Neurology: Motor Pathways and Functions
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Questions and Answers

Which of the following cranial nerves is NOT directly innervated by the corticobulbar tract?

  • Cranial Nerve V
  • Cranial Nerve VIII (correct)
  • Cranial Nerve VII
  • Cranial Nerve IX
  • What is the main function of the corticobulbar tract?

  • Controls voluntary movements of the face and head (correct)
  • Controls involuntary movements of the limbs
  • Controls involuntary movements of the face and head
  • Controls voluntary movements of the limbs
  • What brain region does the supplementary motor area extend to on its lateral surface?

  • Primary motor cortex
  • Parietal lobe
  • Premotor cortex (correct)
  • Temporal lobe
  • Which of the following structures is NOT part of the extrapyramidal system?

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

    What is the primary function of the supplementary motor area?

    <p>Programming motor sequences (A)</p> Signup and view all the answers

    Where does the rubrospinal tract decussate?

    <p>At the level of the midbrain (A)</p> Signup and view all the answers

    What is the primary function of the premotor cortex?

    <p>Planning and coordinating movements (C)</p> Signup and view all the answers

    What is the main function of the rubrospinal tract?

    <p>Controls voluntary movements of the limbs (A)</p> Signup and view all the answers

    Which of the following structures does the red nucleus receive projections from?

    <p>All of the above (D)</p> Signup and view all the answers

    What is a common consequence of a lesion to the supplementary motor area?

    <p>Difficulty performing complex movements (D)</p> Signup and view all the answers

    What is the effect of the rubrospinal tract on muscle activity?

    <p>Facilitates flexor muscles (C)</p> Signup and view all the answers

    What brain area is involved in the re-emergence of suckling and grasp reflexes in adults following a lesion?

    <p>Premotor Cortex (C)</p> Signup and view all the answers

    What is the role of the red nucleus in the stretch reflex?

    <p>It inhibits the stretch reflex (A)</p> Signup and view all the answers

    What type of memory might be affected by a premotor cortex lesion?

    <p>Short-term memory (A)</p> Signup and view all the answers

    What is the clinical condition resulting from damage to both the supplementary motor area and premotor cortex?

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

    What is the primary motor pathway called?

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

    What is the location of the Primary Motor Cortex (M-I)?

    <p>Immediately anterior to the central sulcus and extends to the medial surface of the hemisphere (A)</p> Signup and view all the answers

    Which area is NOT directly involved in controlling voluntary movements?

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

    How is the human body represented in the Primary Motor Cortex?

    <p>In a mirrored, upside-down fashion, with larger areas for frequently used body parts (B)</p> Signup and view all the answers

    What is the primary function of the Premotor Cortex (PMC)?

    <p>To plan and sequence complex movements (B)</p> Signup and view all the answers

    Which of these parts of the motor system is NOT part of the pyramidal tract?

    <p>Reticulospinal tract (A), Rubrospinal tract (B)</p> Signup and view all the answers

    What is the main difference between an upper and lower motor neuron lesion?

    <p>Upper motor neuron lesions affect the central nervous system, while lower motor neuron lesions affect the peripheral nervous system. (C)</p> Signup and view all the answers

    What is the clinical manifestation of a lesion in the Primary Motor Cortex (M-I)?

    <p>Weakness and difficulty with fine motor movements on the contralateral side of the body (A)</p> Signup and view all the answers

    What is the main function of the Supplementary Motor Area (M-II)?

    <p>Planning and sequencing complex movements (A)</p> Signup and view all the answers

    Where in the brainstem does the lateral vestibulospinal tract originate?

    <p>The lateral and inferior vestibular nuclei (C)</p> Signup and view all the answers

    What is the function of the medial vestibulospinal tract?

    <p>Stabilizing head position and coordinating head and eye movements (B)</p> Signup and view all the answers

    Which tract shares a similar function with the medial vestibulospinal tract?

    <p>Tectospinal tract (A)</p> Signup and view all the answers

    What is the role of the superior colliculus in the lateral tectospinal tract?

    <p>It serves as the origin of the tract (B)</p> Signup and view all the answers

    What is the function of the ventral tectospinal tract?

    <p>Turning the head towards a sound source (D)</p> Signup and view all the answers

    What is the main difference in function between the pontine and medullary reticular nuclei?

    <p>The pontine nuclei excite antigravity muscles, while the medullary nuclei relax them. (D)</p> Signup and view all the answers

    Which tract mediates the stretch reflex and enhances skeletal muscle tone?

    <p>Lateral vestibulospinal tract (A)</p> Signup and view all the answers

    Which of the following structures does NOT receive projection fibers from the globus pallidus?

    <p>The reticular formation (A)</p> Signup and view all the answers

    What is the primary function of the lateral reticulospinal tract?

    <p>Inhibits the stretch reflex by inhibiting gamma motor neurons (A)</p> Signup and view all the answers

    Which of the following is NOT a function of the extrapyramidal system?

    <p>Controlling respiration and cardiovascular function (D)</p> Signup and view all the answers

    What is the origin of the ventral reticulospinal tract?

    <p>Facilitatory reticular formation of the pons (A)</p> Signup and view all the answers

    Which tract is ONLY found in the cervical region of the spinal cord?

    <p>Olivospinal tract (D)</p> Signup and view all the answers

    What is the main difference between bulbar palsy and pseudobulbar palsy?

    <p>Bulbar palsy is caused by lower motor neuron lesions, while pseudobulbar palsy is caused by upper motor neuron lesions (D)</p> Signup and view all the answers

    Which of the following is NOT a function controlled by the brainstem?

    <p>Fine motor control of the fingers (D)</p> Signup and view all the answers

    How does the olivospinal tract influence skeletal muscle tone?

    <p>It facilitates the stretch reflex, increasing muscle tone (A)</p> Signup and view all the answers

    What is the primary function of the extrapyramidal system in terms of movement?

    <p>Mediating gross movements involving large muscle groups (A)</p> Signup and view all the answers

    Which of the following can be a sign of denervation of a muscle?

    <p>Muscle fasciculations (A), Muscle atrophy (C)</p> Signup and view all the answers

    Which of the following is NOT a characteristic of the Babinski sign?

    <p>Stimulation of the pyramidal system (A)</p> Signup and view all the answers

    What is the primary function of the pyramidal system?

    <p>Control of voluntary movements (B)</p> Signup and view all the answers

    Which of the following is a feature of muscle denervation?

    <p>Segmentation of symptoms (B)</p> Signup and view all the answers

    Which of the following is true about Babinski sign?

    <p>It is a reflex that is indicative of damage to the pyramidal system. (C)</p> Signup and view all the answers

    Flashcards

    Primary Motor Cortex (M-I)

    A brain region that executes skilled movements and controls contralateral body musculature.

    Pyramidal Tract

    Nerve pathways that originate in the motor cortex and control voluntary bodily movements.

    Extrapyramidal Tract

    Nerve pathways involved in coordinating involuntary movements and reflexes, distinct from pyramidal system.

    Upper Motor Neuron

    Neurons originating in the motor cortex that transmit impulses to lower motor neurons in the spinal cord.

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    Lower Motor Neuron

    Neurons that originate in the spinal cord and directly innervate muscles to produce movement.

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    Bulbar Palsy

    Weakness or paralysis of muscles innervated by the cranial nerves due to damage in the brainstem.

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    Pseudobulbar Palsy

    A condition caused by upper motor neuron lesions affecting speech, swallowing, and facial expression.

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    Babinski Reflex

    A reflex action in which the big toe extends upward when the sole of the foot is stroked, indicating neurological function.

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    Lateral vestibulospinal tract

    A descending tract that mediates postural reflexes to maintain upright posture by facilitating extensor muscles.

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    Medial vestibulospinal tract

    A descending tract that stabilizes head position by innervating neck muscles and coordinating head and eye movements.

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    Tectospinal tract

    A descending tract from the midbrain that coordinates head movement in response to visual stimuli.

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    Lateral tectospinal tract

    Originates from the superior colliculus, concerned with directing vision and turning the head towards light.

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    Ventral tectospinal tract

    Originates from the inferior colliculus, focuses on auditory reflexes and turning the head towards sounds.

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    Reticulospinal tract

    A tract that influences muscle tone and posture through excitation or relaxation of antigravity muscles.

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    Pontine reticular nuclei

    Group of nuclei that excite antigravity muscles, primarily the neck, trunk, and legs.

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    Medullary reticular nuclei

    Group of nuclei that relaxes antigravity muscles, providing balance to muscle tone.

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    Corticobulbar Tract

    A tract that innervates cranial motor nuclei bilaterally, except for lower facial and genioglossus muscles.

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    Lower Facial Nuclei

    Cranial motor nuclei that are only innervated unilaterally by the contralateral cortex.

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    Red Nucleus

    Located in the midbrain, it plays a role in motor coordination and initiating gross movements.

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    Rubrospinal Tract

    Originates from the red nucleus and descends in the spinal cord, involved in movement control.

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    Functions of the Red Nucleus

    Acts as a relay, initiates gross movements, and inhibits motor neurons and stretch reflex.

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    Extrapyramidal System

    A set of neural structures that coordinate involuntary movements and reflexes, including the basal ganglia.

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    Vestibulospinal Tract

    A pathway that helps control reflexes for postural stability and eye movements.

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    Stretch Reflex

    A muscle contraction response that occurs when a muscle is stretched.

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    Supplementary Motor Area

    Located between cingulate sulcus and premotor cortex, it programs motor sequences and aids in mental rehearsal of movements.

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    Premotor Cortex

    Broadmann's area 6, located anterior to primary motor cortex, it plans and anticipates specific motor acts.

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    Motor Tracts

    Descending pathways classified into pyramidal and extrapyramidal tracts for motor control.

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    Corticospinal Tract

    A major pyramidal tract originating from sensory and motor cortex, involved in voluntary motor control.

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    Apraxia

    A disorder resulting from damage to the supplementary motor area and premotor cortex, affecting skilled movements.

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    Broca's Area

    Located in premotor cortex, it is responsible for speech production but doesn't prevent simple vocalizations.

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    Lesions of Premotor Cortex

    Result in re-emergence of reflexes, and slowing of complex limb movements without paralysis.

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    Muscle Wasting

    The decrease in muscle mass, often associated with disuse or nerve damage.

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    Fasciculations

    Involuntary contractions of small muscle fibers, often a sign of nerve damage.

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    Babinski Sign

    Extension of the big toe and fanning of other toes when the sole is stroked, indicating pyramidal damage.

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    Pyramidal System

    A motor pathway controlling voluntary movements, primarily through upper motor neurons.

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    Lateral Reticulospinal Tract

    Originates from the medulla, inhibiting gamma motor neurons to reduce stretch reflex.

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    Ventral Reticulospinal Tract

    Arises from the pons, facilitating gamma motor neurons to enhance stretch reflex.

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    Olivospinal Tract

    Originates in the medulla's inferior olive, facilitating stretch reflex in the cervical region.

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    Extrapyramidal System Functions

    Mediates gross movements, adjusts muscle tone through facilitation and inhibition.

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    Brain Stem Role in Motor Control

    Controls respiration, cardiovascular function, and stereotyped body movements.

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    Gamma Motor Neurons

    Neurons that modulate muscle spindle activity and affect muscle tone.

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    Study Notes

    Neurophysiology Motor System

    • The motor tracts, also known as descending tracts, are divided into the pyramidal and extrapyramidal tracts.
    • The pyramidal tracts include the corticospinal, cortico-nuclear, and cortico-bulbar tracts.
    • The extrapyramidal system includes structures like basal ganglia, midbrain, and various tracts originating in the midbrain.
    • Upper motor neurons originate in the motor cortex and terminate in the cranial nerve nuclei or anterior horn of the spinal cord (opposite side).
    • Lower motor neurons originate in the anterior horn of the spinal cord and terminate in skeletal muscles (same side).
    • The primary motor cortex (M1) is located in the precentral gyrus (area 4) and is responsible for initiating voluntary movements.
    • The supplementary motor area (SMA) and premotor cortex (PMC) are involved in planning and programming complex movements.
    • Broca's area is crucial for speech production.
    • The primary motor cortex is contralaterally arranged.
    • The face area is bilaterally represented.
    • The corticospinal tract plays a key role in controlling distal muscles (fingers, thumb).
    • The uncrossed corticospinal tract innervates muscles like the respiratory and abdominal muscles.
    • The corticobulbar tract innervates cranial motor nuclei, except the lower facial nuclei and genioglossus muscle. Innervation is primarily contralateral.
    • The corticobulbar, corticospinal, and cortico-nuclear tracts comprise the pyramidal system.
    • The rubrospinal tract originates from the red nucleus, crosses to the opposite side of the spinal cord, and terminates on the ventral horn cells.
    • The vestibulospinal tracts (lateral and medial) are involved in postural reflexes and maintaining balance.
    • The medial vestibulospinal tract promotes head stability and neck muscle coordination.
    • The lateral vestibulospinal tract coordinates antigravity muscle function.
    • The tectospinal tracts regulate eye and head movements in response to visual or auditory input.
    • The reticulospinal tracts (lateral and ventral) affect motor functions, including voluntary and reflex movements, muscle tone, and antigravity muscle activity.
    • The olivospinal tract originates in the inferior olive, influencing stretch reflexes and skeletal muscle tone.
    • The extrapyramidal system plays a crucial role in mediating gross movements, fine movements, and adjusting muscle tone.
    • Damage to the pyramidal system often results in spasticity, while lower motor neuron lesions frequently cause flaccid paralysis.
    • Bulbar palsy relates to cranial nerve dysfunction from lower motor neuron lesions, whereas pseudobulbar palsy results from upper motor neuron damage.
    • Symptoms of bulbar palsy can include dysphagia, difficulty in chewing, slurring of speech, nasal regurgitation, and swallowing difficulties.
    • The Babinski reflex is a clinically significant indicator of CNS pathology, stemming from the interplay of pyramidal and extrapyramidal systems.
    • The Babinksi sign is caused by a lack of pyramidal system inhibition of the extrapyramidal withdrawal reflex.

    Objectives

    • To understand the function of various parts of the motor cortex.
    • To enumerate the function of pyramidal and extrapyramidal tracts.
    • To define bulbar and pseudobulbar palsy.
    • To differentiate between upper and lower motor neuron lesions.
    • To explain the Babinski reflex.

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    Description

    Test your knowledge on the intricacies of motor pathways, including the corticobulbar and rubrospinal tracts. This quiz covers the roles of various brain regions such as the supplementary motor area and premotor cortex, along with their related functions and consequences of lesions. Perfect for students studying neurology or related fields.

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