Spinal Cord Anatomy Part II
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Questions and Answers

What is the main function of the Lateral Corticospinal Tract?

  • It synapses exclusively in the cervical region.
  • It conveys information to lower motor neurons that control neck, shoulder, and trunk muscles.
  • It is involved in motor functions controlling the lateral muscles. (correct)
  • It controls arm and leg coordination.

    • Which structure does not play a role in the pathway of the Lateral Corticospinal Tract?

  • Base of cerebral peduncle (correct)
  • Lateral white matter of spinal cord
  • Internal capsule
  • Pyramid of medulla

    • What percentage of the total corticospinal tract does the Medial (Anterior) Corticospinal Tract represent?

  • 100%
  • 50%
  • 10% (correct)
  • 25%

    • Where does the Medial Corticospinal Tract primarily synapse?

    <p>Medial motor neurons in lamina IX</p> Signup and view all the answers

    Which statement about the Medial Corticospinal Tract is true?

    <p>It primarily controls neck, shoulder, and trunk muscles.</p> Signup and view all the answers

    What is the primary function of ascending tracts in the spinal cord?

    <p>To deliver sensory information to the brain</p> Signup and view all the answers

    Which term describes small bundles of nerve fibers in the spinal cord?

    <p>Fasciculus</p> Signup and view all the answers

    Which of the following pathways is classified under descending tracts?

    <p>Corticospinal</p> Signup and view all the answers

    What do both the Dorsal Column and Anterolateral pathways have in common?

    <p>Both innovate contralateral thalami nuclei</p> Signup and view all the answers

    What determines the specific location of the pathways within the spinal cord?

    <p>The position of synapsing structures</p> Signup and view all the answers

    What is a common feature of descending motor pathways?

    <p>They carry motor signals from the brain to the body</p> Signup and view all the answers

    Which descending tract is responsible for coordinating reflexes related to posture?

    <p>Vestibulospinal</p> Signup and view all the answers

    What role do axons in descending tracts play?

    <p>Initiate voluntary muscle movements</p> Signup and view all the answers

    What is the primary function of the Dorsal Column Medial Lemniscus pathway?

    <p>Proprioception and discriminative touch</p> Signup and view all the answers

    Which parts of the spinal cord are involved in the Dorsal Column?

    <p>Fasciculus gracilis and Fasciculus cuneatus</p> Signup and view all the answers

    What occurs immediately after the sensory neurons enter the spinal cord in the Anterolateral system?

    <p>They decussate at the level of entry</p> Signup and view all the answers

    What type of information does the Spinocerebellar tract convey?

    <p>Unconscious proprioceptive information</p> Signup and view all the answers

    What is the main function of the Lateral Corticospinal Tract?

    <p>Fine control of distal extremities</p> Signup and view all the answers

    What percentage of fibers from the corticospinal tract form the Lateral Corticospinal Tract?

    <p>90%</p> Signup and view all the answers

    Which motor system is primarily responsible for trunk movements and maintaining posture?

    <p>Medial system</p> Signup and view all the answers

    What enables individuals to perform tasks such as tying knots or playing piano keys?

    <p>Fractionation of movement</p> Signup and view all the answers

    What is the primary cause of Anterior Cord Syndrome?

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

    Which syndrome is characterized by deficits primarily below the level of injury, regardless of whether white or gray matter is involved?

    <p>Central Cord Syndrome</p> Signup and view all the answers

    What is a common symptom of Brown-Sequard syndrome?

    <p>Contralateral loss of pain and temperature sensation</p> Signup and view all the answers

    What is a common cause of Posterior Cord Syndrome?

    <p>Occlusion of the posterior spinal artery</p> Signup and view all the answers

    In cases of spinal cord injury, when white matter pathways are partly involved, what consideration should be made?

    <p>Somatotopic organization must be considered</p> Signup and view all the answers

    What is the primary origin of the Rubrospinal Tract?

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

    What effect does damage to the lateral corticospinal and rubrospinal tracts have on voluntary movements?

    <p>Decreases movement accuracy</p> Signup and view all the answers

    Which tract originates from the reticular formation of the brainstem?

    <p>Reticulospinal Tract</p> Signup and view all the answers

    Which part of the vestibulospinal tract controls neck and upper back muscles?

    <p>Medial Vestibulospinal Tract</p> Signup and view all the answers

    What is the primary role of the lateral vestibulospinal tract?

    <p>Facilitation of extensors and inhibition of flexors</p> Signup and view all the answers

    Which area does the Tectospinal Tract primarily respond to?

    <p>Visual and auditory stimuli</p> Signup and view all the answers

    What is the primary function of the Reticulospinal Tract?

    <p>Control of postural reflexes</p> Signup and view all the answers

    Which arteries provide longitudinal vascular supply to the spinal cord?

    <p>Anterior spinal artery and two posterior arteries</p> Signup and view all the answers

    What happens when there is damage to the vestibulospinal tracts?

    <p>Ataxia and balance problems</p> Signup and view all the answers

    Which of the following functions does the pontine reticulospinal tract primarily facilitate?

    <p>Extensor motor neuron facilitation</p> Signup and view all the answers

    Study Notes

    White Matter Overview

    • Contains axon columns divided into ascending (afferent) and descending (efferent) tracts.
    • Ascending tracts transmit sensory information to the brain.
    • Descending tracts convey motor signals from the brain to the body.
    • Terms: "Funiculus" denotes a column of nerve fiber bundles; "fasciculus" refers to smaller bundles.

    Ascending and Descending Tracts

    • Major descending tracts include:
      • Lateral Pathways:
        • Corticospinal Tract: Controls fine motor skills.
        • Rubrospinal Tract: Primarily controls upper extremities.
      • Ventromedial Pathways:
        • Reticulospinal Tract: Influences posture and antigravity reflexes.
        • Vestibulospinal Tract: Regulates balance and head position.
        • Tectospinal Tract: Coordinates head movements to visual/auditory stimuli.

    Dorsal Column Medial Lemniscus

    • Function: Proprioception and discriminative touch.
    • Composed of:
      • Fasciculus Gracilis: Relays information from the lower extremities.
      • Fasciculus Cuneatus: Relays information from the upper extremities.
    • Pathway: Dorsal columns synapse in medulla, then become the medial lemniscus towards the thalamus.

    Anterolateral Pathway

    • Function: Transmits pain, temperature, and crude touch.
    • Sensory neurons enter the spinal cord, synapsing on interneurons in the dorsal horn, with axons crossing immediately to project to the thalamus.

    Spinocerebellar Tract

    • Conveys unconscious proprioceptive information to the cerebellum.

    Lateral Corticospinal Tract

    • Comprises 90% of corticospinal fibers; responsible for fine control of distal extremities.
    • Allows fine motor skills necessary for tasks such as playing instruments or manipulating small objects.
    • Pathway includes:
      • Origin in primary motor cortex, passes through the internal capsule, decussates in the medulla, and synapses at the lateral horn of the spinal cord.

    Medial Corticospinal Tract

    • Comprises 10% of corticospinal fibers; crucial for trunk and proximal limb movement.
    • Pathway originates in the motor cortex, travels through similar structures as the lateral tract but does not decussate.

    Rubrospinal Tract

    • Originates in the red nucleus of the midbrain and facilitates upper extremity coordination.
    • Axons cross in the pons and travel with corticospinal fibers to the spinal cord.

    Medial Tracts Functions

    • Reticulospinal Tract:
      • Medullary component facilitates flexor motor neurons; Pontine component enhances extensor motor neurons for stability.
    • Vestibulospinal Tract:
      • Responds to vestibular input to maintain balance and head stability during movement.
    • Tectospinal Tract:
      • Involved in reflexive head movements in response to visual and auditory stimuli.

    Vascular Supply to Spinal Cord

    • Comprised of one anterior spinal artery and two posterior spinal arteries.
    • Segmental supplies come from anterior and posterior segmental medullary arteries.

    Spinal Cord Syndromes

    • Central Cord Syndrome: Impairments depend on size; impacts pathways if involving white matter.
    • Anterior Cord Syndrome: Typically arises from anterior spinal artery occlusion.
    • Brown-Sequard Syndrome: Results from penetrating injury affecting one side of the spinal cord.
    • Posterior Cord Syndrome: May arise from occlusion of posterior arterial supply; affects tracts below the injury level.

    Key Takeaways

    • Understanding the organization of spinal tracts is crucial for diagnosing specific symptoms related to spinal cord injuries.
    • Somatotopic organization is essential for recognizing how deficits manifest based on injury location.

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    Related Documents

    Spinal Cord Part 2 White Matter PDF

    Description

    This quiz focuses on the anatomy of the spinal cord, specifically the structure and function of white matter. It covers ascending and descending tracts, as well as the significance of funiculus and fasciculus in the nervous system. Test your knowledge on the pathways that carry sensory and motor signals within the body.

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