Neuro L.9 Main Concepts Flashcards
What is the function of the DCML pathway?
Light touch, proprioception, vibration, 2 point discrimination
What are the first order neurons in the DCML pathway?
Peripheral receptors → gracile/cuneate in medulla
What are the second order neurons in the DCML pathway?
Gracile/cuneate in medulla → thalamus
What are the third order neurons in the DCML pathway?
Thalamus → primary somatosensory cortex
Where does decussation occur in the DCML pathway?
Posterior to pyramidal decussation in medulla
What is the function of the anterolateral spinothalamic tract?
Anterior: crude touch; Lateral: pain, temperature
What are the first order neurons in the anterolateral spinothalamic tract?
Dorsal root ganglion → dorsal horn (substantia gelatinosa)
What are the second order neurons in the anterolateral spinothalamic tract?
Dorsal horn → thalamus
What are the third order neurons in the anterolateral spinothalamic tract?
Thalamus → primary and secondary somatosensory cortex
Where does decussation occur in the anterolateral spinothalamic tract?
At level of SC entry (anterior commissure)
What is the function of the slow medial pathway?
Slow, dull pain
What are the first order neurons in the slow medial pathway?
C fibers → dorsal horn
What are the second order neurons in the slow medial pathway?
Dorsal horn → spinolimbic, spinomesencephalic, spinoreticular
Where does decussation occur in the slow medial pathway?
At level of SC entry
What is the function of the dorsal spinocerebellar tract?
Unconscious proprioception from LE
What are the first order neurons in the dorsal spinocerebellar tract?
Type 1a fibers (muscle spindles) in LE → Clark’s nucleus (dorsal horn)
What are the second order neurons in the dorsal spinocerebellar tract?
Clark’s nucleus (dorsal horn) → inferior cerebellar peduncle
Where does decussation occur in the dorsal spinocerebellar tract?
Uncrossed
What is the function of the cuneocerebellar tract?
Unconscious proprioception from UE and face
What are the first order neurons in the cuneocerebellar tract?
Type 1a fibers (muscle spindles) in UE → lateral cuneate medulla
What are the second order neurons in the cuneocerebellar tract?
Lateral cuneate medulla → inferior cerebellar peduncle
Where does decussation occur in the cuneocerebellar tract?
Uncrossed
What is the function of the ventral spinocerebellar tract?
Unconscious proprioception from LE
What are the first order neurons in the ventral spinocerebellar tract?
LE interneurons (type Ib fibers - GTOs) → dorsal root ganglion