VESTIBULOCEREBELLUM The vestibulocerebellum receives afferent fibers from the vestibular ganglion and from the vestibular nuclei of the same side.Some of the afferent fibers from these sources terminate in the fastigial nucleus, which also receives collateral branches of the axons destined for the cortex of the vestibulocerebellum. The vestibulocerebellum also receives afferents from the contralateral accessory olivary nuclei. These fibers have collateral branches to the fastigial nucleus and end as climbing fibers in the cortex of the flocculonodular lobe. Some Purkinje cell axons from the vestibulocerebellar cortex proceed to the brain stem (an exception to the general rule that such fibers end in central nuclei), but most terminate in the fastigial nucleus. Fibers from the cortex and the fastigial nucleus traverse the inferior cerebellar peduncle to their termination in the vestibular nuclear complex and in the central group of reticular nuclei. In summary, the vestibulocerebellum influences motor neurons through the vestibulospinal tract, the medial longitudinal fasciculus, and reticulospinal fibers. It is concerned with adjustment of muscle tone in response to vestibular stimuli. It coordinates the actions of muscles that maintain equilibrium and participates in other motor responses, including those of the eyes, to vestibular stimulation (see Chapter 22). The posterior vermis also contributes to the cerebellar control of eye movements. SPINOCEREBELLUM The following four afferent systems project to the spinocerebellar cortex. Somatic sensory systems. The dorsal and ventral spinocerebellar tracts convey data from proprioceptive endings and from touch and pressure receptors (Fig. 10-14). The dorsal tract, consisting of the axons of the neurons constituting the nucleus thoracicus in spinal segments T1 to L3 or L4, conveys information from the trunk and leg. The ventral tract, which arises in various parts of the lumbosacral gray matter (see Chapter 5), is mainly involved in conduction from the leg. Cuneocerebellar fibers from the accessory cuneate nucleus (see Chapter 7) are equivalent, for the arm and neck, to those of the dorsal spinocerebellar tract. Most of the fibers afferent to the cells of origin of the spinocerebellar and cuneocerebellar tracts have ascended into the dorsal funiculi of the spinal cord. All three trigeminal sensory nuclei (see Chapter 8) contain some neurons that project to the spinocerebellum. These are functionally equivalent to the spinocerebellar and cuneocerebellar projections, except for the head. Precerebellar reticular nuclei. Modified data from cutaneous receptors are carried by spinoreticular fibers to the lateral and paramedian reticular nuclei (see Figs. 9-1 and 9-2), which project to the cerebellum. These two precerebellar reticular nuclei also receive afferent fibers from primary motor and sensory areas of the cerebral cortex. Another precerebellar reticular nucleus that projects to the vermis and medial parts of the hemispheres is the reticulotegmental nucleus in the pons (see Fig. 9-1). This nucleus receives afferents from the cerebral cortex and from the vestibular nuclei (see Fig. 1013). Inferior olivary complex. The accessory olivary nuclei (in which spino-olivary tracts terminate) project to the spinocerebellum. The olivocerebellar fibers end as climbing fibers in the cortex. Special senses. Tectocerebellar fibers arise in the superior and inferior colliculi of the midbrain, which are parts of the visual and auditory pathways, respectively. Collateral branches of the axons from all the various afferent sources terminate in the interposed nuclei, which also receive a small contingent of fibers from the red nucleus The spinocerebellar cortex projects to the fastigial nucleus (from the vermis) and to the interposed (globose and emboliform) nuclei (from the paravermal zones of the hemispheres). Synergy of muscle action and control of muscle tone are effected in part through fastigiobulbar connections, as described for the vestibulocerebellum. Axons from the interposed nuclei traverse the superior cerebellar peduncle and terminate in the central group of reticular nuclei. Thus, the spinocerebellum may influence motor neurons through reticulospinal fibers and a similar projection to motor nuclei of cranial nerves. Alpha and gamma motor neurons are involved in cerebellar control of muscle action, and the influence of the spinocerebellum on the skeletal musculature is ipsilateral. Some axons from the interposed nuclei traverse the superior cerebellar peduncle and end in the red nucleus, which, in turn, projects to the inferior olivary nucleus. Others pass through or around the red nucleus and continue to the ventral lateral nucleus of the thalamus, which projects to the primary motor area of the cerebral cortex. In summary, the spinocerebellum receives information from proprioceptive and exteroceptive sensory endings and, indirectly, from the cerebral cortex. Visual and auditory input to areas of the spino- and pontocerebellar cortex also takes place. These data are processed in the circuitry of the cerebellar cortex, which modifies and refines the discharge of signals from the central nuclei. Motor neurons are influenced mainly through relays in the vestibular nuclei, the reticular formation, and the primary motor area of the cerebral cortex. The end result is control of muscle tone and synergy of collaborating muscles, as appropriate at any moment for the adjustment of posture and in many types of movement, including those of locomotion. PONTOCEREBELLUM Pontocerebellar fibers constitute the whole of the middle cerebellar peduncle. They originate in the pontine nuclei (nuclei pontis) of the opposite side. Pontocerebellar axons have branches that synapse with neurons in the dentate nucleus, and they are distributed throughout the cortex of the cerebellar hemispheres and the superior vermis of the posterior lobe. The corticopontine tracts originate in widespread areas of the contralateral cerebral cortex (especially that of the frontal and parietal lobes but also temporal and occipital) and end in the pontine nuclei. Through the corticopontine and pontocerebellar projections, the cortex of a cerebellar hemisphere receives information concerning volitional movements that are anticipated or in progress. Some of the pontine nuclei receive afferents from the superior colliculus and relay data used by the cerebellum in the control of visually guided movements. In addition to pontine afferents, the superior vermis of the posterior lobe, similar to the spinocerebellar cortex, receives tectocerebellar fibers from the superior and inferior colliculi. There are also olivary afferents, the axons of cells in the contralateral inferior olivary nucleus. Purkinje cell axons from the pontocerebellar cortex terminate in the dentate nucleus, the efferent fibers of which compose most of the superior cerebellar peduncle. After traversing the decussation of the peduncles, some dentatothalamic fibers give off branches to the red nucleus, but the majority passes through or around the red nucleus and end in the ventral lateral nucleus of the thalamus. In turn, this thalamic nucleus projects to the primary motor area of cerebral cortex in the frontal lobe. Through these connections, the pontocerebellum can modify activity in corticospinal, corticoreticular, and reticulospinal pathways