Ascending Pathways Flashcards

0
Q

What are the functions of the dorsal column medial meniscal tract?

A

Fine touch
Vibration
Proprioception

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1
Q

What are two conscious tracts?

A

Dorsal column medial meniscal

Antero-lateral

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2
Q

How many neurones are involved in the dorsal column medial lemniscal tract?

A

3

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3
Q

Where does the first order neurone of the dorsal column medial lemniscal tract arise and where does it end?

A

Dorsal root ganglion to either nucleus gracilis or nucleus cuneatus in medulla oblongata

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4
Q

What is the pathway for the upper limb for dorsal column medial meniscal tract?

A

Fasciculus cuneatus

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5
Q

What is the pathway for the lower limb for dorsal column medial meniscal tract?

A

Fasciculus gracilis

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6
Q

Why does the second order neurone of the dorsal column medial lemniscal tract begin and where does it end?

A

Gracilis/cuneatus nucleus in medulla

Ends in the ventral posterolateral nucleus of thalamus

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7
Q

Why does the third order neurone of the dorsal column medial lemniscal tract start and end?

A

Starts in ventral posterolateral nucleus of thalamus

Ends in the sensory cortex

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8
Q

Where does the dorsal column medial meniscal tract desiccate?

A

Medulla

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9
Q

What is the function of the anterior spinothalamic tract?

A

Crude touch and pressure

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10
Q

What is the function of the lateral spinothalamic tract?

A

Pain and temperature

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11
Q

Where do the first order neurones for the anteriolateral system arise and end?

A

Arise in dorsal root ganglion and end in substantia gelatinosa of dorsal horn

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12
Q

Where do the second order neurones of the anteriolateral system arise and end?

A

Arise in the substantial gelatinosa are as either the anterior spinothalamic tract or the lateral spinothalamic tract and end in the ventral posterolateral nucleus of thalamus

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13
Q

Where do the third order neurones of the anterolateral system arise and end?

A

Ventral posterolateral nucleus of thalamus and end in the sensory cortex

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14
Q

Where does the anterolateral tract dessucate?

A

Spinal cord

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15
Q

What are the unconscious proprioception tracts?

A

Cuneocerebellar
posterior spinocerebellar
anterior spinocerebellar

16
Q

Explain the pathway of the anterior spinocerebellar tract

A

Dorsal root ganglion -> spinal-cord grey matter where it decussates -> cerebellum

17
Q

Explain the pathway of the posterior spinocerebellar tract

A

Dorsal root ganglion -> grey mater of spinal-cord -> cerebellum

18
Q

Explain the pathway of the cuneocerebellar tract

A

Dorsal root ganglion -> nucleus cuneatus -> cerebellum

19
Q

What are the unconscious tracts responsible for?

A

Unconscious proprioception and also important for brain coordination and refining motor movements

20
Q

What is the anterior and posterior spinocerebellar tract responsible for?

A

Carrying proprioceptive information from the lower limb to the ipsilateral cerebellum
The anterior decussates twice and the posterior does not decussate

21
Q

What is the rostral spinocerebellar tract responsible for?

A

Carrying proprioceptive information from the upper limbs to the ipsilateral cerebellum

22
Q

What can lesion of the dorsal column medial lemniscal tract be caused by?

A

Vitamin B12 deficiency and tabes dorsalis so neurosyphilis

23
Q

What is brown sequard syndrome?

A

A hemisection of the spinal-cord most likely due to trauma and involves that anteriolateral system and the dorsal column medial lemniscal pathway

24
Q

What happens if the spinocerebellar tracts are injured?

A

Ipsilateral loss of muscle coordination but unlikely to be damaged alone often descending motor tracts are damaged which causes muscle weakness or paralysis and sometimes loss of muscle coordination is masked