2 - Ascending & Descending Pathways Flashcards

1
Q

how many neurones do ascending pathways have?

A

3
* primary - same side as sensatin
* secondary - decussates
* tertiary - within the brain

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2
Q

what 3 ascending tracts are responsible for conscious sensation/

A

spinothalamic
spinal reticular
dorsal column

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3
Q

what is the role of the spinothalamic tract?

A

anterior - crude touch and pressure
lateral - pain and temperature sensation

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4
Q

describe the route of each neuron in the spinothalamic tract:

A

first order - peripheral receptors to dorsal horn
secondary - decussates to other side of spinal cord and travels to thalamus
thrid order - thalamus to somatosensory cortex through internal capsule

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5
Q

what is the role of the spinalreticular tract?

A

automatic response to pain

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6
Q

what is the role of the dorsal column pathway?

A

fien tough, two touch discrimination, vibration, proprioception

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7
Q

where does the spinothalamic tract decussate?

A

spinal cord

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8
Q

where does the dorsal column pathway synsapse?

A

medulla

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9
Q

describe the routes of the neurones in the dorsal column:

A
  • first order - travel through fasciculus cuneatus or fasciculus gracilis
  • second order - synapses in medulla and travels to thalamus via medial lemniscus
  • third order - to somatosensory cortex
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10
Q

what is the role of the fasciculus cuneatus?

A

carries upper limb info (T6 and above)

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11
Q

what is the role of the fasciculus gracilis?

A

carries infor from the lower limb (below T6)

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12
Q

what ascending pathways are responsible for unconscious perception?

A

dorsal spinocerebellar
anterior spinocerebellar
cuneocerebellar

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13
Q

what is the role of the dorsal spinocerebellar tract?

A

transmits proprioceptive info from lower limbs to cerebellum

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14
Q

what is the role of the ventral spinocerebellar tract?

A

transmits proprioceptive info from lower limbs to cerebellum

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15
Q

what is the role of the cuneocerebellar tract?

A

transmits proprioceptive info from upper limb and neck

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16
Q

describe the route of the neurones in the dorsal spinocerebellar tract

A
  • 1st synapses onto second in dorsal horn
  • second travels to cerebellum
  • completely ipsilateral
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17
Q

describe the route of the neurones in the ventral spinocerebellar tract

A
  • ipsilateral but decussates twice
  • decussates on entry to spinal cord and in white matter of cerebellum
18
Q

lesions in the spinothalmic tract result in what?

A

loss of contralateral:
* crude touch
* pressure
* pain
* temp

19
Q

lesions in the dorsal column pathway result in what?

A

loss of ipsilateral:
* proprioception
* vibration
* fine touch

20
Q

spinocerebellar lesions lead to what?

A

loss of ipsilateral coordination

21
Q

what are the two pyramidal descending pathways?

A
  • corticospinal tract
  • corticobulbar tract
22
Q

what is the corticospinal tract responsible for?

A

muscle control of the body

23
Q

describe the route of neurones in the corticospinal tract:

A
  1. cell bodies in cerebral cortex
  2. pass through internal capsule
  3. pass through crus cerebri
  4. pass through pons
  5. at pyramids of medulla 75% fibres decussate (lateral) and synapse with LMN in ventral horn
  6. 25% do not decussate (anterior) - later decussate at cervical and thoracic levels
24
Q

where does the corticospinal tract decussate?

A

75% - pyramids of medulla
25% - cervical and thoracic levels

25
what is the role of teh corticobulbar tract?
voluntary control of face, head and neck
26
what is the route of the neurones in the corticobulbar tract?
* originate in cerebral cortex * pass through intenral capsule * do not descend into spinal cord but synapse onto cranial nerve nuclei
27
the neurones of the corticobulbar tract innervate how?
bilaterally * provide motor sensation to both sides of face
28
what are the 4 extrapyrimidal descending tracts?
1. rubrospinal tract 2. reticulospinal tract 3. vestibulospinal tract 4. tectospinal tract
29
what is the role of the rubrospinal tract?
motor control
30
where does the rubrospinal tract originate?
red nucleus
31
what is the role of the reticulospinal tract?
* medial - facilitates contraction and increases tone * lateral - inhibits contraction
32
where does the reticulospinal tract originate?
medial - pons lateral - medulla
33
where does the vestibulospinal tract originate?
vstibular nuclei
34
what is the role of the vestibulospinal tract?
balance and posture
35
where does the tectospinal tract originate?
superior colliculus
36
what is the role of the tectospinal tract?
head and eye coordination
37
what are signs of extrapyrimidal tract injuries?
* parkinsonisms * chorea * athetosis * dystonia
38
how many cranial nerve nuclei are motor?
10
39
how many cranial nerve nuclei are sensory?
8
40
Label the cranial nerve nuclei