The raphe nuclei are a chain of cell groups along the midline of the brainstem and the main source of serotonin in the central nervous system. The upper raphe nuclei project to the forebrain to influence mood, sleep and appetite, while the lower ones project to the spinal cord to modulate pain, movement and autonomic function.
| Location | Midline (raphe) of the brainstem from the midbrain to the medulla |
|---|---|
| Parts |
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| Connections |
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| Blood Supply | Paramedian branches of the basilar and vertebral arteries |
Releases serotonin throughout the brain and spinal cord to regulate mood, sleep-wake cycles, appetite, pain and motor tone.
Most antidepressants (SSRIs and SNRIs) act on serotonin released from raphe neurons. The nucleus raphe magnus forms part of the descending pain control pathway from the periaqueductal grey to the dorsal horn. Abnormal brainstem serotonin systems have been found in some cases of sudden infant death syndrome.
A potentially dangerous excess of serotonin activity from drug combinations, causing agitation, high temperature, sweating, clonus and tremor.
Studies have found abnormalities of medullary raphe serotonin neurons in some infants who died of SIDS, possibly impairing arousal and breathing responses.
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