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The pyramid medulla, part of the medulla oblongata in the brainstem, primarily functions in the motor pathways. It contains the corticospinal tracts, which are crucial for voluntary motor control, transmitting signals from the brain to the spinal cord. Additionally, the pyramid medulla is involved in the decussation (crossing over) of these motor fibers, which results in the right side of the brain controlling the left side of the body and vice versa. This structure plays a vital role in coordinating and regulating voluntary movements.

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