ascending descending tracts
Post on 27-Oct-2014
381 Views
Preview:
TRANSCRIPT
DR. ANEELA JAMIL
ASCENDING & DESCENDING TRACTS
SPINAL CORD TRACTS
• Sensory information (receptors) -> Brain by means of ascending tracts of fibres that conduct impulses up the spinal cord.
• Brain(motor activities in the form of nerve impulses) -> Spinal cord by means of descending tracts of fibres that travel down the spinal cord.
Tracts• bundles of axons in the white column
• Ascending tracts• carry information to brain
• Descending tracts• carry motor commands to spinal cord
SENSORY FIRST-ORDER NEURON
• For all sensory pathways, the cell body of a first-order sensory neuron is located in dorsal root ganglion or cranial nerve ganglion
SECOND-ORDER NEURON
• May be located in the spinal cord or brain stem
THIRD-ORDER NEURON
• Located in the thalamus
ASCENDING TRACTS
• Carry sensory information from the periphery to the spinal cord and up to the brain.
• Pathway consists of1. receptor cell -> spinal cord (or brain stem)2. spinal cord cell -> thalamus3. thalamus -> primary sensory cortex
Figure 15–4
ASCENDING TRACTS
• Dorsal column system• Anterolateral column system
POSTERIOR WHITE COLUMN PATHWAY
• Modalities Pressure,propioception,vibration• Ist order neuron Dorsal root ganglion• 2nd order neuron Medulla oblongata Medial
Leminiscus• 3rd order neuron Thalamus• Termination Postcentral gyrus
MEDIAL LEMINISCAL PATHWAYMEDIAL LEMINISCAL PATHWAY
Ipsilateral loss of sensationsIpsilateral loss of sensations below the level of lesionbelow the level of lesion
SPINOTHALAMIC TRACT
• Modalities Pain,temperature,itch,sexual
sensations, crude touch• Ist order neuron Dorsal root ganglion• 2nd order neuron Dorsal horn of spinal cord• 3rd order neuron Thalamus• Termination Postcentral gyrus
SPINOTHALAMIC TRACTSPINOTHALAMIC TRACT
ContralateralContralateral loss of loss of sensations sensations below below the the level of lesionlevel of lesion
MOTOR PATHWAYS
• Pyramidal Tract• Extrapyramidal tract
UMNL LMNL
• Type of Paralysis Type of Paralysis Spastic FlaccidSpastic Flaccid• Atrophy No Atrophy Atrophy No Atrophy
Severe Severe • Reflexes Reflexes HyperreflexiaHyperreflexia
HyporeflexiaHyporeflexia• Clonus Present Absent Clonus Present Absent
• Fasciculations Fasciculations Absent Absent
PresentPresent • Tone Tone Hypertonia Hypertonia
HypotoniaHypotonia
CORTICOSPINAL TRACT • Also called pyramidal tract• Provides voluntary control over skeletal
muscles
CORTICOSPINAL TRACT
EXTRAPYRAMIDAL MOTOR PATHWAYS
• Reticulospinal tract • Vestibulospinal tract • Tectospinal tract• Olivospinal tract • Rubrospinal tract
SPINAL CORD TRAUMAPARALYSIS
• Paralysis – loss of motor function Flaccid paralysis Spastic paralysis• Flaccid paralysis – damage to Lower
motor neurons• Spastic paralysis – damage to Upper
motor neurons
• Paraplegia - transection between T1 and L1, paralysis of lower limbs
• Quadriplegia - transection in the cervical region, paralysis of all limbs
• Monoplegia - paralysis of only one limb• Hemiplegia – paralysis of one half of the
body(left/right).
BROWN-SEQUARD SYNDROME (SPINAL CORD HEMISECTION)
Major Symptoms
1. ipsilateral loss of motor activity 2. ipsilateral loss of Dorsal column sensations below the level of lesion
3. contralateral loss of pain and temperature sensations below the level of lesion
top related