Descending Pathways (handout based) Flashcards
Originate in: Cerebral cortex, Cerebellum & Brainstem
Upper Motor Neurons
Are entirely within the CNS; Form descending tracts
Upper Motor Neurons
Begin in CNS; Made up of alpha motor neurons (A-α)
Lower Motor Neurons
From anterior horns of spinal cord
Lower Motor Neurons
From brainstem cranial nerve nuclei
Lower Motor Neurons
Make up spinal and cranial nerves
Lower Motor Neurons
Classified according to where they synapse in the ventral horn (UMN); Innervate postural and girdle muscles
Medial activation system
Classified according to where they synapse in the ventral horn (UMN); Associated with distally located muscles used for fine movements
Lateral activation system
Classified according to where they synapse in the ventral horn (UMN); Facilitate local reflex arcs
Nonspecific activating system
the most important descending tract
Corticospinal tract
descends through all levels of the neuraxis except the cerebellum
Corticospinal tract
arises primarily from area 4, and 6, 3,1 and 2
Corticospinal tract
passes through the internal capsule, the cerebral peduncle, the basis pontis, and the pyramids of the medulla oblongata
Corticospinal tract
in the caudal medulla, about 75 to 90% of the fibers decussate to form the lateral CST in the lateral funiculus of the SC
Corticospinal tract
about 8 % of fibers remain uncrossed and form the anterior CST (Türck’s bundle) in the anterior funiculus
Corticospinal tract
Fibers in the anterior CST decussate at segmental spinal levels
Corticospinal tract
roughly about 98 percent of fibers in the pyramidal tract are crossed; remaining 2 percent remain ipsilateral and form the tract of Barnes
Corticospinal tract
fibers terminate on motor neurons in the lateral part of the ventral horn that supply the distal limb musculature
Lateral corticospinal tract
fibers terminate on motor neurons in the medial part of the ventral horn that supply the neck, the trunk, and the proximal limb musculature
Anterior corticospinal tract
constitutes the largest component of the cortically originating descending fiber system
Corticopontocerebellar tract
has been estimated to contain approx 19M fibers, in contrast to the pyramidal tract, which contains approx 1 M
Corticopontocerebellar tract
originates from wide areas of the cerebral cortex, but primarily from the primary sensory and motor cortices, and descends in the internal capsule, cerebral peduncle, and basis pontis, from which its fibers project on pontinenuclei
Corticopontocerebellar tract
it plays a role in the rapid correction of movement
Corticopontocerebellar tract
lesions result to ataxia that occurs contralateralto frontal or temporal lobe pathology
Corticopontocerebellar tract