Motor Systems Flashcards
Which type of musculature is regulated by the LCST?
Proximal (arms, hands, legs)
Which type of musculature is regulated by the ACST?
Distal (trunk)
Which two descending tracts are highly localized in the internal capsule?
Corticospinal and corticobulbar tracts
What descending tract takes up the most space in the IC?
Corticopontine
Where does the corticobulbar tract originate?
Cortical areas related to head and face
Where does corticobulbar tract terminate
Brainstem nuclei (bilateral)
What is the VL thalamus involved in?
Motor integration (involved in feedback loops via pons, cerebellum, dentate gyrus, and red nucleus)
What are the two divisions of the corticospinal tract?
1) Lateral CST; 2)Anterior CST
What is the target function of efferents originating in the ACST?
Postural adjustment
What is the target function of efferents originating in the LCST?
Skilled movement of extremities
Which somatotopic portion of the LCST is supplied most by the POSTERIOR spinal arteries?
the Cervical (most medial) > thoracic > lumbar > sacral; all are supplied by both the posterior and anterior spinal arteries
Describe the somatotopic preservation of motor fibres travelling through the posterior IC
(Arms most rostral, legs most caudal)
What proportion of the crus cerebri (anterior midbrain) is devoted to descending motor fibres?
The middle 3/5ths
In what portion of the brainstem does the corticospinal tract travel as pyramids?
Rostral/anterior medulla
What proportion of the the corticospinal tract fibres remain uncrossed at the level of the caudal medulla?
10-15% – form ACST
Where do fibres in the ACST cross the midline?
SC at the level where they terminate on their LMNs
Descending UMNs form the __ before converging in the posterior limb of the IC
Corona radiata
Where are the UMNs for the corticobulbar tract?
Head and face regions of the primary motor cortex (precentral gyrus)
Which cranial nerve motor nuclei do fibres from the cortical bulbar tract terminate on bilaterally
1) Nucleus ambiguus; 2) Hypoglossal nucleus; 3) facial motor nucleus ROSTRAL region (upper facial muscles)
Which 2 cranial nerve motor nuclei do fibres from the cortical bulbar tract terminate on NOT bilaterally (exceptions to bilateral innervation)
1) Spinal accessory nucleus (ipsi projections for sternomastoid, contralateral for trapezius); 2) Facial motor nucleus (contralateral innervation to caudal part of nucleus (lower facial muscles)
Where does the corticobulbar tract descend in the IC?
At the genu
Where do fibres of the corticopontine tract originate?
Frontal, parietal, and temporal lobes