25 Cerebellum
Introduction
The gross anatomy of the cerebellum is described briefly in Chapter 3, where it may be reviewed at this time.
Functional Anatomy
Phylogenetic and functional aspects can be combined (to an approximation) by dividing the cerebellum into strips, as shown in Figure 25.1. The median strip contains the cortex of the vermis, together with the fastigial nucleus in the white matter close to the nodule (Figure 25.2). This strip is the vestibulocerebellum; it has two-way connections with the vestibular nucleus. It controls the responses of that nucleus to signals from the vestibular labyrinth. The fastigial nucleus also projects to the gaze centers of the brainstem (Ch. 24).
Figure 25.2 Transverse section of lower pons and cerebellum showing the position of the central and vestibular nuclei.
A paramedian strip, the spinocerebellum, includes the paravermal cortex and the globose and emboliform nuclei (Figure 25.2). The two nuclei are together called the interposed nucleus. The spinocerebellum is rich in spinocerebellar connections. It is involved in the control of posture and gait.
The remaining, lateral strip is much the largest and takes in the wrinkled dentate nucleus (Figure 25.2). This strip is the pontocerebellum, because it receives a massive input from the contralateral nuclei pontis. It is also called the neocerebellum, because the nuclei pontis convey information from large areas of the cerebral neocortex (phylogenetically the most recent). The neocerebellum is uniquely large in the human brain.
Microscopic Anatomy
The structure of the cerebellar cortex is uniform throughout. From within outward, the cortex comprises granular, piriform, and molecular layers (Figure 25.3).
Figure 25.3 Cerebellar cortex. (A) Cell layers. (B) Afferent systems. (C) Internuncial neurons. (D) Efferent system.
The granular layer also contains Golgi cells (see later).
The final cell type in the cortex is the Golgi cell, whose dendrites are contacted by parallel fibers and whose axons divide extensively before synapsing upon the short dendrites of granule cells. The synaptic ensemble that includes a mossy fiber terminal, granule cell dendrites, and Golgi cell boutons is known as a glomerulus (Figures 25.4, 25.5).