Documente Academic
Documente Profesional
Documente Cultură
3 (Appendix)
February 7, 2012
Dr. Esguerra
A.
LATERAL
SPINOTHALAMIC
TRACT
(fast
sharp
pain,
thermal
sense)
ANTERIOR
SPINOTHALAMIC
TRACT
(light
touch,
itch,
tickle,
sexual
sensation)
NEURON 1
NEURON 2
NEURON 3
VPL
of
thalamus
- thalamic
radiations
in
posterior
limb
of
internal
capsule
-
-
-
DRG
PRIMARY
SENSORY
CORTEX
BA
3,
1,
2
VPL
of
thalamus
- thru
posterior
limb
of
internal
capsule
B.
(conscious
proprioception,
vibratory
sense,
pressure,
deep
touch,
tactile
discrimination)
NEURON 1
DRG
- axons
enter
IPSILATERAL
dorsal
funiculus
(via
medial
division
of
dorsal
root)
and
form:
fasciculus
gracilis:
fibers
from
sacral,
lumbar,
and
lower
6
thoracic
fasciculus
cuneatus:
fibers
from
upper
6
thoracic
and
all
cervical
NEURON
2
nucleus
gracilis
and
nucleus
cuneatus
in
medulla
- axons
cross
to
CONTRALATERAL
side
as
internal
arcuate
fibers
form
medial
lemniscus
NEURON
3
VPL
of
thalamus
- thru
posterior
limb
of
internal
capsule
PRIMARY
SENSORY
CORTEX
BA
3,
1,
2
Group 16 | Joice, Aria, Khey, Joy, Chari, Judge, Geli, Mik
Page 1 of 4
C.
OTHERS
PATHWAYS
ANTERIOR
SPINOCEREBELLAR
TRACT
(ASCT)
(general
aspects
of
posture
and
movements
of
the
entire
lower
limb)
Receptors
Neuron
1
DRG
Neuron
2
dorsal
horn
of
spinal
cord
- fibers
cross
to
CONTRALATERAL
side
of
spinal
cord
thru
white
commissure
and
form
the
ACST
at
anterior
part
of
lateral
funiculus;
crossed
fibers
enter
the
cerebellum
thru
the
superior
cerebellar
peduncle
and
recross
within
the
cerebellum
- some
fibers
remain
uncrossed
and
enter
the
IPSILATERAL
cerebellum
thru
the
inferior
cerebellar
peduncle
dorsal
horn
of
spinal
cord
- nucleus
dorsalis
or
Clarkes
column
at
T1T12
or
C8-L3
- fibers
from
DSCT
in
posterior
part
of
IPSILATERAL
lateral
funiculus
enter
cerebellum
thru
inferior
cerebellar
peduncle
accessory
cuneate
nucleus,
medulla
- fibers
proceed
laterally
as
external
arcuate
fibers
and
enter
IPSILATERAL
side
of
cerebellum
thru
inferior
cerebellar
peduncle
cerebellum,
vermis
GENERAL
SOMATIC
SENSATION
OF
THE
FACE
(TRIGEMINOTHALAMIC
TRACTS)
PATHWAYS
For
PAIN,
TEMPERATURE
and
LIGHT
TOUCH
For
CONSCIOUS
PROPRIOCEPTION
Receptors
Neuron
1
Gasserian
ganglion
CN
V,
geniculate
ganglion
CN
VII,
superior
ganglia
CN
IX
and
X
- fibers
enter
brainstem
at
appropriate
level
for
each
nerve
descend
enter
spinal
tract
of
CN
V,
IPSILATERALLY
Gasserian
ganglion
CN
V,
geniculate
ganglion
CN
VII,
superior
ganglia
CN
IX
and
X
mesensephalic
nucleus
of
V
Neuron 2
Neuron 3
VPM
of
thalamus
or
arcuate
nucleus
or
semilunar
nucleus
- fibers
enter
posterior
limb
of
internal
capsule
VPM
of
thalamus
VPM of thalamus
Primary
Sensory
Cortex
BA
3,
1,
2
(face
area)
post-central gyrus
Group 16 | Joice, Arya, Khey, Joy, Chari, Judge, Geli, Mik
Page 2 of 4
SUBSERVES
RECEPTOR
-
-
-
-
-
N1
-
ST
(1
ORDER
NEURON)
-
N2
(2
ORDER
NEURON)
ND
-
-
-
-
N3
RD
(3
ORDER
NEURON)
SENSORY
CORTEX
-
-
PATHWAYS
FOR
SENSATIONS
FROM
THE
BODY
DORSAL
COLUMN
(MEDIAL
LEMNISCAL)
PATHWAY
LATERAL
SPINOTHALAMIC
TRACT
ANTERIOR
SPINOTHALAMIC
TRACT
conscious
proprioception,
vibration,
deep
pressure,
pain
and
thermal
sensation
light
(crude)
touch,
itch,
tickle,
sexual
sensation
deep
touch
and
tactile
discrimination
pathway
for
free,
sharp
pain
Meissners
corpuscles
- Hair
follicle
nerve
endings
Pacinian
corpuscles
- Merkels
discs
Ruffinis
corpuscles
(pressure)
Free
nerve
endings
(myelinated
and
unmyelinated)
- Meissners
corpuscles
Golgi
tendon
organ
(w/in
joints,
determine
muscle
- Pacininan
corpuscles
contraction)
Dorsal
Root
Ganglion
Axons
enter
ispilaterally
to
the
dorsal
funiculus
via
Dorsal
Root
Ganglion
medial
division
of
the
dorsal
root
- Pseudounipolar
neuron
Fasciculus
gracilis
fibers
from
sacral,
lumbar
and
- Axons
enter
the
spinal
cord
via
the
lateral
division
of
the
dorsal
root
lower
6
thoracic
- Axons
enter
the
Zone
of
Lissauer
with
fibers
running
1
or
2
segments
up
(usually)
or
down
this
explains
why
Fasciculus
cuneatus
fibers
from
upper
6
thoracic
dermatomal
levels
are
overlapping
and
all
cervical
Dorsal
Root
Horn
Cells
- Substantia
gelatinosa
(internuncial
neurons)
-
Lamina
II/III
- Rexed
laminae
I-V
(tract
cells)
-
Entire
span
of
dorsal
horn
- Fibers
from
lower
spinal
cord
will
be
pushed
dorsolaterally,
fibers
at
higher
levels
are
located
more
Dorsal
Root
Horn
Cells
ventromedially
Nucleus
gracilis
in
the
medulla
Axons
cross
to
contralateral
side
via
ventral
commisure
Nucleus
cuneatus
in
the
medulla
(area
of
white
matter
thats
anterior
to
central
canal)
Axons
cross
to
opposite
side
as
internal
Axons
cross
to
contralateral
side
via
ventral
commisure
and
ascend
at
the
anterior
funiculus.
However,
there
arcuatefibers
(area
of
white
matter
thats
anterior
to
central
canal)
are
fibers
that
continue
ipsiliaterally/stay
on
the
same
From
the
medial
lemniscus
in
the
contralateral
side
and
ascend
at
the
lateral
funiculus
then
goes
up
to
the
side/do
not
cross.
brainstem
(medulla
pons
midbrain)
When
fibers
reach
medulla,
AST
merges
with
LST
at
medulla
as
spinal
lemniscus
Ventral
Posterolamina
(VPL)
of
the
Thalamus
Thalamic
radiations
in
posterior
limb
of
internal
capsule
Axons
from
corona
radiata
to
the
sensory
cortex
PostcentralGyrus
(Brodmann
areas
3,
1,
and
2)
Group 16 | Joice, Arya, Khey, Joy, Chari, Judge, Geli, Mik
Page 3 of 4
ASCT
-
NOTES
RECEPTOR
N1
ST
(1
ORDER
NEURON)
RSCT
N2
ND
(2
ORDER
NEURON)
CCT
- Fibers
are
known
as
posterior
external
arcuatefibers
- These
convey
info
about
the
muscle
joint
sent
to
the
cerebellum
Page 4 of 4