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The uvula (uvular lobe) forms a considerable portion of the inferior vermis; it is separated on either side from the tonsil by a sulcus, the vallecula of the cerebellum, at the bottom of which it is connected to the tonsil by a ridge of gray matter, indented on its surface by shallow furrows, and hence called the furrowed band.
The vermis is the unpaired, median portion of the cerebellum that connects the two hemispheres. [9] Both the vermis and the hemispheres are composed of lobules formed by groups of folia. There are nine lobules of the vermis: lingula, central lobule, culmen, clivus, folium of the vermis, tuber, pyramid, uvula and nodule. [9]
The cerebellar tonsil (Latin: tonsilla cerebelli) is a paired rounded lobule on the undersurface of each cerebellar hemisphere, continuous medially with the uvula of the cerebellar vermis and superiorly by the flocculonodular lobe. Synonyms include: tonsilla cerebelli, amygdala cerebelli, the latter of which is not to be confused with the ...
The cerebellum is the section of the brain that is essential for motor control. As a part of the cerebellum, the flocculus plays a part in the vestibulo-ocular reflex system, a system that controls the movement of the eye in coordination with movements of the head. [ 1 ]
On the superior aspect of cerebellum, the vermis protrudes above the level of the hemispheres, but on the inferior surface it is sunk almost out of sight in the bottom of a deep depression between them; this depression is called the vallecula of the cerebellum, and lodges the posterior part of the medulla oblongata and the inferior vermis, which consists of the tuber vermis, pyramid, uvula and ...
The human cerebellum is located at the base of the brain, with the large mass of the cerebrum above it, and the portion of the brainstem called the pons in front of it. It is separated from the overlying cerebrum by a layer of tough dura mater called the cerebellar tentorium; all of its connections with other parts of the brain travel through the pons.
A study using upright MRI found cerebellar tonsillar ectopia in 23% of adults with headache from motor-vehicle-accident head trauma. Upright MRI was more than twice as sensitive as standard MRI, likely because gravity affects cerebellar position. [23] Cases of congenital Chiari malformation may be explained by evolutionary and genetic factors.
For further evaluation of tonsillar herniation, CINE flow studies are used. This type of MRI examines flow of CSF at the cranio-cervical joint. For persons experiencing symptoms but without clear MRI evidence, especially if the symptoms are better in the supine position and worse upon standing/upright, an upright MRI may be useful. [2]