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Cerebellar vermis

Also called Cerebellar vermis

The worm-shaped middle strip of the cerebellum, keeping your body balanced and upright.

The cerebellar vermis lit up in a 3D model of the human brainOpen in 3D

The vermis is the narrow, ridged strip running down the middle of the cerebellum, between its two big halves. It looks a bit like a curled-up worm, which gave it its name. It controls the middle of your body: posture, balance and the rhythm of walking. It also helps aim your quick eye movements.

Where it is

Right down the middle of the cerebellum, where its left and right halves meet, at the back of the head.

What it does

Posture and balance

It keeps your trunk upright and steady whether you are standing, sitting or bending.

Walking

It helps blend the swing of your legs and the sway of your body into a smooth walk.

Aiming the eyes

Part of it makes sure your quick eye jumps land exactly on target.

Links to feelings

Through the fastigial nucleus, it connects with emotion circuits, a role scientists are still exploring.

Think of it as the spine of a book: the thin middle part that joins the two halves and keeps the whole thing standing straight.

Works with

  • Fastigial nucleusThe vermis sends its signals out through this deep nucleus to the brainstem.
  • Spinal cordIt gets constant updates from the spinal cord about the position of your trunk and legs.
  • Medulla oblongataIts output reaches balance and posture centers in the lower brainstem, which then steer your muscles.
  • Flocculonodular lobeIts lowest tip, the nodulus, belongs to this balance-focused lobe.
  • Anterior lobe of the cerebellumIts upper part runs through the anterior lobe and shares its job of keeping your walk steady.

When it goes wrong

Wobbly trunk

Damage here makes it hard to sit or stand still without swaying, and walking becomes wide-legged and staggering. Surprisingly, the hands may still work well.

Alcohol damage

Long-term heavy drinking often damages the upper front part of the cerebellum, including this strip, which is why a wide, unsteady walk is a common sign.

A childhood brain tumor

Medulloblastoma, the most common cancerous brain tumor in children, often starts in or near the vermis. Many children with it can now be treated successfully.

For learning only, not medical advice. If you have a health concern, talk to a doctor.

Surprising facts

  • Walking heel-to-toe in a straight line is a quick bedside test of how well the vermis is working.

Where the name comes from

Latin for "worm". Its many small ridges make it look like a segmented worm lying between the two halves of the cerebellum.

Learn it in a lesson

  • The cerebellumSmooth, balanced, well-timed movement. A short guided lesson in 3D.

Quick quiz

3 questions. Your answers are saved and come back in your daily review.

  1. Which of these is a job of the vermis?

    Show the answer

    Posture and balance. It keeps your trunk upright and steady whether you are standing, sitting or bending.

  2. The vermis is part of which larger structure?

    Show the answer

    Cerebellum. It belongs to the cerebellum.

  3. Which part fits this description? "Like the spine of a book: the thin middle part that joins the two halves and keeps the whole thing standing straight."

    Show the answer

    Vermis. It is the vermis. The worm-shaped middle strip of the cerebellum, keeping your body balanced and upright.

Sources

  1. Vermis, Radiopaedia
  2. Neuroanatomy, Cerebellar Dysfunction, StatPearls, NCBI Bookshelf
  3. Medulloblastoma, StatPearls, NCBI Bookshelf

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