Lecture 5/6 Flashcards
DCML
conveys proprioception, vibration, fine touch
Anterolateral pathways
has three tracts
spinothalamic
spinoreticular
spinomesencephalic
ALS conveys
pain, temperature, crude touch
ALS First order neuron
enter via dorsal root entry zone
ascend and descend via Lissauer’s tract
synapse in gray matter of dorsal horn
Second order neuron ALS
cross over in anterior commissure
run inbetween inferior olives and inferior cerebellar peduncles
enter tegmentum, and medial lemniscus
3rd order neuron ALS/spinothalamic
VPL = internal capsule, corona radiata, SI
VMP = projects to insular cortex, stimulus quality
MN = cingulate gyrys, emotional, learning, memory
3rd order neuron spinoreticular tract
reticular formation in medulla and pons
goes to amygdala
receives sensory info that regulates arousal
3rd order neuron spinomesencephalic tract
terminates in midbrain tectum and PAG
vision, hearing, orienting head
pain transmission to spinal cord
Somatosensory cortex….
projects to the secondary somatosensory association cortex
lesions = cortical sensory loss
Descending pathway of pain
controls or inhibits pain as needed
PAG neurons in midbrain go down and synapse with raphe nuclei in medulla. use serontonin
serotonin controls the 1st and 2nd order synpases going UP
interneuron is also used to inhibit the 1st and 2nd order neuron
Visceral pain
neurons in dorsal horn of all parts of sacral to thoracic receive input from organs
neurons for these pains stay ipislateral and follow DCML pathway
visceral info and cutaneous info can be confused in lamina V because the two receptors converge
Lateral corticospinal tract conveys
motor
Primary motor cortex is the same as….
brodmann’s area 4
precentral gyrus
M1
Primary sensory cortex is the same as….
brodmann’s area 1,2,3
postcentral gyrus
S1
Substantia gelatinosa
important in pain