Block 3 - the central nervous system Flashcards
How many spinal nerves are there?
31 pairs:
7 cervical
12 thoracic
5 lumbar
5 sacral
1 coccygeal
Draw a simple diagram of a spinal cord
Must include:
Ventral and dorsal horn
Sensory and motor neurons w/cell bodies
Corticospinal tracts
Rubrospinal tract
Reticulospinal tract
Vestibulospinal tract
What is somatotopy?
Point to point reference of a body part in the CNS
What tracts make up the lateral tract system?
Corticospinal tract and rubrospinal tract
What makes up the medial tract system?
Reticulospinal tract and vestibulospinal tract
Pathway of the lateral corticospinal tract?
- Arises from the precentral gyrus
- Upper motor neuron descends through cerebral peduncles
- Decussates at medullary pyramid
- alpha motor neurons innervate distal limb
Pathway of the medial corticospinal tract?
- Arises from precentral gyrus
- Descends through peduncles
- Alpha motor neurons innervate proximal limb
What test is used to detect lesions of the corticospinal tract? And which tract takes over its functions?
The Babinski sign
Rubrospinal tract
What is the indirect pathway of the corticospinal tract?
Corticobulbar tract
Pathway of the corticobulbar tract
- Interneurons innervate reticular formation
- lower motor neurons innervate; pons - facial nerves, medulla - hypoglossal nerve
Primary function of lateral tract system.
Voluntary control of muscles
Pathway of rubrospinal tract
- Arises from red nucleus in midbrain
- decussation of ventral midbrain
- terminate on interneurons in ventral horn
- stimulates contralateral flexion
Where does the reticulospinal tract originate?
Reticular formation in pons and medulla
Pathway of the medial reticulospinal tract
- Arises in pons
- Projects ipsilaterally to spinal cord
- Facilitates extension
Pathway of the lateral reticulospinal tract
- Arises in the medulla
- Projects bilaterally to spinal cord
- Inhibits extension
Function of reticulospinal tract
Control function of involuntary muscles and organs of the body
Where does the vestibulospinal tract originate?
Vestibular nuclei in pons-medulla junction
Function of the vestibulospinal tract
Maintain balance and posture by exciting extensors and inhibiting flexors
What do the descending and ascending tracts of the vestibulospinal tract innervate?
Descending - neck muscles
Ascending - oculomotor nuclei to control eye movement
Pathway of the medial vestibulospinal tract
- Arises from ipsilateral and contralateral medial vestibular nuclei
- Descends in ventral funiculus
- Terminates in cervical ventral horn
Pathway of the lateral vestibulospinal tract
- Arises from lateral vestibular nuclei
- Descends entire spinal cord
- Receives inhibitory input from cerebellum
Evidence for somatotopy (3)
Jacksonian march - seizures
Ferrier - mapping the cortex
Montreal procedure - destroying nerve cells associated with seizures
Methods for recording the motor cortex
EEG
ECoG
Microelectrodes
What does the motor cortex represent? (2)
Movement direction and force