"central trunk of a mammal's brain," 1875, from German; see brain (n.) + stem (n.).
Entries linking to brain-stem
brain n.
"soft, grayish mass filling the cranial cavity of a vertebrate," in the broadest sense, "organ of consciousness and the mind," Old English brægen "brain," from Proto-Germanic *bragnan (source also of Middle Low German bregen, Old Frisian and Dutch brein), a word of uncertain origin, perhaps from PIE root *mregh-m(n)o- "skull, brain" (source also of Greek brekhmos "front part of the skull, top of the head").
But Liberman writes that brain "has no established cognates outside West Germanic" and is not connected to the Greek word. More probably, he writes, its etymon is PIE *bhragno "something broken."
The custom of using the plural to refer to the substance (literal or figurative), as opposed to the organ, dates from 16c. The figurative sense of "intellectual power" is from late 14c.; the meaning "a clever person" is recorded by 1914.
To have something on the brain "be extremely eager for or interested in" is from 1862. Brain-fart "sudden loss of memory or train of thought; sudden inability to think logically" is by 1991 (brain-squirt is from 1650s as "feeble or abortive attempt at reasoning"). An Old English word for "head" was brægnloca, which might be translated as "brain locker." In Middle English, brainsick (Old English brægenseoc) meant "mad, addled."
stem n.
Old English stemn, stefn "stem of a plant, trunk of a tree," also "either end-post of a ship," from Proto-Germanic *stamniz (source also of Old Saxon stamm, Old Norse stafn "stem of a ship;" Danish stamme, Swedish stam "trunk of a tree;" Old High German stam, German Stamm), from suffixed form of PIE root *sta- "to stand, make or be firm."
Meaning "support of a wineglass" is from 1835. Meaning "unchanging part of a word" is from 1830. Stems slang for "legs" is from 1860. The nautical sense is preserved in the phrase stem to stern "along the full length" (of a ship), attested from 1620s. Stem cell attested by 1885.