Ascending and Descending Tracts Flashcards

1
Q

Name 3 ascending tracks

A

Lateral spinothalamic
Anterior (ventral) Spinothalamic
Dorsal columns (medial lemniscus)

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2
Q

Name 2 descending tracts

A

Lateral corticospinal

Anterior corticospinal

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3
Q

What information does the lateral spinothalamic tract carry

A

Pain

Hot/cold of the limbs and trunk

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4
Q

What type of receptors are in the lateral spinothalamic tract

A

free nerve endings

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5
Q

What type of fibers transmit sharp pain?

slow/dull pain?

A

A-delta

C Fibers

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6
Q

Where does the lateral spinothalamic tract ascend?
where does it cross?
where does it terminate?

A

Ascends in lateral white column of SC

Crosses within 1-2 segments (cross SC almost immediately)

Terminates in parietal lobe

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7
Q

What information does the Anterior (ventral) spinothalamic tract carry

A

Crude touch and pressure

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8
Q

What type of receptors are in the anterior (ventral) spinothalamic tract

A

Merckel’s discs
Ruffini corpuscles
free nerve endings

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9
Q

Where does the anterior (ventral) spinothalamic tract ascend?
where does it cross?
where does it terminate?

A

Ascends in anterior white column

Crosses within 1-2 segments (almost immediately)

Terminates in parietal lobe

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10
Q

What information does the Dorsal columns (medial meniscus) carry

A
  • 2 point discrimination
  • Fine touch
  • Stereognosis
  • Vibration
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11
Q

What type of receptors are in the Dorsal columns (medial meniscus) tract

A

Pacinian Corpuscles (vibration
Merckel’s disc
Meissner’s (light touch)
A-beta

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12
Q

where does the Dorsal columns (medial meniscus) tract cross?
where does it terminate?

A

Cross in brain stem

Terminate in parietal lobe

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13
Q

Why do the ascending tracts all terminate in the parietal lobe

A

this lobe integrates sensory information from different modalities

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14
Q

With Brown sequard syndrome lesion of half the cord - is the pattern of loss of the 3 ascending tracts

A

Lateral and anterior spinothalamic: ipsilateral loss at the level and contralateral loss below the lesion

Dorsal columns: Ipsilateral loss

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15
Q

What is the pattern of loss of the Dorsal columns with a lesion above the medulla

A

Contralateral loss

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16
Q

What information is carried in the lateral corticospinal tract?

A

Motor tract

17
Q

What is the course of the lateral corticospinal tract

A

Starts in frontal lobe
90% crosses in the pyramids of the brain stem it then synapses in ant horn cell in grey matter of spinal cord, goes out on an alpha motor neuron, terminates at the neuromuscular junction

18
Q

What information is carried in the anterior corticospinal tract?

A

motor (other 10% which does not cross

19
Q

What is the course of the anterior corticospinal tract

A

Starts in frontal lobe, travels in ventral white column and crosses at level of innervation

20
Q

What are the effects on the anterior and lateral corticospinal tracks with brown sequard syndrome

A

Anterior Corticospinal: Contralateral loss of voluntary movement

Lateral corticospinal: Ipsilateral loss of voluntary movement