Spinal Tract Flashcards
Medial lemniscal pathway
Dorsal column
Ascending pressure, vibration, fine touch and proprioception
Dorsal column
Synapse 1 of Dorsal Column
Ipsilateral nucleus cuneatus or gracilis (medulla)
Decussation of Dorsal Column
medulla - ascends c/l in medial lemniscus
Synapse 2 of Dorsal Column
VPL of thalamus
Ascending Pain and temperature
Lateral Spinothalamic tract
Ascending Crude touch and pressure
Anterior Spinothalamic tract
Synapse 1 of Spinothalamic tract
I/L gray matter of spinal cord
Decussation of spinothalamic tract
Anterior White Commisure –> ascends C/L
Synapse 2 of Spinothalamic Tract
VPL (thalamus)
Descending Volunary movement of C/L limbs
Ventral and Lateral corticospinal tract
Path of ventral and lateral corticospinal tract
(UMN) motor cortex –> through internal capsule –> DECUSSATION AT CAUDAL MEDULLA –> descends C/L –> synapse at ANTERIOR HORN –> LMN –> NMJ
Decussation of ventral and lateral corticospinal tract
caudal medulla (pyramidal decussation)
Voluntary command from motor cortex –> head and neck
Corticobulbar tract
weakness, atrophy fasciculations, hyporeflexia, decreased tone, flaccid paralysis
LMN injury