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General overview
Ascending tracts
Sensory
Descending tracts
Motor
General arrangement of both tracts
First-order neurons conduct impulses from receptors of the skin and from
motor stimulus.
axon of the 1st order neuron will synapse with the 2nd order neuron at the
level of the brain stem, which commonly decussate (crosses over) to the opposite
side.
3rd order neuron
The 3rd order neuron is located in the ventral horn of the spinal cord,
which will exit with the spinal nerve to supply the muscle.
Types of descending tracts:
Fibres of the 1st order neuron arise from the precentral gyrus
internal capsule
ALL the fibers (from ascending & descending tracts) converge here
head to toe)
anterior limb
posterior limb
medulla
Fibres of the 1st order neuron ends when it enters the brain stem and synapse
Motor decussation
uncrossed fibres
Enters the spinal cord
2nd order neuron fibres in the medulla oblongata enters the spinal cord and
synapse with the 3rd order neuron
Motor decussation
corticospinal tract
Therefore, the motor cortex of the cerebral hemisphere controls the
contra-lateral side
ipsilateral side
Uncrossed fibres
in the spinal tract, the uncrossed tract descent as the anterior
corticospinal tract
Spinothalamic tracts
Lateral
The fibres enter the white mater and ends at the substantia gelatinosa
The fibres of 1st order neuron synapse with the 2nd order neuron at the
substantia gelatinosa
These fibres then cross to the opposite side
spinal lemniscus
Reaches the ventral posterolateral nucleus of the thalamus
ends here
The 3rd order neurons arise from the thalamus and pass through the internal
capsule
thalamocortical fibres pass through the medial part of the posterior limb
Fibres enter the dorsal column of the SAME side (post column of spinal cord)
as flattened bundle
medial lemniscus
ends here
Spinocerebellar tract:
vice versa
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Clinical anatomy:
paralysis/parasthesia is localized
Internal capsule lesions
all ascending & descending tracts are affected
hemiplegia/hemiparasthesia