MidbrainThe smallest of the three regions. Its front is the two cerebral peduncles; its back carries the four colliculi.
PonsPons is Latin for bridge. The cross fibers on its front run out to the cerebellum on each side.
Medulla oblongataThe lowest part of the brainstem. It narrows into the spinal cord.
Optic chiasmFibers from the inner half of each retina cross here. They cross to the other side of the brain.
Cerebral pedunclesTwo stalks in the midbrain. The motor fibers from the cortex pass down through them.
PyramidsTwo ridges on the front of the medulla. The motor fibers from the cortex run down in them.
OliveA bulge on the front of the medulla, beside the pyramid. It is made by the inferior olive inside.
Decussation of the pyramidsMost of the motor fibers cross to the other side here. It marks the border of the medulla and the spinal cord.
Cranial nerve roots 10
Oculomotor nerve (III)It leaves the front of the midbrain. It moves most of the muscles of the eye.
Trigeminal nerve (V)It leaves the side of the pons. It carries feeling from the face and moves the chewing muscles.
Abducens nerve (VI)It moves one eye muscle, the lateral rectus. It leaves at the border of the pons and the medulla, close to the midline.
Facial nerve (VII)It moves the muscles of the face. It leaves at the side of the border between the pons and the medulla.
Vestibulocochlear nerve (VIII)The nerve of hearing and balance. It joins the brainstem just to the side of the facial nerve.
Glossopharyngeal nerve (IX)It leaves the side of the medulla behind the olive. It carries taste and moves muscles of the throat.
Vagus nerve (X)It leaves the side of the medulla behind the olive. It runs to the heart and the organs of the chest and abdomen.
Hypoglossal nerve (XII)It moves the tongue. It leaves the front of the medulla between the pyramid and the olive.
Accessory nerve (XI)Its fibers begin in the top of the spinal cord. It moves two muscles of the neck and shoulder.
Trochlear nerve (IV)It moves one eye muscle, the superior oblique. It leaves from the back of the midbrain, under the inferior colliculi.
The back 8
ThalamusIt sits above the midbrain. Nearly all sensory signals pass through it on the way to the cerebrum.
Pineal glandA small gland of the epithalamus. It rests between the two superior colliculi.
Superior colliculiColliculus means little hill. The upper pair is part of the visual pathway.
Inferior colliculiThe lower pair is part of the hearing pathway.
Superior cerebellar pedunclesThey join the cerebellum to the midbrain.
Middle cerebellar pedunclesThe biggest of the three. They join the cerebellum to the pons.
Floor of the fourth ventricleMade by the back of the pons and the upper medulla.
Inferior cerebellar pedunclesThey join the cerebellum to the medulla.
How this list was compiled: Every name and detail checked on 2026-09-30 against OpenStax Anatomy and Physiology 2e: section 13.2 The Central Nervous System (midbrain, pons, medulla, thalamus, pineal gland, colliculi), https://openstax.org/books/anatomy-and-physiology-2e/pages/13-2-the-central-nervous-system; 13.3 (floor of the fourth ventricle), https://openstax.org/books/anatomy-and-physiology-2e/pages/13-3-circulation-and-the-central-nervous-system; 13.4, the table of cranial nerves, https://openstax.org/books/anatomy-and-physiology-2e/pages/13-4-the-peripheral-nervous-system; 14.2 (optic chiasm), https://openstax.org/books/anatomy-and-physiology-2e/pages/14-2-central-processing; 14.3 (cerebral peduncles, pyramids, pyramidal decussation), https://openstax.org/books/anatomy-and-physiology-2e/pages/14-3-motor-responses; 16.5 (the three cerebellar peduncles, the olive), https://openstax.org/books/anatomy-and-physiology-2e/pages/16-5-the-coordination-and-gait-exams. Second source: Wikipedia, text only: Brainstem (where each nerve root leaves), Midbrain, Pons, Medulla oblongata, Optic chiasm, Glossopharyngeal nerve, Vagus nerve, Accessory nerve, Hypoglossal nerve, https://en.wikipedia.org/wiki/Brainstem. Third source for the surface landmarks and the nerve roots: TeachMeAnatomy, The Medulla Oblongata, The Pons, The Midbrain, https://teachmeanatomy.info/neuroanatomy/brainstem/medulla-oblongata/. All wording is our own. Licence: own work
The drawing: Drawn for this site on 2026-09-30 from plain geometry; nothing traced. Licence: own work
How it works
A brain stem model labeled in two drawings, front and back, with the cerebellum taken off. For brain stem cranial nerves labeled, the front view shows where nerves III and V to XII leave; nerve IV is on the back.
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Front: three regions and their nerve roots
The brackets down the side mark the midbrain, the pons and the medulla oblongata. The oculomotor nerve leaves between the two cerebral peduncles and the trigeminal from the side of the pons. Nerves VI, VII and VIII leave at the groove under the pons. Nerves IX, X and XI leave behind the olive, and XII between the olive and the pyramid.
Back: what the cerebellum hides
With the cerebellum off, the floor of the fourth ventricle shows as a diamond. The cut faces round it are the three cerebellar peduncles on each side. Above them sit the four colliculi, the pineal gland and the thalamus. The trochlear nerve leaves just under the inferior colliculi.
Roots III and IV leave the midbrain, V the pons, VI to VIII the groove under the pons, and IX to XII the medulla.
Pons is Latin for bridge: its cross fibers run out to the cerebellum on each side.
Questions and answers
What are the three parts of the brain stem?
The midbrain, the pons and the medulla oblongata, from top to bottom. The midbrain sits under the thalamus, and the medulla runs down into the spinal cord.
Which cranial nerves come from the brain stem?
Ten pairs: nerves III to XII. The first two, the olfactory and optic nerves, join the brain farther forward. On a model the ten show as cut roots on the midbrain, the pons and the medulla.
Where do the pyramids cross?
At the decussation of the pyramids, at the bottom of the medulla where it meets the spinal cord. Most of the motor fibers from the cortex cross to the opposite side there.
What are the cerebellar peduncles?
Three stalks of fibers on each side that join the cerebellum to the brain stem: the superior to the midbrain, the middle to the pons and the inferior to the medulla. They show as cut faces once the cerebellum is taken off.