Spinal Tracts Flashcards

1
Q

Name the

ASCENDING SPINAL TRACTS?

A

Dorsal Columns (2)

  • fasciculus gracilis*
  • fasciculus cuneatus*

Spinothalmic Tract

Spinocerebellar (2)

dorsal & ventral

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2
Q

Definition of

ASCENDING SPINAL TRACTS?

A

Nerve fibers in the spinal cord carrying impulses from pain, thermal, tactile, muscle and joint receptors to the cerebral cortex (conscious) or cerebellum (subconscious).

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3
Q

How many neurons in an ascending spinal tract going to the cerebral cortex?

A

Three

  1. First order neurons or primary afferents
  2. Second order neurons
  3. third order neurons
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4
Q

Ascending Spinal Tract

First Order Neuron

A

enters the spinal cord through the dorsal root of a spinal nerve.

Cell body lies int eh dorsal root ganglion

Main fiber remains ipsilateral

Terminates in either the spinal grey matter or in the medulla oblongata.

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5
Q

Ascending Spinal Tract

Second Order neuron

A

has the cell body in the cord or medulla oblongata.

Axon decussates before ascending

Terminates in the Thalamus

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6
Q

Ascending Spinal Tract

Third Order Neuron

A

Cell body in the Thalamus

Axon passes to the somatosensory cortex of the parietal lobe

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7
Q

Which ascending spinal tracts carry information to the conscious level (Cerebral Cortex)?

A

Dorsal Columns (Gracilus & Cuneatus)

Spinothalamic

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8
Q

What are the Dorsal Columns?

A

Ascending spinal tracts carrying proprioceptive, discriminative touch, and vibration impulses.

Organized in the fasciculus gracilis (medial)

and fasciculus cuneatus (lateral)

Lesions (tabes dorsalis, vit B12 deficiency) lead to ataxia and loss of discriminative touch.

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9
Q

What is the fasciculus cuneatus?

A

The lateral dorsal colum ascending spinal tract.

Carries proprioception, discriminative touch and vibration first order neurons from T6 and above to the medulla oblongata.

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10
Q

What is the fasciculus gracilis?

A

The medial dorsal column ascending spinal tract.

Carries proprioception, discriminative touch and vibration first order neurons from below T6 to the medulla oblongata.

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11
Q

What sensations to the spinothalamic tracts carry?

A

Pain

Thermal Sensation

Lesions cause impairment of pain temperature

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12
Q

What is the neuronal pathway of the spinothalamic tract?

A

2nd order neurons, cell bodies in contralateral dorsal horn.

Pain & Temp decussate within one level of origin.

Touch and Pressure my ascend several levels before decussating.

Terminate in the ventral posterior nucleus of the Thalamus.

Connect with 3rd order thalamocortical neurons which terminate in the somatosensory cortex.

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13
Q

What is the spinoreticulothalamic tract?

A

An older part of the spinothalamic tract thought to transmit dull aching (slow) pain to a conscious level.

2nd order neurons ascend to the brainstem’s reticular formation.

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14
Q

What sensations do the spinocerebellar tracts transmit?

A

Spinocerebellar tracts carry unconscious sensation from:

Muscle spindles

golgi tendon organs

Tactile receptors

to the cerebellum for posture and coordination of movement.

Lesions lead to ataxia

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15
Q

What is the neuronal pathway of the Spinocerebellar tracts?

A

Only two neurons.

A 2nd order neuron with cell body in the dorsal horn.

Dorsal spinocerebellar fibers ascend ipsilaterally and enter the cerebellum via the inferior cerebellar peduncle.

Ventral spinocerebellar fibers ascend contralaterally and enter the cerebellum via the superior cerebellar peduncle.

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16
Q

Function of the descending spinal tracts

A

Control of movement

muscle tone

Spinal reflexes

spinal autonomic functions

modulation of sensory transmission to higher centers

17
Q

Name the DESCENDING spinal tracts?

A

Corticospinal (or Pyramidal)

Rubrospinal

Tectospinal

Vestibulospinal

Reticulospinal

18
Q

What is the

CORTICOSPINAL tract?

A

a descending spinal tract, aka Pyramidal tract

controls discrete, skilled movements, esp of distal extremities

originates from motor AND sensory cortices

Most fibers decussate in the medullary pyramid to form the lateral corticospinal tract. The remainder form the ventral corticospinal tract and decussate near their termination.

19
Q

What is the

RUBROSPINAL tract?

A

a descending spinal tract

Controls limb flexor muscle tone.

Originates from Red Nucleus in midbrain (tegmentum).

Decussate in the midbrain tegmentum.

As the Red Nucleus receives afferent fibres from the motor cortx and the cerebellum this is a non-pyramidal route by which they both can influence spinal motor activity.

20
Q

What is the

TECTOSPINAL tract?

A

a descending spinal tract

involved in reflex responses to visual input

Orginates from contralateral superior colliculus

Decusates in the midbrain tegmentum

21
Q

What is the

VESTIBULOSPINAL tract?

A

a descending spinal tract

Originates in vestibular nuclei in Pons and Medulla

recieves input from the labyrinthine system via vestibular nerve and cerebellum

Mediates excitation of limb extensor muscles in the antigravity maintenance of posture.

Does not decussate

22
Q

What is the

RETICULOSPINAL tract?

A

A descending spinal tract.

Originates in reticular formation of Pons and Medulla.

Involved in control of:

voluntary movement, reflex activity and muscle tone.

circulatory system and breathing

Pons fibers descend ipsilaterally as medial (or pontine) reticulospinal tract.

Medullary fibers descend bilaterally in the lateral (or medullary) reticulspinal tracts