Descending Spinal Tracts Overview
24 Questions
0 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the primary function of the corticospinal tracts?

  • Control of involuntary muscle movements
  • Regulation of sensory transmission
  • Facilitation of spinal autonomic functions
  • Control of voluntary, discrete, skilled movements (correct)
  • Where do the corticospinal tract neurons primarily originate?

  • Cerebellum
  • Cerebral cortex (correct)
  • Brainstem
  • Spinal cord
  • What percentage of corticospinal fibers decussate at the caudal medulla?

  • 10% to 25%
  • 25% to 50%
  • 90% to 100%
  • 75% to 90% (correct)
  • Which part of the spinal cord do the fibers of the lateral corticospinal tract innervate?

    <p>Contralateral side of the body (A)</p> Signup and view all the answers

    What is hereditary spastic paraparesis characterized by?

    <p>Progressive weakness affecting the legs (A)</p> Signup and view all the answers

    Which cells in the primary motor cortex give rise to the largest-diameter corticospinal axons?

    <p>Betz cells (A)</p> Signup and view all the answers

    What term is used as an alternative name for the corticospinal tract?

    <p>Pyramidal tract (B)</p> Signup and view all the answers

    Which structure does the corticospinal axons pass through after leaving the cerebral hemispheres?

    <p>Crus cerebri of the midbrain (A)</p> Signup and view all the answers

    What is one potential cause of acute lesions in the spinal cord?

    <p>Occlusion of the anterior spinal artery (B)</p> Signup and view all the answers

    Which symptom is associated with a lumbosacral spinal cord lesion?

    <p>Areflexia of lower limbs (A)</p> Signup and view all the answers

    What clinical syndrome is produced by a hemilesion of the thoracic spinal cord?

    <p>Brown–Séquard syndrome (D)</p> Signup and view all the answers

    What is the result of a lower cervical spinal cord lesion?

    <p>Spastic paraparesis and hyperreflexia (C)</p> Signup and view all the answers

    Which symptom is commonly seen with chronic compression of the spinal cord?

    <p>Weakness and ataxia (C)</p> Signup and view all the answers

    Which characteristic is indicative of a high cervical cord lesion?

    <p>Sensory loss below the lesion (B)</p> Signup and view all the answers

    What type of lesion is commonly associated with multiple sclerosis?

    <p>Chronic lesions (D)</p> Signup and view all the answers

    Which of the following is NOT a cause of chronic spinal cord lesions?

    <p>Trauma (B)</p> Signup and view all the answers

    What is primarily affected by degeneration of the lateral funiculi in the thoracic spinal cord?

    <p>Spastic paraparesis with hyperreflexia (D)</p> Signup and view all the answers

    Where do the majority of corticospinal neurones terminate?

    <p>Cervical levels (D)</p> Signup and view all the answers

    From where does the rubrospinal tract originate?

    <p>Red nucleus of the midbrain (A)</p> Signup and view all the answers

    Which of the following statements about the tectospinal tract is accurate?

    <p>It arises from the superior colliculus and responds to visual stimuli. (D)</p> Signup and view all the answers

    The vestibulospinal tracts are primarily responsible for mediating what effect?

    <p>Excitation of extensor motor neurons (C)</p> Signup and view all the answers

    Which nucleus is associated with the lateral vestibulospinal tract?

    <p>Deiters' nucleus (B)</p> Signup and view all the answers

    Which part of the spinal cord does the descending tectospinal fibers predominantly terminate?

    <p>Cervical segments (D)</p> Signup and view all the answers

    Which structure provides visual input to the tectospinal tract?

    <p>Superior colliculus (A)</p> Signup and view all the answers

    Flashcards

    Segmental Spinal Cord Lesion

    Damage to the spinal cord at a specific level, resulting in loss of function in that segment.

    Tract Lesion in the Spinal Cord

    Damage to the spinal cord that interrupts signals traveling up and down the spinal cord, affecting motor and sensory function below the lesion.

    Lumbosacral Spinal Cord Lesion

    A type of spinal cord lesion that causes weakness, muscle wasting, and loss of reflexes in the lower limbs. It also causes loss of sensation and incontinence.

    Brown-Séquard Syndrome

    A syndrome characterized by weakness and paralysis on one side of the body and loss of pain and temperature sensation on the opposite side.

    Signup and view all the flashcards

    Lower Cervical Spinal Cord Lesion

    A lesion in the lower part of the neck affecting the spinal cord, resulting in weakness, muscle wasting, and loss of reflexes in the arms.

    Signup and view all the flashcards

    Upper Cervical Spinal Cord Lesion

    A lesion in the upper neck affecting the spinal cord, resulting in weakness and paralysis in all four limbs, with increased reflexes and exaggerated responses.

    Signup and view all the flashcards

    Sensory Ataxia

    A condition characterized by loss of sensation and motor control below the level of the lesion.

    Signup and view all the flashcards

    Acute Spinal Cord Lesion

    An interruption of the spinal cord's blood supply, often caused by trauma or blood clots.

    Signup and view all the flashcards

    Descending Spinal Tracts

    Descending pathways in the spinal cord that control voluntary movement, muscle tone, reflexes, and autonomic functions.

    Signup and view all the flashcards

    Corticospinal Tracts

    The major pathway for controlling precise, voluntary movements of the limbs, especially the fingers and toes.

    Signup and view all the flashcards

    Betz Cells

    Large nerve cells in the cerebral cortex, responsible for generating the largest corticospinal axons.

    Signup and view all the flashcards

    Internal Capsule

    A massive bundle of white matter fibers that connect the cerebral cortex to the brainstem.

    Signup and view all the flashcards

    Pyramidal Decussation

    The point where the corticospinal tract fibers cross over to the opposite side of the body.

    Signup and view all the flashcards

    Lateral Corticospinal Tract

    The portion of the corticospinal tract that travels down the opposite side of the spinal cord.

    Signup and view all the flashcards

    Ventral Corticospinal Tract

    The portion of the corticospinal tract that travels down the same side of the spinal cord.

    Signup and view all the flashcards

    Hereditary Spastic Paraparesis

    A genetic disorder that causes progressive weakness and stiffness, primarily affecting the legs.

    Signup and view all the flashcards

    Lateral corticospinal tract damage in the thoracic region

    The lateral corticospinal tract is the major pathway controlling voluntary movement. Damage to this pathway primarily affects the thoracic spinal cord, causing spastic paraparesis (weakness affecting both legs), hyperreflexia (increased reflexes), and extensor plantar responses (abnormal Babinski sign). However, sensation and bladder function are spared.

    Signup and view all the flashcards

    What does the rubrospinal tract do?

    The rubrospinal tract originates from the red nucleus in the midbrain and crosses to the opposite side before descending to the spinal cord. This tract primarily influences the tone of limb flexor muscles, helping to control movement and posture.

    Signup and view all the flashcards

    Is the rubrospinal tract a pyramidal pathway?

    The rubrospinal tract is a non-pyramidal pathway, meaning it doesn't directly originate from the motor cortex. It receives input from both the motor cortex and cerebellum, allowing for complex coordination of movement.

    Signup and view all the flashcards

    What is the role of the tectospinal tract?

    The tectospinal tract originates from the superior colliculus of the midbrain and crosses to the opposite side before descending to the spinal cord. It primarily terminates in cervical segments, influencing reflex movements in response to visual stimuli.

    Signup and view all the flashcards

    What is the function of the superior colliculus in the tectospinal tract?

    The superior colliculus plays a vital role in visual processing and reflex movements. It receives input from the visual system, allowing the tectospinal tract to mediate rapid responses to visual stimuli, such as turning the head to look at something that suddenly catches your eye.

    Signup and view all the flashcards

    What is the role of the lateral vestibulospinal tract?

    The lateral vestibulospinal tract originates from Deiters' nucleus in the brainstem and descends ipsilaterally (on the same side) to the spinal cord. It primarily affects extensor motor neurons, influencing posture and balance.

    Signup and view all the flashcards

    What input do the vestibular nuclei receive?

    The vestibular nuclei receive input from the labyrinthine system (inner ear) and from the cerebellum, allowing for integration of vestibular information (sense of balance and head position) with cerebellar feedback on movement.

    Signup and view all the flashcards

    How do the vestibular nuclei contribute to balance?

    The vestibular nuclei, through the vestibulospinal tracts, influence extensor motor neurons, helping us maintain an upright posture and making adjustments as necessary to keep our balance. Damage to this system can lead to problems with balance and coordination.

    Signup and view all the flashcards

    Study Notes

    Descending Spinal Tracts

    • Originate from the cerebral cortex and brainstem
    • Control movement, muscle tone, spinal reflexes, spinal autonomic functions, and sensory transmission modulation
    • Corticospinal tracts are involved in voluntary, skilled movements, especially in distal limbs
    • Neurons originate in the cerebral cortex (motor and sensory cortices including the precentral gyrus)
    • Corticospinal axons exit the cerebral hemispheres through the corona radiata and internal capsule, entering the crus cerebri
    • The corticospinal tract fibres form pyramids in the medulla oblongata
    • About 75-90% of fibres decussate (cross over) to the contralateral side and form the lateral corticospinal tract
    • Remaining fibres (10-25%) remain ipsilateral and create the ventral corticospinal tract
    • Fibres also decussate near their termination, enabling control of the contralateral side.
    • Hereditary spastic paraparesis is an inherited degenerative disorder causing progressive leg weakness and stiff gait, with degeneration of lateral funiculi including the lateral corticospinal tract.

    Rubrospinal Tract

    • Originates in the red nucleus of the midbrain tegmentum
    • Controls the tone of limb flexor muscles (excitatory)
    • Receives afferent fibers from the motor cortex and cerebellum
    • Represents a non-pyramidal route for motor cortex and cerebellum influence on spinal motor activity

    Tectospinal Tract

    • Arises from the superior colliculus of the midbrain
    • Axons descend ventromedially and cross in the dorsal tegmental decussation
    • Located near the ventral median fissure in the spinal cord, predominantly in cervical segments
    • Mediates reflexes in response to visual stimuli

    Vestibulospinal Tracts

    • Originates from vestibular nuclei in the pons and medulla
    • Receive input from the labyrinthine system and the cerebellum
    • Lateral vestibulospinal tract originates from the lateral vestibular nucleus, descending ipsilaterally in the ventral funiculus
    • Controls extensor muscle tone for posture maintenance

    Reticulospinal Tracts

    • Arise from the reticular formation of the pons and medulla
    • Medial (pontine) tract – axons descend ipsilaterally
    • Lateral (medullary) tract – axons descend bilaterally
    • Located in the ventral funiculus
    • Influence voluntary movement, reflex activity, muscle tone, and vital functions (pressor and depressor effects)

    Lesions of the Spinal Cord

    • Focal lesions (damage) disrupt function at segmental level, or interrupt descending/ascending tracts
    • Clinical manifestations differ depending on the location and severity of injury to the spinal cord

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Related Documents

    Descending Spinal Tracts PDF

    Description

    Explore the anatomy and function of descending spinal tracts originating from the cerebral cortex and brainstem. This quiz covers aspects like corticospinal tract fibers, their decussation, and their role in voluntary muscle movement. Test your knowledge on the pathways involved in controlling motor functions and reflexes.

    More Like This

    Use Quizgecko on...
    Browser
    Browser