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Descending Pathways-Merged
Descending Pathways-Merged
MOTOR SYSTEM
LATERAL DESCENDING
SYSTEMS
CORTICOSPINAL TRACT
➢ These tracts consist of all fibers which:
Originate from cells within the cerebral
cortex (precentral gyrus, primary motor
cortex)
➢ Corona radiata
➢ Internal capsule
➢ Crus cerebri
➢ Pyramids
➢ Enter the spinal cord
55% of fibers terminate in cervical
spinal levels
▪ Skin
▪ Viscera
▪ Muscles
▪ Tendons
▪ Joints
Cutaneous Receptors
❑ Joint receptors
• Golgi type: in the ligaments
• Ruffini terminals: in joint capsule
• Paciniform corpuscles: in joint capsule
• Free nerve endings: in lig. and
capsule
❑ Muscle receptors
• Golgi tendon organ
• Muscle spindle
Ascending Tracts
➢ Ascending projections
consist of 3 neurons;
▪ First order neuron;
dorsal root ganglia
▪ Second order neuron;
Laminas of spinal cord’s
grey matter
▪ Third order neuron;
thalamus
➢ Tracts(fasciculi);
Groups of three
neuronal chains having
same origin, course and
termination
Anterior Spinothalamic Tract
Convey coarse (non-
discriminative) touch and
pressure
➢ First order neuron;
dorsal root ganglion
✓ Enters from the tip of
the post gray column
✓ Ascending and
descending brs. travel
one or two segments
of sc and form
posterolateral tract of
Lissauer
Anterior Spinothalamic Tract
➢ Second order neuron:
Laminae I, IV, V
• Decussation at
anterior white
commissure
• A few fibers do not
cross, ascend in the
ipsilateral tract (%10)
• Ascends in the
contralateral white
column (ant funiculus)
as anterior
spinothalamic tract
Anterior Spinothalamic Tract
➢ Third order neuron
• Corona radiata
• So in the upper
cervical segments
sacral fibers are
lateral and cervical
fibers are medial
Destruction of The Truct
• Decussation at anterior
white commissure
• Ascends in the
contralateral white column
(funiculus lateralis) as
lateral spinothalamic tract
Lateral Spinothalamic Tract
➢ Third order neuron;
• Corona radiata
➢ Vibration
➢ First order neuron: Spinal Ganglion
▪ Decussation
▪ Medial lemniscus
➢ Third order neuron: VPL nucleus
(thalamus)
▪ Corona radiata
✓ Unconscious Proprioception
✓ Conveys muscle joint information
from the muscle spindles, tendon
organs and joint receptors of lower
limb
• Dorsal root
• Ant spinocerebellar
tract (Lateral
funiculus)
• Superior cerebellar
peduncle
• Dorsal root
• Inferior cerebellar
peduncle
• Between T1-L2
✓ Unconscious
Proprioception
✓ Upper limb
✓ Conveys information of
muscle joint sense to
cerebellum
• Dorsal root
• Fasciculus cuneatus
➢ Second order neuron: nucleus
cuneatus accessorius
(medulla)
Cuneocerebellar tract
• Upper limb
• From inf cerebellar peduncle at
F
F
C8 medulla
G
C
Nucleus
dorsalis Post spinocerebellar tract
T6 (Clark’s • Trunk and lower limb
column) • from inf cerebellar
peduncle at medulla
L2
Dorsal root
Dorsal root
➢ Postcentral gyrus
Referred Pain
Sensations from rectum and urinary bladder (defecation and
micturition) are carried by ascending tracts located in the
posterior white column of spinal cord!
Somesthetic System of
Head