The nucleus prepositus or nucleus prepositus hypoglossi is one of the largest of the three

perihypoglossal nuclei Perihypoglossal nuclei (also perihypoglossal complex, perihypoglossal nuclear complex, or satellite nuclei) are three prominent groups of neurons in the caudal medulla oblongata near the hypoglossal nucleus: the nucleus prepositus hypoglossi, i ...

. It is situated in the caudal

pons The pons (from Latin , "bridge") is part of the brainstem that in humans and other mammals, lies inferior to the midbrain, superior to the medulla oblongata and anterior to the cerebellum. The pons is also called the pons Varolii ("bridge of ...

and rostral

medulla oblongata The medulla oblongata or simply medulla is a long stem-like structure which makes up the lower part of the brainstem. It is anterior and partially inferior to the cerebellum. It is a cone-shaped neuronal mass responsible for autonomic (involun ...

. It contributes to several aspects of gaze control including the horizontal gaze holding system. Injury to the nucleus prepositus results in inability to hold gaze upon a visual target; conjugate eye movement is unaffected. It may be conceptually regarded as a vestibular nucleus.

Anatomy

The nucleus prepositus is situated near the

hypoglossal nucleus The hypoglossal nucleus is a cranial nerve nucleus, found within the medulla. Being a motor nucleus, it is close to the midline. In the open medulla, it is visible as what is known as the '' hypoglossal trigone'', a raised area (medial to the v ...

. It is continuous rostrally with the

paramedian pontine reticular formation The paramedian pontine reticular formation (PPRF) is a subset of neurons of the oral and caudal pontine reticular nuclei. With the abducens nucleus it makes up the horizontal gaze centre. It is situated in the pons adjacent to the abducens nu ...

, and caudally with the intercalated nucleus. It is situated medial to the

medial vestibular nucleus The medial vestibular nucleus (Schwalbe nucleus) is one of the vestibular nuclei. It is located in the medulla oblongata. Lateral vestibulo-spinal tract (lateral vestibular nucleus “Deiters”)- via ventrolateral medulla and spinal cord to ventr ...

Connections

It is connected to the

superior colliculus In neuroanatomy, the superior colliculus () is a structure lying on the tectum, roof of the mammalian midbrain. In non-mammalian vertebrates, the Homology (biology), homologous structure is known as the optic tectum or optic lobe. The adjective f ...

, and has reciprocal connections with the

serotonergic A serotonergic substance, medication, or receptor protein is one that affects neurotransmission pathways that involve serotonin, as follows: * Serotonergic drugs ** Serotonin receptor agonists ** Serotonin receptor antagonists ** Serotonin reupta ...

raphe nuclei The raphe nuclei (, "seam") are a moderate-size cluster of nuclei found in the brain stem. They have 5-HT1 receptors which are coupled with Gi/Go-protein-inhibiting adenyl cyclase. They function as autoreceptors in the brain and decrease the ...

(thereby possibly participating in blood pressure regulation).

Afferents

It receives afferents from the

frontal eye fields The frontal eye fields (FEF) are a region located in the frontal cortex, more specifically in Brodmann area 8 or BA8, of the primate brain. In humans, it can be more accurately said to lie in a region around the intersection of the middle frontal ...

medial Medial may refer to: Mathematics * Medial magma, a mathematical identity in algebra Geometry * Medial axis, in geometry the set of all points having more than one closest point on an object's boundary * Medial graph, another graph that repr ...

and dorsal

vestibular nuclei The vestibular nuclei (VN) are the cranial nuclei for the vestibular nerve located in the brainstem. In Terminologia Anatomica, they are grouped in both the pons and the medulla in the brainstem The brainstem (or brain stem) is the poste ...

, and

interstitial nucleus of Cajal The interstitial nucleus of Cajal is a collection of neurons in the mesencephalon (midbrain) which are involved in integrating eye position-velocity information in order to coordinate head-eye movements - especially those related to vertical and ...

Efferents

The nuclei project principally to all three

cranial nerve nuclei A cranial nerve nucleus is a collection of neuron cell bodies (gray matter) in the brain stem that is associated with one or more of the cranial nerves. Axons carrying information to and from the cranial nerves form a synapse first at these nucl ...

controlling extrinsic eye muscles (the oculomotor (CN III), trochlear (CN IV), and abducens (CN VI) nuclei) via the

medial longitudinal fasciculus The medial longitudinal fasciculus (MLF) is a prominent bundle of nerve fibres which pass within the ventral/anterior portion of periaqueductal gray of the mesencephalon (midbrain). It contains the interstitial nucleus of Cajal, responsible ...

, with additional efferents to the

, and vestibulocerebellum.

Function

The nucleus prepositus integrates velocity-position information for horizontal eye movements to enable eccentric gaze. Tonic neurons of the nucleus (along with those of with the

) are believed to maintain eccentric (i.e. off resting position) direction of gaze, counteracting forces pulling the eye back to its default, resting, straight-forward gazing position after saccades. The nucleus prepositus is thought to provide information about eye position.

References

Brainstem {{neuroanatomy-stub