Spinal Cor - DESCENDING systems Flashcards
Describe the pathway of the Corticospinal tract starting from the Betz cells:
- Betz Cells/ Pyramidal cells in AREA 4 (pre-central=motor)
- Corona Radiata
- Posterior Internal Capsule
- Crus Cerebri (Cerebellar Peduncle of Midbrain)
- Pons
- Medullary Pyradis - DECUSSATE
- Lateral corticospinal & Anterior Tract (mostly in LATERAL)
What tract is responsible for fine movement?
Corticospinal Tract
Where does the Corticospinal tract synapse?
LATERAL FUNICULUS (dorsal horn, IG, and ventral horn)
–> ANTERIOR HORN CELLS
What areas are found in the pre-central gyrus? Post-central?
pre-central = AREA 4
post-central AREA 312 (sensory)
Which area does the CST start?Where does the CST decussate/cross?
AREA 4
- MEDULLARY PYRAMIDS
- synapse in ANTERIOR HORN CELLS
Most fibers of the CST cross and descend as which tract?
Lateral Corticospinal Tract
10% = Anterior COrticospinal Tract
Where is area 4?
Pre-central gyrus of the Cerebral Cortex
Frontal, post-central = parietal
Where do axons from the Cerebral Cortex converge for CST? Where do they descend through?
Corona Radiata
- descend through INTERNAL CAPSULE
- -> Crus Cerebri in midbrain
- pons
- medulla
What type of motor neurons are termed “lower motor neurons”
Alpha Motor neurons (innervate skeletal muscle)
Where is the phrenic nucleus found? Spinal Accessory nucleus?
C3,4,5
C1-C6
Which nuclei occupy the same area as the CST anterior horn cells?
Phrenic & SPinal Accessory Nuclei in cervical cord
have upper motor neurons
Where does CST terminate? Where else are fibers found? Where do the remaining fibers go up into?
- VENTRAL horn
- Intermediate Gray (gross movements)
- Dorsal Horn
- terminates mainly in VENTRAL HORN
A stroke of the right cortex of the CST affects which side? What about a cut in the CST in the spinal cord?
Stroke = affect opposite side
Cut = affect SAME SIDE
(similar to DCP)
Cells of origin of the CST are called what?
Bet cells (pyramidal cells)
When the CST axons first leave the pyramidal cells/betz cells, what do they form? Where do these cells descend?
Corona Radiata
- Internal Capsule
(between thalamus & putamen & globes pallidus)
Where does the CST travel after it descends from the internal capsule?
Crus Cerebri (Cerebellar Peduncle) of Midbrain
What are the black cells between the crus & central portion of midbrain (mickey mouse)?
SUBSTANIA NIGRA