4. Ascending sensory pathway are organised in
Three neuronal chain
First order neuron
Second order neuron
Third order neuron
5. LATERAL SPINOTHALAMIC TRACT
Pain and thermal impulses.
Transmitted to spinal cord in delta A and C fibres
Central process enters the spinal cord through posterior
nerve root proceed to the tip of the dorsal gray matter.
SECOND ORDER NEURON:
-In the dorsal horn cross to the opposite side (decussate)
-Ascend to the controlateral vertical column.
-End in VPL nucleur of thalamus.
THIRD ORDERS NEURON:
-In the VPL nucleus of thalamus.
-Project to Cerebral cortex(area 3,1and 2)
6.
7. ANTERIOR SPINOTHALAMIC TRACT
Light touch and pressure inputs
FIRST ORDER NEURON:
Dorsal root ganglion (all level)
SECOND ORDER NEURON:
-In the dorsal horn cross to the opposite side (decussate)
-Ascend in the controlateral Ventral column.
-End in VPL nucleus of thalamus.
THIRD ORDER NEURON:
-In the VPL nucleus of thalamus.
-Project to the cerebral cortex (area 3,1 and 2)
8. FASCICULUS GRACILLIS AND FASCICULUS
CUNEATUS
Occupy the posterior white column of cord.
Fasciculus gracillis bring medial to the faciculus
Cuneatus.
Fasciculus gracillis contains fibres received at
sacral lumbar and lower thoracic level.
Faciculus Cuneatus contains fibres received at
Upper thoracic and cervical levels.
9. Contains impulses concerned with proprioception and
discriminative touch from ipsilateral side of the body.
Contains axons of primary afferent neuron that have
entered chord through dorsal roots of spinal nerve.
Fibres ascend without interruption where they terminal
into 2nd order neuron in nucleus gracillis and nucleus
cuneatus.
The axons of 2nd order neuron decussate in the medulla
as internal arcuate fibres and ascend through the brain
stem as Medial lemniscus.
The medial lemniscus terminates in the ventral posterior
nucleus of the thalamus upon third order neuron which
project to somatosensory Cortex (thalamocortical fibres)
10. POSTERIOR AND ANTERIOR SPINOCEREBELLAR
TRACT
Transmit unconscious proprioceptive information to
cerebellum.
Receive input from muscle spindles and pressure
receptors.
Involves in coordination of posture and movement of
individual muscle of the lower limb.
12. CORTICOSPINAL TRACT
Arises from the pyramid cells of cerebral cortex.
Fibres travel through
-Corona radiata
-Posterior limb of internal capsule
-cerebral peduncle
-Pons
-Medulla oblongata
Eventually the fibres crosses the midline and terminal on the lower
motor neuron of anterior gray column of respective spinal cord
segments.
13. RUBROSPINAL TRACT
Nerve cells in red nucleus (Tegmentum of midbrain at the
level of superior colliculus)
Nerves fibres/axons
-cross the midline
-Descend as RUBROSPINAL tract.(through pons and
medulla oblongata)
Terminate at anterior gray column of spinal cord
14. TECTOSPINAL TRACT
Nerve cells in superior colliculus of mid brain.
Nerve fibers/axons
- cross the midline
- descend close to medial longitudinal fasciculus
Terminate at anterior gray column of upper cervical
segment of spinal cord.
15. VESTIBULOSPINAL TRACT
Nerve cells in vestibular nucleus(in pons and medulla
oblongata)
-receive afferents for inner ear and cerebellum.
Axons descend uncrossed.
-Through the medulla and length of spinal cord.
Synapse with neuron in the anterior gray column of
spinal cord.
16. RETICULOSPINAL TRACT
Nerve cells in reticular formation
Nerve passes through
-Midbrain, pons and medulla oblongata
Ends at anterior gray column of spinal cord
-Control activity of motor neurons.
17. BROWN SEQUARD SYNDROME
(Hemisection of spinal cord)
Ipsilateral loss of proprioception, fine touch, vibration-
Posterior column lesion.
Contralateral loss of Pain, temperature, crude touch-
Anterior Column lesion.