Neuroanatomy – Tracts © by Matthias Heyner 2008 Tracts Pathway Function Crude touch pressure sensation Pain Temperature Itch Tickle Sexual sensation Ascending tracts of the Spinal cord Spinothalamic tracts Anterior Spinothalamic tract Posterior Spinothalamic tract 1st neuron (primary afferent neuron): Spinal ganglia o Impulses from tactile corpuscles and receptors about hair follicles o pass through dorsal root and enter gray matter o branch in T shaped pattern (branches descend 1-2 segments and ascend 2-15 segments) o Terminate on neurons in the posterior column 2nd neuron: Neurons in the posterior column form anterior spinothalamic tract) o Cross at anterior commissure and ascend in the opposite anterior funiculus. o In the mesencephalon the tract runs in the medial lemniscus as spinal lemniscus o terminate in the posterolateral ventral nucleus of the thalamus 3rd neuron: Posterolateral ventral nucleus of the thalamus o Terminate in the primary somatosensory cortex in the postcentral gyrus. st 1 neuron: Spinal ganglia o Impulses come from free nerve endings o Pass through dorsal roots into spinal cord o Terminate on projection neurons in substantia gelatinosa 2nd neuron: Substantia gelatinosa o Cross in the anterior commissure in the corresponding spinal cord segment o Ascend in the anterolateral funiculus of the opposite side o Terminate in Thalamus 3rd neuron: (Thalamus) o Terminate in the primary somatosensory cortex in the postcentral gyrus 1 Neuroanatomy – Tracts © by Matthias Heyner 2008 Fasciculus gracilis & fasciculus cuneatus Fasciculus gracilis Fasciculus cuneatus Have descending axons which form different shapes at different levels o Comma tract of Schultze (interfascicular fasciculus) in cervical cord o Oval area of Flechsig (septomarginal fasciculus) in thoracic cord o Philippe-Gombault triangle in sacral cord o Concerned with somatosensory innervation o Parts of the intrinsic circuits of spinal cord 1st neuron: Spinal Ganglia o Impulses come from muscle receptors, tendon receptors, Vater – Pacini corpuscles, receptors about hair follicles. o Ascend uncrossed in the posterior funiculi to the nucleus gracilis in the medulla oblongata 2nd neuron: Nucleus gracilis o Cross in the medial lemniscus to the thalamus 3rd neuron: Thalamus o Terminate in the primary somatosensory cortex in the postcentral gyrus st 1 neuron: Spinal Ganglia o Impulses come from muscle receptors, tendon receptors, Vater – Pacini corpuscles, receptors about hair follicles. o Ascend uncrossed in the posterior funiculi to the nucleus cuneatus in the medulla oblongata 2nd neuron: Nucleus cuneatus o Cross in the medial lemniscus to the thalamus 3rd neuron: Thalamus o Terminate in the primary somatosensory cortex in the postcentral gyrus Not Present below level of T3 Fine touch of lower limb Conscious proprioception of lower limb Fine touch of upper limb Conscious proprioception of upper limb 2 Neuroanatomy – Tracts © by Matthias Heyner 2008 Spinocerebellar tracts Anterior Spinocerebellar tract Posterior Spinocerebellar tract Located in the lateral funiculus Their projection fibers ascend both ipsilaterally and contralaterally to the cerebellum via the cerebellar peduncle Both have the same somatotopic organization from front to back: o Thoracic o Lumbar o Sacral st 1 neuron: Spinal ganglion (pseudounipolar) o Impulses come from muscle spindles and tendon receptors o Terminate at the center of the posterior column 2nd neuron: Center of the posterior column (Projection neurons of the anterior Spinocerebellar tract) o Axons ascend both ipsilaterally and contralaterally to the cerebellum o Pass through the floor of the rhomboid fossa to the midbrain o Axons then change direction to pass through the superior cerebellar peduncle and superior medullary velum o Terminate at the vermis of the cerbellum 1st neuron: Spinal ganglion (pseudounipolar) o Impulses come from muscle spindles and tendon receptors o Terminate at the posterior column 2nd neuron: Center of the posterior column (Projection neurons of the anterior Spinocerebellar tract) o Are contained in the thoracic nucleus which spans spinal cord segments C8 to L2. o Ascend ipsilaterally to the cerebellum, entering through the inferior cerebellar peduncle Unconscious coordination of motor activities (unconscious proprioception, automatic processes below the conscious level such as jogging or riding a bike) Unconscious coordination of motor activities (unconscious proprioception, automatic processes below the conscious level such as jogging or riding a bike) 3 Neuroanatomy – Tracts © by Matthias Heyner 2008 Descending tracts of the spinal cord Pyramidal (Corticospinal) Tracts Pyramidal Tract Start in Motor cortex Most important pathway for voluntary motor function Some axons (corticonuclear fibers) terminate at the cranial nerve nuclei Other axons (corticospinal fibers) terminate on the motor anterior horn cells Third group of the axons (corticoreticular fibers) terminate at the nuclei of the reticular formation Origin: Motor cortex at the pyramidal cells o Corticonuclear fibers o Corticospinal fibers o Corticoreticular fibers All 3 pass through the internal capsule from the telencephalon o Continue into brainstem and spinal cord In the brainstem the Corticonuclear fibers terminate at the motor nuclei of the cranial nerves The corticospinal fibers descend to the decussation of pyramids in the lower medulla oblongata (~80% cross to the opposite side) o Continue into the Spinal cord o Form the corticospinal tract (has somatotopic organization; fibers for the sacral cord are most lateral, fibers for the cervical cord are most medial) 20% of the corticospinal fibers continues to descend without crossing o They form the anterior corticospinal tract bordering the anterior median fissure in a transverse section of the spinal cord o Particularly well developed in the cervical cord but not present in lower thoracic, lumbar and sacral cords. o Most of the fibers cross at the segmental level to terminate on the same motor neurons as the lateral corticospinal tract. o The axons on the pyramid cells terminate via intercalated cells on alpha and gamma neurons, Renshaw cells and inhibitory interneurons. Voluntary motor activity 4 Neuroanatomy – Tracts © by Matthias Heyner 2008 Extrapyramidal & Autonomic tracts Extrapyramidal tracts Reticulospinal tract Tectospinal tract motor regulation of muscles flexors & extensors Auditory & optic muscles (motor innervation) Origin: lateral vestibular nucleus o runs to spiral cord ends in ventral horn in alpha & gamma neurons parts of fibers run eye muscle nucleus Origin: Nucleus rubor The fibers cross to the contralateral side in the tegmental decussation Runs down with the pyramidal tract in the ventral column to the neck ends in motor neurons in ventral horn in alpha & gamma neurons balance maintained raises the tone of flexors uses the motor neurons motor regulation has excitory effect on alpha and Gamma neurons of flexors (motor regulation) Origin Spinal cord runs to inf. olive (upwards) Vestibulospinal tract Rubrospinal tract Olivospinal tract Origin: o Basal Ganglia (corpus striatum & globus pallidus which act on substantia nigra) o Substantia nigra o Red nucleus Reticular formation of pons of medulla Descend in ventral column End: In the ventral horn of the spinal cord in alpha and gamma neurons (deiter’s neurons) Origin: Superior colliculus o Fibers descend in the ventral column o Crossover in Mesencephalon End in Spinal cord in ventral horn in neck region in alpha & gamma neurons Somatosensory function 5 Neuroanatomy – Tracts © by Matthias Heyner 2008 Tracts in the Brainstem Medial longitudinal fasciculus Connects the cranial Eye nuclei with each other Ventral / posterior longitudinal fasciculus (Schütz) Runs from thalamus to cranial nuclei Lateral lemniscus Medial lemniscus Connects the Trapezoid body / superior olive with the inferior colliculus Connects the dorsal column nuclei (gracilis & cuneatus) with the thalamus Spinal lemniscus (borders the medial lemniscus) Connects the posterior horns (lateral and anterior spinothalamic tract) with the thalamus Is a portion of the anterior spinothalamic tract located in the mesencephalon. The course of the anterior spinothalamic tract in the brainstem is not fully understood…yet. Connects the sensory trigeminal nuclei with the thalamus Pain pathway for the trunks and limbs Sensory Pathway for the head Origin: Pons, Medulla (Primary sensory neurons of cranial nerves VII, IX, X) End in nucleus of solitary tract. Visceral & taste sensory Inside the pons Origin: Neocortex this tract contains 4 other tracts: o 1) Frontopontine tract o 2) temperopontine tract o 3) occipitopontine tract o 4) parietopontine tract o they all come from the neocortex (different lobes) end in the pontine nucleus Cerebellar motor regulation Trigeminal lemniscus (borders the medial lemniscus) All the following tracts end in the pons: Solitary tract Corticopontine tract Association complex of the reticular formation Brings fibers from autonomic centers to the cranial nerves Part of auditory pathway Touch, conscious proprioception (movement, position etc) of the trunk and limbs 6