Ascending Pathways Flashcards
Differentiate the various ascending pathways
Which tracts are considered conscious relays?
- Dorsal Column Medial Lemniscus
- Spinothalamic
What information is conducted in the spinothalamic tract?
Discriminative pain and temperature, coarse/crude touch
What information is conducted in the dorsal column/medial lemniscus?
discriminative light touch, vibration, conscious proprioception
What information is conducted in the spinocerebellar tract?
- Nonconscious proprioception
- Movement information from descending tracts
What tracts are considered among the divergent pathways?
- spinomesencephalic
- spinoreticular
- spino-emotional
What kind of information is conveyed in the divergent pathways?
slow pain
Where do fibers in the spinomesencephalic tract terminate?
- superior colliculi
- periaqueductal gray
Where do fibers in the spinoreticular tract terminate?
intralaminar nuclei of thalamus (via reticular formation in the brainstem)
Where do fibers in the spino-emotional tract terminate?
- areas of the cerebral cortex involved with emotions, sensory integration, personality, and movement
- basal ganglia
- amygdala
- hypothalamus
What information is conveyed in the spinomesencephalic tract?
slow nociception
What is the effect of slow nociceptive information conducted in the spinomesencephalic tract?
- Via superior colliculi: turning eyes/head to orient toward source of nociceptive stimuli
- Via periaqueductal gray, modulation of incoming nociception
What is the effect of nociceptive information conducted in the spinoreticular tract?
- modulation of arousal, attention, sleep/wake cycle
- alters attention, interferes with sleep
What is the effect of nociceptive information conducted in the spino-emotional tract?
emotional responses to pain
What is a possible result of a lesion in the spinothalamic tract?
- contralateral analgesia
- loss of contralateral temperature sense
What is a possible effect of a lesion in the dorsal column?
- Loss of ipsilateral discriminative light touch
- Loss of ipsilateral conscious proprioception