11 - Motor Cortex and Motor Pathways Flashcards

1
Q

what is the function of the lateral corticospinal tract pathway?

A

motor functions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what is the function of the posterior column pathway?

A

sensory (vibration, joint position, fine touch)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what is the function of the anterolateral pathway?

A

sensory (pain, temp, crude touch)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

major relay for sensory information ascending upwards?

A

thalamus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what does the anterior view of the spinal cord look like?

A

butterfly shaped central gray matter surrounded by ascending and descending white matter columns

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

in the spinal cord, which horn is used for sensory processing?

A

dorsal horn

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

in the spinal cord, which horn is used for motor neurons?

A

ventral horn

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what does the intermediate horn of the spinal cord contain?

A

Intermediate zone contains interneurons & specialized nuclei

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what is Rexed’s Laminae?

A

numbering system from dorsal to anterior, becoming more nuclei

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

where is the white matter the thickest?

A

cervical levels, most ascending fibers have already entered the cord, and most descending fibers have not yet terminated on their targets

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

which cord is mostly gray matter?

A

the sacral cord

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

where are the enlargements found along the spine?

A

cervical and lumbosacral areas and these give rise to the nerve plexi for the arms and legs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what is the blood supply to the spinal cord?

A

vertebral arteries and spinal radicular arteries

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what do the anterior and posterior spinal arteries form?

A

spinal arterial plexus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

how much of the anterior spinal artery supplies the spine?

A

2/3 of the cord, including the anterior horns & anterior and lateral white mater columns; only one of these

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

how much of the posterior spinal artery supplies the spine?

A

(either from the vertebral artery or from the posterior inferior cerebellar arteries) supply the posterior columns and part of the posterior horns; two of these

17
Q

how many segmental arterial branches arise from the aorta? how many of these reach the spinal cord and as what?

A

31; 6-10 of these reach the spinal cord as radicular arteries

18
Q

what is the major blood supply of the lumbar and sacral cord?

A

Great radicular artery of Adamkiewicz

19
Q

this is also known as the vulnerable zone of relatively decreased perfusion?

A

Mid-thorasic region (~ T4-T8)

20
Q

venous return from the spinal cord drain where?

A

Plexus of veins drain initially into the epidural space

Epidural veins “Batson’s plexus” do not contain valves: as a result ↑↑ intra-abdominal pressure can cause reflux of pelvic infections, or metastasis of tumor cells

21
Q

where do all motor signals originate from?

A

cerebral cortex

22
Q

T/F, Basal ganglia & cerebellum do not directly project to lower motor neurons? so which ones can?

A

T; Upper motor neurons project to lower motor neurons located in the spinal cord and brainstem

23
Q

what are the descending motor pathways?

A

Lateral motor systems

Medial motor systems

24
Q

where does the coritcospinal tract lie?

A

posterior limb

25
what is the cerebral peduncles also known as?
feet of the brain
26
in the lateral motor systems, more specifically the lateral corticospinal tract, what percent of pyramidal tract fibers decussate?
~ 85% of the pyramidal tract fibers
27
what type of movement is carried out by the lateral corticospinal tract of the lateral motor systems?
movement of the contralateral limbs
28
corticospinal tract fibers of the lateral motor systems form medullary pyramids called?
pyramidal tract
29
rubrospinal tract of the lateral motor system is responsible for what movement?
movement of contralateral limbs
30
anterior corticospinal tract of the medial motor systems is responsible for what movement?
Control of bilateral axial and girdle muscles
31
Vestibulospinal Tract of the medial motor systems is responsible for what movement?
Positioning of head and neck
32
Tectospinal Tract and Reticulospinal Tract of the medial motor systems responsible for what movement?
Tectospinal: coordination of head and eye movement Reticulospinal: automatic posture and gait related
33
what is a fasciculation?
abnormal muscle twitches due to spontaneous muscle activity
34
what is spasticity?
hyperreflexia
35
what is indicative of an upper motor lesion?
usually in the first year of infants life, if in adult you use babinski signs where toes go up and fanning of the toes
36
what causes increased tone and hyperreflexia?
Damage to corticospinal tract: removes control over lower motor neurons Damage to descending inhibitory pathways: increased excitability of motor neurons in the anterior horn