“…Because they are distributed loosely along the ventral and medial borders of each side of the brainstem (interrupted by such specifically dedicated neuronal groups as the facial nucleus and inferior olive), I envision them as a phylogenetically ancient "crescent" of arousal-related neurons. Neurons in this region of the medullary reticular formation can respond to a diverse array of arousing inputs (Van Bockstaele et al, 1989) including, for example, changes in carbon dioxide tension or blood pressure in the service of cardiovascular and respiratory regulation (de-Oliveira et al, 1996;Lacerda et al, 2003;Schreihofer and Guyenet, 2003), painful stimuli Mason, 1998, 1999), and sexually relevant inputs (Marson and McKenna, 1990;Hubscher and Johnson, 1996;Yanagimoto et al, 1996;McKenna, 2001) from the pelvic nerve. Outputs from the nucleus paragigantocellularis and from the rostral ventrolateral medulla (RVLM), for example, have obvious import for arousal through their projections to locus coeruleus and other sites (Guyenet and Young, 1987;Huangfu et al, 1992;Johnson et al, 2002).…”