Descending Pathways Flashcards
What are the categories of descending tracts?
Pyramidal tracts
Extra-pyramidal tracts
Names of pyramidal tracts
Lateral corticospinal
Anterior corticospinal
Corticonuclear
Names of extrapyramidal tracts
MEL VERT
Medial reticulospinal
Lateral reticulospinal
Vestibulospinal
Rubrospinal
Tectospinal
First three affect the alpha and gamma neurons in the anterior horn
Functions of extrapyramidal tracts
Autonomic control of musculature (muscle tone, balance, posture and locomotion)
Carry out gross voluntary movement to some extent in case of pyramidal tract damage
If gross voluntary movement is left under control of extrapyramidal tracts, muscle rigidity increases
What is the reticular formation?
Group of neurons in the core of the brain stem
Which structures do the reticular formation connect?
Spinal cord and thalamus to the cerebrum
Purpose of the reticular formation
Mediates sleep cycle
Medial Reticulospinal Tract
Function
Facilitates voluntary movements
Increases muscle tone
Stimulates α and γ neurons
Medial Reticulospinal Tract
Location
Anterior Funiculus
Medial Reticulospinal Tract
Origin
Pontine Reticular Formation
Medial Reticulospinal Tract
Crossed or Uncrossed
Uncrossed
Lateral Reticulospinal Tract
Function
Inhibits voluntary movements
Decreases muscle tone
Inhibits α and γ neurons
Lateral Reticulospinal Tract
Location
Lateral Funiculus
Lateral Reticulospinal Tract
Origin
Medullary Reticular Formation
Lateral Reticulospinal Tract
Crossed or Uncrossed
Crossed
Vestibulospinal Tract
Function
Control balance and posture by innervating anti-gravity muscles
Anti-gravity muscles include flexors of arm and extensors of the leg
Vestibulospinal Tract
Location
Anterior Funiculus
Vestibulospinal Tract
Origin
Lateral Vestibular Nucleus (pons)
Vestibulospinal Tract
Crossed or Uncrossed
Uncrossed
Rubrospinal Tract
Function
Stimulates flexor muscles
Rubrospinal Tract
Location
Lateral Funiculus
Rubrospinal Tract
Origin
Red Nucleus (midbrain)
Rubrospinal Tract
Crossed or Uncrossed
Crossed in midbrain
Tectospinal Tract
Function
Coordinates in head movements in relation vision stimuli
Tectospinal Tract
Location
Anterior Funiculus
Tectospinal Tract
Origin
Superior colliculus (midbrain)
Tectospinal Tract
Crossed or Uncrossed
Crossed in midbrain
Lateral Corticospinal Tract
Functions
Skillful voluntary muscle movement of distal part of upper and lower limbs
Control voluntary movements of opposite half of body through anterior horn cells
Lateral Corticospinal Tract
What percentage of fibers in pyramidal tract are formed from lateral corticospinal tract
80%
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Anterior Corticospinal Tract
Functions
Controls gross and postural movements of trunk and proximal musculature
Anterior Corticospinal Tract
Found only in …
… cervical and thoracic segments
Anterior Corticospinal Tract
What percentage of fibers in pyramidal tract are formed from anterior corticospinal tract
20%
Anterior Corticospinal Tract
Where does the anterior corticospinal tract cross?
Does not cross at pyramid
Cross in spinal cord where they terminate
Corticobulbar/Nuclear Tract
Origin
Primary Motor Area 4
Corticobulbar/Nuclear Tract
Crossing occurs at …
… the brain stem at the level of motor nuclei of the cranial nerves
Corticobulbar Tract
All the motor nuclei from the corticobulbar tract receive bilateral input except …
… cranial nerve 12 and upper part of 7th which have contralateral input
Which motor nuclei of cranial nerves are in the midbrain
3rd and 4th (both pure motor)
Both mixed nerves
Which motor nuclei of cranial nerves are in the pons?
5th, 7th (mixed)
6th (pure motor)
8th is in the pons but is sensory
Which motor nuclei of the cranial nerves are in the medulla?
9th and 10th (mixed)
11th and 12th (pure motor)
What are upper motor neuron pathways (UMN)?
From the cortex to their motor nerves
What are lower motor neuron pathways (LMN)?
From UMN to effector
What occurs when lesions form above the level of decussation?
Contralateral UMNL paralysis (loss of voluntary movements)
What occurs when lesions form below the level of decussation
Ipsilateral UMNL paralysis
What occurs in LMNL lesions?
Flaccid paralysis
Atrophy of muscles
Muscular fasciculations
What is poliomyelitis?
Viral infection of motor neurons leading to paralysis