The pons is a structure located on the brainstem, named after the Latin word for "bridge." It is above the medulla, below the midbrain, and anterior to the cerebellum. The white matter of the pons includes tracts that conduct signals from the cerebrum down to the cerebellum and medulla, and tracts that carry the sensory signals up into the thalamus.
Pons/Brainstem
Structure
The pons measures about 2.5 cm in length in adults. Most of it appears as a broad anterior bulge rostral to the medulla. Posteriorly, it consists mainly of two pairs of thick stalks called cerebellar peduncles. These connect the cerebellum to the pons and midbrain.
The pons contains nuclei that relay signals from the forebrain to the cerebellum, along with nuclei that regulate sleep, respiration, swallowing, bladder control, hearing, equilibrium, taste, eye movement, facial expressions, facial sensation, and posture. Within the pons is the pneumotaxic center, a nucleus that regulates the change from inspiration to expiration. The pons also contains the sleep paralysis center of the brain and also plays a role in generating dreams.
Development
During embryonic development, the metencephalon develops from the rhombencephalon and gives rise to two structures: the pons and the cerebellum. The alar plate produces sensory neuroblasts, which will give rise to the solitary nucleus and its special visceral afferent column, the cochlear and vestibular nuclei (which form the special somatic afferent fibers of the vestibulocochlear nerve), the spinal and principal trigeminal nerve nuclei (which form the general somatic afferent column of the trigeminal nerve), and the pontine nuclei, which is involved in motor activity. Basal plate neuroblasts give rise to the abducens nucleus (forms the general somatic efferent fibers), the facial and motor trigeminal nuclei (form the special visceral efferent column), and the superior salivatory nucleus, which forms the general visceral efferent fibers of the facial nerve.
Cranial Nerves of the Pons
A number of cranial nerve nuclei are present in the pons:
- The chief or pontine nucleus of the trigeminal nerve sensory nucleus (V)- mid-pons
- The motor nucleus for the trigeminal nerve (V)-mid-pons
- Abducens nucleus (VI)-lower pons
- Facial nerve nucleus (VII)-lower pons
- Vestibulocochlear nuclei (VIII)-lower pons
Functional Characteristics
The functions of the four nerves of the pons include sensory roles in hearing, equilibrium, taste, and facial sensations such as touch and pain. They also have motor roles in eye movement, facial expressions, chewing, swallowing, urination, and the secretion of saliva and tears. Central pontine myelinosis is a demyelination disease that causes difficulty with sense of balance, walking, sense of touch, swallowing, and speaking. If it is not diagnosed and treated, it can lead to death or locked-in syndrome (a condition in which a person is conscious but cannot move or communicate).