Lecture 7/8 - Spinal Tracts Flashcards

1
Q

general feature of all spinal tracts (5)

A

tracts are anatomically and functionally distinct from each other. ASCENDING tracts carry SENSORY info to the brain and DESCENDING tracts carry MOTOR info from the brain

most consist of a connected series of two or three neurons

tracts are often named according to where they originate and terminate

neurons in tracts often decussate at some point in the pathway between the spinal cord and brain

all pathways are paired: one tract on left and one on right

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2
Q

ascending (sensory/afferent) tracts: general features

A

the primary neuron ALWAYS enters the spinal cord in the dorsal root

the primary neurons cell body is ALWAYS in the dorsal root ganglion

sensory information usually crosses the midline to the CONTRALATERAL side. exception is for some proprioception fibers - the axon enters the spinal cord and ascends on the same (IPSILATERAL) side

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3
Q

ascending tracts carrying conscious information - other name for the more important one, location, resistance to injury

A

spinothalamic (anterolateral, ventrolateral) tract:

relays AP carrying pain and temperature information

located in the ventrolateral areas of the spinal cord white matter. carries pain and temperature sensations in fibers of moderate or small diameter and myelination

relatively resistant to injury

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4
Q

ascending tracts carrying conscious information - name for the second type, location, composition, injury?

A

dorsal column (fasciculus coneatus and fasciculus gracilis)

carry information concerning conscious proprioception, touch

located at the most dorsal aspect of the spinal cord, it includes the medial fasciculus gracilis (hindlimb, caudal to T6) and the more lateral fasciculus cutaneous (forelimb, cranial to T6)

composed of large myelinated fibers. info travelling in these tracts ultimately ascend to the cortex

these fibers have a relatively high susceptibility to injury due to myelination and location

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5
Q

what is usually the first type of clinical signs related to that we see, what tract is involved

A

proprioception problems - due to these tracts being susceptible to injury due to location and myelination

dorsal column involved

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6
Q

ascending tracts carrying conscious information - name for third one, where are they, where do they terminate, injuy, how is it defined

A

non-specific multisynaptic pathways

there are several poorly defined pathways, with different names that ascend bilaterally in the spinal cord, usually involving poorly myelinated neurons

these poorly defined tracts ascend in white matter throughout the spinal cord and terminate as part of the reticular activating system (RAS) in the brain

they synapse multile times as they ascend and because of their wide distribution and low myelination, appear resistant to injury

not actually a single defined tract. if there pathways are gone, very severe spinal cord injury

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7
Q

ascending tracts carrying UNCONSCIOUS sensory information - what is the name, what does it do, location of fibers, injury, ipsilateral or contralateral

A

spinocerebellar pathways/tracts

unconscious proprioception - the sense of where your limbs are in space. this is use by interneurons in the cerebellium to modify the activity of motor neurons

these fibers usually DO NOT decussate, instead ascending on the ipsilateral side of the spinal cord and entering the cerebellum via the caudal cerebellar peduncle

these fibers have a relatively high susceptibility to injury due to heavy myelination and location in the spinal cord

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8
Q

descending tracts - general features (4)

A

carry the motor fibers that control “somatic” muscle movement in the body

as with sensory pathways, motor impulses travels in specific tracts found in white matter

similarily, the pathways are named based on origin and destination; there are three major and two minor pathways of significance

a major portion of the clinical neurologic exam involes the examination of responses mediated by the motor tracts (in vet med), although the sensory pathways must also be intract in order for test to be normal so we often evaluate sensory and motor together

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9
Q

descending motor tracts - how many neurons, where do they synapse, injury?

A

these pathwyas have 2-3 neurons in a series which start at specific nuclei in the brain and end at a specific spinal level where they synapse on a LOWER MOTOR NEURON

moderately myelinated so susceptibility to injury falls between proprioceptive pathways (very sensitive) and pain pathways (least sensitive)

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10
Q

what are the three major tracts, where the start and end, do they cross over, what is the most important tract in domestic species

A

-rubrospinal tract = red nucleus to spinal cord, decussates in midbrain. most important in domestic species. responsible for voluntary muscle movement

-reticulospinal tract - reticular foramen (in medulla) to spinal cord, involved in balance and posture, mostly ipsilateral with some decussation to the contralateral side

vestibulospinal stract - vescibular nuclei to spinal cord, involved in synergy of muscle movements, equilibrium and balance. entirely ipsilateral

reticulo and vestibulo - often contain inhibitory neurons to prevent excessive responses to stimuli

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11
Q

what are the minor tracts, where do they start and end, function ?

A

corticospinal tract - cortex to spinal cord, similar to rubrospinal but originates in cortex. sometimes called a pyramidal tract

tectospinal tract - like the corticospinal tract but to cervical cord segments only, responsible for head movements in response to auditory/visual stimuli

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12
Q

upper motor neurons and lower motor neurons - refers to what, where are they, what type is in tracts

A

motor tracts contain UMN that initiate muscle contraction and movement after synapsing on LMN that leave the spinal cord at each level to innervate muscle

UMN - refers to all neuron in a motor tract except the FINAL neuron which leaves the spinal cord and directly innervates a muscle fiber. UMNs are entirely in the CNS (brain and spinal cord). UMNs are in tracts

LMN - refers to the FINAL NEURON in a motor pathway, which exits the spinal cord and travels, via the ventral root to the target muscle. LMS start in the CNS and terminate in the PNS. UMNs from multiple different motor tracts can synapse on a single LMN, which carries an impulse to a muscle

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13
Q

UMN and LMN, travel path of UMN to get to LMN, and injury

A

UMNs travel from the brain in different tracts and then synapse on LMNs which leave the spinal cord and innervate muscle

UMNs can ONLY be injured in the spinal cord is injured

LMNs can be injured if the spinal cord OR peripheral nerve in which they travel is injured

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14
Q

names of two major ascending tracts carrying CONSCIOUS info (all names for them)

A

spinothalamic (ventrolateral, anterolateral), dorsal column (fasciculus cuneatus, fasciculus gracilis)

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15
Q

names of the major ascending tract carrying UNCONSCIOUS info

A

spinocerebellar,

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16
Q

names of major descending motor tracts

A

rubrospinal, reticulospinal, vestibulospinal

17
Q

names of minor descending motor tracts

A

corticospinal, tectospinal