Cuneate tubercle
Tuberculum cuneatum
- Latin synonym: Tuberculum nuclei cuneati
Definition
Cuneate tubercle appears as an elevation or a bump on the dorsal surface of the medulla oblongata, in the floor of the fourth ventricle. This prominence is formed by the underlying cuneate nucleus, which is a key component of the dorsal column-medial lemniscal sensory pathway.
The cuneate tubercle lies lateral to the gracile tubercle, a similar elevation also located in the floor of the fourth ventricle. This prominence is formed by the underlying gracile nucleus, which, like the cuneate nucleus, participates in the dorsal column-medial lemniscal pathway.
Both the gracile and cuneate nuclei relay sensory information such as vibration, conscious proprioception, and two-point discrimination. While these nuclei share functional roles within this pathway, they differ in their input sources: the gracile nucleus receives sensory input from the lower extremities, whereas the cuneate nucleus processes input from the upper extremities, excluding the head.
References
Snell, R.S. (2010). ‘Chapter 4: The Spinal Cord and the Ascending and Descending Tracts, in Clinical Neuroanatomy. (7th ed.) Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, pp. 149-151.
Al-Chalabi, M., Reddy, V. and Alsalman, I. Neuroanatomy, Posterior Column (Dorsal Column). 2021 Jul 31. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan–. PMID: 29939665. https://pubmed.ncbi.nlm.nih.gov/29939665/