Lecture 10 Flashcards

1
Q

What is the pathway of the pyramidal (corticospinal) tract? What is the origin of this tract?

A

Origin: Primary motor cortex, premotor cortex, and somatosensory cortex

Pathway: Site of origin -> internal capsule -> medullary pyramids -> cross in lower medulla (most fibers) -> lateral columns of spinal cord (lateral corticospinal tract)

Some fibers do NOT cross but continue down ipsilaterally in ventral corticospinal tract; other fibers pass into caudate nucleus and putamen, to red nucleus, to reticular substance and vestibular nuclei; large number of fibers pass to pontine nuclei

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2
Q

Define the pyramidal system (what is it) and list the components

A

Definition: These are tracts that pass through the medullary pyramids; other motor pathways are extrapyramidal

Components: Corticospinal tract and corticobulbar tract

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3
Q

What is the pathway of the corticobulbar tract?

A

Upper motor neurons of the cranial nerves innervating the face, head, and neck; most fibers terminate in reticular formation near cranial nerve

Association Neurons: Leave reticular formation and synapse in cranial nerve nuclei; synapse with lower motor neurons

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4
Q

List the characteristics of the extrapyramidal system and its component tracts

A

Includes pathways that contribute to motor control but that are not part of the corticospinal system; includes descending motor tracts that do not pass through medullary pyramids or corticobulbar tracts

Components: rubrospinal, vestibulospinal, reticulospinal, and olivospinal tracts

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5
Q

What is the pathway of the rubrospinal tract? Include its level of decussation

A

Originates in red nucleus and decussates in midbrain; descends in lateral funiculus (column); function is closely related to cerebellar function; less important in human for motor control; responsible for large muscle movement and some fine motor of UE

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6
Q

Describe the characteristics of lesions associated with the rubrospinal tract

A

Lesions result in impairment of distal arm and hand movement, intention tremors (similar to cerebellar lesions), and may take over for injured corticospinal tract in some animals

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7
Q

What is the pathway of the vestibulospinal tract and what is its major input? What function is this tract primarily involved with?

A

Originates in vestibular nuclei and receives input from vestibular nerve (CN 8) about changes in head position with the goal of maintaining balance; descends in anterior funiculus, synapses with LMNs to extensor muscles (primarily involved in maintenance of upright posture)

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8
Q

What is thought to be the function of the reticulospinal tract?

A

Mediate larger movements of trunk and limbs that do not require balance or fine movements of upper limbs; controls activity of both alpha and gamma motor neurons, mediates autonomic functions like circulatory system and breathing; can modulate pain information

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9
Q

List the reticular nuclei and their functions

A

Pontine Reticular Nuclei: fibers make up the pontine reticulospinal tract (anterior column); stimulatory effect on both extensors and flexors, but especially extensors (antigravity muscles)

Medullary Reticular Nuclei: Fibers make up the medullary reticulospinal tract (lateral column); inhibitory effect on both extensors and flexors, but especially extensors (antigravity muscles)

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10
Q

Describe the maculae of the utricle and saccule and indicate their planes of orientation and their associated functions

A

Utricle: macula is located on a horizontal plane and plays a role in determining orientation of head when head is upright

Saccule: macula is located in a vertical plane and signals head orientation when a person is lying down

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11
Q

Describe the structure of a macula and the function of the statoconia in relation to the hair cells

A

Macula of both utricle and saccule contains large numbers of embedded small calcium carbonate crystals (statoconia), contains thousands of hair cells which project cilia into the gelatinous layer; the weight of the statoconia bends cilia in the direction of gravitational pull

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12
Q

Explain how hair cells in the macula become depolarized and hyperpolarized

A

Bending of stereocilia towards kinocilium opens hundreds of cation channels causing receptor membrane depolarization and excitation; bending of cilia in opposite direction closes channels and hyperpolarizes receptor membrane; hair cells are oriented such that bending the head in different directions causes different groups of hair cells to depolarize

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13
Q

Explain how semicircular canals are able to detect motion of the head in three dimensional space

A

When head begins to rotate in any direction, inertia of the fluid in one or more of the semicircular canals remains stationary while semicircular canal rotates with the head; fluid flows from the duct and through the ampulla and causes the cupula to bend to one side; hundreds of hair cells within each cupula detect this bending and send signals via the vestibular nerve

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14
Q

Describe the lateral corticospinal tract, inclduing its function

A

Made up of corticospinal fibers that have crossed in medulla; supply all levels of spinal cord

Adds speed and agility to conscious movements (especially movements of the hand) and provides a high degree of motor control (movement of individual fingers)

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15
Q

Describe the anterior corticospinal tract, including its function

A

Made up of uncrossed corticospinal fibers that cross near level of synapse with LMNs; supply neck and upper limbs

Adds speed and agility to conscious movements (especially movements of the hand) and provides a high degree of motor control (movement of individual fingers)

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16
Q

Describe giant pyramidal (betz) cells in the corticospinal tract

A

Located in motor cortex; large cells and large fibers; make up about 3% of fibers in the tract; send collaterals back to cortex; synapse directly on LMNs, especially those that innervate forearm and hand muscles

17
Q

Describe the characteristics of lesions associated with the corticospinal tract lesions

A

Reduced muscle tone, clumsiness, weakness, not complete paralysis; complete paralysis results if both pyramidal and extrapyramidal systems are involved (as is often the case)

18
Q

Describe the characteristics of lesions associated with the corticobulbar tract

A

Lesions typically unilateral; result in mild muscle weakness;

Lesion of cranial nerve 12 (hypoglossal) results in paralysis of the ipsilateral side (deviation of the tongue towards the damaged side)

Lesion of cranial nerve 7 (facial) results in spastic paralysis of the ipsilateral lower 1/4 of the face

19
Q

What is the ampulla?

A

Enlargement at one end of each semicircular canal duct; filled with endolymph

20
Q

What is the crista ampullaris?

A

Small crest within each ampulla

21
Q

What is the cupula?

A

Loose mass of gelatinous tissue on top of the crista