DESCENDING SPINAL PATHWAY Flashcards

1
Q

Descending spinal pathway

A

somatic motor (skeletal muscles)

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1
Q

What are lower motor neurons

A

motor neurons located in
1. spinal cord (ventral horn) for spinal nerves
2. brain stem for cranial nerves

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2
Q

What are upper motor neurons

A

motor neurons located in
1. cerebral cortex (pyramidal system)
2. brainstem (extra pyramidal system)

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3
Q

Pyramidal system (cortico spinal tract) function

A

VOLUNTARY AND CONSCIOUS
UMNs in cerebral cortex
LMNs in spinal cord ventral horn/ brainstem

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4
Q

Where is the first order motor cortex?

A

pre central gyrus

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5
Q

Where does the pyramidal system originate from?

A

cerebral cortex

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6
Q

What is the pathway of pyramidal system

A
  1. pre central gyrus
    Corona radiata
    -> 2. internal capsule
    -> 3. midbrain: crus cerebi
    -> 4. medulla: pyramids
    -> 5a) decussate to lateral CST 90%
    5b) do not decussate , goes to ventral CST, then decussate at anterior CST 10%
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7
Q

Extrapyramidal system function

A

controls muscle tone , posture, reflex movements

INVOLUNTARY AND SUBCONSCIOUS

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8
Q

Where does the extrapyramidal system originate from

A

brain stem

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9
Q

What are the tracts of extrapyramidal system?

A
  1. rubro-spinal tract
  2. tecto-spinal tract
  3. vestibulo- spinal tract
  4. reticulo-spinal tract
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10
Q

What is the rubro-spinal tract?

A

THINK RED NUCLEUS
- from red nucleus at the level of midbrain
- excitatory to flexor muscles: upper limb muscle tone and movement

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11
Q

What is the tecto-spinal tract?

A
  • from tectum, at the level of midbrain
  • mediate reflex stimulus
  • in response to visual stimulus
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12
Q

What is the vestibulo-spinal tract?

A
  • from vestibular nuclei
    1. lateral vestibulo-spinal tract
  • control extensor (antigravity) muscles
  • tone and eqm
  • maintenance of posture and balance
  1. medial vestibulo-spinal tract
    -control correct position of head and neck
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13
Q

What is the reticulo-spinal tract?

A
  • from reticular formation located in pons and medulla
  • controls muscle tone/ voluntary movemnet
  • reflex activities
    -CVS, Respi
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