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Questions and Answers
What is the primary function of the pyramidal tract?
What is the primary function of the pyramidal tract?
- Connecting the spinal cord to the peripheral nervous system
- Transmitting sensory information to the brain
- Regulating reflex movements
- Conveying efferent signals for voluntary muscular control (correct)
Where do upper motor neurons (UMNs) originate in relation to the corticospinal tract?
Where do upper motor neurons (UMNs) originate in relation to the corticospinal tract?
- In the anterior horn of the spinal cord
- In the primary motor cortex (correct)
- In the peripheral nervous system
- In the brainstem
Which structure is located between the thalamus and the basal ganglia and is significant for UMN pathways?
Which structure is located between the thalamus and the basal ganglia and is significant for UMN pathways?
- Spinal cord
- Medulla oblongata
- Cerebellum
- Internal capsule (correct)
What type of movements is primarily controlled by the corticospinal tract?
What type of movements is primarily controlled by the corticospinal tract?
What occurs at the anterior horn of the spinal cord in relation to lower motor neurons (LMNs)?
What occurs at the anterior horn of the spinal cord in relation to lower motor neurons (LMNs)?
Which structure do the axons of upper motor neurons pass through after the primary motor cortex?
Which structure do the axons of upper motor neurons pass through after the primary motor cortex?
How are the corticobulbar and corticospinal tracts primarily differentiated?
How are the corticobulbar and corticospinal tracts primarily differentiated?
Which part of the body does the corticospinal tract specifically target for voluntary movement?
Which part of the body does the corticospinal tract specifically target for voluntary movement?
Where does the decussation of the corticospinal tract occur?
Where does the decussation of the corticospinal tract occur?
Which structure is primarily responsible for the synapse of upper motor neurons (UMNs) in the corticospinal tract?
Which structure is primarily responsible for the synapse of upper motor neurons (UMNs) in the corticospinal tract?
Which of the following correctly describes the course of impulses conveyed by lower motor neurons (LMNs)?
Which of the following correctly describes the course of impulses conveyed by lower motor neurons (LMNs)?
In the corticonuclear tract, where do the bodies of upper motor neurons (UMNs) originate?
In the corticonuclear tract, where do the bodies of upper motor neurons (UMNs) originate?
Which anatomical structure is associated with the decussation of the corticonuclear/corticobulbar tract?
Which anatomical structure is associated with the decussation of the corticonuclear/corticobulbar tract?
What type of body structures do lower motor neurons (LMNs) innervate?
What type of body structures do lower motor neurons (LMNs) innervate?
Which of the following best describes the function of the corticospinal tract?
Which of the following best describes the function of the corticospinal tract?
What is the path of corticospinal tract impulses after passing through the anterior horn?
What is the path of corticospinal tract impulses after passing through the anterior horn?
What is the clinical presentation associated with damage to the ventral root or plexus?
What is the clinical presentation associated with damage to the ventral root or plexus?
Which symptom indicates damage to the lower motor neurons (LMN) affecting muscle tone?
Which symptom indicates damage to the lower motor neurons (LMN) affecting muscle tone?
Which clinical manifestation is associated with hyporeflexia?
Which clinical manifestation is associated with hyporeflexia?
What is a distinguishing feature of lower motor neuron syndrome compared to upper motor neuron syndrome?
What is a distinguishing feature of lower motor neuron syndrome compared to upper motor neuron syndrome?
Which condition is characterized by muscle atrophy and is distinct for presenting with reflex disorders?
Which condition is characterized by muscle atrophy and is distinct for presenting with reflex disorders?
What is the primary function of essential structures in motor function?
What is the primary function of essential structures in motor function?
Which of the following is classified as an auxiliary structure in motor function?
Which of the following is classified as an auxiliary structure in motor function?
Which neuron type specifically denotes voluntary movement functions?
Which neuron type specifically denotes voluntary movement functions?
Which structure is NOT considered essential for motor movement?
Which structure is NOT considered essential for motor movement?
The sequence of movements leading to a goal is primarily driven by which component?
The sequence of movements leading to a goal is primarily driven by which component?
Which of the following contributes to movement quality without being essential for movement?
Which of the following contributes to movement quality without being essential for movement?
Which motor neuron is directly involved at the neuromuscular junction?
Which motor neuron is directly involved at the neuromuscular junction?
Which of the following structures is integral in the proprioception aspect of motor function?
Which of the following structures is integral in the proprioception aspect of motor function?
Which structure primarily impacts the coordination of movements?
Which structure primarily impacts the coordination of movements?
Which neuron type integrates signals to modulate both essential and auxiliary structures of motor function?
Which neuron type integrates signals to modulate both essential and auxiliary structures of motor function?
What characterizes the normal plantar reflex?
What characterizes the normal plantar reflex?
What reflex occurs normally in infants under 2 years of age?
What reflex occurs normally in infants under 2 years of age?
Which type of paralysis is characterized by limited movement in one limb?
Which type of paralysis is characterized by limited movement in one limb?
In which area of the motor cortex does affection lead to contralateral motor symptoms?
In which area of the motor cortex does affection lead to contralateral motor symptoms?
Which of the following is NOT a symptom associated with upper motor neuron syndrome?
Which of the following is NOT a symptom associated with upper motor neuron syndrome?
What type of paralysis results from a lesion affecting both sides of the spinal cord?
What type of paralysis results from a lesion affecting both sides of the spinal cord?
Which tract lesion would likely lead to a central facial palsy?
Which tract lesion would likely lead to a central facial palsy?
What type of paralysis occurs due to lesions in the corticospinal tract at the midbrain?
What type of paralysis occurs due to lesions in the corticospinal tract at the midbrain?
What is a distinguishing feature of upper motor neuron lesions in the spinal cord?
What is a distinguishing feature of upper motor neuron lesions in the spinal cord?
What reflex is associated with a physiological response until the age of 2?
What reflex is associated with a physiological response until the age of 2?
What is the primary effect of lesions in the corticoreticulospinal tract?
What is the primary effect of lesions in the corticoreticulospinal tract?
Which of the following best describes spasticity?
Which of the following best describes spasticity?
What clinical feature is associated with hemiparetic gait?
What clinical feature is associated with hemiparetic gait?
Which reflex disorder is characterized by rhythmic involuntary muscle contractions in response to stretch stimuli?
Which reflex disorder is characterized by rhythmic involuntary muscle contractions in response to stretch stimuli?
What type of muscle tone disorder can result from upper motor neuron syndrome?
What type of muscle tone disorder can result from upper motor neuron syndrome?
Which condition is indicated by an abnormally brisk deep tendon reflex?
Which condition is indicated by an abnormally brisk deep tendon reflex?
What kind of muscle atrophy is associated with lower motor neuron syndrome?
What kind of muscle atrophy is associated with lower motor neuron syndrome?
Which anatomical pathway is primarily affected in reflex disorders related to upper motor neuron lesions?
Which anatomical pathway is primarily affected in reflex disorders related to upper motor neuron lesions?
Flashcards
What is the role of the Upper Motor Neuron (UMN)?
What is the role of the Upper Motor Neuron (UMN)?
The upper motor neuron (UMN) is responsible for the voluntary movement of muscles.
What is the role of the Lower Motor Neuron (LMN)?
What is the role of the Lower Motor Neuron (LMN)?
The lower motor neuron (LMN) carries signals from the UMN to the muscles, causing them to contract.
What structures are involved in coordinating movement?
What structures are involved in coordinating movement?
The cerebellum, proprioception, and vestibular system are essential for coordinating smooth and accurate movements.
What system regulates the speed and quantity of movement?
What system regulates the speed and quantity of movement?
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What structures plan movement sequences?
What structures plan movement sequences?
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What is a Neuromuscular Junction?
What is a Neuromuscular Junction?
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What are the effects of Upper Motor Neuron damage?
What are the effects of Upper Motor Neuron damage?
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What are the effects of Lower Motor Neuron damage?
What are the effects of Lower Motor Neuron damage?
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What is the difference between essential and auxiliary structures?
What is the difference between essential and auxiliary structures?
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What type of muscle is responsible for voluntary movement?
What type of muscle is responsible for voluntary movement?
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Corticospinal Tract
Corticospinal Tract
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Upper Motor Neuron (UMN)
Upper Motor Neuron (UMN)
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Lower Motor Neuron (LMN)
Lower Motor Neuron (LMN)
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Primary Motor Cortex
Primary Motor Cortex
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Internal Capsule
Internal Capsule
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Anterior Horn of Spinal Cord
Anterior Horn of Spinal Cord
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Neuromuscular Junction
Neuromuscular Junction
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Skeletal Muscle
Skeletal Muscle
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Spasticity
Spasticity
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Clasp-knife response
Clasp-knife response
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Hemiparetic gait
Hemiparetic gait
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Hyperreflexia
Hyperreflexia
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Babinski sign
Babinski sign
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Clonus
Clonus
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Lower Motor Neuron Syndrome
Lower Motor Neuron Syndrome
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Muscle atrophy
Muscle atrophy
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What is the corticospinal tract?
What is the corticospinal tract?
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What is the role of the Upper Motor Neuron (UMN) in the corticospinal tract?
What is the role of the Upper Motor Neuron (UMN) in the corticospinal tract?
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What is the role of the Lower Motor Neuron (LMN) in the corticospinal tract?
What is the role of the Lower Motor Neuron (LMN) in the corticospinal tract?
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Where does the decussation in the corticospinal tract occur?
Where does the decussation in the corticospinal tract occur?
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What is the Corticonuclear/Corticobulbar tract?
What is the Corticonuclear/Corticobulbar tract?
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Where does the decussation in the Corticonuclear/Corticobulbar tract occur?
Where does the decussation in the Corticonuclear/Corticobulbar tract occur?
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Where are the LMNs in the corticospinal tract located?
Where are the LMNs in the corticospinal tract located?
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Where does the corticospinal tract originate?
Where does the corticospinal tract originate?
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Plantar Reflex
Plantar Reflex
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Babinski Reflex
Babinski Reflex
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Upper Motor Neuron Syndrome
Upper Motor Neuron Syndrome
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Upper Motor Neuron Syndrome: Motor Cortex
Upper Motor Neuron Syndrome: Motor Cortex
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Upper Motor Neuron Syndrome: Internal Capsule
Upper Motor Neuron Syndrome: Internal Capsule
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Upper Motor Neuron Syndrome: Midbrain
Upper Motor Neuron Syndrome: Midbrain
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Upper Motor Neuron Syndrome: Pons
Upper Motor Neuron Syndrome: Pons
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Upper Motor Neuron Syndrome: Medulla Oblongata
Upper Motor Neuron Syndrome: Medulla Oblongata
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Upper Motor Neuron Syndrome: Spinal Cord
Upper Motor Neuron Syndrome: Spinal Cord
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Upper Motor Neuron Syndrome: Motor Cortex
Upper Motor Neuron Syndrome: Motor Cortex
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Hypotonia
Hypotonia
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Hypertonia
Hypertonia
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Myotome Weakness
Myotome Weakness
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Study Notes
Motor Neuron Diseases
- Neurology Lectures: General Pathology, 3rd year of Medicine, Academic Year 2024/2025
- Motor Neuron Disease – Index: Neuroanatomy Basis, Upper Motor Neuron Syndrome, Lower Motor Neuron Syndrome
- Neuroanatomy Basis (Motor Function): Integrity of various structures is crucial for voluntary and involuntary movements with appropriate quality. Essential structures are necessary for movement. Auxiliary structures, like coordination, quantity, and speed, influence the quality of movement but are not essential.
- Essential Structures: Upper motor neuron (UMN), Lower motor neuron (LMN), Neuromuscular junction, Skeletal muscle
- Auxiliary Structures: Cerebellum, proprioception, vestibular system, extrapyramidal system, and praxis system (sequence of movements to a goal).
- Pyramidal Tract: Upper and lower motor neurons grouped. The pyramidal tract originates from the primary motor cortex and conveys efferent signals to the spinal cord or brainstem. This is the key pathway for voluntary muscle control.
- Corticospinal Tract: Primary motor cortex to spinal cord (controls limbs and trunk).
- Corticobulbar Tract: Primary motor cortex to brainstem (controls head, face, and neck).
- Corticospinal Tract (A): UMN originates from primary motor cortex affecting the anterior horn of the spinal cord synapses with LMN (lower motor neuron). LMN descends from the anterior horn to skeletal muscle.
- Path of Corticospinal Tract (A): UMN axons converge and travel through the internal capsule, a white matter structure between the thalamus and basal ganglia. Then, they descend through the midbrain, pons, and into the medulla oblongata. In the medulla oblongata, fibers cross (decussate) to the opposite side. LMNs descend to the anterior horn, travel through spinal and peripheral nerve plexuses then to skeletal muscles.
- Corticobulbar Tract (B): UMN originates from the primary motor cortex and travels to the brainstem, where it synapses with LMNs. LMNs carry information directly to muscles of the face, head & neck without crossing to the opposite sides.
- Cranial Nerves (Mnemonic): On Occasion Our Trusty Truck Acts Funny Very Good Vehicle Any How.
- Cranial Nerves (Mnemonic): I-XII Breakdown Sensory(S)/ Motor(M)/Both(B).
- Facial Nerve (Important Remark): The axons of the UMNs travel through the corticonuclear tract and decussate at the pons to synapse with the LMNs. Facial motor nuclei (LMNs) in the pons are divided into two subnuclei, superior and inferior. The superior subnucleus innervates the ipsilateral upper face and receives corticonuclear inputs from both hemispheres. The inferior subnucleus innervates the ipsilateral lower face and receives corticonuclear input only from the opposite hemisphere.
- Facial Palsy (Two Types): Central Facial Palsy (UMN lesion - affects lower face). Peripheral Facial Palsy (LMN lesion - affects entire side of face).
Upper Motor Neuron Syndrome
- Etiology: Ischemic or hemorrhagic cerebrovascular disease (stroke)
- Clinical Presentation: Paralysis (paresis), muscle tone disorder, reflex disorder, muscle atrophy
- Paralysis: Monoplegia (1 limb), hemiplegia (1 side), paraplegia (lower limbs), tetraplegia (all 4 limbs)
- Muscle Tone Disorder (Hypertonia): Lesions in the corticoreticulospinal tracts can cause hypertonia. Pathological conditions include spasticity, clasp-knife response (abrupt increase then decrease in resistance during movement), and hemiparetic gait (characteristic gait pattern with hip extension, knee extension, and ankle inversion).
- Reflex Disorder (Hyperreflexia): Lesions in descending inhibitory pathways (like the corticoreticulospinal tract) can lead to hyperreflexia (abnormally brisk stretch reflexes), Babinski sign (big toe extends), and clonus (rhythmic muscle contractions).
- Muscles Atrophy: Muscle weakness and wasting due to prolonged or severe nerve damage.
Lower Motor Neuron Syndrome
- Etiology: Spinal cord compression by trauma, Spinal cords ischaemia or haemorrhage, Spinal cord tumour
- Clinical Presentation: Paralysis (paresis), muscle tone; reflex, muscle atrophy
- Paralysis (Paresis): Depending on the level of the lesion. Ventral root or plexus affects homolateral (same side) myotome (group of muscles with similar functions). Spinal/cranial peripheral nerve affects individual muscles on the same side of the lesion (homolateral).
- Muscle Tone Disorder (Hypotonia): If the efferent signal of the stretch reflex is damaged, hypotonia will result.
- Reflex Disorder (Hyporeflexia): When the efferent signal of the stretch reflex is damaged, hyporeflexia will result, where reflexes are abnormally diminished or absent.
- Muscle Atrophy: Muscle wasting due to damage to LMNs, often accompanied by fasciculations (muscle twitches) because of sporadic discharges of motor units.
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