Pyramidal Tract Flashcards

1
Q

بسم الله الرحمن الرحيم وبه نستعين
“ ولا خوف عليهم ولاهم يحزنون “

Define Descnding Pathways

A

They are Motor pathway deliver motor repsones or instruction from cerberalcortex to spinal cord
Divded into :
Pyramidal : Direct from corticospinal + corticobulbar
ExtraPyrmidal Indirect path

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2
Q

Descnednig pathways are subdivided into ?

A

Pyramidal direct pathway
Extrapyramidal indirect pathway

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3
Q

Pyramidal = ?

A

Coticospinal + CorticoBulbar Tracts

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4
Q

Corticospinal tract contain ?

A

Lateral + Anterior Corticospinal Tract

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5
Q

as we know sensory path have 3 neurons /

A

first ordere DRG
Seond order differs
3rd order from thalamus

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6
Q

Motor pathways involve ,……Neuronos and name them .

A

2 Neurons
Upper Motor Neuron
Lower Motor Neuron

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7
Q

Origin of Pyramidal Tracts
Cotricospinal tract

A

Motor area 4 + Premotor Cortex area6
Motor area 4 gives the pyramidal Neurons

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8
Q

UMN of pyramidal tracts are ?
their axons form ?

A

Pyramidal Neurons of area4 are UMN of Pyramidal Tract
Their Axons Form? the corticospinal Tract

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9
Q

Lateral Corticospinal Tract lies …….. to Dorsal or posterior spinocerbellar Tract ?

A

Medially
شوفت الاحوال بتتغير؟ !

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10
Q

Anterior coricospinal tract lies Medially to ,,,,,,,,,+,,,,,,,,,?

A

Reticulospinal + Tectospinal Tract

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11
Q

Transvers pontine fibers give definition ?

A

Fibers arising form Pontine Neucli Present in the Pons separating bundles of fibers of pyramidal tract

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12
Q

LMN ? Define

A

The Anterior horn Motor neurons exist spinal cord as anterior root .

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13
Q

Course in brain of pyramidal tract

A

starts from precetnral gyrus primary motor area 4 + premotor cortex 6 .
Axons of neurons in the cerberal cortex converge in Corona radiata and occupies the anterior 2/3 of posterior limb of Internal Capsule between Thalamus and basal ganglia

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14
Q

Posterior limb of internal capsule is located between ?

A

Thalamus and basal ganglia

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15
Q

Course of Pyramidal Tract in Midbrain explain ?

A

The middle 3/5 of crus cerberi which is the anterior part of cerberal peducle of Midbrain

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16
Q

Course of Pyramidal Tract in Pons explain

A

Pass through most anteiror part of pons called Basis Pontis Scattering as Bundles Separated By Transvers pontine Fibers

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17
Q

Where do the fibers form the pyramid ?

A

The pyramid is formed at convegence in cerebral cortex+
The fibers form Pyramid In the

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17
Q

Where do the fibers form the pyramid ?

A

The pyramid is formed at convegence in cerebral cortex+
The fibers Collect to form Pyramid In the medulla
عندك هرمين خوفو وخفرع

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18
Q

Where does pyramidal decussation occur ?

A

It occurs at the most lower part of medulla also called
Motor decussation by 80% of fibers of pyramid to desdcends to Laterallll Coritcopsinal tract
The Remeaning 20% continues in the same side without decussation to Anterior Coricospinal Tract will decussate in spinal cordDD

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19
Q

describe in brief the path of pyramidal tract to The spinal cord

A

In cortec : axons collects as Pyramid from area 4+6
then corona radiate then pos limb of internal capsule
In Midbrain : Crus Cerebri
In Pons : Basis Pontis
In medulla : pyramid :
a- 80% motor ducssation + lateral coricospinal tract
b-20% uncrossed +anterior Corticospinal tract to Deucssate in spinal cord to reach AHCs

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20
Q

Antreior horn is divided into ?”

A

Lateal +Medial+central Groups

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21
Q

Muscles of limbs are supplied by which group of Anterior Horn ?

A

The Lateral Group for Limb Muscles
From Cervical + Lumbar Enlargments
Represent termination of Lateral Corticospinal tract

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22
Q

From cervcial and Lumbar enlargmetns appear ?

A

The lateral group of AHCs
form Muscles of Limbs

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23
Q

Medial Group of Anterior horn explain

A

For Trunk Muscles
From all Segments !

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24
Q

All segments of spinal cord gives…. in anterior horn ?

A

Medial group for Tunk Muscles

25
Q

Central group of Anterior horn cells explain

A

From Cervical Segments only!
C3-C5 for Phrenic Nerve
C5 OR C6 cervical segmetns give acessoy nuclesu for spinal acessory nerve ?

26
Q

Central group of Anterior horn cells explain

A

From Cervical Segments only!
C3-C5 for Phrenic Nerve
C5 OR C6 cervical segmetns give acessoy nuclesu for spinal acessory nerve ?

27
Q

C3-C5 segmetns give

A

C3-C5 for Phrenic Nerve

28
Q

C5 OR C6 cervical segmetns give

A

C5 OR C6 cervical segmetns give acessoy nuclesu for spinal acessory nerve ?

29
Q

Represent termination of Lateral Corticospinal tract

A

Lateral group of Anterior Horn supply the limb muscles

30
Q

uncrossed 20% fibers terminate as

A

anterio corticospinal tract in Medial group of Anterior Horn
supplying trunk

31
Q

Only 2% of pyramidal tract fibers terminate at?

A

Spinal accessory necuels for Spinal Acessory Nerve for ?
SternoMastoid

32
Q

Second Or alternative termination of Pyramidal tract fibers ?

A

Some pyramidal tract fibers or corticospinal fibers terminate at Cranial nerves Nuclei in brainstem Forming Cortico Nuclear or CorticoBulbar Tract

33
Q

CorticoNuclear Or Cotricobulbar tract

A

Formed when fibers of pyrmaidal tract terminate in the Cranial Nerve Nuclei at brainstem
It supplies Muscles of Head

34
Q

CorticoNuclear Or Cotricobulbar tract path

A

from corona radiate to !!!
The Genu !! of internal capsule to the Cranaul nerve Nuclei …
in opposite to corticospinals that pass through post limb of internal capsule

35
Q

Cortiobulbar or CotricoNuclear supplies …..+…… ?

A

Contralateral+Ipsilateral Cranial Nerve Nuclei

36
Q

Are all cranial nerve ncueli receving bilateral fibers from Corticobulbar and CorticoNuclear?

A

no Moslty they receive contra +ipsi but there are 2 Nucelis Receving only Contra which
are:
Lower half of ?
Facial for lower facial Muscles
Hypolglossal For Genioglossus
COntttttttra Only

37
Q

Are all cranial nerve ncueli receving bilateral fibers from Corticobulbar and CorticoNuclear?

A

no Moslty they receive contra +ipsi but there are 2 Nucelis Receving only Contra which
are:
Lower half of ? u
Facial for lower facial Muscles
Hypolglossal For Genioglossus
COntttttttra Only

38
Q

upper half of facial nucleus is ?

A

Bilateral Conta+ipsi while the lower half only contra

39
Q

Upper motor Neuron of Pyramidal tract is ?

A

The fibers of pyramidla tract descending from cortex to reach :
A-spinal cord AHCs
B-Cranial Nerve Nuclei

40
Q

Lower motor Neuron of Pyramidal tract is ?

A

A- FIBERS Of AHCs of Spinal cord which give ventral root to Muscles
B-fibers from Cranial Nerve Nuclei That Reach Muscles of FACE

41
Q

in Brain sterm Nuclei recieve Coricobulbar tract?

A

1-GSE 3,4,6,12
general somatic efferent Nuclei
2-SVE 7.9.10.11
Sepcial visceal Efferent Nuclei

42
Q

gse NUCLEI

A

general somatic Efferent Nuclei3,4,6,12
For extraocular Muscles +Tongue
ExtraOcular Muscle :
Occlumotor 3
Trochlear4
Abudcent6
Tongue :
Hypoglossal12

43
Q

SVE nuckei

A

special visceral efferent Efferent nuclei : 5,7,9,10,11
Trigeminal First pharyngeal arch muscels of Mastication .

Facial for facial expressive muscles 2nd pharyngeal arch
Ambigus Nucleus : 9,10,11
Glossophayngeal:3rd pharyngeal arch stylopharyngeus
Vagus:4th 6th arch palate larynx pharunx muscle
Acessory:4th 6th arch palate larynx pharunx muscle

44
Q

Trigeminal Nucelus supply ?

A

First pharyngeal arch muscels of Mastication

45
Q

Facial Nucleus supplies?

A

Facial for facial expressive muscles 2nd pharyngeal arch

46
Q

Ambigus Nucleus :supplies ?

A

9,10,11
Glossophayngeal:3rd pharyngeal arch stylopharyngeus
Vagus:4th 6th arch palate larynx pharunx muscle
Acessory:4th 6th arch palate larynx pharunx muscle

47
Q

Glossophayngeal:

A

3rd pharyngeal arch stylopharyngeus

48
Q

Vagus:
Acessory:

A

4th 6th arch palate larynx pharunx muscle

49
Q

CorticoBulbar not involve ?

A

Special sense 1,2,8 Nuecli

50
Q

Face is in …… area of motor cortex ?

A

Lower
as body represnation is upside down or inverted

51
Q

Foor is in …area of Motor cortex?

A

Medial surface of cerebral hemisphere as body represnation is upside down or inverted

52
Q

In the internal capsule what happen for both tract mentioned above ?
corticospinal
Corticobulbart

A

Corticospinal post limb of internal capsule as anterior upper limb + loer limb motor

CorticoBulbar genu of Internal Capsule as in Face muscles

53
Q

Lamination in crus cerebri ?

A

From medial to lateral
Cervical
Thoracic
Lumbar
Sacral
also laminatyion in spinal cord do so

54
Q

Cortiocspinal tract need …For baby to walk in ..year ?

A

Myelination
Second

55
Q

If UMN in pyramidal Tract cut leads to ?

A

Loss of its supressive effect on AHCs
HyperReflexia
HyperTonia
may leasds to atrophy due to no use of muscles
Spasticparalysis
+Babeniski

56
Q

If LMN of Pyramidal Tract Cut This leads to ?

A

No respone from muscle due to cut of its communcation with CNS
Loss of tone
loss of reflex
Flaccid paralysis
soft paralysis
-Babenski

57
Q

Babinski sign occurs in Cut UMN explain ?

A

On mechnical stimulatio nof outer edge of sole of foot leads to DorsiFlexion of Big toe and Fanning of others
While in fact in healthy should be plantar flexed
This is called Extensor Respone

58
Q

Babinski sign is positive+ in ?

A

الأطفال أقل من سنتين عشان مفيش-1 ميلين علي الياف الكورتيكو سبيتال
طبعا تلف العصب الحركي العلوي-
وفي الغيبوبة العميقة-

59
Q

الحمدلله رب السموات رب الارض رب العالمين

A
59
Q

الحمدلله رب السموات رب الارض رب العالمين

A