what is this this is called as dandy
walker so this deformity over here is called as dandy walker M formation very very important thing you have to know
right right after this the next important thing I want to discuss over here next important thing and very very
important in your Radiology point of view medicine point of view surgery point of view very very important is
your Hemes hemorrhages in the brain there are different kinds of hemorrhages in your brain okay let is say extradural
hemorrage right subarchnoid hemorrage subdural hemorrage so these are the different kinds of hemorrhages so what
are these hemorrhages what arteries or veins damage will lead to these hemorrhages we will discuss now okay but
before that uh what I will do is that I'll just draw down the surface of your brain like
this this is only one half of one surface one half of the uh brain I have drawn over here right so you have to
know few important things over here what are these few important things see the first important thing over here is that
this particular layer which I'm drawing right now over here is called as P matter okay now after this P matter the
next important layer over here is called as your ericoid matter what is this this is called as your eroid
matter right now next important thing uh another layer here you have got over here is called as a Duram okay now after
this after this uh here you have got this particular cap over here called as skull cap
yeah so this is called as a skull cap okay uh this particular part over here is called as your skull cap okay now
what is the outermost layer here this blue color layer this outermost layer which you can see over here is called as
Dura matter this is called as Duram matter after Duram matter the next important layer which you have over here
the next important layer which you have over here is called as eroid matter Dura matter and the next layer is called as
your eroid matter after that the innermost layer over here is called as your P
matter Dura matter eroid matter as well as P okay now important thing is that what did I tell you I told you that
outside the dura matter whatever space you have Okay so this particular space whatever you have outside the durometer
is called as extra Dural space so this is your extra Dural space next the space that is located inside over here inside
the Duram over here is called as what this is called as your subdural space what is this space subdural space so we
have got extra Dural space and subdural space and the last important space which we have very very important potential
space is sub aroid space okay so this one is your sub aroid space now one by one very very important thing you have
to know that for example let us say I'm drawing an artery within the extra Dural space so you see in the extra Dural
space there is an artery which I've drawn this artery is called middle menal artery so what is this space over here
this space over here is called as extra Dural space okay within this extra Dural space the artery which I have over
here is Middle menial artery middle menial artery okay now what will happen Whenever there is a trauma to the Head
okay whenever there is a head trauma what can happen is that this middle manial artery will rupture when this
middle menal artery will rupture The Blood starts leaking in the extal space now this condition you call it as
extradural hematoma what do you call this as extra Dural hemorage or extradural hematom extradural
hemorage you simply called as EDH extradural hemorrage now because of this EDH what will happen is that patient
will go unconscious for a transient amount of time again he'll get up he'll start doing his works again immediately
he'll go unconscious again again he'll get up again he'll start doing his works again he'll go unconscious so it means
patient is going into uncon into loss of consciousness for a brief amount of time and again he is having his own conscious
States right so this this way of getting unconscious becoming unconscious and again conscious again unconscious so
this thing is called as Lucid interval this is called as Lucid interval so where do you see Lucid
interval you would see in case of extradural hemorrhage okay next this is all about your extradural Hemorrhage
next after that let us speak here about the subdural space so this space is sub Dural space now within the subdural
spaces what do you have within this subdural space you have got very important structures like this these
structures are called as bridging veins what are the structures located here these are bridging
veins bridging veins and if there is rupture of this bridging WS that would lead to a condition called sdh subdural
hematoma subdural Hemorrhage okay so mostly this subdural hemia subdural hematoma is mostly seen in elderly
people okay mostly you come across the of elderly people and elderly people those who are on anti-coagulants like
Vin anti-coagulants like Vapin so elderly people those are on anti coogulant like
Vapin Now by for example if they get a chance to fall down right right not intentionally obviously so if they fall
down right if they hit their head to the floor l or whatever it is so these bridging veins are more likely to
develop as they're using anti-coagulant so obviously there will be no coagulation so they will be bleeding so
this kind of bleeding over here is called as subdural hematoma okay now out of all the important and the most
important bleeding over here is this one that is your subarid space so first of all you have to know
subarid Space is having CSF subarid Space is having what CSF okay next you should also know the subid Space is
having cow what is this circle of relas what is present within the subarid space there is circle of
vas that is the blood supply to the base of your brain right now there are some risk factors what are these risk factors
is that for example if the patient is having uncontrolled hypertension uncontrol hypertension or if there is a
congenital problem like eras Danos syndrome eras danlo syndrome or if there is a
chromosomal abnormality like Turner syndrome Turner syndrome now in these three cases these three are the risk
factors in these three cases what can most commonly happen is that there can be rupture of Circle of willies when
there will be rupture of Circle of willies what will happen there will be a lot of blood there will be a lot of
blood that will be drained into this or pulled into this CSF so right now normally CSF is not having
any RBC but in this condition when you take when you do a lumbar puncture when you puncture L3 L4 segment right when
you take the lumbar puncture sample inside that you inside the CSF you will see RBC there is gross amount of RBC the
CSF is not transparent it is completely uh red in color okay why because there is sufficient amount of RBC that are
located within the CSF okay so and next important thing is that the patient will have a very very severe headache very
intense severe headache okay very severe headache so patient will complain that this is the first time he had such
headache in his life and this headache he will complain it as thunder clap headache he will complain this headache
as a thunder clap headache very severe headache right so he will tell that such headache has never never ever occurred
in his life right so as if someone as if someone is um banging his head with a rod with a stick or whatever it is so he
will complain of that severe intens now why am I telling all these words is that these are the words that will be asked
in the exams okay like severe headache thunder clap headache and yeah by the way patient will have very severe
vomiting also very severe vomiting okay very severe vomiting also so in that case you
need to think of subar Hemorrhage Sub heroid hemorrage sub ericoid Hemorrhage or simply sah subarid
hemorrage or sah so the mcqs which will be asked are they will ask you in extra Dural okay they will ask you that in
extra Dural hemorrage right what artery is damaged over here they will ask you you have to mention it as middle menel
next next in case of let us say um subdural space subdural Hemorrhage which veins or Which vessels are damaged that
are the bridging veins okay and next important thing is in sub eroid okay sub aroid what is damaged that is your
circle of whe so this is the important thing that is damaged over here so these are the three important mcqs that will
be most commonly that will be asked in your exam okay now apart from this what you need to know is that how do you
differentiate Ed H okay how do you differentiate EDH from s DH for example if I get a CT scan of a patient right
how will you say this is EDH or this is sdh now what does e stand for E stand for egg okay so even e stands for Egg E
stands for egg and even the leion looks like this what is this this is what this is your by concave or B convex this is B
convex shape okay now in the same way whenever you see a patient of sdh so you can write S as C so what you will see is
that the shape will be like this semi lunar shape okay semi lunar or banana shape so that is your sdh so let us just
practice these things now tell me what is this EDH or sdh what would be this yes this was this is what EDH extra
Dural Hemorrhage this is also e DH okay and down here what will be this this is your s DH again this is also your sdh
okay you see this you see this shape this is your sdh and this is your egg shape over here
right egg shape over here so this is your EDH now again what are all these this is all your EDH this is all your
EDH this is also your EDH okay and let us look at this yeah again this is your EDH right you see this and again this is
semi lunar shape this is your sdh clear so so and some more examples again this is sdh this is also
sdh so these are few important examples which you need to know so now we shall be discussing regarding the cerebral
hemispheres okay a topic of discussion would be regarding cerebral
hemispheres now regarding these cerebral hemispheres what are the important things you can figure it out over here
so regarding this cerebral hemispheres so let me draw it here let us start from the basics of this
cerebral hemisphere now this is your cortex okay and by the way again I'm telling you so
that you have got two different parts of the cortex right so let us say this is your cerebral cortex now whatever
surface you can see on the top left and right this is called as a superolateral surface okay now which if I'm dividing
the two cereal hemispheres if I'm turning the medial side to you this is is your medial surface we have got what
superolateral surface and we have got medial surface okay so this surface over here is called superolateral surface now
on the superolateral surface here you have got a sulcus like this this sulcus over here you can see here
this is called as your lateral sulcus okay lateral sulcus or you can call it as Sylvian Fisher Okay you can call this
as lateral sulcus or Sylvian Fisher now now uh let us say let us say that if I'm drawing a
line over here okay I'll I'll explain you in detail about each and everything later on but till here right so let me
draw one more line over here right so now I have entirely divided the cerebral cortex into few
layers okay so for example this particular lobe over here which you can see is called as frontal lobe this is
called as your frontal L okay and this entire lobe over here is called as your parial lobe okay this is your frontal
and this is your paral L and this lobe over here is called as your temporal lobe okay this is called as temporal
lob temporal L and this is called as occipital l so one you have got is a frontal l paral l temporal lobe as well
as occipital l now you see a sulcus here you see this particular sulcus which is dividing the parital L from the
occipital L this sulcus is called as perito oxital sulcus perito
oxital sulcus this sulcus over here is called Paro oxal sulcus now what is this lobe here this is called as preoccipital
L now just in front of the occipital lob you see a notch over here this notch in front of occipital Lo this Notch is
called as preoccipital notch this Notch is called as pre oxital Notch so we have got occipital lobe and
in front of the occipital lobe you see a notch a depression that is called as pre oxital NCH now what is our plan of
discussion here is that first we will uh draw and discuss all the gy and suai okay we have got gy and sukai right we
will first draw and discuss all the gy and s located on the superolateral surface then we shall discuss the gy and
S located on the medial surface then gy and salai located on the base of the brain okay so we are covering the
complete superolateral surface and medial surface gy as well as suai now first of all these gy and are really
easy to understand but you need to pay little bit attention to uh make these things clear over here so look here
again I'm drawing the same picture let us say this is your uh lobe over
here right so again what is this Notch over here this Notch is called as preoccipital notch okay and now what I'm
telling you is that you see this stem over here this black color stem this is called as stem of lateral sulcus what is
this this is called stem of lateral sulcus now this stem of lateral sulcus gives three branches here one branch
going onto the back this is called as posterior ramas okay now another branch that is in the front this is called
anterior ramas so lateral sulcus is having how many Rami posterior Rami and anterior Rami anterior Rami is again
divided into two one going horizontally forward and one ascending upward like this what are these two see here once
again what are these two see once again here this part is called as a stem of the lateral sulcus okay stem of the
lateral sulcus is divided into three parts one is called as a posterior sulcus okay this is called as your
posterior Rami what is this called posterior Rami next after that you have got this entire part as anterior ramas
in anterior ramas what do you have you have got this anterior horizontal ramas anterior ascending ramas okay posterior
anterior ascending anterior horizontal all these Rite together form the lateral sulcus okay right whatever it is we'll
discuss about this in much more detail but for now what you need to know is that if I'm drawing a line exactly in
the center if I'm drawing a line exactly in the center this is called as Central sulcus what kind of sulcus you call this
as this is called as Central sulcus okay in front of the central sulcus in front of the central
sulcus if I'm drawing one more line like this this is called pre Central sulcus next I'm drawing one more line
back of the central sulcus this is called post Central sulcus so how many Central sulcus we have got one Central
sulcus One pre- Central sulcus One post Central sulcus okay so what is this one called as this is called as pre
Central sulcus this is called as as post Central sulcus pre Central sulcus and
post Central sulcus next important thing next important thing is that here we have got some more suai you have to
understand here what are the salai here see let me use another color yeah see the and by the way just tell me the
loopes here this is called as your frontal Loop right this is called as your temporal paral Loop this is called
as your temp oral Loop and this is called as your occipital Loop right all these loopes you know it right now um
let me draw let me draw the sulcus in the front over here see there is one sulcus which I'm drawing in the front
and there is another sulcus which I'm drawing over here one sulcus in the front and another sulcus down here so
this sulcus which I'm drawing over here is called Superior frontal sulcus below that that is called as inferior frontal
sulcus okay so I hope this is clear to you so this is called as as um Superior
frontal sulcus right and this one over here is called as inferior frontal sulcus Superior frontal
sulcus and inferior frontal sulcus in the same way we have got two more suai okay we have got two more Su in the
temporal region see here this is one sulcus up this is one sulcus down now tell me what will be the names of these
sulcus this sulcus is called as Superior temporal sulcus temporal sulcus and this one over
here is called as inferior temporal sulcus inferior temporal sulcus Superior temporal and inferior temporal sulcus
okay now now I'm drawing one more sulcus over here exactly in the parital region like this so this is one sulcus which
I'm drawing here all of you know that this is your paral region in the paral region I drawn only one sulcus that is
that is entering into the paral region crossing the paral region like this so This is called intra parial sulcus so
what sulcus this would be called as this would be called as intra parial sulcus intra parial sulcus okay that is
called as intra parital sulcus and lastly not to forget that you see a sulcus here right you see a sulcus over
here that is separated your what separating your parital from the occipital like this so this particular
sulcus over here is called parito oipal sulcus what is this sulcus called parito oxital
sulcus what is this sulcus called This is called as Paro oxital sulcus right now because of this salai what are
formed gy are formed okay what are the different gyas we have got see here there is one important gyus you can see
right so this gyus is located in front of the central sulcus so can I call it as precentral gyus now what then what
will be this particular gyus which is located back of the central sulcus this is called post Central gyus so we have
got two gy over here one is called as pre Central gy pre Central gyus and this one is called as
post Central gyus so we have got two gyus over here one is called pre Central Gus another one is called post Central
Gus next next important thing next important thing is that here I'm drawing one gyus tell me what is the name of
this gyus see completely I'm drawing three gyus over here okay so tell me what is the name of these three
important gyas over here yeah so what will be the name here see here uh this is a frontal region in
the frontal region we have got this is called as Superior front gyus this is called as middle frontal gyus this is
called as inferior frontal gyus Superior frontal middle frontal and inferior frontal gyus okay now when it comes to
the temporal L I told you to sukai Superior temporal sulkus inferior temporal ccus but how many gy three gy
are over here so what are these gy see this is one gyus over here right so what will be the name of this gyus and what
will be the name of the second gyus over here and tell me what what will be the name of third gyus over
here yeah so this gyas over here which you can see is called as Superior temporal gyus okay here we have
got middle temporal gyus and this is called as inferior temporal gyus so three gyus Superior temporal middle
temporal and inferior temporal now next what we are uh focusing on we are focusing on the intra parital sulcus
this intra peratal sulcus also we have got two important gy see one gyas on the top
here okay one gyas on the bottom so how many G totally we have got two G here one g on the top one g on the bottom so
what will be on the top Superior what is this l parial l so Superior parial gyus Superior parial gyus and this will be
inferior perial gyus Superior paral and inferior paral Gus so these are the most important G and salsi which you need to
know apart from that there is one more Gyan salsi which I will tell you but before that remember the pneumonic ASAP
what is saap why do we use this saap in our day-to-day language saap in the sense as soon as possible right so what
I'm trying to tell you is that there is there is an very important gyus okay there is a very important gyus
surrounding this Central ccus this is Central ccus right surrounding this Central circus because there is a very
important gyus by name a in saap the first letter is a next there is a very important gyus that is uh let us say
that is surrounding this lateral sulcus you see this lateral sulcus surrounding this lateral sulcus there is a very
important gyus like this now this gyus starts with the name s a s a s and next there is one more gyus over here that is
surrounding what Superior temporal sulcus and this is called as name a a a and finally we have got the last one p a
is AP okay so these G and salai are very important so right now I will write down
the names of these G and salai okay let us remember them right so what are this gy and what are this gu over here so
first first first first important thing that this this particular gyus is okay let me use a shorting yeah so this
particular gyos over here is by the name a this is by the name s this is by the name again a and this is by the name p a
s a p what does a stand for a stands a stands for arched gyus what is this this is arched
gyus s stands for Supra marginal gyus Supra marginal gyus Supra marginal gyus a
stands for angular gyus a stands for angular gyus and P stands for posterior perial Gus posterior parial
gyus so what is the pneumonic over here a sa a p saap okay you should know where is arched gyus present it is arching
what it is arching your central sulcus where is supram marginal gyus present that is present around your lateral
sulcus and by the way not to forget that this is your lateral sulcus lateral sulcus and where is
angular gyus present that is arching what your Superior temporal sulcus and where is poster paral gyus present that
is arching your inferior temporal sulcus okay so these are the important things apart from this if you come to the O
okay let go back to the oxital region later on so apart from this here you have got three important things what did
I tell you this one is called as posterior Rami this is called as anterior ascending anterior horizontal
right so here there are three important things so here there is a yellow color gyus which I'm drawing over here you see
there is an yellow color gyus over here in the same way there is let us say there is a blue color gyus over
here there is a blue color gyus and finally there is a green color gyus over here here now let us look at the names
of these gas okay so first yellow color blue color Gus and finally we have got the green
color gyus over here now what is the name of this yellow color G this is called as parse orbitalis what is this
called parse orbitalis this is called as pars orbitalis next we have got another one
called as parse triangularis this is called pars triangularis okay pars triangularis
third one is called pars opercularis what is this pars opercularis so par triangularis and pars
opercularis and you know what is the importance of this all these three together are called as
opercula all these three important things are called as Opera and this forms your brokas area
this is your broas area and what is your broas area it is a sensory area or a motar area it is a motar speech area
motar speech area so brokas area is having how many gy three important gas right what are they par orbitalis pars
triangularis and pars opercularis okay so you can remember by the pneumonic OTP okay so o t and P
ootp okay right so these are the important things which you can see now lastly we'll discuss about the occipital
lobe in this occipital lobe I want to draw one suus over here you see this particular sulcus which I'm drawing over
here is called calcarine sulcus what is this calcarine sulcus okay I will write these names later on this is called
calcarine sulcus above the calcarine sulcus I have got a semi lunar shaped sulcus Half Moon shaped sulcus called as
lunate sulcus what is this lunate sulcus okay next on one end of lunate sulcus there is a cap on the other end of
lunate sulcus also there is a cap what are these two caps one is called as upper polar sulcus and lower one is
called Lower polar sulcus upper polar and lower polar in the occipital region there is a sulcus transversely located
this is called as transverse occipital sulcus so the names are very very easy over here so what are these names so
this one over here is called as calcarine sulcus
calcarine sulcus and this one over here is called as lunate
sulcus okay and this is called as upper polar sulcus then this will be called as
lower polar sulcus upper polar circus lower polar circus and this one over here is called as transvers
suus occipital sulcus transverse occipital sulcus transverse oxal sulcus okay so
these are the important sulcus and gy so okay once again just let's fastly recap over here we discussed the gyus that is
located sulcus located in the center Central sulcus uh before that precentral after that post Central okay frontal l
two Su are there what are there Superior frontal inferior frontal temporal two s Superior temporal inferior temporal
paral only one sua so intra paral okay coming to gy so in front of the central sulcus pre back of the central sulcus
post coming to the frontal here three Superior frontal gyus middle frontal Gus and inferior frontal Gus coming to the
temporal here Superior temporal gyus middle temporal gyus and inferior temporal Gus okay uh coming to the
parital here Superior paral gyus and inferior peral gyus okay uh these are the important things next we have got
four important Gus over here so what is this a a p a sa right a stands for what this is your arched gyus s stands for
what sua marginal gyus a stands for angular P stands for posterior peratal G so these are the important things right
so let us look about the motar area what did I tell you the motar area the motar speech area is your brokas area brokas
area right where is it located posterior part of inferior frontal gyus so where is your inferior frontal gyus this is
your inferior frontal gyus if I divide the inferior frontal gyus into 2 half three halves this is called anterior
half middle half posterior half so exactly here you have got I mean I have to draw this particular picture over
here so exactly the posterior part of inferior frontal gyus there will be broas area next posterior part of
superior temporal gyus so Superior temporal gyus again an interior part middle part posterior part it means
exactly here right exactly here this is called as verik area posterior part of superior temporal Gus is called verik
area and if you remember connecting broas area and vernik area there are Arch shaped fibers these are called as
RQ fulas I told in the starting right so what is the area number here 4445 you have to remember these numbers these are
area 22 39 and 40 and remember one thing the complete gyai suai the lateral suas all the sukai
whatever are there in all the loopes all the gy whatever are there in all the loopes everything by which week will it
be developed it will be developed completely by 40 weeks okay by 40 weeks okay but lateral sulcus starts
developing from 28 weeks only you see slowly the lateral sulcus is developing over here you can see right so but by 40
weeks all everything will be developed so that is all you need to remember remember here this is from the snails
Anatomy uh snils neuro Anatomy textbook I have put this picture over here right so this is what you have to remember
regarding that clear now uh next regarding this regarding this I just wanted to discuss regarding
the lateral sulcus in much more detailed uh so in lateral sulcus we even have to know about how much centimeters is each
limb okay so I hope you know this part over here but again let me discuss this right so in this lateral sulcus
what did I tell you this is your posterior ramas right this is your anterior ascending ramas this is your
anterior horizontal ramas right you know I told you there is orbicularis there is um orbitalis there is opercula these
three things right now let me write down the names of this because I did not write the names of these anyway right so
this part over here is called as your posterior ramas posterior ramas and this part over here is your anterior ramas
but anterior ascending ramas anterior ascending ramas and this one over here is called as your anterior
horizontal ramas anterior horizontal ramas okay now you know how much is posterior ramas
posterior ramas is about 7 cm same way anterior ascending ramas you know how much is this it is around 2.5
cm and anterior horizontal ramas is also 2.5 cm and not to forget that this part over here is called as a
stem stem of lateral sulcus so right now we were discussing about lateral
sulcus or syvan Fisher lateral sucus or syvan and fish okay so uh so if you look at
this if you look at this this is your lateral sulcus guys okay you see this sulcas over here this is your lateral
sulcas over here now in this lateral sulcus you can appreciate over here that there is uh there is a sulcus that is
going up this is your um ascending and this is your horizontal one okay so these are the important things over here
okay now apart from this apart from this particular thing so uh again these are the same things which I
put over here in a real image here so when you open the lateral sulcus inside inside you will see these are the
structures which is not that important now but and this is the same picture again uh same picture again I have
already explained it here so I think this is the same picture here so let me put up another important thing over here
okay so what is this this important thing is that we have discussed all the gy and salai on the superolateral
surface what did I tell you I will discuss Gan s on the medial surface then the inferior surface now we done with
super lateral surface we are now going on with the medial surface over here okay now when in the starting I told you
if I have to draw the medial surface I have to draw Corpus calm right so that is what differentiate the superolateral
from the medial surface right so this is your frontal L right now here where is your Corpus
cism see this part which I'm drawing in the center right so this is your Corpus calm now this particular Corpus calm
over here this particular Corpus Calum over here is having few important parts what are those few important parts see
this part over here is called as a genu of Corpus cism okay genu of Corpus cism this part over here is called as a
splenium of Corpus cusum next this part over here you see this this is called as a body of Corpus calm okay I think these
things we have discussed in the starting itself right so I'm just framing up these things so that I have to tell you
the additional structures that are present on this okay so what are this this is called guino um one is called as
penium right one is called as penium and the other one so let me make a uh copy of this picture so that next when I'm
drawing another picture it won't take much time so uh this part over over here is called as a genu genu of Corpus cism
and this part over here is called as a splenium of Corpus cism genu and Spen okay and this part over here is called
as a body of Corpus cism you also remember the fornex forceps sorry um anterior Force forceps minor forceps
major right now important thing is that below this below this ginu below this guino we have got this particular
structure over here this particular structure over here is called as a rrom what is this called
rrom This is called as rrom and just beneath the rrom we have got a commiss you remember commiss we discuss habin
commiss anterior posterior commissioner so this commission over here is called as your anterior
commission anterior commiss this is called as anterior commission next just benath the anterior
commission you have got another important structure this particular structure over here is called as lamina
terminalis what do you call this particular structure as this is called as
lamina terminalis this particular structure over here is called as lamina terminalis okay next important thing is
next important thing is here down uh down here uh let me draw another important thing you see this part
particular structure which I'm drawing down here this particular structure which I'm drawing down here that is
extending all the way from the rrom ginu all the way back to the splenium this is called as fornex okay what is this
called this one over here is called as your forix this is called as forx apart from forx one last important thing I
want to tell you over here is that see here you have got here you have got a network like thing right so this
particular Network like thing over here is called as septum pisum actually this is a septum pisum that is attached all
over your Corpus calm all over your Corpus cisum from the side you cannot see it basically but I'll draw it in
another angle and later on I'll show it to you so what are the important things which you can see here foric penium body
ginu ROM an commission and lamina terminalis this is from which surface this is your medial
surface medial surface so we are done with superolateral surface now medial surface now what I'm telling you is I
will show what are the guy and suai that are located over here okay so what are the different kinds of gy and suai we
have got in the medial surface is very very very important so let me bit enlarge this picture over
here okay and let me bit compress this so that I have to draw right now all of you look here now
important thing thing is um let us say let us say this is your superolateral surface right on the superolateral
surface here we have drawn gu suai this is a frontal L this is oxital L first first G first sulcus have drawn is in
the center like this I've told you the sucus which I'm drawing in the center is called Central sulcus you remember that
right so this is a central sulcus which I've drawn over here go this is a central sulcus now actually what I'm
telling is this Central sulcus is on the superolateral surface and the central sulcus will extend here into the medial
surface also okay so it is coming from the superolateral surface like this and a
little part it is extending into the medial surface also so it means it is it is in the superolateral surface here and
it will go back it will go back and it will come onto this side over here it will come onto this side like
this little part like this okay so this this little part over here is called as your
Central sulcus so this is called as your central sulcus so this is called as your central
sulcus okay this is your central ccus next important thing is let us let us uh guys put down all the important
structures here which we were discussing previously uh tell me what is this particular structure over here this is
called as your rrom right beneath the rrom what did I tell you I told you you have got anterior commission this is
your anterior commission beneath the anterior commure what do you have again again you have this part is called as
what is this um lamina terminalis and where is your Forex located so between the ginu and between the splenium you
have got this particular part called as fornex right and what is this c-shaped structure completely called as corpus
kosom now exactly exactly surrounding this Corpus kosom exactly surrounding this Corpus
kosom like this you have got a Sul you see surrounding this Corpus kosom you see a sulcus over here this sulcus
is called as kosal sulcus what is this sulcus called kosal sulcus so this particular sulcus that is surrounding is
called as kosal sulcus surrounding your Corpus kosm is called kosal sulcus Next important
sulcus next important sulcus which I'm drawing over here is this one look here this sulcus also starts all the way from
here right all the way here and this sulcus continues continues continues and finally this sulcus takes a turn like
this okay you know what is the name of the sulcus this is called singulate sulcus okay so this particular sulcus
over here is your singulate sulcus so on the medial side to sulcus two suai we have discussed one is called
as um kosal sulcus and one is called as singulate sulcus okay and what is this part called as splenium above the
splenium also have got a sulcus like this okay above the splenium above the splenium over here I have got a sulcus
in this way and this sulcus is called as Supras splenial sulcus anything about is called Supra you know that so this
sulcus over here is called as Supra splenial sulcus Supras splenial sulcus okay what is this sulcus Supras
splenial sulcus done next let us go on to the oxital side in the occipital side I've already told you this thing that
see one side I'm getting a sulcus this sulcus is called this sulcus is dividing your paral region to the occipital
region what is this Paro occipital sulcus and down here I've got one more sulcus I told you what is this called as
this is called as yes calcarine sulcus so what is this sulcus complete complely this sulcus is called as pero oxital
sulcus see this is called pero oxital sulcus and this sulcus over here is called as
calcarine sulcus calcarine sulcus perto oxital as well as calcarine suus and by the way not to forget this is your
frontal this is your frontal pole this is your temporal pole this is your parital pole this is your op that is
your occipital pole actually guys pero occipital sulcus or calar and sulcus beach in between both of them there is
one more sulcus which you cannot see here like this okay so actually let me draw that thing over here normally this
is your suai gy suai gy these are the structures see this part over here is called as your sulcus
and this part over here is called as your gy okay gyus salai and gyus now what I'm trying to tell you is that see
here now this gyus which I'm drawing right now look here how this gyus is now look at this particular gyus very
very very important see here let us say this is one gyus this is a second gyus this is a third gyus right in between
these guses you have got sukai so this is one sulcus this is one sulcus what is the name of this sulcus this is called
as pero oipal sulcus pero oipal sulcus okay after perto oxital what is this calcarine sulcus see here this is
called as calcarine sulcus calcarine sulcus okay now can I tell you like this can I tell you like
this that perito occipital sulcus this pero occipital sulcus and calcarine sulcus near to that whatever G are there
gy number one and gy number three these both G are completely covering gyus number two yes or no on either sides of
gyus number two we have got per oxital sulcus calcarine sulcus we have got gy called as gy
number one gy number three these two gy are completely completely covering gyus number two right so this this gyus
number two is given a name called as what is this name ciate Cate gyus ciate gyus so where is ciate
gyus normally can you see C gas no C gas is Buried buried in between what perto oxital sulcus and calcarine sulcus so
here somewhere we will have Cate gyas in this particular picture but we cannot see it because it is BU next another
important sulcus which I another important sulcus which I wanted to draw over here this is parallel to the above
line right so anything parallel can I call it as collateral right so this sulcus is called as collateral
sulcus collateral sulcus what is this sulcus called collateral sulcus next if I am drawing another sulcus in the shape
of U like this U okay U stands for what U stands for anus what does u stand for ancus so can I call this particular
sulcus as ancus ancus is what u shaped or can I call it as hook shaped sulcus hook shaped sulcus or u
shaped sulcus u-shaped sulcus or hook shaped sulcus is your anus right now these are
the important suai which we have and now we will draw the G so first important thing is Corpus kosm surrounding Corpus
kosm this particular sulcus which I have over here is kosal sulcus next this particular sulcus is called singulate
sulcus this is penium above the splenium what is this Supras splenium then per oxital calcarine and this is collateral
this is u-shaped called as anus that's it right now let us look at the G which we have over here the first important
thing first important thing is that see now I'm drawing a gyus this is the gyus that is present between what or let
us say that is present below majorly that is present below tell me majorly that is present below what
see is this sulcus major or this sulcus major so majorly it is present below singulate sulcus so this entire gyus is
called as singulate gyus so what is this entire gyus called as this is called as singulate gyus so this entire gyus is
called a singulate gyus okay next next important thing is that there is another gyus that is located exactly there is
another gyus that is located exactly surrounding your central sulcus on the superolateral surface surrounding your
central sulcus the gyus which was located here was called as what arched gyus right now the gyus that is located
surrounding this is not called as arched gyus this is called as what parentral gyus because it is present on either
sides of the Central sulcus right so you are calling it as par Central gyus par Central gyus okay
next important thing next important thing is that here you have got one more gyus here right so what is this
particular gyus first of all tell me this gyus is present in which low yes this gyus is present in the frontal low
and tell me which so this will be called as a frontal gyus which surface is this super lateral or medial medial so this
gyus is medial frontal gyus what is this medial frontal gyus next important thing next important thing is that because of
perto oxital and calcarine you see a gyus here because of par oxital and calcarine you see a gyus here this
particular gyus over here is called as cius this is called as kunas anything before cius is called preus anything
before cunius is called prunus so let me say that this particular part over here is called as
what prunus prunus gyus okay let me write it as prunus gyus and this is your cunius
gyus okay and this one this part over here looks like a tongue okay if it is looking like a tongue this is called as
lingual gyus this is called lingual gyus what is this called lingual Gus okay now next important thing is that here one
very important thing you have to know that within this uh anus right so here you have got a gyas over here you see
this gyas over here so this particular gyus this particular gyus which you have over here right actually this is called
anus uh I have mistaken with this part over here so just look here this this part this guy Gus is called as ancus
okay this gyus is called anus so this is hook shaped gyus hook shaped gyus then what is this blue color
line called as this blue color line called as sulcus the name of the sulcus is rhinal
sucus rhinal sulcus so previously I misch changed it right so now I'm correcting myself telling you that this
blue color sulcus which you have is called rhinal sulcus inside that the gyus which you have is u-shaped and that
is called an okay clear right now next important thing what is the next important thing
here I have got one more uh gyos over here okay so what is this gy see this gyas is located just beneath your
forix okay so actually guys I know this is boring but uh I don't think so you would find much more easier way of
understanding the pictures and all so even while you're studying textbook also these pictures will be very very useful
so that is why I tell all the time to practice these pictures okay so in the textbook and all the pictures will be
much more difficult to understand to analyze the things so this is much broader way of drawing down and
explaining the pictures over here okay so I know it's boring but once twice if you just draw these pictures and
practice it will be easy okay so if you're listening for the first time it will be really boring right so look at
this what is this particular gyus over here see this particular gyus is called as par hippocampal
gyus par hippocampal gyus parah hippocampal gyus okay just behind your parahippocampal
gyus you've got a small gyus with the blue color okay the small blue color gyus which you have over here is called
isas what is this called over here is isas that's it we are done with all the G and salai that are located on the
medial surface okay so what did we discuss guys we discussed about the sukai you know G are very easy guys look
here this is called as singulate suus singulate gyus here we have got cius cius preus okay next we have got uh rhus
you have seen a rhino having a very big nose like this not a nose I think that is a uh that is a very big horn which it
has so that is rhino rhino having a horn like this called as rhinal sulcus within that the gyus is u-shaped right so you
call it as u-shaped gyus here next what is this medial frontal medial side this is frontal side so medial frontal and
why paracentral because on either sides of the central side that is Central sulcus you call it as Paras Central
right so this is all the important things which you see onto the medial side hello guys uh so now uh we shall be
discussing regarding what are the structures that are present in the base of the brain okay so what are the things
we have basically discussed guys we discussed first of all what are the gy and suai that are
located in the superolateral surface okay after that we have discussed what are the gy and suai that are located on
the medial surface along with that we have discussed some structures some structures of the medial surface like
Corpus Calum and all now what we shall do is that we shall discuss now the base of the brain so this is the brain right
this is the brain right now this is a superolateral area of the brain now when I'm lifting the brain and showing it to
you this is called as a base of the brain right so so this will be your base of the brain okay so let us discuss what
are the structures that are located in the base of the brain only then we can discuss what are the gy and sukai that
are present in the base of the brain okay first we have to know what are the structures that are located in the base
of the brain because this would cover up a lot of mcqs for you okay so first important thing regarding the structures
that are present in the base of the brain let me draw the base of the brain first
so this is your base of your brain right now uh all of you know that here we have got your midbrain you know that this is
your midbrain right and here you have got your pawns and down you have got medo oblongata like this medo oblongata
and finally down here you have got your spinal cord so this is the overall just rough picture of the base of your brain
okay now let us see what are the structures that are located down over here the first important thing first
important structure is here we have got a bulb like this okay so this particular bulb which we have
got over here is called has all Factory bulb so on both the sides we have got such bulbs like this these bulbs are
called as all Factory bulbs okay now from this all Factory bulb you see a tract that is coming down on both the
sides so this tract which is coming down is called as all Factory track okay so uh what are the names over here one by
one this particular structure is called as all Factory bulb okay and by the way we are
discussing structures present in the base of the brain structures present in the base of
the brain okay so first we have got your all Factory bulb next we have got your all
Factory tract all Factory tract all Factory bulb and all Factory tract okay next after this all Factory bulb and all
Factory tract down here we have got a very important structure okay so what is this important structure here this is
called as all Factory trigone okay so what is this particular structure called as this structure is called as
allory trigone so we have got all Factory bulb we have got all Factory tra and we have got all Factory Trion okay
now exactly here in front of this allory track okay in front medial to this olfactory track we have got these two
structures here this is called as pre perform area okay so what is this area called as this particular structure is
called as pre perform area so we have got something called as pre perform area and
perform area these are the parts of Rin and sephon I will tell you I will I will discuss these things later on but the
important thing you need to know is here we have got pre perform area after that attached to this down here we have got
three important structures like this what are these three important structures these three important
structures are called as stri right so how many stri do we have over here we have got three important St what are
these three important St so one is called as the medial Str because these two are medially located these two are
called as medial Str next these two Str are laterally Loc Lo at like this so these are called as lateral Str and the
Str located in the center is called as intermediate Str so how many Str we have got medial Str lateral Str and
intermediate Str these are the three important Str which we have got over here okay so the Str which we have got
over here are what are these first of all these are called as Str okay how many ster we have got over here three
important ster we have got what are this three important Str one is called as lateral Str another one is called as
medial Str and next we have got intermediate stray lateral stray medial Str and
intermediate stray after that after that we have got another important thing what is this important thing see here these
structures which I'm drawing right now these three important structures which I'm drawing right now over here these
three important structures over over here are called as anterior perforated substance okay so what are these three
important structures over here these three important structures are called anterior
perforated substance okay these are called as anterior perforated substance when I
tell anterior perforated substance there will also be posterior perforated substance okay now the next important
structure we have got over here is you can see that here we have got a structure these structures over here are
called as optic neres see this is right optic nerve this is left optic nerve what is happening here the right optic
and left optic nerve they cross each other okay and finally the resultant whatever we have over here is a optic
track okay so first we have got two optic nerves and optic nerves join and cross over each other forming optic
tracks so these are called as optic nerve and this one over here is called
as optic tract optic nerve and optic track next important thing is the center point which you can see over here the
center point is the place where both the optic nerves are crossing each other so this Center Point over here is called as
optic kayma this is called as optic kayma so what are the structures we have got we have got optic nerve we have got
op optic track we have got optic kayma okay now after that now behind this we have got another important structure
over here where behind your optic Asma this is called as Tu scenarium what do you call this as you call this as
tuber scenarium we have we call this as Tu scenarium okay now after this tuber uh scenarium repeat after this tuber
scenarium back here you have got two very important bodies like this okay back here you have got two important
bodies these two important bodies over here are called as mamary bodies okay these two important bodies are called
as mamillary bodies behind the mamillary bodies we have got another important structure like this so this structure
which is located behind your mamary bodies is called posterior perforated substance so there was something called
as anterior perforated now I'm telling you about the posterior
perforated substance we have got anterior perforated substance we have got posterior perforated substance now
this anterior perforated substance is supplied by anterior and middle cerebral arteries okay keep that thing in mind so
anterior perforated substance is supplied by anterior and middle cerebral arteries so what are the structures that
are located in the midline guys yes tell me what are the structures that are located here we have got something
called as all Factory bulb right we have got all Factory tract we have got all Factory Dron all these are the
structures that are located in the base of the brain and here what is this pre perform area next anterior perforated
substance optic kayma and we have got what what is this Tu scenarium next we have got this is called as post
perforated substance and remember one thing if you look at the midbrain okay so let me uh draw this midbrain much
more clear here so if you look at the midbrain actually this midbrain is is actually in this
way so this is your midbrain now in the center of the midbrain what is a duct you have got you have got a duct called
as we have already talked this is called as cerebral Aqueduct cerebral Aqueduct or Aqueduct
of sylvus this is the structure that is present here now if I ask you what are the structures located in the base of
the brain these are all the structures that are located in the base of the brain if I ask you what are the
structures that are located in the midline of the base of the brain what will you tell what are the structures
that are forming the midline tell me see if this is a midline what are the structures that are touching this
midline here is the all Factory bulb touching the midline no all Factory tra no all Factory trigone and St no
anterior perforated substance no directly it hits what optic kayma so to highlight here optic kayma for forms
what the midline okay midline of the base of the brain next another structure is tuber scenarium okay tubber scarium
is the second structure now tell me mamary bodies they are in the midline no and what is in the midline again
posterior perforated substance is in the midline and finally midbrain is in the midline OR cerebral Aqueduct see
midbrain is having midbrain is divided into two halves see two halves this is called as a right crust cerebri this is
called as a left crust of the midbrain okay this is your right CR left crust Beach what is in the center you have got
cerebral Aqueduct so cerebral Aqueduct so these structures which I've highlighted here these are the
structures that are present in the midline okay so let us just write base of the brain is different and the
structures that are present in the midline are different structures
present in the midline structures present in the midline what are the structures that are
present in the midline first we have got optic kayma first we have got optic kayma
after optic Asma what do we have got tuber scarium we have got tuber scarium okay after tuber scenarium
what do we have got we have got posterior perforated substance okay we have got posterior perforated
substance and fourth important thing we have got is cerebral
Aqueduct cerebral aquid duct so these are the structures that are present in the midline okay now if uh if such
picture any I mean the 3D animated picture whatever is there if they've given it to you then it will be very
easy to identify but nowadays they're giving you directly this cavic image and they're asking you to identify the
structures okay so how will you identify the structures first of all what are the things that are present over here one by
one we will discuss now okay so first important thing first important thing here is
that this one what is this structure over here let me use black what is this particular structure over here this is
called as all Factory bulb all Factory bulb next what is this track over here this is called as all Factory tract all
Factory bulb and all Factory tract and what is this Center Point point over here this is called as your optic
kayma okay this is your optic kayma okay now what did I tell you behind optic kayma you have got tuber scenarium here
you cannot see tubber scenarium but behind behind this tuber scenarium what do you have two mamillary bodies right
so here you can see very clearly here you can see very clearly the two mammilary bodies over here right so
these are the two mamary bodies mamillary bodies mamary bodies and next important thing I
want you to remember here however I will tell you this thing but for now what you have to remember is you see this artery
over here right on both the sides this artery over here is called as internal koted artery IA what is this internal
koted artery and next important thing here you can see that there is one artery that is going up here also there
is an artery that is going up both the arteries they join together and form a single artery you see
right so what are these arteries that are going up see this artery is called as your right vertebral
artery and this artery over here is called as your left vertebral artery both the vertebral arteries join
together and form a single artery called as basilar artery we will discuss about it in a minute okay basilar artery and
you see there are some nerves that are coming out right so these are the cranial nerves which we'll be discussing
later on and by the way this is your cereum what is this cerebelum and what is this this is your spinal cord this is
your spinal cord okay so these are the structures that are present in the base of your brain okay these are the
structures that are present in the base of your brain now second important thing after discussing the structures that are
present in the base of the brain now what I will do is that I will discuss what are the gy and salai that are
located here so for that we can we have to draw another picture I mean similar picture right so all of you just look at
this right so look at this now and obviously you have got your midbrain over
here right and the center here what is this cerebral Aqueduct okay and I'm not drawing all the things over here but a
few important things you have to know few important things you have to know that here in the orbital region I'm
drawing a sulcus like this okay so what is this sulcus which I'm drawing here this is present in the all Factory
region right so you call this I mean where the all Factory bulb all Factory track are there there the sulcus is
there so this sulcus is called as all Factory sulcus okay so what is this sulcus over here this particular sulcus
is called as all Factory sulcus okay this is called as all Factory sulcus after all
Factory just lateral to all Factory sulcus you have got one more sulcus like this and this sulcus is in the form of a
h shaped okay so this H shaped sulcus which I'm drawing over on both the sides it will be there okay this is called as
orbital suai orbital suai is what H shape so orbital sukai is which shaped orbital
sua is your H shaped okay next important thing next important thing is that uh you have got one more sulkus over here
now this sulcus goes all the way from the occipital and by the way guys you know that this is your frontal pole
because it is frontal L and all of you know that this is your temporal pole temporal pole because here we have got
temporal L and this is your occipital Pole now if I'm drawing a line all the way from the occipital Pole to the
temporal pole here like this okay so what this sulcus should be called as oxy temporal sulcus okay what this sulcus
should be called as Oxo temporal sulcus so this one is your Oxo temporal sulcus okay this is your
oxy temporal sulcus now next important thing here is that medial to oxy temporal sucus you have got a gyos over
here see there is a gyus where is this gyus located this gyus is located medial to Oxo temporal sulcus okay here also
you see a gyus that is located medial to Oxo temporal and you see another gyus that is located lateral to this oxy
temporal so this entire thing is that gyus so what is the name of this particular gyus and this gyus and by the
way not to forget that this gyus obviously it is present on both the sides okay okay now what is this gyus
named called as yes see this gyus that is present medially medially to what medially to this oxpo temporal sulcus is
called as medial Oxo temporal guus what is this medial oxy temporal gyus and what will be this one what will be uh
this one called as lateral oxy temporal gyus okay so I'm writing it here itself this is called as lateral
Oxo temporal gyus okay and this one over here is called as medial Oxo temporal
gyus lateral oxipor temporal gyus and medial oxipor temporal gyus okay and by the way the next important thing I just
wanted to tell you over here is that here you have got what is this what is this called as this is called as your
optic kayma so this particular structure over here is called as your optic kayma over here okay and by the way you know
these structures right one more important structure I just want to highlight it backside here you have got
two mammary bodies now end of this optic tract whatever is there here you have got here you have got a body this
particular body over here is called lateral geniculate body okay it is present on both the sides now when I
tell lateral geniculate body mean medially you will have two more bodies these two bodies are called as medial
geniculate bodies so here two bodies we have got this body is called as lateral geniculate body this is called
as lateral geniculate body and this one is called as medial geniculate body okay lateral
geniculate body as well as medial geniculate body so we have got two important bodies lateral geniculate and
medial so these are the gy and sukai that are present in the base of the brain and
these are the structures that are present in the base of the brain and these these structures are that is
present in the midline of the base of the brain and by the way guys not to forget that I've shown you that I what
did I tell you fibers connecting one cerebral hemisphere to another cerebral hemisphere is called commissural fibers
right one of the commissural fibers is Corpus calm right so now you can very clearly see that this is your right Cal
hemisphere left BL spere and this is your Corpus kosm okay if you clearly remember if you clearly remember I told
you that this entire Corpus kosm this entire Corpus kosm is divided into what one is called as Rostrum you remember
that one is called as your Rostrum then you have got ginu then the largest part is called body and last is called
splenium the fibers you see there are fibers that are coming out of guino this fibers that are coming out of Gino what
are they called as forceps minor you remember next the fibers that are coming here we we discussed right forceps major
and in between this is called as tum right so these are the this is the real image over here now this is from the
lateral aspect and again nothing to worry so this part over here is called as what this is called as your ginu the
last part is called as what that is called as a splenium the remaining part over here is called as a body or trunk
of Corpus calm right and by the way you see this cavity over here this cavity is the cavity of your fourth ventricle okay
this is the cavity of your fourth ventricle I hope you're clear with these structures over here right all right
guys so now we shall be discussing blood supply to the brain okay so now guys we shall be discussing blood supply to the
brain okay so blood supply to the base of the brain blood supply to the base of the
brain now remember one thing uh when I'm discussing this blood supply to the base of the brain one thing you need to
remember that the brain blood supply is mainly done by two different arteries okay it is mainly done by two different
arteries I mean two different systems okay the first system is called as vertebro I will explain this I will draw
and explain this okay vertebro basilar system first system is called as vertebra basar system second system is
called as internal koted system okay internal koted system so two systems what are the
two systems one is called vertebra basil system another one is called as internal koted system so these two systems they
join together and completely Supply the base of the brain so actually the topic which we are discussing right now is
nothing but called as how do you form circle of willies how is circle of willies formed Okay so how it is how it
is formed the vertebra basil system and the internal koted system both of them join together and form circle of willies
okay now let us start from the complete Basics okay for you to understand let us say this is your
heart okay this is your heart now here uh let us say you have got your right ventricle and this is called as your
left ventricle okay now from your left ventricle the artery the left ventricle the artery which is coming here this is
called as your iota right now this Iota is called here we have got an arch of Iota and finally we have got the
descending Iota like this this is your descending Iota now here uh two important things
you need to understand over here what are these two important things here there is there are some branches and on
the right hand side also there are some branches okay so for example the branch that is coming out
here is called as brachio calic trunk what is this BCT okay that is your bra balic trunk next this particular brachio
falic trunk will further divide okay will further divide into right subclavian one is called as your right
subclin artery and another one is called as your common coted artery this is your common coted and this is your right
subclin this is your right subclavian artery this is your common koted artery but if you look onto the opposite side
onto the opposite side you have got one common koted artery here this is called as left common koted artery and you have
got left subclavian artery they both are separately emerging these are some of the very basic things which you know now
what I'm telling you is now what I'm telling you is that if you can see here from the right
subclavian artery actually from the right subclavian artery you see a branch that is going up this branch is called
as what is this branch called as this is called as vertebral artery right vertebral artery from the left
subclavian artery also you see a branch that is going up this is called as left ver veral artery okay one we have got is
a right vertebral artery left vertebral artery now this right and left vertebral arteries they both of them join together
like this okay right and left vertebral arteries they both join together to form the main artery called as basil artery
so if you remember on the cavic image on of the brain I was teaching you the right vertebral Ary left ver vertebral
artery joining together to form Basel artery you remember so this is called as right vertebral artery and this is
called as as left vertebral okay so what did I tell you here I told you one system is called as a vertebra BAS
system vertebra basilar system okay so this is your vertebra basilar system and another
system is called as the internal koted system that I will teach you later on okay for now let us discuss about the
vertebra basar system now what did I tell you this is the blood supply of the base of the brain so let me draw the
base of the brain over here let us say this is your base of the
brain and all of you should know that here yeah here you have got your midbrain like this right this is your
mid brain over here and after that here you have got your pawns okay here you have got your medul oblata and down here
you have got what this is your spinal cord okay midbrain pawns metal o and spinal cord and let me put this picture
little bit down yeah and remember one thing that behind the pawns and medo oblata what is this this is called as
your cereum okay so this part over here is called as your cellum this part over here is called as
a cerebellum right now next important thing what is the next important thing over here is that as I already told you
as I already told you that this part over here is your midbrain this is your midbrain this is your pawns this is your
medo oblata and this is your spinal cord okay now as I already told you that we have got two important branches what are
these two important branches see this is called as your right vertebral artery this is called as your left vertebral
artery okay now this right and left vertebral artery they ascend upwards like this they ascend upwards like this
and exactly near the Ponto medular Junction they both join together and form an artery here this is called as
your basil artery okay now this basill artery this basill artery what will happen it will go completely to the
extreme and start giving two branches onto the either side clear now the branches are not yet done so what we are
discussing the two vertebral I will label the names later okay so two vertebral arteries they join together
and form a basil artery and this artery divided into two arteries okay just beneath these two arteries okay just
beneath these two arteries there are two more arteries that are given here okay what are these arteries I will
tell you in a minute okay what are these arteries I'll tell you in a minute now before that before that two few more
important things you need to know is that this is your pawns and down we have got is your medal oblong now in the
Pawns in the pawns you see an artery that is coming over here this is called as labyrinthine artery what is is
labyrinthine artery just above the labyrinthine artery there are small branches in the pawns these are called
as pontine arteries okay what are these pontine arteries now after this uh there are two more branches I just wanted to
draw over here see one branch look here now one branch supplies to the cerebelum like
this okay and another Branch supplies to the cerebelum down here okay how many branches are there there are two branch
BR is one branch supplying to the cereum from the top and the other Branch supplying to the cereum from the bottom
now before I tell you the names of all other branches first I will start telling you the names of this Branch
what is this Branch over here and what is this Branch okay now what is this structure this is your base of the brain
right for example if a person is sitting facing towards you I cut down his skull right now when I remove the skull cap I
see the brain now I'm lifting the brain now when I'm lifting the brain this is the lower surface of the brain now I'm
showing it to you when I'm showing it to you I'm actually showing you the base of the brain can I also call that I'm
actually showing the lower surface or the inferior surface of the brain right now in this inferior surface in this
inferior surface now again again I'm telling you just pay attention to whatever I'm telling you over here for
example let us say let us say that this is a brain I have lifted the brain now okay now this is a frontal L of the
brain this is the occipital Loop of the brain this is the base of the brain now I have lifted the base of the brain
towards you when I lifted the base of the brain towards you again this is called as a frontal L this is called as
a occipital L this is the base of the brain now in this base of the brain there are two arteries one artery on the
top one artery on the bottom so what are these two arteries called look here now these two these two arteries and these
two arteries are located where in the inferior surface of the brain so these two are called as inferior and they are
supplying your cereum so cere are arteries but one artery one one pair of arteries they are towards the frontal
lobe it means they anterior and one pair they are back they are posterior towards the oxital L okay so so what should I
write over here that this particular Branch over here is called as anterior inferior cere artery this is posterior
inferior cere artery so both of them are called as inferior cere arteries but one is anterior one is posterior I hope you
understood okay need not to byard this okay and next important thing the artery which you can see over here is called as
labyrinthine artery labyrinthine artery and these small branches over here are called as
pontine arteries pontine arteries okay and this basell artery divided into two branches I told you these this branch is
called as Superior cere artery Superior cere artery okay next uh once after two Superior cere arteries now what are
these two branches these two branches I will tell you later on so for now what did you understood guys what did you
understood here you understood few important arteries over here these are you understood few important arteries
over here these are uh two uh what are these two these are two vertebral arteries joining together to form what
two vertebral arteries joining together to form basil artery where did they join in the Ponto medular Junction where
pawns and medulla both of them are present that Junction there okay and it has given two branches this is called
Superior cere artery it FR it went little bit forward anteriorly and given two more branches I will tell you the
name of this and from this in to the pawns we have got pontin arteries and labyrinthine artery next we have got
anterior inferior cere posterior inferior cere AA and paa okay now this arterial system whatever I've explained
you this is what this is the vertebra basil system now I'm teaching you the internal koted system now when it comes
to the internal koted system first of all I have to draw the internal koted artery you see this artery over here is
your internal koted artery this internal koted artery gives few branches see one branch it is giving to the anterior
side anterior it is giving one branch like this right in the middle also it is giving one branch here you're getting it
right so these are the two branches now apart from this there is one more Branch also that is given now look here look
here now if I tell you that this this one and this one 1 2 3 these are the three main branches which is anterior
this is anterior can I call it as anterior cerebral artery yes what is this called as middle cerebral artery
then what is this one called as posterior cerebral artery so how many cerebral arteries you have got this one
is called as your anterior cerebral artery this one is called as
middle cerebral artery this one is called as posterior cerebral artery anterior
artery middle cereal artery and posterior cereal artery and all of these all of these cereal arteries they are
coming from where this internal coted artery now posterior Cal arter is a branch of internal koted artery no it is
a branch of basell artery okay keep that thing in mind from internal car artery both anterior and posterior anterior and
middle now if I have to connect these two anterior branches right I have to connect actually these two anterior
branches how will I connect these anterior branch es I have to attach a branch over here this branch is called
as a communicating Branch it communicates between two anterior cerebral arteries so that is the reason
why you call this artery over here as anterior communicating artery anterior communicating artery in
the same way in the same way you see there are two branches that are coming from internal koted artery one on one
side one on the other side what are they doing they are acting as a communication Junction between internal coted artery
and posterior C artery so if this is called anterior communicating artery then what would be this one called as so
can I call this one as posterior communicating artery yes this is posterior communicating artery so one we
have got is an anterior communicating artery over here one we have got is a posterior communicating artery over here
so because of this all communicating arteries you can very well right you can very well see a what do you say you can
very well see a triangle right a a circle in the center here right so this is called as circle of wheelies what is
this called as this is called as circle of willies C W circle of willies now there was a question once asked circle
of willies which artery do not take place in the formation of Circle of willies what is that artery that is your
middle cerebral artery very important question to keep in your mind middle cerebral artery will not um I mean it is
not taking place uh in the formation of Circle of willly so this is what you need to understand so this is all the
blood supply of the base of the brain now let let us discuss some important parts important mcqs over here after
that I will draw this arterial system once again and teach you extra additional more arteries over here okay
so first important thing is that which arter is not a br of Circle of V these are some of the mcqs which will be asked
which artery is not a branch of Circle of willies what is
that anterior middle and posterior that is your middle cerebral artery middle cerebral artery next
important thing next important thing is that guys if if you just look at these arteries over here if you look at these
arteries I'm telling you two more arteries here coming from vertebral arteries see this is your vertebral
artery right now from this vertebral artery two branches are coming like this and they pass in the center of the
spinal cord so this is called as anterior spinal artery what is this anterior spinal artery in the same way
we have got posterior spinal artery also keep that thing in mind okay now now important thing compare compare paa and
anterior spinal AR now where is anterior spinal artery it is in the center or it is laterally located second question is
where is paa pica is in the center or laterally located you see paa is laterally
located and where is an an spinal artery medially located in the center so if I ask you if I ask you what is lateral
medular syndrome what is medial medular syndrome lateral medular syndrome is because of occlusion of artery which is
located laterally or medially laterally so what is the artery that is located laterally here paa so paa occlusion will
lead to what obstruction or occlusion will lead to lateral medular syndrome and the artery in the center is anterior
spinal artery which is in the median plane so medial medular syndrome is caused by the occlusion of your anterior
spinal artery okay so remember this thing that paa occlusion as well as anterior spinal
artery occlusion paa occlusion will lead to what lateral medular syndrome later on I
will tell you what cranial and nucle are affected in lateral medular syndrome okay so lateral medular
syndrome AA occlusion leads to medial medular syndrome lateral medular syndrome as well as medial medular
syndrome okay these are the two important things you have to know now next important thing is that see where
is posterior communicating artery this is your posterior communicating artery now along the posterior communicating
artery which nerve is passing that is ocom motar nerve okay so along this you have got the ocom motar nerve that is
passing now why am I telling you this why am I telling you this is that for example if patient is having very anism
of posterior communicating artery then which nerve will be damaged that is your ocom motor nerve so this is your third
pair of cranial love what do you mean by Berry aneurism that is berry shaped swelling you see because of this
swelling there is compression on the third pair of cranial now so what you have to write over here is
that posterior communicating artery ber and ursm
ber aneurism would lead to what would lead to ocom motor nerve damage ocom motar nerve damage it would
lead to what ocom motar nerve damage okay so as I already told you there is lateral medular syndrome medal medular
syndrome and by the way you know lateral medular syndrome is also called as valenberg syndrome so these things we
will discuss it later on okay later on when I will discuss about syndromes of medo oblongata syndromes of Pawns right
so anyways you will be taught in the medicine part it is not that important in anatomy over here okay now next
important thing is uh next important thing is that there are some more arteries I told you I will teach you
right so but before that just tell me fastly what are these arteries okay this would be a just a quick revision for all
of you okay so let us say uh what is this artery over here two arteries these two arteries are called as vertebral
arteries two vertebral arteries they join together right and they form an artery over here what is this artery
basill artery basill artery will give two branches here what is this posterior cerebral arteries what is this posterior
Cal arteries next from the vertebral arteries from the vertebral arteries two arteries are joining in the center here
what is this anterior spinal artery let me write this down this is your vertebral artery uh this is your
anterior spinal artery this is your basilar artery this is your posterior cerebral artery till here I hope you are
clear next important thing what is the next important thing I told you here that here we have got what internal
koted arteries what are these two internal koted artery internal kot artery branches what are the branches
see one branch here this is called as anterior cereal artery another branch on the side is called as middle cereal
artery and another branch that is attaching to the posterior cerebral artery let me draw it in this way you
will understand this is called as posterior communicating artery now between these two what do you you'll
have anterior communicating artery okay so obviously this is your circle of relas okay so let me write this down
this is your anterior cerebral artery this is your middle cerebral artery this is your anterior communicating artery
this is your posterior communicating artery and this is your internal koted artery on both the sides okay till here
I hope you clear now why am I telling you this is that in the brain you will have a very important structure called
as internal capsule in this way you see this particular capsule which I'm drawing here is called as internal
capsule and this internal capsule is present on both the sides I will teach you when I'm teaching you the basal
gangl there I will teach you the internal capsule so this is your internal capsule okay now in this
internal capsule there are three parts what are these three parts of internal capsule this is called as anterior limb
of internal capsule this is called as posterior limb of internal capsule and this is called as genu of internal
capsule what are the three structures we have got anterior limb posterior Limb and genu of internal capsule so who is
supplying the blood to this internal capsule look here the first artery the first artery is this one coming from the
anterior cerebral artery from anterior C artery you see a branch that is going and supplying to the internal capsule
especially which part of internal capsule anterior limb of internal capsule this is called as a recurrent
branch of Huber okay so let me let me just write it as a or let me write it as one okay one is recurrent branch of
Huber next important thing the second artery arises directly from internal koted and this artery goes and supplies
all the way to the ginu this is called as artery to the ginu of internal capsule next another also directly
arises from internal capsule and supplies to the posterior limb of internal capsule what is this artery
anterior choroidal artery so 1 2 and three what are these three arteries artery number one is called as
recurrent branch of Huber recurrent branch of Huber next we
have got artery to ginu or of internal capsule okay third important thing we have got what is artery anterior
choroidal artery so where is this particular Branch going this is supplying your
anterior limb of internal capsule this is supplying to your posterior limb of internal capsule and this is supplying
to your guu of your internal capsule and this branch is coming from where anterior cerebral artery whereas these
these two are the branches of internal koted artery so this is the important you know very very important mcqs are
framed from this previously and this is very very important I want you to know it at any cost okay so this is the blood
supply here so let us just very quickly revise this blood supply so what did I tell you regarding the blood supply I
told you that we have got two important systems one is called as vertebro basilar system another one is called as
internal koted system vertebra basar system in the sense two vertebra latas joined together in the Ponto medular
Junction to form what a basilar artery this basilar artery will divide okay divide into posterior cereal artery down
to that Superior cere artery not cerebral cerebr artery okay and here we have got pontine arteries and here we
have got labyrinthine artery we have got AA paa this is anterior spinal artery so P occlusion will lead to what lateral
medular syndrome IA occlusion will lead to what medial medular syndrome lateral medular and medial medular syndrome
clear all of you and coming to this uh just now I've taught about this particular part right so this is all the
important things you need to know regarding this circle of willies right guys so now we shall be discussing one
of the very important topic that is called as basil ganglia that is your basil ganglia first
of all what is a function of basal ganglia basil ganglia is responsible I mean it is involved in the control of
voluntary movements okay it is involved in the control of voluntary movements it is involved in
the control of voluntary movements okay that is a function of basal ganglia so can I tell like this that within the
basil ganglia if any nucleus or whatever it is I mean within the basal there are many structures so if any of these
structures are damaged then there will be problem with the voluntary control it means right now my hands are neutral
right see they are not moving if I wanted to move I can move with the help of my basil ganglia but if the basil
ganglia is Disturbed don't you think my hands they move involuntarily yes or no so that is the function of Basil gangle
over here first of all let us discuss what are the structures present in basil gangler later on I will draw and explain
you all the structures okay so first of all um basal ganglia okay basil ganglia is mainly divided into four important
structures basil ganglia is mainly divided into four important structures one 2 3 as well as four so there are
four important structures within the basal ganga one is called as Corpus
strium one is called as Corpus strum another one is called as claustrum another one is called as
claustrum third one is called as substantia one is called as Corpus
rum claustrum substan NRA and last one is called as subthalamus last one is called as
subthalamus okay so we have got CL corrum claustrum substanti as well as subthalamus these are the four
important structures we have got within the basil gangria okay now out of these four important structures out of these
four important structures we will mainly concentrate on Corpus trium now this Corpus trium is in turn divided into two
important structures what are these two important structures one is called as a lens shaped nucleus lens shaped nucleus
in the sense this nucleus is like this okay this is lens shaped nucleus so this lens shaped nucleus is called called as
leny form nucleus leny form nucleus and another nucleus is called as cordate
nucleus okay one is called as lentiform nucleus lens shaped nucleus another one is called as cordate nucleus now this
particular lentiform nucleus is again divided into two important structures lentiform nucleus is again divided into
two important structures what are those two important structures one one is called as
pamin another one is called as globous padus so when I draw all these structures you will understand it
clearly okay right now you just write down the notes along with me next when it is coming to Globus pelas again
globous pelas is divided into two important things what are those two important things one is called as Globus
pelus externus okay another one is called as Globus
peladas internas so we have got two Globus peladas externus and Globus pus internus so this is the entire structure
of your basil ganglia now let us draw the structures and let us see what are the structures of Basil ganglia right
what are the written structures in the picture of the basil ganglia and what will happen when there is a damage to
any one of this structure okay so in the basal ganglia
so this is the entire part over here now now in this in this particular part in this particular part when I make a
section of your brain when I make a section of your brain this is how it looks okay now here what are the
important things that you have to focus on the first important thing what is the first important thing the first
important thing is that here you have got a capsule okay first important thing is here you have got a capsule like this
so this particular capsule which I'm drawing over here is called as internal capsule you remember I told you about
internal capsule previously right so here on both the sides you have got what internal capsule like this so this is
the internal capsule which we have got when I tell internal capsule there will also be another thing called as external
cap capsule and next important thing is that this internal capsule is having three parts this is called as a anterior
part of the internal capsule right what is this anterior limb of internal capsule posterior limb of internal
capsule and this is called as a ginu of the internal capsule after this internal capsule the next important thing is I
told you there is a lens shaped nucleus what is that lens shaped nucleus called as that is called as your lentiform
nucleus now look here this particular one this particular nucleus over here he is your lens shaped nucleus this
particular lens shaped nucleus on both the sides is called as what lentiform nucleus and what did I tell you here
this lentiform nucleus is divided into two pamin as well as globas pelas right so it is divided into the outermost
structure called as pamin see this particular structure over here is called as pamin and innermost structure is
called as globous peladas within this globous peladas again there are two division I told you okay so what are the
two divisions one is called as globous pelus externus and another one is globous padus internus clear all of you
right after this the next important capsule I have got over here after internal capsule the next capsule which
I've have got over here is called external capsule so on both the sides here internal capsule and you have got
external capsule after that the last important structure I have got over here is called as claustrum so this
particular structure over here is called as claustrum okay so the last important structure here is
claustrum now all these structures are located in a single line okay next important thing is that there is one
more structure that is located over here like this okay what is the structure that is located over here this is called
as Thalamus okay what is this called Thalamus okay we have got thalamic nuclear this is called as Thalamus and
above above this internal capsule also you've got one more structure like this what is this structure called as cordate
nuclei what is this cordate nuclei so C stands for Quad now what I'll do is that I'll just label all these important
things okay so first of all what is what is this particular thing this is called as your internal
capsule this is called as your internal capsule okay after that what is this this is called as your leny form nucleus
leny form nucleus in lentiform nucleus I told you there are two important things what are those two important things
outer side you have got as pamin and inner side you have got Globus peladas within globous peladas again there are
two important things what are they globous peladas external globous peladas internal externus as well as internus
okay next this particular part over here what is this particular part this is called as external
capsule why because it is externally located this is called external caps and finally you've got this called as
claustrum this is called as claustrum and by the way this is your cordate nucleus cordate nucleus and this down
here you have got your Thalamus okay that is your Thalamus okay now in the internal capsule what are the things I
told you anterior Li poster and ginu you also know what is the blood supply for that okay now you also know what is a
blood supply for that right now I'm telling you another important clinical Point what is the clinical point is that
see for example if for example if there is a damage to this cordate nucleus okay if there is damage to this cadate
nucleus patient will end up having a problem called as Korea okay for example let us say if patient has damage to
cordate nucleus if there is damage to cordate nucleus patient will have a problem
called as Korea patient would have a problem called as Korea now in Korea what is the important thing you see
there will be distal see in Korea what is happening is that uh if you take a limb this is a proximal limb this is a
distal limb so in this patient the the the distal limbs will move like this you see this is the fast movement okay so
this is a distal fast movement this distal fast movements these are happening purposefully or without any
purpose yes these are semi- purpose movements okay so these are happening in water Vol so these movements which are
very fastly moving right this is called as Korea so what is your Korea Korea is nothing but the distal limbs Korea is
the distal plus fast movements distal limbs with fast movements is called as Korea okay now
how does Korea occur because of damage to your cordate nucleus you see normally cordate nucleus all these basal gangle
everything they're responsible for uh the normal voluntary m if that is damaged your invol body is moving
involuntarily I told you right without your voluntary control your hand is trembling like this so that is what is
called as your Korea over here next important thing is that for example if globous peladas is
damaged in globous padas I told you globous padas external and internal if globous peladas is damaged that would
lead to a condition called as ethot Tois that would lead to a condition called as ethot Tois now in e Tois again
what limbs are involved distal again distal limbs are involved but this time it is fast movement or
slow movement they are slow movements they're not fast movements they are what slow movements it means
this way the patient will be moving very slowly okay these movements are called as writhing movs okay what are these
movs called as writhing movements these movements over here are called as rthings because of globous pus
damage next important thing there is a third important thing that is subthalamic nucleus you see here this is
Thalamus below the thalamus you have got a nucleus over here below the thalamus if you get a nucleus this nucleus over
here is called as subthalamic nucleus because it is below right so for example if subthalamic nucleus is
damaged if subthalamic nucleus is damaged that would lead to a condition called as
hemiballismus Hemi bisas now what is what is Hemi bisas hemisus is nothing but both your
proximal limbs both your proximal limbs as well as distal limbs start moving and this movement is what this movement is
localized like this no this movement is a wild flinging so patient will be moving like this okay patient will be
moving like this so proximal limb right the proximal Limb and the distal limb you see proximal is moving and the
distal is also moving right these movements are localized no these movements are wide like this okay so
these are called as wide flinging movements so these are called as wide flinging
movements wild flinging movements this is because of the damage of subthalamic nuclear now next important clinical
condition what is the next important clinical condition over here if if I get a chance I'll show you the videos also
what is the next important clinical condition over is that see for example example inside this lentiform nucleus
this entire lentiform nucleus inside this lentiform nucleus If copper gets deposited not only lentiform nucleus
even in the liver also so both in the lentiform nucleus and in the liver If copper gets deposited right this kind of
degeneration is called as hepato because liver lenticular because lentiform nucleus degeneration this is called as
hepatolenticular degeneration okay so what do you mean by what do you mean by
hepato lenticular degeneration what do you mean by
hepatolenticular degeneration in hepatolenticular degeneration the copper gets
deposited okay the copper gets deposited in two specific locations what are those two one is in the liver one is in the
liver another one is in the Len form nucleus Len form nucleus now because of this
deposition of copper because of this deposition of copper what is going to happen patient is going to have a
specific type of disease the name of this disease is Wilson's Disease Wilson's disease and by way
remember that this is a autosomal recessive condition okay that is Wilson's Disease and all diseases will
have a pathognomonic sign okay so what is this pathognomonic sign of over here the pathognomonic
sign pathognomonic pathognomonic sign over here is that in these patients even the
copper starts depositing within the eye okay so when the copper starts depositing within the eyeball there you
would see a specific type of ring called as kaser fleser ring okay so what is this ring called as this is called as
CER fler ring okay this is called as cazer fler ring okay so this CER faser ring is very pathognomonic for what for
this Wilson's disease okay so these are some of the very important clinical points which you have to know regarding
this particular topic over here okay now the next important thing before we move on is I just just wanted to have a quick
review of Basel gangle over here guys so again I'm telling you basil ganglia is divided into how many parts four parts
okay so we discussed Corpus we discuss claustrum we discuss subthalamus I mean subthalamic nuclei okay and the black
substance is called as substanti you know what is substanti right substanti is present within your
midbrain all of you know that so Corpus triom is divided into two parts lentiform nucleus and cordate nucleus
okay so this particular part over here is called as your lentiform nucleus and this is called cordate nucleus both of
them together you call it as claustrum next we have got internal capsule and all of these structures you know Len
form has got an outer part called as um what is this outer part is called as your pamin lower part inner part is
called as your globous spers within the global spelers two parts Global spelers external and internal so these are the
things very very important things guys what is Korea C for Korea C for cordate nucleus okay and next look here uh
remember this this way remember it as Gap okay what is gap here G stands for globas ethot Tois P stands for pelus
okay next sub Amic uh um nuclear here Hemi basus it will result in hemmas hepatolenticular degeneration that is
your Wilson's this is pathognomic sign okay let us look at some of the signs over here see here you can see the signs
over here right now these signs this is slow movement or fast movement this is slow viting movement okay slow Vol
involuntary writhing movement what is this called ethot Tois now is is is this proximal limb moving or only the distal
limb you see only the distal limb is moving here once again let me play this you see slow brething movement now
compare this with the next one okay compare this with the next picture now see is it a slow movement or fast
movement you see the fast movement right so this is called as what this is called as your Korea what is this called as
this is called as Korea okay so these are the two important examples which you need to know now apart from this what
we'll do is that we shall specifically study about this particular part that is your internal capsule okay specifically
we'll study about internal capsule and let us see what fibers are running through this internal capsule what
sensory fibers what motor fibers are running through this internal capsule we'll see that okay so first of all uh
let me draw this internal capsule over here so this is your internal capsule this is your internal capsule
now within this internal capsule and inside this internal capsule what is this nucleus lentiform nucleus right so
inside this internal capsule the nucleus which you have which is lens shaped is called lentiform nucleus and again I'm
telling you lentiform nucleus is divided into two parts this is called as Globus not globous pelus what is this called
the outermost part is called as yeah that is called as uh what is the outermost part called as that is called
as your putamen right yeah so this part over here is called as pamin pamin and this is called as glob Globus pelas
globous pelas both external and internal okay now in this I'm dividing this entire part into limbs so this part is
called as your anterior limb of internal capsule this part over here is called as your posterior limb of internal capsule
and in between both of this this part over here is called as your ginu of your internal capsule so anterior limb
posterior Lim and ginu clear all of you right now within this there are some sensory fibers there are some motar
fibers also okay first of all what are the sensory fibers we will discuss now after that we'll discuss the motar
fibers but before that one more structure we have to draw what is that be behind this internal capsule what is
the nuclear we have got we have got Thalamus right so behind this somewhere here yes we have got this particular
structure over here this is called as your Thalamus so this is your Thalamus and remember one thing that Thalamus is
having two important bodies okay you see there is one important body over here there is another important body over
here what are these two important bodies in the thalamus one body is called as medial geniculate body and the other
body is called as lateral geniculate body so this is called medial geniculate
body and this body over here is called as your lateral geniculate body later geniculate body so if I ask
you basically what are the different parts of internal capsule what are the parts will you tell guys yeah so by the
way this is your lentiform nucleus Ln lentiform nucleus what are the different parts of internal capsule one is yes
tell me what is the first one this is called as an anterior limb this is called as a posterior limb this is
called as a ginu right now I will tell you two more parts so what are these two more parts look here now one part one
part start starts all the way from the medial geniculate body and this part is passing beneath your lentiform nucleus
so this actually there are a group of fibers that are passing beneath the lentiform nucleus so this part whatever
is passing beneath the lentiform nucleus is called sub lentiform part anything below is called Su lentiform part now
another part here another part with the red I'm drawing here this part passes behind the lenti form you see exactly it
is passing behind the lentiform so can I call it as retr lentiform part so two parts here one is called as sub
lentiform part another one is called as retr lentiform part so what kind of fibers are this Su lentiform part
consisting of see this is your Su lentiform part suen form part and this is your
retro lentiform part retro lentiform part okay so can anyone tell what fibers is the suen form part consisting of it
is consisting of auditory fibers I mean all the fibers they're radiating like this so auditory radiation you call all
these fibers together as auditory radiation and this one you call it as optic
radiation optic radiation so you need to remember two important things auditory radiation originates from where medial
geniculate and optic radiation starts from the lateral geniculate okay now uh now we are good to go so let me write
down all the parts down here so first let me write down the anterior limb so let me write down here the anterior limb
anterior limb okay after anterior limb we have got the ginu and after that we have got what we have got posterior limb
posterior limb after posterior limb we have got the Retro what is that retro lentiform
part retr lentiform part after retr lentiform part we have got the Su lentiform
part subl lentiform part so these are the different parts we have got anterior limb ginu posterior limb retr lentiform
part and subl lentiform part right so what I will do is that I'll just draw a box over here and this box is very very
very important to know okay so what is this now let us see let us see through this internal capsule okay through this
internal capsule what are the motar fibers that are crossing what are the sensory fibers that are crossing okay
through this what are the motar fibers what are the sensory fibers that are crossing first what we will do is that
we will write down all the sensory fibers because they are easy and after that we will write down the motar fibers
okay now coming to sensory fibers in the anterior limb what sensory fibers you have got okay so in the anterior limb I
have got a sensory fiber like this this sensory fiber is called as anterior thalamic radiation what is this anterior
thalamic radiation next in the ginu in the ginu and posterior limb you see in the ginu as well as the posterior limb
like this what is this kind of fibers what is this radiation this is called inferior thalamic
radiation so two types of sensory fibers you have got what are these one is is called anterior thalamic radiation
another one is called as inferior thalamic radiation so let me write down these things this is called as
anterior thalamic radiation okay next what is this called
as inferior thalamic radiation anterior thalamic
radiation and inferior thalamic radiation so now look at the structure and tell me down here where is anterior
thalamic radiation located anterior thalamic radiation is located in the anterior limb so here we have got
anterior thalamic radiation and these are sensory fibers
radiation so this is your anterior thalamic radiation which is a sensory fibers right now we are discussing they
are present in the anterior limb right now tell me in the ginu what are the sensory fibers you have got in the Geno
what is the sensory fiber what is this inferior thalamic radiation right now and in the posterior limb what do you
have again inferior thalamic radiation so in the ginu and posterior limb you have got
inferior thalamic radiation right so here also in the
posterum you have got inferior thalamic radiation inferior thalamic
radiation now tell me the next important thing in the retr lentiform part what are the sensory fibers you have got
where is the retr lentiform this is your retr lentiform because it is located back of your lentiform nucleus the
radiation which you have here is optic radiation okay retr lentiform part you have got what type of sensory fibers
optic radiation sensory fibers optic radiation now tell me in case of subl lentiform part what do you have auditory
radiation okay in case of suen form part you have got auditory
radiation so these are all the sensory fibers which we have got now coming to motar fibers before I discuss motar
fibers you have to know that in the anterior limb ginu posterior limb retr lentiform part and subl lentiform part
in all of this one motor fiber is constant right one motar fiber is constant that is your corticopontine
fibers so here I have got cortico pontine fiber okay I'm just writing a cpf okay in the
ginu also youve got corticopontine fibers in the posterior limb also you've got poster limb also youve got
corticopontine fibers in the Retro part also youve got corticopontine fibers in the subl lentiform part also you have
got corticopontine fibers in all of this corticopontine fibers are there okay now apart from these corticopontine fibers
what are the other fibers you have got now look here in the ginu from ginu onwards we will start okay now in the
ginu I'm drawing a fiber over here in the ginu I'm drawing one motor fiber next another motar fiber I'm
drawing in the posterior limb right this is another motor fiber here this is another motar fiber now tell me how many
motor fibers are present within the posterior Lim three how many motar fibers that are present in the ginu one
so what are these names I'm just writing down these names as uh a b C and D what are these a b c and d all of them all of
them are called as corticospinal fibers what are these called as all of them are called as all of them are called as
corticospinal fibers corticospinal fibers okay corticospinal fibers so here
also uh here also have to write corticos spinal fibers here also only in the posterior limit right do we have
corticos spinal in the anterior did I draw this red color thing in the anterior part no did I draw this red
color thing anywhere else only in the ginu and the posterior part did I draw this red color thing in the subl
lentiform part and retr lentiform part no I did not draw here right I did not draw here and here also so only only the
ginu and posterior limb is having this corticos spinal fibers then why did you write it as AB c d why did I write it as
ABCD is that you see cortico cortico spinal fibers from where do they start they
start from the cortex all the way they go go down to the spinal cord okay any fibers that are descending down these
are your motor fibers right now there are some cortico fibers corticos spinal motar fibers which Supply the I mean
which inate your head and neck they control the movements of head and neck some corticos spinal they control the
movements of Upper Limb some corticos spinal they control the movements of your trunk some corticos spal they
control the movements of your lower limb so first corticos spinal control the movements of your head and neck then
Upper Limb then trunk then lower limb okay so what is a over here a is the corticos SP corticos spinal fiber which
will control your head and neck corticos spinal fibers of head and neck then what about the remaining what
is BCD see B is responsible for Upper Limb C is the corticospinal responsible for trunk D is the corticos spinal
responsible for lower limb okay so it means corticos spinal spinal fibers for Upper Limb
trunk and lower limb Upper Limb trunk and lower limb okay Upper Limb trunk and lower limb then do we have any other
motar fibers in retroland only one type of motor fibers you have got that is cpf and cpf that is corticopontine fibers
Okay so once again guys uh I know this is little bit hectic and confusing part so the
topic over here is your what is this internal capsule topic over here is your internal
capsule so in this internal capsule I was just telling you one thing that you have got the anterior limb you have got
your anterior limb you have got your posterior limb and you have got your ginu okay so anterior Lim is having what
fibers both sensory as well as motor ginu and poster Lim are also having a sensory as well as motor okay now coming
to the sensory fibers here we have got anterior thalamic radiation here we have got inferior thalamic radiation so
anterior thalamic inferior thalamic okay and optic radiation auditory radiation so I hope you understood all these
important parts which I talked here regarding the blood supply I already discussed in the circle of willies right
hello guys uh so now we shall be discussing regarding the thalamus as well as the hypothalamus okay first we
shall discuss about the hypothalamus and after that we'll discuss about the thalamus and we will
also discuss what are the borders that this Thalamus and hypothalamus is consisting of so first I will draw the
picture on the medial surface of the brain okay on the medial surface of the brain you can see both the thalamus and
hypothalamus actually you can see the third ventricle okay you know the cavity of then seon is called as a third
ventricle right so you can see that actually within that only there is Thalamus as well as hypothalamus anyways
when I draw the picture you'll understand it right so these are the structures which are located on the
medial surface okay not the inferior not the anterior posterior superolateral it is located on the medial surface okay so
I hope now you understood what does this medial surface mean okay so the first important thing
is so let me enlarge this picture a
bit right so this here I'm going to draw the um uh the structure of what the structure of the medial surface I mean
this is the medial surface now if I have to call this as a proper medial surface right so first of all right if I have to
call this particular structure as a medial surface then what should I draw additionally to this I have to draw
Corpus CM right I hope all of you remember that thing right so there is another important structure that I have
to draw that is your corpus callosum so you know on the medial surface you have got a structure like this right and this
particular structure in the medial surface is called as your Corpus cism so this is your Corpus cism okay so let me
bring this Corpus cism bit down over here right Chell this is your Corpus calm now in this Corpus calm you know
the parts now tell me what are the different parts of Corpus cism see this part over here is called as your genu of
Corpus cism okay and the last part over here is called as your splenium of Corpus Calum one is genu another one is
splenium now after genu and splenium uh this part of the Corpus cism which I'm highlighting right now with the green
right what is this called This is called as a body or the trunk of the Corpus calm so we have got the Geno we have got
the body and we have got what is this this is called as your splenium of Corpus Calum now attaching both the ends
right attaching both the ends here we have got another important structure this is called as fornex I told you if
you remember this is called as your fornex okay now apart from forx between between the forix and Corpus cism you
have got a network like structure like this okay so this particular Network like structure which you can see over
here what is this called This is called as your septum pisum where is septum pelum present septum pelum is present
between the Corpus cisum as well as your fornex between the Corpus and foric you have got septum pelum right so these
are some of the structures which you know right I also uh this is like half moon shaped right I've stretched it out
and then I've shown you the fibers also that are connecting both the ends like tap
for steps minor for steps major right now another important thing I want to highlight over here is that anterior to
this ginu right below this ginu you have got a stock like thing this particular stock like thing which you can see over
here is called as what this is called as your rostrom what is this called as rostrom just beneath the rostrom you
have got a commiss here this commission is called as anterior commission what is this anterior commission okay below I
think these things have already discussed in the starting beneath this anterior commissure you have got another
important structure like this what is this this is called as your linear terminalis if you remember right this is
your linear terminalis below this linear terminalis you have got another important structure
so this structure goes all the way till here right so this structure that is present beneath the linear terminal is
over here is called as optic kayma what is this this is called as optic Asma I will
write down all these structures in a minute okay wall by wall so till here we have finished the anterior wall okay so
let us write down the structures that are present in this particular anterior wall okay so let me use another color
for this yeah so what are the structures here see this part over here is called as
genu okay and this part over here is called as your rrum this is called as rrum so right now we are discussing
exactly about hypothalamus as well as Thalamus okay so instead of telling hypothalamus and Thalamus let me put up
the heading because uh in the cavity of third ventricle in the cavity of third ventricle I can see both Thalamus as
well as hypothalamus so it is better I will write down the walls of third ventricle okay third ventricle walls
okay walls of third ventricle now anterior wall is consisting of what ginu Rose
and and what are the other structures over here if you see this is called as what anterior commissure what is this
anterior commissure this is your anterior commission beneath this anterior commissure what is the
structure over here this is called as linear terminalis this is called as linear
terminalis below this linear terminalis what is this structure this is called as your optic kayma
optic kyazma okay now from optic kayma onwards whatever structures I'm going to draw over here they form what they form
the floor okay now you tell me you tell me behind this optic Asma what structure we had okay look at this picture over
here look at this particular picture and tell me uh yeah this picture now what are the
important things over here this is your optic Asma behind optic Asma what was there what is this this is called as
tuber scenario behind tuber scenarium what was there mamary bodies were there behind mamary
bodies what was there posterior perforated substance behind that we have got cerebral Aqueduct and the midbrain
okay again I'm telling optic kayma after that we have got tubber scenarium then we have got two mamary bodies then we
have got posterior perforated substance then we have got the midbrain and the cerebral AC these are the structures
located behind the optic Asma so now the same structures I'm writing it here uh just tell me one by one behind this
optic Asma what was it just now I told what was that tuber scenarium behind optic Asma you see this particular
structure over here is called tuber scenarium behind Tu scenarium what do I have mamary two mamary bodies you see
see this is one mamary body now regarding this tuber scenarium uh one very important thing I'm telling you
here is that this tuber scenarium together it forms an eminence this Eminence is called as me medial Eminence
whatever it is it's not important to remember remember that this is tuber scenarium hanging down from tuber
scenarium you see a stock over here this stock is called as pitutary stock okay or infantum this pitutary stock or
infantum is having two important structures one is called as anterior pitutary and another one is called as
posterior pituitary so anterior and posterior pitutary both of them they present in what cellia sphenoid bone so
it means I'm right now discussing about your pitutary gland so optic kayma after optic Asma what is this tubber scenarium
attached to tubber scarium what do you have here pitutary stock and then what are these these two are anterior and
posterior pitutary next next you have got what mamary body behind the mamary body what
did I tell anterior perforated substance or posterior perforated substance you have got a substance over here right
behind this mamary bodies and this substance you called it as as what this is called as your posterior perforated
substance okay you see there are perforations here this substance is called as posterior perforated substance
after posterior perforated substance directly you add what mid brain if you remember right so after this you have
got your midbrain okay now after the midbrain what is the next structure you have got pawns after the pawns what do
you have got medo oblongata after the medula oblong down here what you have got spinal cord this is your spinal
cord clear now now if I highlight this entire thing let us say let us say if I'm highlighting this complete thing
over here so let me highlight this complete thing okay now what I'm trying to do is
that I'm trying to create an opening right I'm trying to just create an wide opening all the way down here now can
anyone tell what is this wide opening which I'm just drawing right now this is nothing but called as your cerebral
Aqueduct okay so can I tell that cerebral Aqueduct is dividing your entire midbrain your entire brain stream
into two parts right so this is one part and this is another part yes or no so what is this particular part called as
this particular part you call it as tegmentum of the midbrain see this part over here you call it as
tegmentum of midbrain what do you call it as segmentum of midbrain and you see this particular part over here right you
see this particular part this particular part over here which I'm drawing with the pink this is called as what this is
called as subthalamic tegmentum of the mid brain what do you call this subthalamic tegmentum of your midbrain
so this one is called as sub thalamic tegmentum of your midbrain clear and by
the way not to forget this is your cerebral Aqueduct cerebral Aqueduct or Aqueduct
of syus right now what are the other important structures so all these structures whatever I have drawn over
here they form the floor yes or no they form the floor so what is this you'll understand everything when once I finish
up the picture this is called as tuber scenarium this is called as tuber scenarium and this one over here is
called as your pitutary stock pitutary stock and this one over here is called as your pitutary gland
okay now after this what is this particular structure over here this is called as your mamary body body mammary
body and this particular structure over here is called as anterior perforator posterior posterior perforated substance
posterior perforated substance so here you have got is a posterior perforated substance
okay right now look at the structures which I'm drawing from the back now here here especially there is one very
important structure over here right this particular gland over here is called as your pineal gland what do you call it as
this one is called as pineal gland okay now this pineal gland obviously it will have a stock this
stock is called as pineal stock now this pineal stock is dividing into two lamin okay you see it is dividing into a
superior lamin another one is inferior lamin okay now what will happen with the inferior lamin this inferior lamin is
coming all the way down and it is attached to the midbrain here okay then what is happening with the superior
lamin this particular Superior L will first go anteriorly forward okay then it will go posteriorly backward again it
will go anteriorly forward and goes and attaches to your Corpus calm so what did I tell you there are two lamin one lamin
comes down all the way attaches to the midbrain whereas other lamin goes anteriorly forward posteriorly backward
again anteriorly forward goes attaches to your Corpus calm now here you need to understand two important things what are
those two important things for example here this commission what did I tell you this is called as anterior commission
what is this commissioner anterior Commission in the same way there will be another commission called as posterior
commissioner so here we have got a commission like this right so this particular commission over here is
called posterior commission okay so what is this particular Commission posterior
commission okay so this commission over here which I'm highlighting with lello is anterior and this particular
commission over here is called posterior Commission on the top here also you have got one more commission here okay so
what is this commission I know it is boring but still but still this is how you study with the picture so this
commission over here is called as habin commission what is this habin commission so let me write down the names here
before I proceed on so this particular commiss over here is your posterior commission posterior commissioner and
this commission over here is called as your habol commiss if you remember these words have already talked already talked
in case of white matter Topic in the starting if you remember right so this is your habin commission now where the
pineal gland divided into two lamina where the pineal gland divided into two lamin if you closely observe over here
here you can find a recess a gap right so this particular recess which you can see over here is called pineal Rees
above the pineal Rees you can also see one more Rees here so can I call this as sua penal recess one is called penal
recess another one is called Supra penal recess so this one over here is called penal
recess and this one over here is called as this one over here is called as Supra pineal Rees pineal recess and
Supra penal reses okay now now here in the center in the center can you see a cavity yes or
no in the center can you appreciate a cavity over here you see this cavity right so what is this cavity
actually which I'm drawing right now this is a cavity of your third ventricle right so what is this this is a
particular cavity of your third ventricle so cavity of your third ventricle is called what your dianon
right so cavity of this dianon is called as your third ventricle so this is your third
ventricle what is this this particular cavity over here is called as your third ventrical now what I'm doing is that I'm
dividing actually okay so I would divide this third ventricle into 2 halves in this way now when I divide the
third ventricle into two halves like this yeah when I divide the third ventricle into two halves like this the
upper part whatever is there is called as Thalamus the lower part whatever is
there is called as hypothalamus so that is what I was telling you that in this single picture
itself you will understand both what is Thalamus and what is hypothalamus okay and don't forget I just do not write
this this part is called as your splenium okay this part is called as your splenium and this part is called as
your septum pisum septum pisum and this part over
here is called as your fornex fornex okay so and don't forget again that within the cavity of dlon is a third
ventrical having both the thalamus on the top and hypothalamus below okay so these are the structures which I want
you to see so if I ask you the anterior wall of third ventricle is made up of what will you tell you will tell all
these structures if I ask you floor of third ventricle is made up of all these structures if I ask you the posterior
wall of third ventricle is made up of all these structures will come under the posterior wall of your third ventricle
okay and if I ask a roof it means all the structures form the roof if I ask you floor all the structures form the
floor okay so how many we have got we have got roof we have got floor we have got anterior wall we have got posterior
wall yes or no so let us write down one by one what are these first let us start with the roof right now tell me what is
roof consisting of so exactly above exactly straight above this you see this exactly above what is this this is your
fornex along with fornex also remember one thing remember one thing that any ventricle you see right if you remember
this particular uh topic which I've taught you that is the ventricles of your brain right so in here we have got
third ventricle the roof of the third ventricle is consisting of what are these structures where your CSF is
secreted what is this choid plexus so any ventricle it might be third ventricle first ventricle second
ventricle the roof there it is consisting of the the choid plexus okay so this is a choid plexus over here
right so the roof what is the roof consisting of over here roof is consisting of one is your fornex and the
other one is called as your choid plexus forx and choid plexus after the roof the next important thing you have
got is the floor let us say what is a floor consisting of so what are the structures that are present in the floor
so first what do you have here I have got optic chasma I have got what is this tubber scenarium right then I've got
what after this pitutary stock as well as your pitutary gland okay but what we'll write is optic chasma and tubber
scenarium is present right next behind that what do you have you have got your mamary bodies and you have got your
posterior perforated substance so structures all the way till here they form the floor so what are the
structures that are forming the flow yes what is the first structure that is your optic
kiasma after that you have got your tuber scarium tuber scenarium next after that we have got what mamary
bodies mamillary bodies okay next you have got is a posterior perforated substance posterior perforation
substance okay these are the structures you have got next after that you have got your anterior wall okay what is
anterior wall consisting of see all of you look here what is anterior wall consisting of tell me see what is this
particular structure that is rrom after rrom what is this this is anterior commissure after that what is this
particular structure this is called as linear terminalis okay so three structures right so what are those three
structures in the anterior wall one is called as rrom okay after that you have got got
anterior commiss and then you have got your linear
terminalis linear terminalis so rrom anterior commission and linear terminalis so after anterior wall we
have to write about the posterior wall now tell me posterior wall has got many so what are the structures that are
present in the posterior wall from the top so first what is this habenular commission after that what is this Supra
penal Rees and after that what is this this is called as pineal recess and pineal gland then what do we have here
posterior commission okay so once again habin commission suprarenal Rees pineal Rees and pineal gland and here we have
got posterior commission these structures form the posterior wall of the third ventricle okay so these
structures form what posterior wall of third ventricle so habin commiss and actually what is habenular
Commission in the right C hemisphere you have got one habenular nuclei okay actually what is habenular Commission in
the right C hemisphere you have got one habenular nuclei left calisphere you have got another habenular nuclei
connecting both of them uh the commission what you have is habol commission after habenular commission
the next one is Supra penal Rees Supra penal recess next you have got what is the pineal recess okay next you have got
is pineal recess after that you you back of that you have got your pineal gland pineal gland and finally you have
got is a posterior commission finally you got is a posterior commission so these are the
structures which you have over here so all these whatever structures i m mentioned here these form what the wall
of the third ventricle very very very very important right so I don't think so um it would be difficult for you to
remember after looking at this picture Okay study from the picture I'm telling you that is that is going to save a lot
of time for you okay so that will actually save a lot of time for you so these are the structures which you have
over here okay now after this we shall right now discuss about the thalamus okay we shall discuss about the thalamus
we shall discuss what are the walls of Thalamus basically Thalamus has got a superior wall a lateral surface medial
surface inferior wall so let us see what are the different kinds of walls of Thalamus which we have so here what what
are the structures you can see anterior posterior roof and floor right so now we shall discuss about the superior surface
lateral surface medial surface and all the surface of the thalamus now here can you see lateral surface no can you see
the middle surface no right so if this is a picture here see this will be the lateral this will be the medial but I
have shown you this picture you can see anterior posterior roof floor right you cannot see lateral surface and medial
surface so remaining surfaces of the thalamus we will discuss now so how do you discuss this is that uh I'll draw a
picture over here remember the thalamus okay so what is the picture
over here is that see Thalamus and hypothalamus so both of them together we'll discuss over here
Thalamus as well as hypothalamus together we shall discuss right now all of you look at this picture so here we
have got this particular structure I hope all of you know this is your cortex this is your cortex over here now
next important thing is that you know this thing you know this thing that connecting from one end to another end
if there is a fiber that is going what can be this fiber called as Kamer right and what kind of Cher is this connecting
two cerebral hemisphere this is called as corpus callosum what do you call this as you call this particular commiss as
corpus callosum Corpus CM okay now if you remember if you remember from the picture Okay attached to Corpus cazome
what do you have you see if this entire thing is Corpus calm okay below the Corpus Calum what is this you have you
have got what fornex So Below the Corpus cism what do you have forx it means here if this entire thing is a corpus cism
behind below this Corpus cism here what do you have this this is called as your forix not pituitary gland okay this is
called as your fornex this is called as your forix okay now now where is your Thalamus and where
is your hypothalamus located see this is the location of thalamic nuclei anything below the thalamus is called hypo see
this is the location of hypothalamic nuclei okay now below the hypothalamus what do you have below the thalamus and
hypothalamus what do you have see here this is Thalamus this is hypothalamus below that what do you have you have got
your midbrain right below that you have got your midbrain So Below th and hypothalamus over here I am drawing the
midbrain okay so this all of you just look here so this part is your midbrain okay so this part over here is
called as your midbrain now midbrain will have a duct in the center what is that that duct is called as what is that
cerebral AC duct see this Gap in the center is called as your cerebral Aqueduct cerebral Aqueduct and by the
way this is your thalamus Thalamus hypothalamus and hypothalamus clear now between the
thalamus and hypothalamus the cavity whatever you have is the third ventricle right okay fine even if you're not
understanding that but you at least should understand this one very important thing that let us say if I'm
WR drawing this as the first ventricle okay let us say this is your first ventricle then where is the second
ventricle on the opposite side let us say this is your second ventricle that is first ventricle and this is your
second ventricle then once first and second ventricle are there connecting both these ventricles another ventricle
will be what is that third ventricle so where is third ventricle see this part is your third
ventricle you see this this is your third ventricle so what I'm trying to tell you
is that this is the first ventricle second ventricle and this is the third ventricle
okay you see this is the place where the third ventricle is present and there only Thalamus and hypothalamus are
present on the top Thalamus down hypothalamus see here on the top Thalamus here also in this picture down
you have got hypothalamus clear next important thing look at look at this particular picture here here you have
got Thalamus below the thalamus you will have hypothalamus you know that right side to the thalamus what is this which
you have side to the thalamus internal capsule right so side to the thalamus I have to draw internal capsule so it
means side to the thalamus here I have got what internal capsule so this is the internal capsule that is located on side
to the thalamus so this is your internal capsule clear all of you internal
capsule right now now let us discuss all the structures which are present over here okay so first important thing first
important thing this is a structure this is not from the medial side okay so when you make a section of your brain right
when you look at that section so this is how it looks okay now second important thing I want to tell you here is that
second important thing you have to know is that if this is Thalamus if this is Thalamus above the
thalamus you have got a nucleus if you remember here you see if this is thamus on the you have got internal capsule
above the thalamus what do you have got cordate nucleus you remember that so above the thalamus you have got a
nucleus called as cordate nucleus so it means if this is a Thalamus here I have got internal capsule it means here I
will have a nucleus called as what nucleus cordate nucleus so this particular nucleus over here is cordate
nucleus quate nucleus is having a body right it is having a trunk and the tail of the cordate nule nucleus here is
having a very good body a very specific body and this body over here is called as igalo body what is this body
amygdaloid body so what are the structures over here so this particular structure which you can see over here is
called as your cordate nucleus cordate nucleus and this particular structure over here is called as igalo body aoid
body now very important thing I want to discuss here is that from this part of the igid body you see fibers that are
running out many many many many fibers that are running out right so all these fibers all these fibers are called as
triat terminalis all these fibers together are called as Tri terminales where are these Tri terminales going now
tell me what is the structure that is present beneath your Thalamus tell me here beneath your Thalamus what do you
have hypothalamus so all these structures are finally ending up in your hypothalamus hypothalamus and these
group of fibers are called as Tri terminalis what are these group of fibers called Tri terminalis and what is
this nucleus called quate nucleus now if I ask you what is a superior surface made up of what will you tell so this is
a Thalamus this entirely is your Superior surface Superior surface is made up of what one one name you will
tell is quad nucleus next name you have to tell is stri terminalis okay and third important name you have to tell is
see here here you have got a vein here a small Vein on both the sides okay you know what is an vein that is located on
the superior surface of the thalamus this vein over here is called as thalamostriate vein what is this Thal
striate vein okay in the same way in the same way apart from this thamos r v what is the structure that is is present
Superior to it tell me see first of all let us list on all the structures here first you have got cordate nucleus that
is present Superior to Thalamus next stri terminal is that is present Superior to Thalamus next in this
picture in another weave you see Thal State vein yes and not only Thal vein can I tell the uh what is this flow
floor of which the lateral ventricles floor of first ventricle and floor of second ventric V for the right Thalamus
it is a floor of first ventricle for the left Thalamus it is a floor of the second ventricle I mean right lateral
left lateral ventricle so floor of the lateral ventricles is forming the roof or the superior surface of the thalamus
yes or no right now if I ask you what is the lateral surface of Thalamus made up of laterally laterally what do you have
internal capsule in internal capsule there are two limbs anterior limb posterior limb specifically speaking
which limb posterior limb of internal capsule forms the lateral surface of Thalamus then what is a medial surface
forming medial surface is forming your third ventricle medial surface is forming your third ventricle okay next
medial surface is formed by a third ventricle next what is the inferior surface forming what is inferior surface
consisting of inferior to Thalamus you have got hypothalamus yes or no and you have got another important part what is
that see all of you look at this see this is Thalamus inferior to Thalamus what do you have you have got
hypothalamus next look at this inferior to Thalamus you also have got one more important structure this particular
structure over here located exactly below the thalamus is called subthalamic tment of
midbrain okay inferior to Thalamus you have got two structures see one structure you have got is hypothalamus
other structure okay one structure you have got is hypothalamus other structure down here which you have
got is subthalamic tment of midbrain these are the two structures located inferior right so I hope you understood
all these structures over here right so these pictures I know it might be difficult but if you practice again and
again they are going to be really easy I'm telling you so first let us write down the superior
surface Superior surfaces consisting of what what are the structures that form the superior surface first you have got
the cordate nucleus you have got the cadate nucleus after the cordate nucleus what is the
next thing stria terminalis stri terminalis and third important thing is thalin what is this
vein over here theate vein so you have got theal vein
the vein and the fourth important thing what do you have floor of the lateral ventricle what do you have you have got
the floor of what lateral ventricle floor of lateral ventricle this forms your Superior
surface now coming to the lateral surface coming to the lateral surface coming to the lateral surface
what are the structures you have got laterally what you have got you have got the posterior limb of internal capsule
laterally you have got the posterior limb of internal capsule internal capsule posterior limb of internal
capsule next important thing is what do you have medially medial surface is consisting of yes what do you have
medially see medially I have got medial surface is consisting of what medial surface is consisting of third ventricle
okay can I tell like this that these are called as a lateral walls of third ventricle why because this is the
anterior wall this is a posterior wall right these are called as a lateral walls of third ventricle so what is
medially located medial to the thalamus there is lateral wall of third ventricle medial surface is having lateral wall of
third ventricle lateral wall of third ventricle next what is the inferior surface having
inferior surface consisting of what is the inferior surface consisting of
inferiorly just now I told you see inferiorly you have got what inferiorly you have got hypothalamus inferiorly you
have got midbrain part what is it subthalamic tegmentum of your midbrain so inferiorly you have got two parts one
is called as what hypothalamus hypothalamus next is your
subthalamic subthalamic tegmentum of midbrain subthalamic tegmental or tegmental
region of midbrain okay s thalamic tegmental region of your midbrain so these are the
surfaces which you come across the thalamus okay so these are some of the surfaces in the thalamus which you have
got hello guys uh so now we shall be discussing in regarding the Misan seon or the mid brain
okay we shall be discussing regarding mlon or
midbrain now regarding this mlon or midbrain uh first what we shall discuss is that we shall discuss the external
features of midbrain after that we will discuss the internal features of midbrain okay first external then
internal features now coming to the external features of midbrain what are the external
features external features of midbrain so what are the different kinds of external features and remember one thing
remember one thing the picture which I'm about to draw now right I'm going to draw you know even if if you take spinal
cord midbrain pawns whatever it is you have got two surfaces right one is called anterior Surface or vental
Surface another one is called as posterior surface or dorsal surface you know this right so now I'm going to show
you the vental surface or anterior surface ventral or anterior surface so in this ventral
or anterior surface I'm going to show you all the components of the midbrain only the external features not internal
features okay right so let us draw the picture here so let us say that this particular part over here is called as
your Superior culus right so what is this this is your midbrain now in this midbrain here two
important parts you can see so let me uh little bit correct this part two important parts you can see what are
these two important parts over here uh let me even correct this part also I just wanted to make sure that this is in
the midline here right so uh what was the thing which I was telling you yeah I was
telling you that in this midbrain if you exactly look in the center of the midbrain right so this center of the
midbrain whatever is there here this is called as Aqueduct what is this called This is called as cerebral acqueduct now
surrounding this cerebral Aqueduct whatever gray matter you have got over here this is called as per aqueductal
gray matter because it is surrounding so that is called as per aqueductal gray matter and you have this is your
midbrain I agree but at which level did you make the section I have made the section at the level of what at the
level of superior culus okay so what are these structures over here what are these structures over here these
structures over here are called as Superior ccul okay so I have made the section at
the level of superior culus so we'll write much more parts over here
culus okay Superior culus so what is in the center over here this is called as ser cerebral
Aqueduct cerebral Aqueduct and what is this one called as this is called as per aqueductal gray
matter this is called as per aqueductal gray matter okay now next important thing you have to uh know here is that
here I'm drawing a black color substance like this okay so here I'm drawing a black
color substance so this black color substance which I'm drawing here is nothing but called as substantia
okay so what is this particular black color substance this black color substance is called as
substantia this is called a substanti nigram okay now down here down here let me draw the parts over
here so let me just duplicate this part right so if you can see here this
is the complete section which you can see from this is the complete I will draw the complete section now so as you
can see here this is a picture which I'm drawing that is showing your what that is showing your ventral surface okay
that is showing your ventral surface okay so that is showing your vental surface and let me also draw some
more important things over here right so what are the things which you can see over here
now you see this part which I'm draw which I've drawn over here this is called as the right crust of the
midbrain what is this called This is called right crust of the midbrain and what is this part over here called as
this part over here is called as the left crust of the midbrain so we have got one is called as a right crust of
the midbrain left crust of the midbrain after this right and left crust this center part whatever you can see here
right you know what is this this part between the right crust and the left crust you call it as a posterior
perforated substance right so yesterday yesterday we discussed the structures that are present in the base of the
brain right so where is that picture over here I think this is the yeah so here here we have discussed the
structures that are present in the base of the brain what did we discuss see this is your midbrain just in front of
the midbrain what do you have here posterior perforated substance right so can I tell that this is the right crust
this is the left crust in between both the crust you have got posterior perforated substance right so in the
same way in the the same way the picture which I'm drawing right now in this particular picture over here
here uh you have got some openings like this so these openings are nothing but called as what these are called as your
perforations so tell me now this is anterior perforation or posterior perforation between both the crust this
is your posterior perforated substance okay so what is this posterior perforated substance in the same way in
the same way you have got two important sukai okay what are these two important see here you have got one very important
sulcus and here you have got another important sulcus in the same way here you have got a sulcus just side to that
or lateral to that you have got another sulcus okay so what is the name of this particular sulcus and this particular
sulcus over here so which sulcus is medial this sulcus is medial so this is called as medial
sulcus actually from this medial sulcus your ocul motar nerve comes out that is why you also call it as ocul motar
sulcus ocom motar sucus in the same way this particular sulcus over here is called as lateral sulcus so two sulai we
have got one is called as a medial sulcus another one is called as a lateral sulcus so this was the thing
which I was telling you this is your medial sulcus and this is your lateral sulcus and and where is your nerve here
you see the nerve that is coming out from this particular sulcus right so this is your third pair of
cranial nve third pair of cranial nve now when you go down right and by the way not to forget that this particular
part over here is called as the right crust cerebra and this part over here is called as a left cross cerebra
right and left cross cerebri okay right and left cross cerebri next important thing is that down to this crust down to
the right and left crust over here down here you have got a very important structure on both the sides I mean on
the right crust as well as on the left crust so these structures which are located on the right and left crust is
called as a tenia pontis what is this structure called as tenia pontis this is called as tenia bondes so if I ask you
overall what are the structures that are located over here what are the structures that are located over here
guys so one by one one by one that we have we have made the section right now we are discussing about the external
features of midbrain ventral or anterior surface at the level of superior ccul at the level of superior cular so here we
have got this duct called as cerebral Aqueduct surrounding that we have got per aqueductal gray metal next here we
have got a substance called as substantial okay next important thing next important thing is that uh
here what is this this is called as your right crust cerebra and this is called as left crust cerebra now between right
and left cerebra actually the right and left this is right this is left between that you see a fosa here right so this
fosa present between two Crosser or two pedal is called as inter peden fosa it means this particular fosa is called as
inter pangular fosa this fosa is called as interpedicular fosa next important thing
next important thing two important sulka you have got one is called as a medial sulcus another one is called as a
lateral sulcus okay medial as well as the lateral sulcus so Guys these are the external features right external
features of the mid brain in the ventral or anterior surface okay so these are the external surfaces I mean these are
the external features now we shall be disc discussing regarding the internal features okay so guys now we shall be
looking at the um internal features so previously this was the same picture I drawn right so I've drawn the same
picture almost like this and I've told you that at the level of superior cicular so here also right now I'm
drawing right now I'm drawing this thing that this is your Superior culus here so right now I am making a picture at the
level of superior ccul only so this is your Superior cicular so at the level of superior ccul right this is a section of
your midbrain and previously what did I do what did I do previously is that I've just made some extensions over
here if you remember these are some of the extensions which I made over here right these are the extensions you
remember these extensions like this right I called I called that this part as
post perforated substance this is called as a right cross cerebri this is called as a left cross cerebri right so now we
shall discuss this internal features which are present over here okay so previously we discussed only um Superior
ccul periductal gray matter and cerebral Aqueduct right so now we shall discuss much more structures so what are these
structures over here first important thing you have to pay attention that you should know that this particular part
okay is a picture cross right right Chell whatever it is yeah so first important thing you
need to know that this particular part over here is called as inter pular fosa guys I'm rubbing this out okay so to
write down these names over here so this part over here is called as interpeduncular
fosa interpeduncular fosa and you know this is right crust this is called as left crust right now just above this
inter fosa you have got actually a nerve sorry you have got a
nucleus exactly about this inter pular fora you have got a nucleus this is called as interpedicular nucleus what is
this nucleus the name of this nucleus is interpedicular nucleus inter pular nucleus okay now on either
sides of this inter peden nucleus on either sides of this interp nucleus here you have got a very specific substance
now tell me what is this particular substance over here you see on either sides you have got a very specific
substance which I'm drawing on both the sides over here this this particular substance which you have got is
completely black in color okay so this structure which is completely black in color is called substantia okay
now remember one thing that this particular substantial is actually divided into two parts okay it is
actually divided into two parts what are these two parts see one part of substanti is very
dark and other part of substantial is very light right you see one side I'm drawing it very Darkly and on the other
side it is completely light so this particular structure first of all let me write it down that uh this particular
structure over here is called as your substantia substantia okay now this
substantia has got two parts in turn what are these two parts here one which is very dark that is called as
pars compacta pars compacta it is very compact dark the other the light part is
called as pars reticularis par par reticularis so we have got parse compacta parse reticularis so as I
already told you parse compacta as well as par reticularis now what is parse compati containing par compati
containing dopaminergic neurons lots and lots of dopaminergic neurons and what is parse reticularis
containing that light part parse reticularis is containing gabic neurons okay gabic neurons so all of you know
that these G iic neurons or what these are inhibitory neurons right so two parts you have got one is called as
dopaminergic Parts Compact and pars reticularis compacta has got dopaminergic neurons and reticularis has
got the garic neurons but first of all first of all how do you divide this midbrain see now we got a perfect way of
dividing the midbrain okay so if I'm drawing this doal Lines Just anterior to Superior ccul like this now I can divide
the brain into three parts what are those three parts see this is one part this is the second part and you see this
one is called as a third part how many parts are there three parts so you divide you divide the midbrain into
three parts now what are these parts so from here till here this part is called as tectum what is this stum where your
Superior ccul are present next the remaining part okay this part over here is called as
tegmentum tum and next part is called as tegmentum after that here you have got this part called as
cross cerebra what is this this is called as cross cereb okay where is Cross cereb located
anterolaterally just think why I told anally why did I tell anol laterally yes because the these two are anteriorly
present and facing lateral sides not facing medially right they are facing what they are facing laterally that is
why Antero laterally you know the upper part is the dorsal all of you know and the ventral part this is called as a
dorsal area and this is called as a vental area dorsal or you can call it as posterior ventral you can call it as
anterior that is why anterolateral clear all of you right now just above this uh particular part what
is this subst anra here you have got a nucleus here you have got a nucleus like this this particular nucleus is called
nucleus rubar or red nucleus okay what do you call this nucleus as this is called as red nucleus but by the way we
forgot to draw the main important thing what is the most important thing here here you have got what this particular
thing is called as your cerebral Aqueduct and surrounding your cerebral Aqueduct what is this per aqueductal
gray matter right I hope you know this so this entire thing is your per aqueductal gray matter and center part
is called as your ca cerebral Aqueduct now surrounding this cerebral Aqueduct or per aqueductal gry matter
you have got some very very important nuclei for example if you can see here on either sides of this per aqueductal
gray matter you have got a very specific nucleus you know what is this nucleus this is called as Edinger westall
nucleus where the parasympathetic fibers will come out what is this Edinger westall nucleus anterior to Edinger
anterior to Edinger westall nucleus you have got another nucleus over here this is called as a nucleus of cranial nve
number three what is this nucleus of cranial nve number three so what are the nuclear you have got over here let me
write this down yes what are the different nucleus see what is this particular nuclear over
here this is called as Edinger Westfall nucleus okay and after that
what is this nucleus this is the nucleus of the third pair of cranial nerve third pair of cranial nerve nuclei okay where
it is present anterior to this Edinger wall nucleus now from this third pair cranial nerve nuclei you see the cranial
nerve is coming right so this cranial nerve passes down like this you see it is passing through what it is passing
through your red nucleus okay so this nerve is coming down passing through the red nucleus and it comes down in this
way okay on the opposite side also it passes through the red nucleus and comes down in this way what is this line that
is coming down this is your third pair of cranial nerve this is your ocom motar nerve that is your otar n nucleus from
the nucleus this otar n is coming along with that the parasym fibers also pass along with this okom motar nerve in this
way okay they also pass along with this in this way clear now apart from that there is one more important thing you
have to appreciate over here that exactly at this location right exactly at this location right above this red
nucleus here you have got a fulus called I will tell about this later on but just remember that inside to this um third
pair of cranial nerve you have got a facius called as medial longitudinal facul later on I will tell you that
medial longitudinal vulas is responsible for the Gaze right so it will integrate the movements of head and the eyes now
for example if I have to fix my eyes onto you and rotate my head how will I how will I rotate see I'm fixing my eyes
on to you and just rotating my head now my eyes are rotating there no my eyes are looking to the front and my head is
uh my head is tilted to the right right so this and next time next if I if I have to tilt my head to the
left again I'm fixing my eyelid so this this kind of integration between the head and the eyeballs and the eye musles
is basically done by this medial longitudinal physic I will tell about this later on okay so this is your
medial longitudinal phicus medial longitudinal fulus what is this medial
longitudinal phicus next after this medial longitudinal facular you have got three important types of Lemonis Sky
Guys now you understood what are tracks what is Lemonis Sky what is fular right so you basically have got three
different types of Lemonis sky over here okay you see uh let us say let us say that here you have got one kind of Lon
Sky just beneath that another lemon Sky just beneath that a third lemon Sky okay here also the same uh the same onto the
opposite side I'm not drawing this because I don't want to disrupt these lines okay so what are these Lemonis Sky
called as okay so one is called as TL TL stands for trial lonis Sky another one is called as SL standing for spinal
Lemonis Skai another one is called as ml ml is standing for medial Lemonis sky so what are these what are these trial
lisai trinal lisai second one is spinal Lemonis sky and third important thing is
medial Lemonis sky so how many lisy you have got three important lonis sky where are they located they are located in in
the tegmentum okay next important thing what is the next important thing I have to discuss you see right cross cerebra
and left cross cerebra within this cross CRA there are some fibers that are passing okay so let me uh differentiate
these fibers with three different colors okay let us say here here exactly here I mean the complete lateral part complete
lateral to this cross cerebra you see here there are a group of fibers that are passing actually three types of
fibers are passing next in the center in the center another group of fibers are passing here okay in the center over
here the next group of fibers are passing and finally here we have got a third group of fibers that are passing
now let us see what are these groups of fibers so first important thing is that coming to the lateral most part of your
cross cerebra the fibers which are passing all most of the fibers they pass to the
pawns these fibers are temporal from the temporal L to the pawns from the paral L to the pawns from
the occipital L to the pawns okay temporal lob peral lob occipital L from all these lobes these fibers go to the
pawns so what will you tell one is called as temporo yes what is called temporo to the pawns means pontine
temporo pontine fibers next you have got is the perito perito pontine fibers temporo pontine periop pontine and third
one over here is oxto pontine oxy pontine so these are the three types of fibers that are present after that after
that in the middle part what are the fibers that are going here one Fiber goes all the way from the cortex to the
spinal cord goes from the cortex to the brain stem nuclei okay so cortex to the spinal cord is
cortico spinal tract cortico spinal next one we have got is a corticon nuclear corticon
nuclear corticon nuclear and next another track from the frontal Lo see we are done with temporal L we are done
with peral L oxital what is the L that is left frontal lob so from the frontal lobe also Fibber should go to the pawns
so they are called as frontop pontin fibers what are they called as frontop pontine fibers okay so what are the
things we have discussed over here so one last thing I will mention here after that we shall just recap all the things
which we have discussed over here so what is this thing is that here exactly anterior to anterior to what anterior to
Superior ccul you have got a nucleus over here this is called as molic what repeat you have got a nucleus
over here this is called as pretectal nucleus okay so what is this particular nucleus located and anterior to Superior
culi this is called as pretectal nucleus pretectal nucleus next uh up here up here you have got one more
nuclei you know what is this nuclei that is located here this is called as molic trial nuclei so this nuclei is called
as me iic trial nuclei you just have to remember the structures that are located over here guys this is very important
okay so once again let us just have a recap coming to the internal features okay internal features we have made a
section at the level of superior ccul so these are your Superior ccul second part your entire midbrain is divided into
three parts this upper part is called as your tectum the middle part is called as your tegmentum and the lower part here
this one is called as your cross cereb okay so where is your substanti nigran located in the tegmentum of midbrain
where is your red nucleus located you know why this nucleus is called as red nucleus why it is red you know because
of excess deposition of iron because of excess iron deposition this looks red okay because of excess
iron deposition this looks red right whatever it is so where is red nucleus and um what is this substantial
located located in the M tegmentum of the mid brain done next important thing all the structures important structures
are present within the tegmentum only in the tegmentum we have got three important structures here one is called
what is this called as this is called as trial liscus next we have got spinal liscus and we have got medial liscus
next what are the uh in the per aqueductal gray matter what are the structures that are running out one is
the third pair of cranial along with this from the Edinger vest fall nucleus the parasympathetic fibers are also
running okay next important thing here what is this this is called as mphil trial nucle after that what is this this
is called as your pretectal nucleus so these are the structures that are passing through this particular part so
this completes your midbrain uh where I have discussed where I have discussed both the external
features of midbrain as well as the internal features of your midbrain so now we shall be discussing after the
midbrain uh now we shall be discussing regarding the pawns okay so in the pawns what we'll discuss again the same
important things we'll discuss we shall discuss the external features of the pawns okay so we shall discuss the pawns
from the front and from the back also okay then why you did not discuss the midbrain from the back from the back it
is not that important there are only four structures to know that I will cover up right now in the pawns itself
okay but when it comes to pawns uh uh in the pawns we will discuss about the vental surface of the pawns I mean
anterior surface and backside the dorsal surface also okay so we will discuss the external
features we will discuss the external features of the pawns okay first we will discuss about the ventral surface
ventral surface and after that we'll go to the dorsal surface okay so first important
thing first important thing let us start drawing from the midbrain itself okay let us start drawing from the midbrain
itself now all of you look here so what is this particular structure over here you see this this particular structure
over here is called as your midbrain okay so this particular structure over here is called as your
midbrain now you know midbrain is having two cross right cross cerebra left cross cerebra and the center this is called as
Aqueduct right cerebral liquid next after that after the mid brain what do you have you have got a structure like
this this particular structure is called as your pawns okay this particular structure is
called as your pawns now beneath the pawns what do you have you have got medula oblongata so let us say this part
is your medo oblongata and all these images whatever I'm drawing right now this is which surface your ventral
surface keep that thing in mind okay so this is your medula oblongata right so this is your medula oblata over
here this is your medula oblongata so what are the structures which I have drawn over here the first important
structure over here is this is your midbrain okay and this is your pawns and and this is your medula obl now behind
the midbrain pawns medula obla three of them is called as your brain stem now behind this what is the structure you
have got you have got your cereum right so behind all of this you have got what you have got your cellum like
this so behind all of this you have got cereum so this is your cereum here this is the cereum now another
important thing is that on the sides of the cereum over here right not not on the sides of cereum on the sides of the
pawns you've got this particular structure this is called as middle cere pinkle what is this called as middle
cere predal so what I'm trying to tell you is that for example if this is your central nervous system this is your
midbrain pawns medular oblongata and spinal cord like this right remember one thing remember one thing that on the
back side here you have got what on the back side here you have got your cereum okay so this is your cereum now how is
cereum located behind midbrain ponon Med oblata see here from the midbrain the fibers are coming a pinkle is coming and
attaching here this is called a superior cere pinkle from the pawns you see middle cere pinkle from the middle obong
inferior cere prangle so these three prangles together they attach to the cereum and hold the cere position so
regarding the pawns what is that pangle called as middle cere pangle so this is the one that is your red one is called
as your middle cere prangle okay so let me write this part over here so this part over here is called as your
middle cere panle so this is called as your middle cere prle next important thing is that you have got many cranial
nerves I'm not drawing any cranial nerves here but I have already told you what are the cranial nerves that are
originating from midbrain pawns and midle oblong if you remember right now next important thing I want to tell you
over here is that if you mainly concentrate on the pawns right so this surface of the pawns is called as a
superior surface or Superior border of the pawns okay now if that is a superior border of the pawns then this particular
border over here is called as a inferior border of the Pawns one is called as the superior border
another one is called as the inferior border now where is the inferior border present can I tell this inferior border
is present between the pawns and Med oblata so I'm calling inferior border as Ponto medular Junction what is this
Ponto medary Junction the inferior border has Ponto medular Junction okay next important thing if you exactly look
in the center I did not draw this but in the center you you have got a sulcus okay this sulcus is called as sulcus
basilaris in the center over here in the center over here actually you have got a sulcus so this is a pawns like this with
swellings on either side with swellings on either side and in the center you have got a sulcus like this this sulcus
is called as sulcus basilaris why are you calling it as sucus basilaris because whenever
teaching you circular if you remember this is your right vertebral artery and this is your left vertebral artery both
the vertebral arteries they join together at the Ponto medular Junction I told you and then they ascend up as a
single artery what is this this is your basil artery so that is why this is the sulcus for the basill artery so you call
it as sulcus basilaris okay sulcus basilaris okay now next important thing so these are some
of the features I mean not much features on the vental vental surface Sur and moreover there are also nuclear over
here cranial n nuclear if you remember there are cranial n nuclear which I told you in the midbrain right in the
midbrain I told you in the pawns also I told you in the middle oblong also I've told you right so these will be the
cranial n nuclei over here clear right the next important thing is that if you look from the posterior side from the
posterior side there are many structures that are present okay so let us say if you are looking at the pawns from the
posterior side okay if you're looking at the pawns from the posterior weave posterior weave or ventral or dorsal
dorsal weave so this is how it looks okay you see here this particular part over here is called as your
midbrain okay and this particular part over here is called as your pawns and this part over here is your
MBL and down here you have got your spinal cord okay now on the posterior surface of the midbrain as I told you I
will tell you here you see four swellings 1 2 3 4 right so in this out of this four swellings swelling number
one and two are called as Superior culi Superior culi are responsible for what they're responsible for vision keep that
thing in mind next three and four are called as inferior culi inferior culi and they are
responsible for auditory action auditory hearing audit hearing auditory sensation right for hearing so four of these
together you call it as corpora Quadra Jamina so all these four bodies together you call it as
corpora Quadra gamina so corpora Quadra Gina is located behind your mid brain so I told you we are making a section at
the level of superior cicular right so actually we are making a section here and showing it to you okay so Superior
cular inferior cular Superior ccul for vision inferior C for auditory action now when it comes to pawns this is how
the pawns from the back looks I mean this image is just gross not that clear we shall discuss all the structures over
here okay but remember one thing if you see on the back side on the back side you see a line in the center here yeah
closely look here you see a line instead of calling it as line I will call it as sulcus this sulcus is located exactly in
the center right and remember this sulcus is in continuous with the sulcus of medo ablang also right so this sulcus
over here is called as median sulcus not medial it is median sulcus median n median sulcus so let us draw all these
structures over here okay so what are the structures first important thing I told you first important I told you that
here we have got two important ccul called as Superior culi down here we have got two important ccul called as
inferior ccul you are clear with this now when it comes to the pawns I told you that in the center of the pawns
there is a sulcus okay what is this sulcus called as this sulcus is called as median sulcus let me write it down
this sulcus over here is called as your median sulcus okay on either side on either side of the median sulcus you
have got two more lines see on either side of the median sulcus you have got two more lines what are these two more
lines called as this is called as sulcus limitans what is this called as this is called as
sucus limitans this is called as sulcus limitans okay now if you actually look at the real picture guys you can you can
actually appreciate a swelling here you see I'm just drawing a swelling here I don't know how well it goes
but you see there is some kind of swelling here yes or no you see on either side of median
sulcus you see there are two bumpy elevation to swelling swollen structures now these two important swollen
structures whatever you can see on either side these are called as medial Eminence medial L this is L this is n
medial eminence this is called as what medial Eminence now what are the structures
that are located over here so first important structure on either on the top on either sides of the medial Eminence
over here on either side of the medial Eminence you have got a nucleus here this is called as Locus corus what is
this structure called as this structure over here is called as Locus chelus okay this is called as
Locus corus corus okay let me corus okay this is called as Locus corus next down if you come down if you
come here you have got two more culi okay you see these are two more col where are this col located these col are
located on the posterior aspect okay posterior aspect of what posterior aspect on the medial Eminence these two
ccul over here are called as facial ccul these two ccul are called as facial culas okay this is called facial
ccul next down here down to the facial culas you have got two important structures here what are these two
important structures here these two important structures are called as stamis okay these two important
structures over here are called as stria medis on either sides of fola right or sorry on either sides of facial
cicular you have got a triangular shaped area Okay on either sides you have actually got a triangular shape
depression like this you see on either sides you have got a triangular shaped area this
particular triangular shaped area on either side is called Superior phobia now when I'm telling Superior phobia
there will also be inferior phobia but where it will be I will tell you later so we have got Superior
phobia Superior phobia okay so what are the structures we have got guys we have got the structures that are located on
the posterior aspect the first important thing is we have got what is this this is called as medial Median sulcus on
either s what you have got you have got sulcus limitans okay on either side you have got sulcus limitans next the
Eminence which you have is medial Eminence uh down here you have got facial culus below that you have got
stri medis on either sides you have got Superior FIA on the top you have got Locus corus and this Junction is your
Ponto medular Junction okay so these are the structures that are located over here okay on the posterior aspect now
you have to know that what is Pawns in relation with the ventricles first of all tell me PA is related to which
ventricle the answer is fourth ventricle how fourth ventricle I will tell you that and next important thing is is this
pawns forming any wall of fourth ventricle that also we will discuss now okay so if you look at the next if you
look at the next picture over here you will understand let us say that this particular part is your midbrain
midbrain and here what is this here you have got Superior ccul on the top here you have got inferior ccul on the bottom
right all of you know this next after that you have got what is this this is called as your pawns after that you have
got what is this this is called as your medula oblata okay now after this medula oblata down here what do you have got
medula oblata continues down as spinal cord spinal cord next you also know this thing on the back side posteriorly what
do you have you have got your cerebellum so what is this this particular structure over here is called as your
Bellum okay now where is your fourth ventricle if you remember I've taught you in case of Dandy Wacker syndrome
right in dandy walker syndrome what did I teach you there is a cyst that is formed here I've also told you there
that this is your fourth ventricle over here right now look here carefully for example if I am making a duct in the
center here okay what this duct will be called as tell me what will this duct be called as this duct is called as
cerebral Aid okay and in the same way if I making another duct over here what will this particular duct be called as
this is called as Central canol what is this Central canol and all of you know this important thing that CSF is present
in the cerebral aquid duct and from here the CSF will enter into your fourth ventricle and from here the CSF will
enter into what into your central canol right so once again let me write these things down so this is called as
Central uh sorry cerebral Aqueduct cerebral Aqueduct here you have got is the Central
canol Central canol this is your midbrain this is your pawns this is your medul oblata this is your cereum okay
where is your fourth ventricle see this is your fourth ventricle okay this particular thing over here is your
fourth ventricle now if I ask you what are the walls of fourth ventricle right now here we have got roof as well as the
floor see this is called as a roof of the fourth ventricle and this is called as a floor of the fourth ventricle okay
so what are the structures you have got one you got is a roof of the fourth ventricle another one you have got is a
floor of the fourth ventricle okay now what is this particular roof of the fourth ventricle made up of roof of the
fourth ventricle this one is made up of this particular structure over here called as anterior cere Notch you see a
notch over here this is called anterior cere Notch roof is made up of anterior cere Notch okay whereas floor
is made up of what floor is made up of two important structures now tell me where is the floor see from here all the
way till here okay till here this is the flooor floor is consisting involving both pawns and medo oblata complete
pawns and little part of medo oblata right so can I tell within the pawns within the pawns this is called as an
anterior surface of the pawns and this highlight which I'm doing with the pink right this is called as a posterior
surface of the pawns so can I tell the floor is formed by the posterior surface of the
ponds posterior surface of the ponds along with that can I also tell it is also form by a little part of posterior
surface of Med oblongata posterior surface of medul oblongata so here we have got two things
what are these two things see this is called posterior surface of Med obl and that is called posterior surface of the
pawns so these two things form what these two things form the floor okay these two things form the floor next
important concept I have to discuss over here is a very very very very important angle here and and the contents of this
angle and also a clinical point is there that is called as cello pontine angle what is this
cerebello pontine angle the angle between cerebellum and the pawns is called as cerebellopontine angle okay so
let me very fast draw a picture over here so this is your midbrain Superior ccul inferior culus after that here you
have got your pawns here you have got your Med oblata as well as spinal cord over here right
so all of you know that this particular part over here is your cereum this is your cereo now what is cereo pontin
angle first important thing you should know that this is your pawns this is your medo obl now what I'm doing is that
I'm drawing a line now I'm drawing a line like this this is the first line now I'm drawing the second line touching
the two surfaces of the cereum here this is the second line now perpendicular to that I'm drawing one more line over here
you see this is a third line so how many lines over here you have got so this is the first line this is the second line
and this is the third line okay there are how many lines there are three lines over here now another important thing
let me put this picture little bit down and then explain you in detail over here okay now you might be confused
where from where did this image come Okay so actually actually you know that let me draw
this I hope now you are clear right so this part over here is your midbrain pawns as well as medula
oang and nothing to worry that you also know that here you have got what what is this this part over here is
your brain like this this is your brain now if you look at the bones if you look at the bones tell me what bone do you
have here frontal bone what bone do you have here that is parital bone and what bone do you have here you see this bone
which I'm drawing here is touching your line number one yes or no can I tell that this is temporal and back back side
is your occipital so here I have got a temporal bone which is touching the line number one okay temporal bone that is
touching the line number one now this particular angle which you can see over here is called as cello pontine angle
okay between the cerebellum and the pawns the angle which you see over here is called as cerebello pontine angle so
what are the borders of cereo pan angle we have got we have actually got three important borders what are those three
important borders what did I tell you first border is touching your temporal bone exactly speaking which part of
temporal bone you know petus part of the temporal bone okay so it is touching the superior border of superior
border of which bone petus part of temporal bone petus part
of temporal bone so that is the first line and what is the second line second line is pass passing along the upper
border of cereum it is passing along the upper part of cereum right so second border is it is passing along the upper
part of cerebelum upper part of cereum upper part of cereum now how is the third line passing if you see
here this is called as an anterior surface of the pawns this is called as a posterior surface of the pawns but this
line which I'm drawing here is a lateral surface on the other side you'll see the medial surface so this line is passing
along the lateral surface of the pawns this line is passing along the lateral surface of the pawns
lateral surface of the pawns lateral surface of the pawns so all these three things together they form what an angle
called as cerebellopontine Angle now if I ask you what are the contents of the cerebellopontine angle what will you
tell first important thing I have got an artery over here this artery over here is called as labyrinthine artery next I
have got a vein over here this vein over here is called as labyrinthine vein next I have got three cranial loves one is
six one is 7even and one is eight these are the three cranial loves so what are the contents here what are the contents
of the celontin angle there are three important contents one is called as the uh Labyrinth
labyrinthine artery and labyrinthine vein okay we have got labyrinthine artery and labyrinthine vein simply
labyrinthine vessels second important content what do we have we have got is a sixth pair of cranial nerve right next
we have got seventh pair of cranial nerve next we have got eighth pair of cranial nerve so these are the cranial
nerves that are located over here okay 6th 7th and eth now what are the clinical points which
you can tell in in this particular thing in this thing is that for example sometimes there might be there might be
by chance there might be a tumor of this eighth pair of cranial nerve okay so this particular tumor of this eighth
pair of cranial nerve is called as vestibular Sanoma vestibular
Sanoma what is this vestibular Sanoma now you tell me if eighth pair of cranial nerve has got a tumor there
right don't you think this tumor can easily pass to sixth pair as well as seventh pair so even can I tell patient
will also have abducent nerve paly and facial paly also right so along with along with eighth pair of cranial nerve
there are two other nerves that are involved what are those two other nerves that are involved in case of vestibular
Sanoma one is your abducent nerve so there will be abducent paly abducent nerve paly and next you will have a
facial paly facial paly okay so you know how will the patient come to the clinic the
patient will come the patient will come to the clinic complaining of DVT DVT in the sense DVT in the sense not deep Vin
thrombosis it is dizziness disiness it is Vertigo Vertigo and
tinitus disiness vertigo anitus so when a patient is complaining of disiness tinitas
only this is not called as vestibular Sanoma in vular Sanoma what is the important thing cranial nerves are
involved so along with these complaints along with the DVT along with DVT if patient is also complaining of cranial
nerve paly cranial nerve paly in the sense either sixth or sth or eighth either of these three cranial NES or all
all these three cranial NES now you call this particular condition as what vestibular Sanoma and remember the other
name for vestibular Sanoma is acostic neuroma acostic
neuroma so what if a patient is coming to the clinic complaining of only DVT he's complaining of only DVT no cranial
nerve abnormality okay he's complaining only of DVT and I asked him I asked him how much time is this vertigo lasting he
is telling vertigo last from minutes to hours vertigo check so this vertigo is lasting from minutes to hours very very
important it is lasting from minutes to hours now if I check for cranial no 678 all these three are perfectly normal
then what is this condition where there is only DVT where there is a vertigo lasting from minutes to hours this
condition is called as minor disease what is this condition called as minor disease so remember Minor's disase minin
is minutes minutes to hours okay so if a patient is having such thing Minor's dises what is the next important thing I
will give right I will give procor perzin Pro chlorin or I can use cin Pro chlorin whatever it is so these are the
basic medications which I prefer to the patient okay right whatever it is let us go back to this topic so if a patient is
compl explaining of disiness vertigo tinitus and I check the cranial nerves Sixth sth and eighth are damaged so it
means I will confirm that this is acostic neuroma or vestibular Sanoma but what is a proof that this is acostic
neuroma or vestibular Sanoma immediately what you need to do is that you need to do an MRI scan okay tell me MRI of what
MRI of this celop pontine angle so you need to order a MRI of CP angle cerebellopontine angle so there you can
see a tumor there okay so this is all uh you need to know regarding this cereo pontine angle we are done with the
midbrain we have done with the pawns okay now we shall be discussing regarding the medula oblongata so what
are the external features of medula oblata on the ventral side as well as on the dorsal side medula
oblata now regarding this medul oblata what are the external features of medula oblongata first we shall discuss about
the anterior surface or ventral surface again we will discuss the posterior or the dorsal surface okay now in this
anterior or ventral wave what you can see see first important thing first important thing here is that you know
you know that here what is what is this picture over here you see this is uh this is your midbrain from the back okay
this is your midbrain from the front Okay so this particular part over here is your midbrain from the
front midbrain is having two parts what are these two parts right cross cerebri and left cross cerebri okay next down
over here what is this this is your pawns what is this this particular thing over here is called as your pawns so you
have got your midbrain youve got your pawns now beneath the pawns is the main topic now that is your medula oblongata
now here here if you see you got two struct es like this you got two structures in this way
okay so let me uh put it up as a single line you got two structures like this and on either side of these structures
two more structures are present here right now this entire part which I've
drawn right now is your medula oblongata so medo oblata might look little bit diff different from the others but it is
very very easy okay so this part over here is called as medula oblongata now in this medula oblongata what are the
different parts which you can see so first important thing is that these green color Parts which I'm highlighting
right now these two green color Parts over here are are called as what olives what are these two green color Parts
called as these are called as olives okay now after this you see this Center Line here right okay leave that before
that before that this particular structure over here is called as your right pyramid what is
this right pyramid and this particular structure over here is called as your left pyramid right and left pyramid okay
right and left pyramid next important thing this Center Line you see this Center Line This center line is called
as anterior why because we are discussing right now the anterior so anterior anything in the center is
called median so this is called anterior median fissure anterior median fissure anterior median
fissure okay next the structures that are located on the side you see these two here as well as here these two are
called as anterolateral sulcus what is this this is called as anro lateral sulcus so anterior medium
fure and anterior lateral sulcus okay next important thing what is the next important thing is that here in the in
the in this pyramids on the surface of this pyramids you can see some Ark shaped fibers there are arches like this
you see there are some Ark shaped fibers these Arc shaped fibers over over here are nothing but called as what these are
called as arcuate fibers what are these arate fibers but these arate fibers are present anteriorly so these are called
as anterior rate fibers so these fibers over here
are called anterior arate fibers now what is this particular Junction guys The Junction that is present between
pawns and medula this is your Ponto medular Junction okay this is your Ponto medary Junction so what are the
structures which we have got over here so here we have got these fibers called as anterior arate fibers this is called
as Antero median fissure right this is called as anterior median fissure on either sides this is called as anol
lateral sulcus after that you have got uh the right pyramid over here this is called as your left pyramid and here you
have got these fibers called as rq8 fibers what are these fibers arced fibers on either sides you have got
these structures called as olives these structures are called as olives so what are these structures all these here and
by the way this is your pawns this is your midbrain that is your right crust of the midan left cross of the mariban
what is this this is why am I going fast is that these things have already discussed right so this is your cerebral
Aqueduct cerebral Aqueduct okay so these are the things which youve already discussed only the new part is this
dorsal features over here right uh sorry the vental features the vental features or the anterior features of your medula
oang now after and you know one important thing that here here if I talk only about medo oblata here you see
posterior surface of medo oblata is forming the floor of the fourth ventricle keep this thing in mind okay
now we shall be discussing about the posterior view so just now we are done with what anterior or vental now I'm
discussing about posterior or dorsal wave of medula oblata now we shall be discussing now we shall be discussing
ing the posterior weave or the dorsal weave of medo oang okay we shall mainly focus on the
posterior posterior or the dorsal weave posterior or dorsal weave of medula
oblongata posterior or dorsal wave of medula oang okay now post when I tell posterior VI I will draw all the way
from the midbrain posterior to the midbrain what do you see I I told you you see culas Superior and inferior
culas you remember right so that is present on the anterior side or on the posterior side that is present mainly on
the posterior side right so here if you see this part is your midbrain okay beneath your midbrain
whatever you have over here is your pawns okay and here you have got these two structures called as Superior culi
these two structures over here are called as inferior culi and what is this this part particular thing over here is
called as your pawns this particular thing over here is called as your pawns so guys now we shall be discussing
regarding the dorsal or the posterior weave okay so we shall mainly focus on the
dorsal or the posterior weave okay dorsal or the posterior weave of your medula oblata we discussed about the
anterior weave right now we'll be discussing about the dorsal or the posterior wave of medul oblata okay now
in this dorsal or posterior view of this particular Med what are the important things that you need to keep in your
mind so yeah again again let me draw from the midbrain itself so that the more I draw the more it will be useful
for you only so this is your midbrain and down here you have got the pawns and right now I'm drawing what the posterior
surface keep that thing in mind okay poster this was your anterior surface this is your posterior whenever I draw
posterior don't forget we have got Superior ccul in the midbrain and down here we have got inferior culas and this
is the spawns now posteriorly when you see okay when you look at the medula oblongata posteriorly it is completely
different so first let me draw and then I will explain you okay so this is how the medula oblongata looks
posteriorly right so if you see here this part this part is not a triangle actually this part is the open part okay
so what is that that part is a open part you'll understand everything once I finish up the
picture so this part over here is called as your medul obl and important thing is that you know that these two structures
over here on either side are called as olives in the front in the front anterior wave the structure that is
present here and here these are called as pyramids you remember that right now what is this particular picture over
here what is this particular picture is that here we actually this is from the posterior side and if you see here
posteriorly we have got this very important thing anteriorly this is how the medo oblongata looks okay this is
how the medo oblongata looks now when I'm turning it turning the med oblata posteriorly you can see posteriorly the
upper part of Med oblata is open you see as a triangular shape so that is this particular triangular shape here you see
this particular triangle is nothing but this open part and the lower part is closed clear so in the anterior side you
cannot see open and closed but posteriorly you can see the upper part of medo oblong is open and the lower
part of Med obla is closed here I have got what here I have got olives next important thing is that on the posterior
aspect of Pawns if you remember on posterior aspect of Pawns I told you I told you this thing that in the center
if I'm drawing a line This is called as what this is called as median sulcus you remember right on either sides of the
median sulcus what do you have got you have got the uh lateral sulcus right so this was a thing which I've told you
previously and next important thing I told you over here is that on both the sides here on both the sides here you
have got this elevation bumpy elevation on both the sides I told you what is this bumpy elevation on both the sides
in the pawns this is called medial Eminence now why am I discussing again this thing you'll get to know in a
minute so you know that this particular part is called as medial Eminence in the same way this particular median
sulcus median sulcus of Pawns median sulcus of Pawns is continous with the median sulcus of your medul
ablang okay and as usually the same on either sides what do you have got on either sides you have got this part what
is this this is called as your what is this the swelling what is the swelling called as Eminence medial Eminence so
this part over here is called as your medial Eminence so you see medial Eminence on both the
sides okay you see here that there is medial Eminence on on both the sides you see medial amance on both the
sides so medial Eminence is in continuous with the medial Ence of the pawns okay now next important thing what
is the next important thing if you remember that I told you that I told you the line which is in the center the line
which is in the center what is the line which is in the center anterior median fure okay what is this anterior medium
fissure then what will be the same line on the back side this is called posterior median not fissure it is
sulcus posterior median sulcus one is called anterior
median fisure and this is called posterior median sulcus next what is this called as we called it as
anterolateral sulcus okay in the same way here this particular structure is called as posterolateral sulcus
posterolateral sulcus posterolateral sulcus one is antrom medial anol lateral sulcus and
this sulcus will be called as posterolateral sulcus next important thing if you remember uh here I have
told you I think yeah where is it uh I think yeah this is a part I told you that midbrain is connected to the
cerebelum with the help of superior cerebellar pedal pawns is connected to the cereum with the help of middle cere
pedal and down here what is this this is called inferior cere pedal that is the medo oblong is connecting with the
cereum right so here what I have to draw here I have to draw the middle cere pinkle okay so now you see this
particular pinkle over here this is called as middle cere prangle okay so this is called as middle
or inferior I think inferior right so this is called as inferior cere prangle so this is called as
inferior cere peduncle inferior cere peduncle the
other name for this inferior cere peduncle is restiform body what is this restiform body the other name for this
is restiform body so what are the structures you have got the center line over here is called as posterior Median
sulcus on either side what do you have posterior lateral ccus next uh here you have got what is this particular thing
over here this is called as inferior cere pinkle okay and on either sides over here you have got what is this this
is called as olives these are called as olives what are these called olives and what is this sulcus over here yes this
is called as median sulkus median sulcus and what is this this is called as medial Eminence medial
Eminence medial Eminence so these are the structures that are located on the posterior side actually we are not yet
done with the structures there are much more structures so just with the basic I'm telling you that these are the
structures later on I won't I I will draw these structures but later on I won't write down all these
names okay because we have a lot more things that we have to discuss on the posterior side okay so that is the
reason why so this is just like a basic kind of view before I discuss that difficult part okay so let let me
clarify this confusion of uh anterior median Fisher posterior median sulkus and all of this so let me clarify
this confusion if I'm making a transverse section of your medula oblata this is how the transverse section
looks okay so this entire part is your med and down also here you have got down also
here you have got yeah so this is the part now here what
are the important okay let me let me draw a little more inside like this yeah so this is your medula oblata now in
this medula oblata again I'm telling you that if you divide this Meda oblongata into two halves so what is this part
called as we discussed Med oblongata in two waves this is called as anterior or ventral this is called as posterior or
dorsal right and what is this particular structure over here in the center this is called as anterior
median anterior median Fisher but what is this structure on the posterior side this is not Fisher this
is sulcus posterior median sulcus anterior median fure poster median sulcus next what is this
particular structure which we have got here this is called as posterolateral sulcus what is this
postero lateral sulcus okay what is this particular structure over here this is called as
anterolateral sulcus Antero lateral sulcus I hope you clear now okay so this is on the posterior
side terminology and this is the terminology on the anterior side now if you look at the real specimen how does a
real specimen look see this is a real specimen now tell me is this anterior side or post exterior side so first of
all let me write down uh the parts here okay so you know that this part over here is called as your midbrain okay
this part is called as midbrain next this part over here is called as your pawns this part over here is called as
your MBL and down over here you call it as your spinal cord okay now tell me look at the midbrain are there culi yes
or no there are no culi so if there are no culi then this surface is called as your anterior surface what is this
surface anterior surface and by the way this is your pawns now down here I told you that what are these structures over
here these structures are called as what olives these structures are called as olives what is this structure over here
called as right pyramid what is this right pyramid so you have got olives on the right you have got olives on the
left youve got right pyramid here left pyramid here after that can you see a line in the center over here I'm rubbing
it again just look at this can you see this line in the center right I'm just drawing a line
just side to that so that it won't disturb you you see this line in the center this line now tell me anteriorly
what is this line called this line that is present anterior is called anterior median fissure so here this particular
line over here is called as your anterior median fissure okay just side to that you see another line over here
and another line over here right so what is this line called as anal sulcus what is this
Antero lateral sulcus now I'm now what I'm doing is that now I'm going to show you and by the way this is your anterior
or vental W now I'm going to show you the posterior or the dorsal so in this posterior or the dorsal wave you can see
swellings you see two swellings here right two swellings here what what are these two swellings over here these two
swellings are called as Superior culi and these swellings are called as inferior culi Superior and inferior culi
next on the back side directly let us go to the medo oblata if you look at this particular medo oblongata if I'm
dividing this medo oblata into two parts you see the upper part of medo oblongata is open but the lower part of medo
oblata is closed you see this triangular area upper part open and this lower part is closed in the same way what did I
tell you here I told you here on the posterior region the in the pawns you have got the median sulcus the median
sulcus in the pawns is in continuation with the median sulcus of the medang so all of you just look at this particular
picture the median sulcus of the pawns is in continuation with the median ccus of your med oblata yes or no yeah so
this is one of the important thing now you can see small lines on either side right so these lines are not that much
visible but just think that these lines one is called as postro median posterolateral sulcus and Center one is
postom median sulcas over here okay now what we will do is that we will draw we will draw the same picture there we will
draw the same picture there and there are some additional more structures that are present on the medo ablang on the
posterior side so we shall discuss what are these additional structures right so we uh discuss regarding the posterior I
mean or the dorsal side of the midle oblata right so as I told you uh those things which I discuss there are only
few actually there are a lot more things that you have to discuss now I'll draw a bigger picture okay and in that picture
I'll explain you all these important structures so again again so let us start from the midbrain so let us say
this is your midbrain over here right now beneath the midbrain what do you have you have got
your pawns let us say this is your pawns okay this is your pawns over here
now beneath the pawns you have got what medula oblongata and again I'm telling you again I'm telling you here this
thing that all of you have to remember anterior side the medo oblongata is completely plain right on the posterior
side on the dorsal side or posterior side if you look at the medo oblongata medo oblongata the upper part of the
medle oblongata is open the lower part is closed okay the upper part is is open and the lower part is closed over here
okay so this is your upper part okay so this is the upper part
which is open I told you right so this is the upper part which is open like this okay and the lower part is
completely closed and by the way what are these two structures over here these two
structures are called as your olives okay these two structures over here are
called as your olives I'm concerned about if the picture is straight or cross because the structures we won't
have space to draw enough structures over here yeah right and let me draw one last line over
here right so these are the structures which you can see over here so this is a section clear now here there are a few
and by the way let me highlight this this is your Olive on both the sides you've got your Olive now if you look at
the posterior side again I'm telling you posterior side in the sense you should have uh two Superior culi and two
inferior ccul over here two Superior as well as two inferior culi what did I tell you I told you that the structures
in the pawns are in continuous with the structures in the middle obl like median right or like let us say medial Eminence
and all right so first of all let me draw a line in the center of the pawns let me draw a line in the center of the
pawns what do you call this line as this is called as your median median sulcus n median sulcus okay now in the same way
you even have got median sulcus over here even in the pawns also there is even in the middle obl also there is
median sulcus right now apart from this Median sulkus on both the sides I have drawn one more sulai over here this can
anyone tell what might be this name this is called in the pawns I've told you sulcus limitans what is this sulcus
limitans okay next this particular sulcus limit this particular sulcus limitans continues down like this as
sulcus limitans on both the sides yes or no next important thing what did I tell you I told you that there is there is a
bumpy elevation on both theid sides like this okay you see this bumpy elevation on both the sides so this particular
bumpy elevation on both the sides what do you call this you call this as medial Eminence what do you call this you call
this as medial eminence okay so what do you call this this
particular structure which you call over here this is called as your medial Eminence okay now when I tell medial
Eminence so don't you think there is also medial Eminence that is continuing down over
here you see there is also median Eminence that is continuing down here also there is median Eminence that is
continuing down so so this is the median Eminence that is continuing down over here okay
so let me first write down these the names of these structures first so this particular structure over here is called
as your median sulcus okay and this one over here is called as your sulcus limitans what is this sulcus limi
limitans next this particular structure over here is called as your medial eminence
medial Eminence and this continues down along with this particular part right MBL and next important thing I've also
told you that here you have got two important structures right on where on the sucus
limitans you have got two important structures what are these structures called as Locus coralus if you remember
right so this particular structure I told you as Locus corus right Locus corus I told you
next important thing is that down here also you have got two important structures here in the medial Eminence
right in the medial Eminence uh the inferior part of the ponds on the posterior side down here you have got
two structures called as facial ccul right so these structures are called as what facial cicular so these are the
structures I just sted in the pawns itself I've also told you that there are two uh triangular shaped structures like
this these triangular shaped structures on both the sides these are called as what these are called as Superior phobia
what is this this is called as Superior phobia these two structures over here are called as Superior phobia next down
here you have got two more structures these structures over here are called as sta medis you see these structures here
these structures are called as Tria medis so these structures over here are called as
stria medis these structures are called as Tri medis right now these were the structures which I already discussed in
the pawns now once when you come to medula oblongata how the structures on the top are different in medul oblongata
is that so if you look at medul oblata within this particular medo oblata you will have a ridge okay let us say this
this is a neural Ridge which I'm drawing right now you see this particular Ridge which I'm drawing right now is a neural
Ridge okay you see this is a neural Ridge now this particular neural Ridge which you can see over here is what is
called what do you call this neural rides this neural rid is called as tenia what do you call this this is called as
tenia now tenia is having a small separation down here so this particular separation within this tenia is called
as Seance what sear funicular Seance okay so what is this particular structure over here this is called as
your tenia this is a neural Rich called as tenia tenia and tenia is having you see
this small separation over here this separation is called this separation is called as funicular
separ funiculus separ this separation is called as funiculus separ next important
thing you see a triangular shaped cavity over here because of that because of that you see this particular triangular
shaped cavity now this particular triangular shaped cavity over here you call this as area
Posta what do you call this area as area Posta where your respiratory Center is present okay so this particular thing
over here is called as your area Posta right this is called as area Posta
next beneath this area Posta this particular area which I'm drawing here you see this particular area over here
beneath the area Posta is called OBEX what is this called as this area is called as OBEX okay right now we will
come back to this particular region later on but for now what we'll do is that we'll go down a little bit and
discuss few important things okay so we have actually got few important tubercles okay for example here here we
have got a tubercle this particular tubercle is called as Cate tubercle what is this Cate tubercle on both the sides
you have got this tubercle this tubercle is called Cate tubercle now down to this C tubercle
okay you see here down to this particular C tubercle you have got an Eminence like this down to this skia
tubercle you have got a Eminence here also down to cunia tubercle you have got a Eminence okay this Eminence over here
is called as fle what is this physical so what do you call this as first of all write down this what is this called as
this is called as ciate tubercle down to Cate tubercle whatever physical you have got you call this as
fulus catus fulus catus so you have got one is called as CIA
tubercle and fulus catus in the same way you have got another tubercle over here and another tubercle over here right you
know what is this two these two tubercles are called as this is called as this is called as griles tubercle
okay so what do you call these tubercles as these tubercles are called as griles Tule griles tubercle and and below the
griles tubercle for example if there is a uh Eminence what this Eminence should be called as fasiculus catus or fulus
griles fasiculus gracilis so this one is called as fasiculus
graciles this thing over here is called as fasiculus graciles okay so we have got CIA tubes on either side medially we
have got what grasis tubercle from CIA tubercle we have got fulus CIA from gracilis tubercu we have got fulas
gracilis okay now here I told you there is superior phobia you see now where there is superior phobia there should
also be inferior phobia yes or no so here I have got a phobia you see here on both the sides over here I have got a
phobia this particular phobia is called as inferior phobia okay what is this phobia called this phobia is called
inferior phobia and down to inferior phobia you you see a triangle down to inferior Foria you see
a triangle here this particular triangle down to inferior FIA is called as a hypoglossal triangle okay here also down
to this inferior fobia you see a triangle and this triangle is called hypoglossal triangle so this particular
structure over here is called as inferior fobia down to inferior phobia you got
this hypo gloal triangle you got this triangle over here this is called as
hypoglossal triangle next important thing next important thing is that supero medially superiorly and medially
you have got one more structure over here superomedially you see on both the sides superomedially you have got
another important structure superiorly and medially you have got another important structure in the Triangular
shape this is called as trigonum vei what is this trigonum vei so this is your
trionum vei so where is this trionum V located superomedially to inferior phobia okay and apart from that there
are two areas which you have here so what are these two areas look here this is one area right and below that you
have got the second area over here so what is this particular area which you can see this is called as a cckar area
and and down here this area which you can see is called as your vestibular area on both the sides so this area over
here is your cckar area and this area over here is called as your vestibular area so clear area as
well as vestibular area these are the structures that are located over here so overall overall what are the structures
that are located in the Mido oblong posteriorly first in the center we have got this called as medial Eminence right
medial sulcus on either sides of the median sulcus we have got these structures called as limitans sulcus
limitans next we have got Superior phobia so I have written inferior phobia here down to inferior phia there is a
triangle this triangle is called hypoglossal triangle what is this triangle hypoglossal triangle next this
kind of tissue over here neural tissue is nothing but called as what tenia right so anterior if you see Tena is
having what area Posta your respiratory Center is located in the area Posta next down to that here this substance is
called as obix okay area is called as obix next suom medially this triangular area is called trigonum V and two areas
Co area vular area that's all we have discussed so far okay so these are all the structures that are located in
medulla oblata now uh we shall be discussing everything about the cerebelum okay so as I already told you
cerebelum is attached to the midbrain right so you know that this is the midbrain this is the pawns and this is
the Meda oblata right now tell me what are these names over here yes this name over here is called
as Superior cerebellar pedal Superior cerebellar pedal now I'm telling you the other name for Superior
cere pangle is called as brachium Junction okay this is called as brachium jum okay this is called as brachium jum
next we have got this one over here is called as a middle cere pinkle middle cere prle is also called as brachium
pontis brachium pontis and we have got what inferior inferior cere pedal which is also called as restiform
body resti form body so your inferior cere prinkle is called as your rest form body if you look at cereum okay if you
look at cereum how many notches it is having how many surfaces how many borders we will discuss so first I will
write down then I will show it to you in the pictures so it is having two notches it is having two notches what
are those Two Notch anterior Notch posterior Notch it is having two notches one is called as anterior
Notch another one is called as posterior Notch so two notches are present one is called anterior Notch another one is
called posterior Notch next it is having two surfaces it is having two surfaces what
are those two surfaces Superior surface inferior surface Superior surface as well as
inferior surface Superior and inferior surface it is having two borders two notches two surfaces and two borders so
what are the two borders it is having one is called anol lateral border another one is called posterior
border anterolateral border another one is called as
posterior border posterior border these are the structures which we have over here right
now if you look at if you look at each surface over here so first of all we will discuss about surfaces next we will
discuss about okay first let me uh give you a quick recap about what are notches okay okay first we will discuss about
surfaces then we will go for the notches and all okay so first regarding these surfaces how many surfaces I told you
Superior surface as well as inferior surface so if you are looking at a cerebelum from the Top If you're looking
at a cereum from the top this is how the cereum looks see this particular center part of the cereum whatever you can see
over here is called as vermis vermis of the cerebellum and this is your cerebellum
like this this is your cerebellum as a whole so this is your right cere Hemisphere okay and here you have got
your left cere hemisphere how many cere hemispheres are there two okay so this one is called as your right cere
Hemisphere and this is called as your left C Hemisphere and this point over here is called as your vermis now
whatever surf surface you are looking at right now is called as what Superior surface below this will be your inferior
surface next coming to another important part another important part to highlight here see here if I am dividing cerebelum
into two parts so what will be this part anterior part and this is posterior part now anterior part if you look at
anterior part this part is called as the anterior part and these two structures are located later Al so what do you call
this this you call it as anterolateral Antero lateral border okay what do you call this as anterolateral
border next after anterolateral border we should have posterior border see this entire thing is your posterior border
here also this entire thing is your posterior border posterior border so what are the
two borders which we have over here one is called as anterior lateral border another one is called as posterior
border okay so you can see here um if this is anterior these two structures are lateral so Anor lateral and the
remaining structure this one is a posterior border next what is this particular structure over here see what
is this you see a notch here in the same way you can also see a notch here right so what are these two notches over here
these two notches are this Notch is called as as anterior Notch this Notch is called as anterior
Notch anterior cere Notch and this Notch is called as posterior cere
Notch anterior cere Notch and posterior cere Notch so what did we cover we covered anterior Notch and posterior
Notch we also covered anterior lateral border and posterior border now the last one that is left over is a superior and
inferior okay so by the way uh this surface what is this surface over here this surface is your Superior view what
is this this view is your Superior view okay Superior view now what we will do is that see uh important thing you have
to understand important thing you have to understand that if I am if I am uh yeah putting this pencil over here let
us say I'm putting this pencil over here now whatever you can see over here whatever you can see over here right
this is your right C hemisphere this is your left C spere this is your vermis okay this is your vermis next this
entire border here is called posterior border this entire border is called posterior border okay anol lateral you
cannot see here because it straight is completely so anol lateral is like this here there's one anol lateral here there
is another anal so what is this surface you're seeing what is this surface which you're seeing posterior surface or
anterior surface or Superior surface you are seeing from the top you are seeing the superior surface which is anterior
ior this is anterior which is posterior this is posterior again I'm telling you okay so again once again listen
carefully for example if I am completely folding this paper let us say me fold up this paper
completely now after folding this paper completely right if you see here yeah if you see here if you see here this is
your cereum this is your cereum now this part which is looking at you this is called as a anterior part of the
cerebelum okay this is anterior now this part which is looking at me that this part behind this is called as a
posterior now what did I draw here I have drawn the top part what is the top part Superior part now in the Superior
part in the Superior part if I draw a line like this okay so let me draw a line over here for example if I am
drawing a dark line over here okay I'm not sure will you be able to see this see this is Superior part now
if I'm showing the Superior part to you like this right you see what is this line in the center this line in the
center is nothing but called as vermis okay this is called as your vermis next um if this is your veres right you see
this border this is anterolateral anol lateral and what is this this is called as your posterior border clear that is
called as your posterior border again I'm telling this is superior this is inferior this is anterior this is
posterior now if you have to look at anterior border how will you look yes for example if for example if cereum
anterior pole is facing towards me okay it is facing towards me so if this is a superior pole this is anterior this is
posterior I want you to see this part how will you see I have to bend it like this right when I bend it like this now
clearly you can see the posterior part so this part what you can see over here in this particular picture over here it
is like this okay it is like this so anol lateral on both the sides you can see androl lateral back back back of me
there is a screen see androl lateral and here you can see the posterior part and this is what what is this this is called
as your vermis right now what I'm doing is I'll just rotate the picture like this when I rotate the picture like this
how does the image look so when I rotate the picture like this the image looks somewhat same but slightly different
okay so for example when I rotate the picture this is how it looks so this part over here is called as your
vermis previously I used blue for the vermes right so this part over here you call it as the vermes like this
right this part over here is called as a vermes next uh here this is one part of your
um cerebral hemisphere like this right and this is the other part of your cerebral
hemisphere this is your other part of your cerebral hemisphere like this clear now this is a picture this is
a picture you will find when you are looking from the back okay so this is your posterior view this is your post I
know it is confusing to you but this is how the posterior wave looks okay now in this posterior wave what things you can
see over here what things you can see over here is that in this posterior wave see if uh if if this is your poster this
is your Superior W this is your posterior in this posterior wave what things you can see on the top there are
two borders okay on the bottom also there are two borders you see here there is one border here there is one border
here there is one border here there is one border so these are the four borders see 1 2 3 and four
okay so what is this particular border over here this border over here you call it as right this is called as right
Superior cere hemisphere this is called Left Superior cere Hemisphere and this is called as right
inferior cere Hemisphere and this is called as left inferior cere Hemisphere okay cere hemisphere then what is this
Junction in between this Junction is nothing but called as your horizontal Fisher horizontal Fisher this is nothing
but called as your horizontal Fisher and Center one is obviously called as vermis right so still if you are confused with
this picture another best picture let me put it up to you so that you'll completely understand and I know you are
aware of this Superior culi inferior culi this is your pawns and this is your medo oblongata as well as your spinal
cord okay okay now look here this is your cereum okay now in this particular cereum what are the
important things you can see see first this part is called as anterior Notch this part is called as posterior Notch
okay if this is anterior Notch this is your posterior Notch next important thing is that if I am drawing a line in
between both of them this Fisher is called as horizontal Fisher it means you see this Fisher horizontal Fisher okay
now after that what did I tell you I told you Superior surface of cereum right you see right Superior cere
hemisphere left Superior cere hemisphere right so this part over here is called as your Superior surface of cereum okay
and this part over here is called as your inferior surface of cereum in the same way this part over here is called
as your Superior surface of vermes and this part over here is called as your inferior surface of vermes so this
one over here is your Superior surface of cerebellum this is called as your inferior surface of cerebelum this is
your super interior surface of uh uh let us say what is this vermis this is your
inferior surface of vermis okay this is your cerebelum that is your verus okay clear all of you
right now another another way to show these surfaces and all is this is a perfect way I hope you'll understand in
this particular view now here where is where is is your cerebellum so you know that this is your cerebellum now very
clearly look here all those images which have drawn I'm going to show it to you in this real 3D animation see this part
over here is facing your mouth this is your anterior part now what is this part this part is called as your posterior
part so anterior part posterior part done from the top what do you call it as Superior part from the bottom what do
you call it as inferior part so Superior inferior anterior posterior these are the four surfaces you can see from the
lateral side but can you see can you see the uh medial surface let us say this surface which I written over here is
lateral opposite side will be your medial surface now what I'm telling you is that I'm putting a camera on the top
like this and I'm looking at this particular structure okay let us say this is the eyeball and now what am I
doing what am I doing is that I'm just looking at this structure from the top when I look at this structure from the
top how does that structure look this is how it looks right cerebral hemisphere left cerebral hemisphere there should be
vermes there should be anterior Notch there should be posterior Notch there should be androl lateral border there
should be posterior border these are the surfaces that has to be there now let us look at this so this one I'm looking
from the top now look at this picture this is from the top now in this top picture what you can see here you can
see here you can see this is right Cellar hemisphere left Cellar Hemisphere okay and what is this this part is
called as your vermis okay and this Notch which you can see over here is called as anterior cere
Notch anterior cere Notch and this Notch over here is called posterior cere Notch next surfac is what did I tell you
anterolateral border you see this border over here on both the sides what is this anterolateral border next what is a
border we have got posterior see this entire one this entire border over here is called posterior border this is from
the top this is from the top now if you look from the back if you look from the back this is how it looks most of you
are confusing that okay from the top there is vermis then poster L it means here if I put a camera and if I see why
vermes is again there actually actually look here now this is how the vermes is located guys this is how the vermes is
located let us say yeah let us say that see this is my this is my cerebellum divided into two parts this is right
cere hemisphere this is left see these three fingers comprise right these two fingers comprise the left cerebral
hemisphere what is let us take this mouse what is there in the center over here what is this wire in the center
this wire in the center is called as your cereum sorry vermis you have seen from the top from the top you can see
the vermis here right actually vermis is all over like this you see vermis is present on the top vermis is also
present on the posterior surface you see completely you have got vermis front and back everywhere you have got your vermis
like this clear so vermis is present all over so that's how the picture is so this is from the top now from the top
I'm going to the posterior side see on the posterior side also youve got your vermis clear now here what are the
surfaces these two are superior surface this these two are inferior surface and again this is your
vermes this is your vermes now if I turn if I lift it up much more right so tell me what is this surface here again don't
confuse this is again your Superior surface you see this is vermis this is right C hemisphere left C hemisphere now
this is from the top this is from the top view now this is from the bottom wave this is from the bottom wave bottom
you see in this way so it means you by now you understood that entirely from here vermis will start all the way down
to the posterior side as well as to the inferior side everywhere you have got this vermis like a band right you see
vermis is coming here you see from the top vermis is is coming and in the bottom also you see the worm is over
there clear all of you right now what I'm doing is that what I'm doing is that so once again uh let me discuss this so
all of you just look at this that uh let me put up this thing all the way so I know it's very
difficult yeah so let me try something okay let me try something over here yeah so all of you just look at
this now this is your entire cerebelum all of you know once again I'm telling you this is your entire cereum because
down here I'm going to tell you very very important part in this entire cereum this part is a Superior part okay
where this watch is there that is my anterior part okay this part is a posterior watch is my anterior this part
fist is my posterior part this is inferior Superior inferior anterior posterior towards you where is vermis so
this is a vermis this one over here is your vermis okay so let us say let us say that see this entirely whatever
structure you got here is your vermis now is the vermis present only on the superior surface no vermis is also
present here you see vermis is also present on the posterior surface here so Superior surface posterior surface and
only on these two no even if you go down here on the inferior surface also you got vermis so vermis vermis is present
all the way from here top Superior posterior and inferior now if you wanted to study in a single picture
the superior surface posterior surface inferior surface in a single picture if you want to study how will you study how
will you study is that what I will I do what will I do is that I am going to stretch all these
areas okay Superior surface posterior surface inferior surface what I'm going to do see here I'm going to stretch all
of them like this when I stretch this is superior surface this is posterior surface this is inferior surface and
what did I tell you all the way from the top till bottom you have got your vermis okay top till bottom you've got
your vermes clear now how I'm going to do this look at this particular picture now don't get afraid by looking at this
picture very very very easy picture so what this is nothing different so what is this this this entirely is your right
cere hemisphere this entirely is your left cere hemisphere what did I told I told you have just opened all the
structures out like this I've have just stretched it out so even this vermis used to be in a c-shaped I have just
stretched this vermis out okay now this center part over here is called vermis you know that next important thing next
important thing is that if you see if you see this picture what is this horizontal fure you see
where is the horizontal fure here exactly in the center so where is the horizontal Fisher in this picture you
see in the center here this is your horizontal fissure over here now vermis is divided into lobules so this is the
first lobu second 3D fourth fifth 6th 7th eth and Ninth how many lobules are there nine lobules are there even your
right cerebral cere hemisphere is also divided into lobules left cere hemisphere is also div divided into
lobules what are these lobules look here look here before you learn these lobules what you should know is that attached to
okay again I'm telling you attached to your second attached to your second lobu of vermes there are two fissures that
are on either side what is this this is called as posterior Central fissure attached to the third lobu of verm is
there are two other Fishers down here what are this Fisher up Prima right attached to four there are two fissures
like this now what is the shape of this fissure in the form of a lunate shape so you call it as what posterior lunate
fissure okay and at Fifth Fifth between fifth and sixth what is a Fisher we have got horizontal Fisher next between the
sixth and seventh also we have got a Fisher over here called as pre pyramidal Fisher what is a Fisher over here preal
Fisher next there are two other fishes in the St in and in the back this this fissure over here which you can see on
either side on either side of the first lobu is called as posterior lingual fure and down here on either side of the
ninth Lil this yellow color fure what you can say is called posterior lateral fissure okay again what are the fissures
present here so first lobule is associated with one fure called as posterior lingual fure these things you
have to remember it there's no other way next next second lobu is attached with two fissures over here called as
posterior Central fissures next third one with fish Prima next fourth one with what is this lunite shaped fissure next
between fifth and sixth you have got horizontal Fisher between Sixth and sth you have got what what is this pre
pyramidal Fisher there is no Fisher between seventh and eth okay you see there is between no seventh and eth
there is no Fisher and again after this ninth you have got the post lateral fure finished now these fissures are dividing
each cere hemisphere right and left into lobules see attached to the second one the lobule name is called as AA what is
this AA attached to the third the lobu name is called as quadrangular lobu attached to the fourth the lobu name is
called as lobulus Simplex attached to the fifth we have got Superior semi lunar lobule when Superior semi lunar
down here will be inferior semi lunar and finally you have got here the ventral lul bilateral vental lobule okay
these two are your vental lobules right and what is this structure over here attached to the ninth this is
called attached to the ninth lob this is called pedal attached to Pedal you have got a structure called
fulus so so look here panle plus flus plus this particular ninth lobal together you call it as Flo nodular lobe
right FL no lobe so if someone is asking you how many lobes of cerebelum you have got how many lobes of cerebelum anterior
lobe I have posterior lobe I have and next FL no lobe how many lobes three loes okay so right now we studied what
is FL no l what is flock lobe you have got a structure like this called as pedicle attached to this what is this
flus and the ninth one over here again here pedicle attached to this there is flus and the ninth one so all these
together you call it as flon no l now let us see what is the anterior L what is the posterior L okay what is anterior
and what is a posterior L right so loes of cerebelum first flock no l ninth L ponle and flock lless three
of them together you call it as flock no finished now what is anterior L till fish Prima you call it as anterior where
is fisha prima yeah see you see the base of the third one this one till here you call it I mean till here you see all
this part is called as your anterior lobe okay now from fisha Prima all the way okay let us see where is a posterior
L present yeah posterior L is from from fish Prima all the way to posterolateral fissure where is posterolateral fissure
where is this posterolateral fure you see this is your posterolateral Fisher it means all the way from fish Prima all
the way till this particular posterolateral fure you see this part which I'm highlighting
now okay this entire part is called as posterior Loop okay then this part over here is called as anterior L okay this
is called as posterior l and this last part is called as flon lobe I hope you understood if they will ask you till
where this anterior lobe is present till where the posterior L is present till where this where flol robe is formed by
what you have to answer them okay these are very very important now we studied what are the names of the lobules of
cereum one you call as Alla one called as quadrangular next lobus Simplex next Superior semilunar lobu inferior
semilunar lobu and B lateral vental lobule then what is the names of these structures over here what are the
structures called as lobules of your vermis right so what are the names see here lobules of your vermis are divided
into two parts Superior surface and inferior surface see Superior surface inferior surface I've stretched it right
so the upper part is superior surface lower part is inferior surface Superior surface one is called as lingula it
means this one you see tongue shape structure is called as lingula next two is called Central lobu this two is
called as Central lobu next three is called calmin four is called deive five is called folium you
just have to remember these guys okay calmin deive and folium so this one is calmin deive and folium next below the
horizontal pressure the remaining part is called as a inferior surface above the horizontal pressure this part is
called as a superior surface below horizontal fure you called as inferior surface so what is there 6 7 8 9 so six
is called tuber pyramid uh uula as well as n these are the inferior surface structures so this is all uh you need to
remember regarding the cerebelum so guys now we shall be discussing regarding the cranial
nerves regarding the cranial nerves so all of you know there are 12 pairs of cranial nerves right not 12 12 pairs of
cranial nerves okay so next important thing is that uh you know that this part over here is called as your midbrain
first of all let me uh show you the placement of these cranial which is very important here we have got your pawns
this is your medo oblata and down here you have got is your spinal cord okay now if you look at these cranial nerves
where are these cranial nerves located for example see here there are there are
four cranial nerves always follow the rule of four in rule of four there are four cranial noes that are located in
the center right so here in the midbrain we have got two cranial nerves over here right
which are located in the center so one is called as a third cranial nerve next we called as a fourth cranial nerve okay
next after third fourth next we have got the sixth cranial nerve that is again located in the center so this is the
sixth cranial nerve over here okay and after that we have got seventh and eight that are located laterally okay okay
this is 7th and this is eighth then what about the 9th and 10th see here we have got 9th 10th 11th and again 12th that is
located in the center so this is your this is your 9 10 11 and this is your 12 so the cranial nerves that are located
in the center are your 3 4 6 and 12 3 4 6 and 12 so 3 4S are 12 4 3 are 12 6 2's are 12 12 1's are 12 however you
multiply you'll get the number 12 okay so 3 4 6 and 12 these are the cranial nuclear that are located exactly in the
midline and the nuclear that are located laterally are 7 8 9 10 and 11 okay now what about the fifth nerve where is the
fifth nerve you know fifth nerve has got two important parts one is your sensory one is your motor okay the motar the
motar part is located in the pawns so this is your fifth cranial nerve which is motor okay so that is why
I'm writing it as 5m fifth cranial nerve that is motar then where is uh sixth sorry where is the sensory cranial nerve
located you told me fifth cranial nerve is both sensory and motor where is the sensory part sensory part is
here so sensory part extends all the way from the midbrain right so all the way from the midbrain pawns Meda oblongata
all segments of spinal cord till where see here midbrain pawns medula ablang all the way till C1 C2 segment of your
spinal cord so the largest nucleus which we have over here is your five sensory right so this is your fifth cranial
nerve sensory nucleus has got the largest is the largest one which extends all the way down all the way down till
C1 and C2 cervical uh segments okay cervical spinal segment still there it will be uh
extended clear all of you right now uh this is your five motar five motar and five sensory they both are also not
located in the center they are located laterally now uh there are two important syndromes about these I have talked when
I was discussing circle of VES I told you one is called as lateral medular syndrome medial medular syndrome lateral
medular syndrome I've talked about this I also told about media medular syndrome if you remember right so what
is lateral medular syndrome lateral medular syndrome is because of which artery I told you it is because of paa
occlusion occlusion of Pica would lead to what lateral medular syndrome occlusion of anterior spinal artery
would lead to what so why anterior spinal artery why P it is based upon the location that I have told you already so
that would lead to medial medular syndrome now tell me in the medo oblata in the medo oblata medular syndome means
medo oblata right which nuclear located laterally 9 10 and level so can I tell that cranial nuclear 9 10 and level are
affected in lateral medular syndrome medial medular in the S medially what do you have got cranial nerve number 12 so
can I tell 12th cranial nerve is affected in medial medular syndrome yes so these are some of the very important
parts which you have to know now discussing about each and every cranial no the first cranial nerve is called as
your all Factory and I don't want to discuss that pneumonic uh as on the occasion of the party right so the this
thing to remember these nerves I hope all of you who is watching this video know what is first nerve called as what
is second nerve called as right so if you don't know this is the first time you're watching it and by the way this
is a rapid revision session obviously you must know enough Basics before you watch this okay so first one is called
as your all Factory nerve Okay so so what is alla Factory nerve responsible for all faction smell if all Factory
nerve is damaged if all Factory nerve is damaged what function will be lost all faction will be lost next next is optic
nerve if optic nerve is damaged what will be lost Vision Vision will be lost very easy Vision will be lost coming to
the third important thing third one is ocom motar nerve if ocom motar nerve is damaged then what would happen
what would happen is that you have to know this picture let us say this is your eyeball okay now in this eyeball
let us say this is your nose over here okay this is your nose now I'm drawing the muzzle this is called superior
rectus inferior rectus medial rectus lateral rectus what are these muzzles over these are extraocular musles
superior rectus medial rectus lateral rectus and inferior rectus here this is called Superior obl and this muzzle OV
is called as inferior obl so this is superior obl and this is called as inferior obl now who what are the nerves
that are innervating these muscles remember in neonic S4 lr6 R3 s so4 lr6 R3 what is this pneumonic s so4 in the
sense Superior oblique is innervated by fourth pair of cranial nerve that is your trar nerve lr6 in the sense lateral
rectus is inated by sixth pair of of cranial nve R3 in the sense leaving these two the remaining all are inated
by Third pair of cranial nve so what should I tell if ocom motar nerve is damaged then what will happen your
Superior your superior rectus is gone medial rectus is gone inferior oblique is gone inferior rectus is gone yes or
no when all these are gone what will happen remember from now onwards whenever you see down out whenever it
tell ocom motar nerve two words you have to print it in your mind down and out down and out what do you mean by down
and out look at the patient's eye here how is it looking it is looking down and outside so if you see down and outward
deviation of I that is because of ocom motar nerve injury clear now next important thing coming to the trar again
down and out is ocom motor nerve coming to the trar fourth pair of cranial nerve is what your trar
no now trar will inate what super sorry trar will inate what Superior obl okay trar will inate your Superior oblique
muszle Superior oblique muszle now remember one thing in trar also that whenever a patient's trar Superior
oblique muszle is paralyzed whenever a patient's Superior oblic muszle is paralyzed this patient will be unable to
look down for example for example if I now I'm able to look down like this so when I when I'm walking down the stairs
right how will I look will I look up and walk down the stairs no obviously I look down so any patient with a trar nerve
injury remember this thing he is unable he is unable to look down and out okay see very very very
very very very important differentiation don't confuse if a patient is
looking look here if a patient is looking down and out that is third cranial no problem if a patient is not
able to look down and out that is fourth cranial no problem so here patient is looking down and out so third cranial no
problem here patient is unable to look down and out that is fourth cranial no problem okay so in this patient what is
the second thing that is going to happen is that he will have very difficulty in walking downstairs as well as reading
the book also so patient will give these complaints he will have difficulty walking
downstairs walking downstairs and reading the book walking downstairs and reading the book so obviously what
patient will do patient starts tilting his head for example see now remember one very important thing right now my
fourth pair of cranial on the right side is damaged okay if it is damaged over here then what will happen I'm not able
to look down so how will be I able to look I'll be able to look up right so what will I do what will I do is that I
start tilting my head like this I start tilting my head so that my gaze whatever is there my sight whatever is there that
will be aligned in a proper alignment so if my right eyes has got a problem the tilting will be to the left if my left
eyes has got a problem my tilting will be to the right so most of the time whenever a patient with trar nerve
injury will come to you he will come with head tilting he will come with head tilting
see here now here patient is having problem with the right eye so the head tilting is to the left right so why
because the chin tuck and head tilt to compensate that Vision okay to compensate that Vision so all of you
understood here what will happen Superior obl muzzle will be gone okay so patient can't look down so where will
the patient look up you see here patient is looking up over here so he is looking up see my eyeball is my eyeball here is
looking up right and my left head is tilted down in this way okay so whatever it is these are the important things if
patient is looking down and out one eyeball is looking down and out it is okom now he's unable to look down unable
to walk then it is what trar nerve injury and head tilting is seen in trar nerve injury coming com to trial so
these are some of the easy catches in the exam I'm telling you if I have to discuss about Trial n if I have to
discuss about toar nerve there's a lot I can discuss but these are something catchy things that will be asked in the
exams okay coming to the internal uh sorry coming to the trinal nerve now if trinal nerve is damaged what is going to
happen patient will have ipsilateral loss of pain and temperature ipsilateral loss of pain and temperature
on your face ipsilateral pain and temperature on your face not only that ipsilateral
weakness you know trinal nerve right out of the trial nerve the mandibular nerve is the one which supplies your muscles
of mation so weakness of musles of mitigation musles of
mastication ipsilateral weakness of the musles of mastication coming to the abducens now okay so what is the
abducent nerve here doing so first of all let us go back to this picture so what is the abducent nerve abducent
nerve is sixth sixth is lateral rectus this one for example if my lateral rectus is Contracting my eyeball will
look to the right like this see only look at my right eyeball not to the left okay look at my right eyeball if lateral
rectus is Contracting my eyeball is looking right if my lateral rectus is not
working right it mean my medial rectus is normal lateral rectus is not working my medial rectus is normal so what will
my medial rectus do my medial rectus will pull the eyeball to the medial side so what will happen my eyeball looks
medially towards the nose you're getting it if medial is not working what will happen then the lateral is working so ey
ball will be rotated outward right so here patient sixth cranial patient sixth cranial nerve is not working it means
lateral rectus is not working if lateral rectus is not working then medial rectus will pull the eyeball towards the nose
so if you can see in this picture the eyeball is pulled towards the nose if you see such picture right then always
and always think in your mind that patient is having what ipsilateral weakness weakness to what weakness of
weakness of abduction or adduction right weakness of abduction of I Abduction of I Abduction of
I okay coming to the facial n what will the facial n do facial n is having three most important um clinical Parts which
you can see over here first facial n supplies the face so if facial nve is gone then there will be ipsilateral
facial weakness ipsilateral facial weakness why because all the muscles facial muscles
are supplied by what facial nerve only right next important thing is that facial nerve even is responsible for
taking the taste sensations from the anterior two3 of the tongue so if it is damaged then there will be loss of
taste loss of taste from anterior 23 of the tongue anterior 2/3 of the tongue next important thing is one of the
branch one of the branch of this facial nerve right repeat next important thing is that this particular facial nerve
okay this particular facial nerve within in the in the middle ear in the middle ear you have got a musle called as
stapedius Muzzle you know what this stus muzzle will do what this stus muzzle will do is that this will decrease the
vibration of the OES if OES ear oules are vibrating more it means you can you will be able to listen to more sounds
yes or no for example I'm sitting like this I can right now even if you're sitting in an empty room also somewhere
far you can listen to The Horn of a vehicle yes or no you can listen to The Horn of a vehicle or let us say uh you
can you can listen to the curtains right or let us say you can listen to the cold breeze that is coming out of your uh let
us windows and all right so do you usual these sounds do they usually disturb you no because they're very very very minute
but if my ear OES are vibrating more to those sounds then what will happen even the sound is very small I'll be able to
listen as if the vehicle is just in front of my ear okay this condition you call it as
hyperacusis hyperacusis in the sense you are listening the ordinary sounds too loudly that is called hyperacusis so who
is preventing this who is preventing the overactivity of the Earles that is your stus muzzle and AG facial nerve is
damaged then stus muszle will be gone if stus muszle will be gone then what will the patient have
hyper accus what will the patient have hyperacusis hyperacusis in the sense there is increased sound sensation to
ordinary sounds ordinary sounds okay increase hearing to ordinary sounds next coming
to vestibul C if vular C is gone what will happen this would lead to ipsilateral deafness ipsilateral
deafness coming to gloop Fingal what is gloop Fingal doing gloop Fingal is collecting
taste ipsilateral taste and sensory Sensations taste and sensory Sensations from the posterior
oneir of the tongue from the posterior one3 of your tongue now uh in in a standard website called as radi opedia
there they have given only ipsilateral sensory right but in USMLE it is given both ipsilateral taste and sensory
Sensations from the posterior 1/3 okay in that radi opedia website so it is given it is given only sensory but
still write down that it is both sensory as well as the taste Sensation from the posterior 1/3 coming to the Vagas now
now vas nve will cause you have to just remember these functions guys okay vas n will cause ipsilateral patal
weakness ipsilateral palatal weakness next important thing is there is deviation of
uula deviation of uula so if right veal is damaged the uula will deviate right if left vle is damaged U will deviate to
the left and there will also be loss of gag reflex loss of gag reflex these are the
three important things that are seen coming to the axero you know axero supplies two muzzles one is this
particular muzzle over here called as sternomastoid another Muzzle you it is trapezium muzzle so one is sternomastoid
another one is trapezium muzzle sternomastoid what will it do is that if stoc mid is not working can you rotate
the head no so patient will have weakness ipsilateral weakness in head rotation so patient will have head
rotation weakness ipsilaterally right if trapesium is damaged can you elevate the shoulder no
so there is ipsilateral ipsilateral elevation of shoulder loss
ipsilateral weakness in elevation of shoulder elevation of shoulder okay coming to
hypoglossal now okay coming to hypoglossal no what will hypoglossal no will do is that this will cause
ipsilateral weakness of tongue ipsilateral weakness of tongue so what will happen when there is ipsilateral
weakness of tongue if my right hypog is damaged my tongue will be deviated to right like this if left is damaged it
will be deviated to left so you will see deviation you will see deviation to side of the leion to side of leion wherever
there is a lesion that side you will see a deviation so what I will do now is that I will just draw the tongue over
here and explain you all the clinical points over here all the nerves that are um important over here so if I divide
the tongue into two halves so this part will be the posterior 1/3 of the tongue and this part will be the anterior 2/3
of the tongue posterior 1/3 and anterior 2/3 now anterior most what do you have anterior most here The Taste sensation
is taken by what seventh pair of cranial nve I told you right now in seventh pair of cranial the branch is Corda tempani
remember this CA tempani which takes the taste sensations from the anterior tooth 23
next from the anterior 23 only who is taking the sensations from the anterior 23 of the tongue that is your fifth pair
of cranial nerve in fifth pair of cranial nerve also there is V3 that is what is
V3 Opthalmic maxillary right mandibular in mandibular the name of the branch is lingual Branch okay lingual branch and
finally as I already told you the uh the sensation the sensory as well as a taste sensory as well as a taste both of them
are taken by the ninth pair of cranial Love by the ninth pair of cran clear so these are the important things which you
need to know regarding your tongue now second important part second important part is that uh you have to know you
have to know that there are four structures see let me tell you this is your midbrain this is your pawns this is
your med and this is your spinal cord right what is the first four rule there are four
what is the first rule the first rule is that there are four cranial nerves located in the midline this is the first
rule so what are the four cranial nerves I told you one is 3 4 6 another one is 12 3 4 6 12 these are the four cranial
located in the midline this is first rule coming to the second rule what is the second rule is that there are four
structures what is the thing is that there are four structures that are located exactly in
the midline and all these four structures are with the letter M there are four structures with the letter M
are located exactly in the midline what are these four structures with the letter M that are located exactly in the
midline so one by one we will discuss now okay so first important thing what is the first important thing let me draw
this picture little bit bigger so how how many structures over here 4 M structures again they are also
located in the midline okay so what are the structures first let us say this is your mid this is your uh midbrain you
have got your pawns you have got your medula or and here down over here you have got your spinal cord okay let me
duplicate this right now I'm telling you one pathway here okay now this pathway
starts from the cortex see this pathway is coming in the center starting from the cortex cortex cortex and it is
coming down and in the med oblata it is going onto the opposite side and coming down like this here also coming down
exactly in the medle of obl it will undergo decoation and it is coming down now where is this pathway pathway is
located in the center and this tract coming from the cortex to the spinal cord is called as
corticospinal tract what is this C OS spinal tract clear what will happen if corticos spinal tract is damaged I will
tell you later on but now I'm just writing what are the structures that are located exactly in the midline okay so
what is corticos spinal track it is a sensory or a motar pathway motar pathway so what is the first m m is a motar
pathway that is corticos spinal tract next important thing next important thing is that there is a nerve right the
sensory pathway that is going up all the way going up going up going up and exactly in the med ablang only again it
is deting and going up here also exactly in the center going up decussation is happening and again it is going up now
what is this pathway over here this pathway is called as medial liscus pathway medial liscus the complete name
is dorsal I'm not writing the complete name just you write it down dorsal column medial liscus pathway the
complete name is dorsal column medial liscus pathway you know spinal cord has got vental dorsal it goes from the
dorsal side okay dorsal column medial liscus PA so what are the what is the next M I will write down all these again
okay what is the next M that is your medial liscus pathway is the next M next the third m is the third m is medial
longitudinal fasiculus longit itudinal fulus medial longitudinal fular what do you mean by this medial longitudinal
facular what do you mean by medial longitudinal facular is that remember this thing very very very clearly now
for example if I wanted to look to the right see I'm looking to the right now when I'm looking to the right tell me
what muscles are contracted look here if I'm looking to the right see here I have got lateral rectus here I've got medial
rectus if I'm looking to the right my right eye which muzzle is contracted lateral rectus is contracted my left eye
which muzzle is contracted lateral rectus or medial rectus medial rectus is contracted okay so my left eye medial
rectus my right eye lateral rectus both of them are Contracting at a time so that I can look to the right okay if
both of them are Contracting at a time it means the nerve that is supplied to the medial rectus is different the nerve
that is supplying the lateral rectus is different it means both these nerves should work together both these nerves
should work together they should operate in in in connection with each other yes or no so only then at a time if I want
to look right I can look right if both nerves have some kind of communication in between them only then if I'm able to
look left if I wanted to look left I can look left and those muscles will contract accordingly and I can look left
right so this this communication is brought up by who it is brought up by this medial longitudinal phicus so how
is this communication basically happening I will teach you now okay but before I teach you let me put up this
picture down here let me uh put up this picture down let me put up this down so that it would
save us now so first important thing what you need to know what is the important thing you need to know is that
let us let us say let me draw uh let me draw the eyeball over here this is one eyeball this is another eyeball okay
these are two eyeballs and this is the nasal part okay now you know the muzzle that is present over here is medial
rectus here also we have got medial rectus and this one over here is your lateral rectus this is your lateral
rectus okay so this is your medial rectus lateral rectus and remember one thing remember one thing that I will
also draw the ear to show you to show you how is this happening because very very important thing if I wanted to fix
my gaze onto you and if I wanted to tilt my head how will I tilt in this way now tell me my head is tilted to the right
but my gaze is looking at you still how is this happening there should be some kind of coordination right so I will
tell you what is that coordination and everything right now so now another important image I just wanted to draw
over here is your midbrain okay your midbrain is very very important here here so let us say this is your
midbrain okay next after that we have got your pawns so this part is your pawns okay and after that this is your
medula oblongata so here you have got your medula oblongata and down here you have got your spinal Cod let us say that
this part over here is your right inner ear and this part over here is your left inner ear okay so this is your uh uh
right inner ear and this is your left inner ear okay and remember one thing in
the Ponto medular Junction You' have got a very specialized nuclei these nuclei located in the PTO medular Junction are
called as vestibular nuclei what are these nuclei vular nuclei so these vular nuclei are four how many are there four
see here now Superior nuclei inferior nuclei medial nuclei and lateral nuclei okay four nuclear next as I already told
you third pair of cranial we have got right so here in the midbrain here we have got third pair of cranial n so this
is your cranial n number three okay in the same way down here you have got another cranial nerve over here let us
say this is cranial nerve number six clear right now let us look at this part now what I'm doing is what I'm
doing is I am I wanted to rotate my head to the right when I want to rotate my head to the right what will happen is
that from the right inner ear and nerve is coming here this is called as right vestibular nerve what is this
nerve vestibular nerve what is this n vestibular nerve so if I'm if I'm turning my head to the right my right
vestibular nerve is contracted if I'm turning uh not contracted it is activated if I am turning my head to the
left it means my left West vular nerve is activated so what will happen when I turn my head to the right what will
happen is that my right vestibular nerve is uh activated and this nerve this nerve passes all the way this nerve over
here passes all the way and enters into your what is this it is entering into your vestibular nucle which vestibular
nucle medial nucleus that doesn't matter now so from here what is happening from here from here from the vestibular nucle
you see a neuron that is going into the sixth pair of cranial nve what is this neuron this neuron is an intermediate
neuron okay and giving out two branches okay what will happen with these two branches see one branch goes directly
and supplies to your to your lateral rectus right another Branch another Branch crosses the midline and supplies
to a third pair of cranial Lo and what your third pair of cranial Lo will do third pair of cranial nerve starts
innervating your medial rectus now you might be confused here why sixth nerve is in inating lateral
rectus because I told you lr6 what is lr6 sixth nerve is inating lateral rectus and why third nerve is inating
medial rectus R3 the rest of all the nerves are inated by medial rectus I mean the third pair of cranial nerve
only you know this right now look here what is happening if my if okay what is this eyeball this is my right this is my
left now let us do this action if my right eyeball is contracted right side medial rectus right side medial rectus
is contracted my this eyeball looks this way and left side lateral rectus is contracted my eyeball is looking like
this see this way okay now look here I am I am turning my head to the right what is happening I
am fixing my gaze onto you and I'm turning my head to the right now when I'm turning my head to the right look at
my eyeball my eyeball is moving left my my left eyeball is moving left my right eyeball is also moving left how is this
happening because my left eyeball which muzzle is contracted here lateral rectus muzzle is contracted right you see there
left eyeball lateral rectus contract to and right eyeball medial rectus contract see right eyeball medial rectus
contracted so that is how when I'm looking to the right my right vular nerve is in uh activated and this causes
contraction on to the left I mean so the deviation will be to the left in the same way vice versa it will happen so
here also if I'm turning to the left if I'm turning to the left like this see my right eyeball is looking this way right
this way so it means my right side lateral rectus and my left side medial rectus is contracted so how it is done
we'll see I hope by now you understood I think so if I'm turning to the left if I'm
turning to the left my left vestibular nerve is activated like this okay from here an interneuron will come cross onto
the opposite side okay now one side it will directly go and inate your lateral rectus and the other side it will go and
activate your third pair of third pair cranial nerve nuclei from here the third cranial nerve goes and innervates your
medal rectus this is how the pathway is done okay now where is medial longitudinal facus here see this is your
medial longitudinal fasiculus this is your medial longitudinal phul so this is your
medial longitudinal fulus okay so if my medial longitudinal facius is cut off do you think when I
rotate my head to the right will my both eyeballs look to the left no there is no such kind of communication you're
getting it so what is the function of this medial longitudinal facular this will control and coordinate your ey Ms
in relation with your head clear so this is very very very important so once again what are the four M's we discussed
there are four M's that are located in the midline what are these four M first m stands for motar
pathway m stands for motar pathway so what do you mean by this motar pathway that is your corticos spinal tract what
is this corticos spinal tract now in this corticos spinal tract in this corticos spinal tract what will
happen there is contralateral loss of loss of what power of Limbs power of Limbs it means it means
if my right cortical spinal tract is damaged my left side limbs are not working if my left is damaged my right
cell limbs are not working next another M what does another m stands for medial limb us what will happen when medial
liscus is damaged what will happen when my medial liscus is damaged yes medial liscus will
cause contralateral loss of contralateral loss of vibration and proprioception vibration and
proprioception of Limbs vibration and propioception of your limbs that is done by your medial
liscus next next when it comes to another m m stands for medial longitudinal fasiculus when
medial longitudinal phicus is damaged what will happen there will be contralateral or unilateral there will
be unilateral opthalmoplegia opthalmo Pia now don't get confused here sir fibers are crossing how unilateral
see if this nerve is cut down right then what will happen what is this nerve this is your right right nerve what is this
nerve left nerve if right nerve is cut down then right side opthalmoplegia left nerve is cut down then left side
opthalmoplegia will be there so unilateral opthalmoplegia and finally what does m stand for m stand for motar
nerves what motar nerves are present in the center yes 3 4 6 and 12 so we have got three we have got 4 we have got six
and we have got 12 these are present in the center so again four rule what is the four rule here four rule is four M's
are located in the midline that is your four rule next another four structures what are the four structures that are
located not in the midline right what are the four structures that are located laterally all these structures they
start by the letter s okay so some structures located in the midline you called all of these with the
letter M now I'm telling structures which are located laterally right all the structures start with the letter m s
so it means these structures are somewhere here you see laterally complete laterally like this okay so
what does s stands for S stands for spinal cord to cereum what is the tract spino cere tract spinal cord to Thalamus
what is the tract spino thalamic tract okay spino camic
tract and next important thing is that in the lateral side we have got the sensory nucleus you remember the largest
nucleus what was that sensory nucleus of cranial nve number five five sensory I told you and another s stands for
sympathetic pathway just remember it sympathetic pathway another one is sympathetic pathway now what does spino
cere tract do spino cere tract if it is damaged there will be ipsilateral Axia of Limbs ipsilateral Axia of Limbs all
these things which I'm telling you will also be repeated in your medicine very very important okay spinothalamic tract
will do that is contralateral loss of pain and temperature of your limbs of your face is your trial nerve of your
limbs is your spinothalamic next five sensory if it is lost what will happen there will be
ipsilateral loss of pain and temperature not in the limbs in the face why because this is five five is
what trial right next what will happen if sympathetic partway is gone there will be ipsilateral Horner syndrome so
in the Upper Limb discussion in brachial plexus I've discussed very clearly what is Horner syndrome over there so now we
shall be discussing regarding the external features of spinal cord okay so if you can see here right so first of
all you need to know one thing that little part of medo oblongata right you can see little part of medo oblata is
coming out of foram and Magnum if I ask you what are the contents of foran Magnum medo oblata little part the lower
part of medo obl is also the content of foran Magnum and down over here what do you have you have got the spinal cord so
if you see what is the length of the spinal cord guys it is around 45 cm in length length of the spinal cord is
around 45 cm next hanging down to the spinal cord you see a 20 cm length structure this is called philm terminal
what is phm terminal I will tell you at the end in the later on part I'll tell you what is FM terminal okay so within 1
to 2 minutes I'll tell you what is phm terminal but you have to remember the length it is 20
cm next so from where does spinal cord start and where does it end in adults and in children right in the newborn as
well as in the adults the spinal cord termination is different for example in adults the spinal cord will terminate
you can see don't look at this picture look at this the spinal cord will terminate at the lower border of L1
lower border of L1 or the upper border of L2 or in between L1 and L2 whatever it is so it terminates all the way just
below the L1 lower border of L1 or the upper border of L2 okay so look here low either spinal C from where where does
spinal cord start spinal cord starts all the way from the lower margin of foran Magnum you see here we have got foran
Magnum from here is the from here you have got the spinal cord that is starting okay or you can tell it starts
above the first cervical vertebra okay or above the first pair of cervical spinal nerves it means from the spinal
cord the nerves whatever are emerging over here just above that you have got the spinal cord starting and you know
you have got here vertebra right let us say the first vertebra this is a second vertebra this is a third vertebra above
the first vertebra it starts anyways don't keep in mind regarding these things remember from the lower border of
foran Magnum anyone no one is going to ask you these things what they'll ask you is this part so it ends at the lower
border of L1 or in the upper border of L2 or between L1 and L2 so if I have to do a lumbar puncture then which layer I
will puncture guys I will puncture below L2 L2 L3 is sa L3 L4 is much more safe because there we don't have spinal cord
but in children it is different in the newborn it is different newborn on this spinal cord extends down to the upper
border of L3 if I wanted to do a lumbar puncture I will do at the level of L3 and L4 so whether it might be a newborn
or an adult safest location is L3 L4 okay so at the upper border of third lumbar vertebra here the spinal cord
will end terminate now this blue color one is your spinal cord you know Spinal card down here as
it comes there is a conical projection right I'm drawing it here see this is a spinal cord like this right now the last
part of the spinal cord is a cone shaped structure this cone shaped structure of spinal cord is called conus medis and
you all know that out of spinal cord you see many nerves are coming and right many nerves are coming so the last part
has got a TFT of nerves like this so a TFT of nerves coming from the last part it looks like a horse tail so you call
it as Cordina what is Cordina actually these are the nerves these are the nerve Roots
actually these are the nerve Roots nerve roots in the sense can I tell they are a part of the nervous tissue yes then what
is this philm terminal see every uh the brain the spinal cord the central nervous system is covered by mines
outermost layer is Duram middle is aroid and innermost layer is patter so you see the patter is extending down this golden
color thing is your patter this patter is covering your spinal cord and down this extension of patter which is 20 cm
length is called philm terminal so patter is not a nervous tissue it is just an ordinary tissue okay it is a non
neural tissue what is pomatter pom is having any nerves no pom is just the continuation of pomatter sorry sorry
sorry phm terminal philm terminal is just the continuation of patter okay what is FM terminal it is a
non- neural tissue which is a continuation of P matter okay so what is the length of this FM terminal 20 cm in
length now coming to curvatures of spinal cord so these actually spinal cord is not having any curvatures but
spinal cord is present within the spinal canol of vertebra vertebra is having curvatures as a result spinal cord is
also having curvatures okay so these curvatures of spinal cord are secondary to the curvatures of vertebral column
what are the curvatures cervical curvature thoracic curvature lumbar curvature as well as sacral curvature so
four curvatures we have got now there are some enlargements within the spinal cord see there are three enlargements
what are those three enlargements one is called as cervical enlargement one is called as lumbar enlargement one is
called as Kus medis I have already shown you right so this is Kus modularis so inside in the center what is this this
is called as your Aqueduct right if it is in the midbrain you call it as equid du later on you call it as a central
canol so what is this this is a central canol what is this yellow color part that is your CSF okay now from C5 all
the way from C5 all the way till C8 T1 there is an enlargement like this this enlargement is called cervical
enlargement why because a tough of nerve start coming out of this part from C till uh C till T1 that is your brachial
plexus so braal plexus root value is all the way start from C5 till T1 you remember that next when it comes to uh
lumbar enlargement why it starts all the way from L1 till S4 why because from here also a tough tough NES called as
lumbosacral plexus starts to originate next if you see Kus medis in the Kus medis you see that this Central canol is
dilated over here this dilated Central Canal is called fifth ventricle you remember when I was teaching you
ventricles I told not only four ventricles is fifth ventricle also I will tell you later on so this is the
fifth ventricle the dilated Central canol in the corus modularis is called fifth ventricle and what is FM terminal
what is FM terminal yes tell me see here we have got what what is this this is your P matter this P matter continues
down as philm terminal okay is it a neural tissue or a non- neural tissue it is a non-neural tissue what is the
length 20 or 25 20 cm okay 20 cm now here you will understand clearly so all of you look here this is your spinal
cord this red color layer is called as what this red color layer which you can see over here this is your Pomer just
look at the pomet down you see Pomer is extending down all the way that is called as your philm terminal next
important thing surrounding that what is this particular layer called as this layer is called as eroid matter okay you
see eroid matter is also coming down next outermost layer is called as a Dura matter clear all of you now important
thing important thing over here is that where Duram matter now important thing what is the
important thing is that this is the exact place if you puncture you will get the CSF without damaging your spinal
cord so philm terminal is of two parts okay what are those two parts one is called as philm terminal interum this
wide part is called as phm terminal internum this narrow part is called as philm terminal
externum okay film terminal externum so there are two important parts over here but anyways uh this part is not that
necessarily needed you just need to remember even this entire part is not needed because you know this I've
already told you um what are what is the subarid space how does the ventricles flow here and there and all these things
so this is one of the important thing that you have to keep in your mind okay so this is regarding this now let us
discuss about this part most of you will be confused used that how many vertebra do we have and how many spinal nerves do
we have actually okay so let me make a clarification here vertebra cervical vertebra are seven thoracic vertebra are
12 okay lumbar vertebra are five sacral vertebra 5 and you have got this particular Cox cervical vertebra 7 right
uh thoracic vertebra 12 lumbar r five sacral r five coxy are four so totally 33 33 vertebra we have got not pairs 33
vertebra we have got but when it comes to spinal nerves here cervical spinal nerves are eight that is why in the
braal plexus we start all the way from C5 C6 C7 C8 and T1 most of you think only seven cervical Y8 these are not
vertebra these are spinal segment even spinal cord is also divided into segments like C1 C2 C3 and all okay
these are spinal segments thoracic the same lumbar the same SA the same but coxy only one pair so 31 pairs because
it is coming from both the sides if this is a spinal cord so uh 1 2 3 4 5 6 7 8 from cervical one side 1 2 3 4 5 6 7 8
so this is eight pairs okay right now let us discuss and one of the very important topic regarding your tracks so
now we shall be discussing one of the very important topic regarding this tracks guys so here in this single
picture we shall discuss as this is a rapid revision I cannot teach you all the tracks as they're ascending and
descending so those will be taught in the detailed lectures here I'm going to teach you what are the tracks which are
ascending what are the tracks which are descending okay we will discuss the ascending tracks we will discuss the
descending tracks ascending tracks are sensory tracks descending tracks are motor tracks so what I will do is that
in the same spinal cord on the right hand side completely I will draw the ascending tracks on the left hand side I
will completely draw the descending tracks okay now when it comes to the ascending tracks what are the tracks you
have got here so let us say the first track here you have got this is the location of a specific track like
this okay the same way you have it on the opposite side also in this way so this is a location of a specific track
now I'm just numbering these tracks so this track here is called as 1 a this is called 1 B Okay so so this tract 1 a or
1 B is called as dorsal column medial liscus pathway why dorsal because if I divide the spinal cord this is called as
anterior or vental this is called as posterior or dorsal so on the dorsal side only you have got this track so
dorsal column medial liscus pathway so the 1 a and 1 B is nothing but you the first track dorsal column medial liscus
pathway and if you also remember I told you that there are four M's one m is medial liscus pathway in the center
these pathways are in the center so there are two what is 1 a another one is 1 B okay so what is 1 a over here 1 a is
nothing but ciate fasiculus Cate fasiculus next another one B is called as fulus one is Cate
fulus or fulus catus this is fulus griles you remember this I told you somewhere I told you fulus gracilis and
fulus catus right let us just look at that part now where did I tell you fulus catus and fulus griles exactly here you
see in the spinal cord here I in the middle obl here I told you these two which are laterally are called as CIA
tubercle below that the phicus is called fulas catus these two are called as griles below that you called as f as
graes the same things I'm teaching you now so those will be continued down to the spinal cord yes or no those will be
continued down all the way till the spinal cord right so these are the two
important things what is a function I will tell you later on now coming to the second important thing what is the
second important thing second important thing is that you have got a sensory track going all the way from the spinal
cord to cerebelum so this is 1 a so all of you look here so this tract is all the way present over here this is one
part of the tract and next another part of the tract is present over here again what should I write it as if two are
there a and b so this is called 2 a this is called as 2 b 2 a and 2 B now out of this 2 and 2B tell me where is 2b 2B is
present anteriorly or ventrally 2 a is present posteriorly or dorsally right so this tract over here is called as spino
cere tract spino cere tract whenever I tell cerebelum remember one thing cerebelum
is almost dealing with the proor reception okay proor reception the balance part and all okay so spino cere
tract has got two parts one is 2 a and 2 B so what is 2 a 2 a is a posterior spino cereal tract 2B is the anterior
spino cereal attract or vental spino cereal tract next third important thing third important thing is that you have
got another tract over here let us uh look at this tract so again this tract is also in two forms see here is one
part here we have got one part and here we have got another part so if two parts are there again 3 a and 3 B okay so what
are this 3A and 3B so this track goes all the way till the thalamic so you call it as spinothalamic tract
spino thalamic tract now you tell me what is this 3 a and 3B 3 a and 3B what do you think what it might be where is 3
a 3A is located 3A is located dorsally or ventrally obviously ventrally right now exactly speaking I cannot tell
purely ventrally right what can I tell 3 a is located laterally 3B is located ventrally right so can I call this as
lateral spinothalamic tract can I call this as anterior or vental spinothalamic tract right so 3 a 3 a is your what 3 a
is your lateral spinothalamic tract this is your anterior or vental spinothalamic tract and the last one just remember it
as spino olivary tract what is olivary tract final cord to olives you remember that right
olivary nucleus so where is this olivary tract present this olivary tract is present all the way here the last one
this one okay this one is the fourth one that is your spino olivary TR now let us look at the functions of each and
everything what is the function of Cate fulus and Cate graus griles means graceful legs it means it will bring all
the sensations from the lower limb upward okay what what is phicus it brings all the sensations from the Upper
Limb very very easy uh way if I wanted to tell you just remember that let us say this is the uh head over here
neck right so let me so let us say that this is the brain over here midbrain pawns middle oblata
and the spinal cord so these are sensory Pathways right now what I'm doing is from lower limb from lower limb there
are a group of nerves that are coming okay let me enlarge this part you'll understand
now so this is a spinal cord okay just for example so let us say uh where is this grasis present by the way griles is
present 1 B in the center right see see this track which I'm drawing right now is gril is going in the center it is
going all the way from down all the way to the top see from both the limbs so it means can I tell can I tell that this
Gris is passing in the center it is taking all the sensations from lower limb what Sensations I will tell you
later on okay I will tell you later on next next important thing is that see let me put up this point let me put up
this particular point over here that uh let me put put up this point over here that this is
T5 okay and down here is T6 So Below T6 below T6 you have got only one track that is what fulus griles what is this
fulus graciles okay now look at the other one from T5 from T5 onwards you see another
tract from the upper Lim is coming and joining now tell me where it is it is lateral to Gres or medial so G CES is in
the center lateral to that you have got catus that is passing so now you tell me lower limb Sensations below T6 are
purely lower limb Sensations or Upper Limb Sensations lower limb Sensations okay above T5 are both lower limb
Sensations are continuing up along with that Upper Limb Sensations also joined here okay so if I ask you fulas
gracilius is receiving Sensations from T6 and below Ficus catus is receiving Sensations from T5 and above clear so I
hope you understood this so what kind of Sensations both of them see this one is T5 and above why am I
why are you so fussy about this T5 and above this is T6 and Below why because if the level of injury is above T5 then
both Ficus gilis is lost if the level of injury is below T6 then only lower limb Sensations are gone Upper Limb is fine
okay now what are the sensations it would take fine touch it would take fine touch
Sensations from the lower limb it would take vibration sensation from the lower limb right and the Upper Limb it would
also take proprioception proprioception these are the three actions very very very important actions coming to spino
cere all of them together have only one function that is propioception
proprioception okay next when it comes to lateral spinothalamic track this is a important part lateral spinothalamic
track is got two parts and anterior spinothalamic track lateral spinothalamic takes the pain and
temperature sensation pain and temperature whereas anterior takes the crude touch and
pressure crude touch and pressure crude touch and pressure there is something called Fine touch there is crw touch see
if I'm touching you like this this is fine touch if I'm touching you like this this is crw touch okay fine touch and
crw touch and finally spino olivary not needed to remember proprioception
proprioception these are all your ascending tracks what are all these these are all your ascending tracks okay
all these are your ascending tracks now let us discuss about where are the motar tracks so first motar tracks all of them
and drawing with the red so first motor track is this one here we have got a track right so this this is just called
as five repeat this is 5 a and where is 5B where is 5B see here we have got 5B okay here we have got 5B so let us write
down what is this 5 a and 5B okay so by by the way by the way you just need to remember that these descending tracks
descending tracks are called as your motor tracks you know that descending tracks are called as motor tracks They
are divided into two groups okay one are called as pyramidal one are called as extra
pyramidal extra pyramidal pyramidal extra pyramidal tracks pyramidal tracks there is only one that's what I was
telling you 5 a and 5 b what is 5 a what is 5 a and 5B yes where is 5A 5A is here okay 5A is tell me it is dorsal located
vental located or laterally located laterally located so this is called as lateral what is this corticos spinal
tract from the cortex it is coming to spinal cord so descending right lateral corticos spinal now tell me what will be
this anterior corticos spinal so two important things 5A and 5B 5 a is your lateral corticos spinal tract and 5B is
anterior corticos spinal tract we discussed about corticos spinal already you remember they decate in the medo
ablang right now coming to extra pomal they are many okay so what are these extra pyramidal tracks which you need to
know so just beneath this we have got 6 a over here we have got 6B over here we have got 6 C over here we have got 6 D
over here these are the four tracks okay so what are the names of these tracks 6 a 6 B 6 C and 6 D so what is 6a
called as 6 a is nothing but reticul spinal track guys you need not to remember
these numerical these are just to identify the track okay so you the reos track is not always 6A I'm just kept a
random number if you want you can put 7 a 8 a whatever it is right you have to just remember the name of the tract so
reticul spinal tract next from the red nucleus that is rubos spinal tract rubos spinal tract from the
vestibular nucleus that is vestibul spinal drag you remember vestibul spinal you remember this vestibular nuclear
where are they located PTO Junction from the olives down to spinal cord Olivos spinal
tract spinal tract so what is a function function is that all these they perform voluntary
movement they respon responsible for voluntary movement and all these extra pyramidal are responsible for
involuntary movement involuntary movements okay they're all responsible for involuntary movements so involuntary
movements for example muzzle tone and all now when it comes to the voluntary movements voluntary movements are these
tracks um contralateral they're quatal this thing I've already talked right I've already talked this thing
previously when I was discussing the cranial nerves I told you that if one side if it is damaged contralaterally
there will be loss of power something like that I've told you you remember that right so that was a thing so these
are all about the descending tracks guys so uh this is all the important Concepts which you have to come across in
neuroanatomy so most of the mcqs will be asked from these Concepts which I taught you I know NE Anatomy is a little bit
difficult but trust me for the first time if you're looking at it it is very difficult but still if you if you are
able to draw all these pictures and then learn I'm telling you this will be the easiest of all okay so this is all you
need to know regarding the neuro Anatomy guys so thank you so much for watching my video goodbye
Heads up!
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