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The paramedian reticular nucleus sends its connections to the spinal cord in a mostly ipsilateral manner, although there is some decussation.
It projects to the vermis in the anterior lobe, the pyramis and the uvula.
The paramedian nucleus also projects to the contralateral PRN, the gigantocellular nucleus, and the nucleus ambiguous.
The paramedian reticular formation is adjacent to the abducens nucleus in the pons and adjacent to the oculomotor nucleus in the midbrain.
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