Spinal tracts Flashcards

1
Q

what info does the dorsal column medial lemniscus tract (DCML) carry

A

afferent
mechanoreceptors
Ia, Ib, II, Ab afferents

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2
Q

what info does the ventral spinothalamic tract (VST) carry

A

afferent
pain and temp info
A theta and C afferents

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3
Q

what info does the ventral corticospinal tract (VCST) carry

A

efferent
motor commands for proximal msucles (trunk and core)

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4
Q

what info does the lateral corticospinal tract (LCST) carry

A

efferent
motor commands for distal muscles (extremities)

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5
Q

where does the LCST decussate

A

caudal medulla

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6
Q

where does the VCST decussate

A

it doesn’t
travels ipsilaterally, innervates bilaterally

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7
Q

where does the VST decussate

A

at the level of entry to the spine

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8
Q

where does DCML decussate

A

caudal medulla

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9
Q

what is the path of the VST

A
  • travel in through dorsal root
  • decussates at level of entry into the spine
  • travels up spinothalamic tract
  • synapses at the thalamus
  • travels into internal capsule
  • projects into S1
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10
Q

where are the synapses in VST

A
  1. at level of entry into the spine (grey matter)
  2. thalamus
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11
Q

where do the different orders of neurons go in the VST

A

1st order = from receptor to level of entry to the spine
2nd order = from level of entry to the thalamus
3rd order = from thalamus to S1

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12
Q

where are the synapses in DCML

A
  1. caudal medulla
  2. thalamus
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13
Q

where do the different orders of neurons travel in DCML

A

1st order = receptor to the caudal medulla (dorsal column)
2nd order = caudal medulla to thalamus (medial lemniscus)
3rd order = thalamus to S1 (internal capsule)

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14
Q

are spinal tracts grey matter or white matter

A

all tracts are white matter (myelinated)

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15
Q

what happens if there is damage to grey matter but the white matter remains intact

A

there is loss at the level of the spine
can still feel and move above and below that area because white matter tracts are still intact

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16
Q

where do we differentiate between lateral and ventral CSTs

A

pyramids (caudal medulla)
- lateral decussates and ventral doesn’t

17
Q

what is the path of the LCST

A
  • comes from M1
  • through the internal capsule
  • to the pyramids
    ^^ travelling contralaterally
  • decussates at the pyramids (caudal medulla)
  • travels to the periphery
    ^^ travelling ipsilaterally
18
Q

what is the path of the VCST

A
  • comes from M1
  • through the internal capsule
  • through the pyramids
  • travels down and innervates bilaterally
    ^^ stays ipsilateral the whole time