Neuroanatomy Flashcards
Tracts and Modalities Cranial Nerve Nuclei Areas of the Brain
Function of Ascending Tracts
Carry sensory impulses from the periphery to the somatosensory cortex
What are the ascending tracts?
Dorsal Column Medial Lemniscus
Spinothalamic
What is the dorsal column medial lemiscus made up of?
Fasciculus cuneatus
Fasciculus gracilis
Where does the fasciculus cuneatus carry messages from?
Upper limb
Trunk
Neck
Where does the fasciculus gracilis carry messages from?
Lower limb
Lower trunk
What carries sensory information from the anterior head?
Trigeminal system
What fibres are carried in the dorsal column?
Conscious proprioception
Fine touch
Vibration
Conscious proprioception
Fine touch
Vibration
Which tract?
Dorsal column
Conscious proprioception is carried in which tract?
Dorsal column
Vibration is carried in which tract?
Dorsal column
Fine touch sensation is carried in which tract?
Dorsal column
When do the fibres of the dorsal column cross over?
In the medulla
Describe 3 neurone pathway of the dorsal column
1st neurone body - dorsal root ganglion
Enters the spinal cord, fibres travel up ipsilateral side
2nd neurone body - found in gracile or cuneate nucleus
Fibres cross in medulla travel in medial lemniscus to thalamus
3rd neurone body - found in the VPL nucleus of thalamus
What do the dorsal column fibres travel in from the medulla to the thalamus?
Medial lemniscus
Where is the 3rd order neurone body of the dorsal tract located in the thalamus?
Ventral nuclei
- Specifically venteroposterior nuclei
What fibres are carried in the spinothalamic tract?
Pain
Temperature
Deep Pressure
Pain
Temperature
Deep Pressure
Which tract?
Spinothalamic tract
Pain sensation is carried in which tract?
Spinothalamic
Temperature sensation is carried in which tract?
Spinothalamic
Deep pressure sensation is carried in which tract?
Spinothalamic
Describe 3 neurone pathway of spinothalamic tract
1st order - found in dorsal root ganglion
2nd order - found in dorsal horn of the spinal cord
Enter the spinal cord where the fibres decussate
Then travel up the contralateral side
3rd order - found in the thalamus
Which sensory fibres travel up the ipsilateral side?
Dorsal column fibres
Which sensory fibres travel up the contralateral side?
Spinothalamic fibres
What are the pyramidal tracts?
Corticospinal tracts
Rubrospinal tracts
What controls the action of the pyramidal tracts?
Cerebral cortex
What are the descending tracts?
Corticospinal Rubrospinal Tectospinal Reticulospinal Vestibulospinal
What is the corticospinal tract made up of?
Lateral tract - most
Anterior tract - fewer
What is the modality carried by the corticospinal tract?
Fine precise movements
What are the differences between the two parts of the corticospinal tract?
Lateral - formed from fibres which have decussated in medulla
Anterior - formed from fibres which decussate later
Fine precise movements
Which tract?
Corticospinal tract
Upper motor neurone course of corticospinal tract
Cell bodies in the motor cortex
Lateral and anterior tracts descend though the internal capsule
Travel through midbrain and pons
In the medulla, lateral and anterior tracts split
- Lateral = decussate
- Anterior = continue on ipsilateral side
Terminate in ventral horn
Synapse onto LMN
Ventral horn of the spinal cord
Anterior - motor
Pre-central gyrus
Motor centre
Posterior frontal lobe
Post-central gyrus
Sensory centre
Lateral parietal lobe
What is the modality carried by he rubrospinal tract?
Has control over limb flexor muscles
Excites the LMN supplying these muscles
Control over limb flexor muscles via LMN
Which tract?
Rubrospinal tract
Upper Motor Neurone Course of Rubrospinal Tract
Cell bodies in the red nucleus
Receives input from the motor cortex and cerebellum
Axons decussate in the midbrain at ventral tegmental decussation
Descend in the contralateral side
Terminate in the ventral horn
In which nuclei are the cell bodies of the rubrospinal tract found?
Red nucleus
Where do the fibres of the rubrospinal tract decussate?
Ventral tegmental segment of the midbrain
Where is the rubrospinal tract found relative to the lateral corticospinal tract?
Ventrolateral
What are the extrapyramidal tracts?
Tectospinal tract
Reticulospinal tract
Vestibulospinal tract
Where do the extrapyramidal tracts originate from?
Brainstem
What modalities are carried by the tectospinal tract?
Mediates head and neck reflex in response to visual stimuli
Mediates head and neck reflex in response to visual stimuli
Which tract?
Tectospinal tract
Course of Upper Motor Neurone of Tectospinal Tract
Cell bodies in the superior colliculus of the midbrain
Also receives direct input from retina and visual cortex
Axons decussate quickly in the midbrain at the dorsal tegmental decussation
Terminate in the spinal column at the cervical level
In which nuclei do the fibres of the tectospinal tract originate in?
Superior colliculus
Where do the axons of the tectospinal tract decussate?
Dorsal tegmental section of the midbrain
Where do the axons of the tectospinal tract terminate?
Cervical level
What is the reticulospinal tract made up of?
Medial and lateral reticulospinal tracts
What modalities are carried by the medial reticulospinal tract?
Facilitates voluntary movements
Increases muscle tone
What modalities are carried by the lateral reticulospinal tract?
Inhibits voluntary movements
Reduces muscle tone
Facilitates voluntary movements
Increases muscle tone
Which tract?
Medial reticulospinal tract
Inhibits voluntary movements
Reduces muscle tone
Which tract?
Lateral reticulospinal tract
Upper Motor Neurone Course of Medial Reticulospinal Tract
Cell bodies in the pontine reticular formation
Axons descend on the ipsilateral side and decussate at spinal level
Upper Motor Neurone Course of Lateral Reticulospinal Tract
Cell bodies in medullary reticular formation
Axons descend bilaterally and decussate at the spinal level
In which nuclei do the fibres of the medial reticulospinal tract originate?
Pontine reticular formation
In which nuclei do the fibres of the lateral reticulospinal tract originate?
Medullary reticular formation
What modalities does the vestibulospinal tract carry?
Innervate the anti-gravity muscles which control posture and balance