Motor Systems (Lecture #7) Flashcards

1
Q

what is the only pathway we possess to move our extremities voluntarily

A

lateral corticospinal tract

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2
Q

what does the lateral corticospinal tract pathway do

A

voluntary movement of extremities
voluntary unilateral movement of trunk
(nothing with head or neck)

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3
Q

how many neurons does the lateral corticospinal tract consist of?

A

2

upper motor neuron and lower motor neuron

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4
Q

where is the cell body of the upper motor neuron of the corticospinal tract?

A

primary motor cortex

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5
Q

where is the cell body of the lower motor neuron of the corticospinal tract?

A

ventral horn of the spinal cord

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6
Q

Pathway of axon of the upper motor neuron of the corticospinal tract

A
corona radiata
internal capsule (posterior limb)
basis of midbrain
basis of pons
basis of medulla
crosses midline at pyramidal decussation (caudal medulla)
lateral aspect of spinal cord
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7
Q

where does the axon of the lower motor neuron of the corticospinal tract travel?

A
travels out ventral horn via ventral root
spinal nerve
plexus
peripheral nerve
synapses with muscle
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8
Q

corona radiata

A

axons heading to or from the cerebral cortex superior fo the thalamus

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9
Q

area IX of the spinal cord

A

location of lower motor neuron
occupies medial and lateral portion of each ventral horn
LMN for UE and LE are in lateral portion of area IX

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10
Q

what parts of the spinal cord is the lateral part of area IX the largest

A

cervical

lumbosacral

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11
Q

what part of the cervical enlargement provides axons for proximal part of UE

A

rostral part

C5-6

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12
Q

what part of the cervical enlargement provides axons for the distal part of UE

A

caudal part

C8-T1

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13
Q

what part of the lumbosacral enlargement provides axons for the proximal part of LE

A

rostral part

L2-4

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14
Q

what part of the lumbosacral enlargement provides axons for the distal part of LE

A

caudal part

L5-S2

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15
Q

Where does the cell body of the LMN always come from for muscles of the right side of the body

A

right ventral horn

L ventral horn –> muscles on L side

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16
Q

function of anterior corticospinal tract

A

voluntary control of proximal extremities and trunk muscles

-especially when you move both sides simultaneously

17
Q

decussate

A

cross midline

18
Q

if pt damages left motor cortex, will he/she still be able to move his/her right trunk/proximal extremities

A

yes, but only bilaterally simultaneously

19
Q

where does UMN of lateral corticospinal tract decussate

A

caudal medulla

20
Q

where does UMN of anterior corticospinal tract bifurcate?

A

at spinal level of LMN in spinal cord

21
Q

where does axon of anterior corticospinal tract travel in spinal cord

A

anterior (ventral) column

22
Q

where does axon of lateral corticospinal tract travel in spinal cord

A

lateral column

23
Q

function of corticobulbar tract

A

voluntary movements of head and neck

24
Q

which CNs motor nuclei are on the midbrain

A

III

IV

25
Q

which CNs motor nuclei are on the pons

A

V
VI (eye mvmt)
VII (rostral/caudal halves = upper/lower face)

26
Q

which CNs motor nuclei are on the medulla

A

IX (swallowing)
X (vocalization)
XII (tongue)

27
Q

which CNs motor nuclei are on the spinal cord

A

XI (shoulders, turn head)

28
Q

do the UMNs for the upper part of the face bifurcate?

A

yes

29
Q

do teh UMNs for the lower part of the face bifurcate?

A

no, they cross the midline and innervate contralaterally

30
Q

what is the most notable clinical sign when a person has damage to UMN in lateral corticobulbar tract supplying the lower part of face

A

paralysis of lower part of face on opposite side