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13 Cards in this Set

  • Front
  • Back

lateral descending pathways

-in lateral column


-project primarily to spinal neurons that control distal muscles of the limbs


-signals primarily for limb movements

medial descending pathways

-in ventral column


-project primarily in spinal neurons that control axial and proximal limb muscles


-motor signals for movements that control posture and locomotion

corticospinal tract

-origin: M1 (half) PMC, SMC, and S1


-course: post. limb of int. capsule --> cerebral peduncle -->pyramids


-laterality: 75-95% of pyramids decussate (lateral CST); rest make up ipsilateral ventral CST (most ultimately cross)


-destination: ventral horn (primarily distal and flexors) and S1 to base of DH


-function: excite (glutamate) alpha-motor neurons and interneurons; provides rapid responsive fractional movements and the fine control of distal limb and hand muscles


-dysfunction: contralateral weakness, abnormal reflexes, Babinski's sign, spastic paresis

corticobulbar tract

-origin: head region of M1, PMC, SMC, and S1, and frontal eye fields of frontal cortex


-course: genu of IC, mid of cerebral peduncle


-laterality: bilateral except lower VII, IX, X, and XII are mainly crossed before synapse and XI is only uncrossed


-destination: interneurons and motor neurons of CN nuclei and interneurons of adjacent reticular formation


-function: upper motor neuron activation of CN motor nuclei


-dysfunction: analogous to CST (spasticity)

corticorubro-spinal pathway overview

-comprised of cortico-rubral +rubral-spinal tract


-minor pathway in men


-carries motor commands to brain stem and spinal interneurons


-assists the CST in coordination


-facilitates activity in the flexor motor nuclei and inhibits extensor


-aids in muscle tone and reflexes


-lesions produce contralateral tremor, ataxia, chorea, which solves with time

cortico-rubral tract

-origin: M1, PMC, SMC, and S1


-course: post limb of IC to midbrain


-laterality: uncrossed


-destination: red nucleus in midbrain


-topographical organization: yes


-function: excite red nucleus from cortex (which receives info from cerebellum too, allowing it to integrate coordination and motor commands)

rubro-spinal tract

-origin: red nucleus


-course: decussates in ventral midbrain when emerging, descends laterally in the tegmentum ventral to STT, then descends in lateral column ventral to the lateral CST


-laterality: crosses in midbrain


-destination: pre-motor interneurons in ventral horn (mostly upper SC --> upper limb)


-function: excite pre-motor interneurons

cortico-reticulo-spinal pathway overview

-consists of cortico-reticular and two reticulo-spinal tracts


-functions in locomotion and the control of posture, spinal reflexes, and tone


-allows for bilateral coordinated control of axial and proximal limb muscles by simultaneously activating pontine (excitatory) and medullary (inhibitory) reticulo-spinal tracts

cortico-reticular tract

-origin: widespread but mainly sensory-motor


-course: post limb of IC --> cerebral peduncles


-laterality: bilateral, but predominant laterality is organized such that the pathway is primarily crossed (dependent on destination)


-destination: pontine or medullary reticular formation


-function: both excite and inhibit reticulo-spinal activity

medial (pontine) reticulo-spinal tract

-origin: pontine reticular formation


-course: ventral reticular formation of medulla, ventral column of spinal cord


-laterality: predominantly uncrossed


-destination: alpha and gamma motor neurons and interneurons in medial region of ventral horn and intermediate gray


-function: facilitates contractions of primarily axial muscle and proximal limb extensors

lateral (medullary) reticulo-spinal tracts

-origin: medullary reticular formation


-course: through bulbar commissures, lateral column of spinal cord


-laterality: bilateral


-destination: INs of the intermediate grey


-function: suppresses muscle contraction of primarily axial and proximal limb muscles

lateral vestibulospinal tract

-origin: lateral vestibular nucleus


-course: lateral in brainstem tegmentum through ventral column of SC


-laterality: uncrossed


-destination: alpha and gamma motor neurons in the medial ventral horn and INs in intermediate grey


-function: help mediate posture of body and limbs in response to changes in head position

medial vestibulospinal tract

-origin: medial vestibular nucleus


-course: some cross in commissure of medulla; descend in medial longitudinal fasciculus in medulla and ventral column of SC


-laterality: bilateral


-destination: cervical and upper thoracic SC; motor ad interneurons in medial region of VH


-function: moves neck in response to head postion