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28 Cards in this Set

  • Front
  • Back
motor neuron pool
bundle of motor neurons targeting any one muscle
-located in ventral horn
cerebral motor cortex
controls voluntary movements
motor innervation
cerebral cortex->corona radiata-> base of pons-> cerebral peduncle-> medullary pyramid
cortical spinal tract
in medullary pyramids
-crosses neuro-axis to reach interneurons and motor neurons for contralateral body
primary motor cortex
Area 4,6, somatosensory cortex
-layer 5 contains Betz cells
-precentral gyrus
midbrain motor regions
CNIII (midbrain)
CNV (pons)
CNVI (pons)
CNVIII(facial expression)
CNIX (swallow, cough)
CNX (swallow, cough)
CNXI (shoulder/head)
CNXII (tongue)
CNVII innervation pattern
upper face bilateral
lower face contralateral
dorsal column system
conscious, discriminitive touch, body positioning
anterolateral system
pain, temperature, deep touch
spinocerebellar system
proprioceptive/kinesthetic info, unconscious motor coordination
general somatosensory pathway
stimulus->primary afferent (soma in dorsal ganglia)->secondary afferent (inside CNS)-> tertiary afferent (thalamus)-> cortex
Discriminative (body)
1. gracile/cuneate fascicles
2. gracile/cuneate nucleus synapse
3. internal arcuate fibers (secondary afferent) cross, then form medial lemniscus in pons
4. ML-->ventral posterior lateral nucleus in thalamus (VPL)
5. Tertiary fibers go through internal capsule to S1, S2
gracile nucleus
lower body sensation
cuneate nucleus
upper body sensation
Pain/temp (body)
1. synapse in dorsal horn
2. secondary afferents cross @ anterior commissure
3. synapse in thalamus VPL
4. tertiatry afferents to somatosensory cortex
anterior commissure
contains crossing fibers of the pain/temp secondary afferents
Proprioception (body)
1. lumbar, low thoracic: synapse in Clarke's nucleus (ipsilateral gray)
2. cervical/upper thoracic: travel in cuneate fasciculus, synapse in ipsilateral lateral cuneate nucleus
3. secondary afferents travel in spinocerebellar tract to ipsilateral cerebellum
Discriminative (face)
1. CNV enters pons, synapse in CNV sensory nucleus
2. secondary afferents cross, then synapse in contralateral ventral posterior medial thalamus (VPM)
3. tertiary VPM ascend to sensory cortex
Pain/temp (face)
1. enter pons and descend via spinal tract of CNV to synapse in spinal nucleus of CNV
2. secondary afferents cross and go to VPM
Proprioception (face)
1. enter pons through CNV motor
2. cell bodies lie inside CNS in CNV mesencephalic nucleus (not CNV ganglion)
3. secondary afferents to ipsilateral trigeminal motor nucleus, then cerebellum
VPL
ventral posterior lateral nucleus of thalamus
-receives body sensory fibers from medial lemniscus, dorsal horn
-synapse, then goes to cortex
VPM
ventral posterior medial nucleus of thalamus
-receives face sensory fibers from CNV sensory nucleus, CNV spinal nucleus
medial lemniscus
axons formed by the secondary afferents of body discriminatory touch (internal arcuate fibers)
internal arcuate fibers
crossing fibers of the body discriminatory secondary afferents
Clarke's nucleus
proprioceptive lower body synapse between dorsal root ganglia afferents and secondary afferents
-secondary afferents go to dorsal spinocerebellar tract toward cerebellum
cuneate fasciculus
contains sensory axons for proprioception and discriminatory touch
lateral cuneate nucleus
equivalent to Clarke's nucleus for lower body
-secondary afferents go to ipsilateral cerebellum
mesencephalic nucleus
CNV cell bodies for proprioception in pons
-processes travel to ipsilateral trigeminal motor nucleus--> cerebellum