The pons is also called thepons Varoliicode: lat promoted to code: la ('bridge of Variolus'), after the Italian anatomist and surgeonCostanzo Varolio (1543–1575).[1] The pons containsneural pathways andnerve tracts that conduct signals from thebrain down to the cerebellum and medulla, as well as pathways that carry the sensory signals up into thethalamus.[2]
The pons in humans measures about 2.5 centimetres (0.98 in) in length.[2] It is the part of the brainstem situated between the midbrain and the medulla oblongata.[3][4] The horizontalmedullopontine sulcus demarcates the boundary between the pons and medulla oblongata on the ventral aspect of the brainstem, and the roots ofcranial nerves 6, 7, and 8 emerge from the brainstem along this groove.[5] The junction of pons, medulla oblongata, and cerebellum forms thecerebellopontine angle.[6] Thesuperior pontine sulcus separates the pons from the midbrain.[7] Posteriorly, the pons curves on either side into amiddle cerebellar peduncle.[4]
The ventral aspect of the pons faces theclivus, with thepontine cistern intervening between the two structures. The ventral surface of the pons features a midlinebasilar sulcus along which thebasilar artery may or may not course. There is a bulge to either side of the basilar sulcus, created by thepontine nuclei that are interweaved amid the descending fibres within the substance of the pons. Thesuperior cerebellar artery winds around the upper margin of the pons.[4]
Functions of these four cranial nerves (5–8) include regulation of respiration; control of involuntary actions; sensory roles in hearing, equilibrium, and taste; and in facial sensations such as touch andpain, as well as motor roles in eye movement, facial expressions, chewing, swallowing, and the secretion of saliva and tears.[2]
The pons containsnuclei that relay signals from the forebrain to the cerebellum, along with nuclei that deal primarily withsleep, respiration, swallowing,bladder control, hearing, equilibrium, taste, eye movement, facial expressions, facial sensation, and posture.[2]
Central pontine myelinolysis is ademyelinating disease that causes difficulty with sense of balance, walking, sense of touch, swallowing and speaking. In a clinical setting, it is often associated with transplant or rapid correction of blood sodium. Undiagnosed, it can lead to death orlocked-in syndrome.
The pons first evolved as an offshoot of the medullaryreticular formation.[9] Sincelampreys possess a pons, it has been argued that it must have evolved as a region distinct from themedulla by the time the firstagnathans appeared, 525 million years ago.[10]