Tracts Flashcards
(70 cards)
Each dorsal rootlet is divided into two divisions
lateral and medial division
lateral divison
A delta/C fibers, GSA’s, enter area of white mater @ tip of dorsal horn via lissauer’s tract, they then ascend or descent 1 or 2 cord segments, then enter grey mater and synapse
medial division
A beta/type I, II, and III; DO NOT USE LISSAUER’S TRACT, synapse in lamina III and IV, or in lower motor neuron (muscle stretch reflex: I A fiber, quick change in length of extrafusal fibers, synapse of alpha motor neuron (monosynaptic reflex)).
tract
organized bundle of axons (white mater)
ascending tracts
modulated by descending tracts by location of cell bodies**
- arousal, affective, motivation responses of stimulus
- unconscious monitoring/control of motor activity (posture/movement)
first order neurons
sensory neuron (A delta, A beta, type I) - cell bodies are always in dorsal root ganglion
second order neurons
synapse in thalamus, neuron cell bodies in the thalamus
third order neurons
thalamocortical neurons
dorsal column/medial lemniscus (location)
dorsal column - ipsilateral fibers in dorsal white mater-cord
medial lemniscus - contralateral fibers in brain stem
cross @ tegmentum of caudal medulla
dorsal column/medial lemniscus (information conveyed)
vibration, joint position, 2pt touch (and light touch), pressure (association cortex)
association cortex
the ability to feel and recognize an object in one’s hand while not looking
dorsal column/medial lemniscus (1st order neurons)
1st order - in DRG
- axons S5-T6 ascend via fasciculus gracilis
- axons T5 - C1 ascend in the fasciculus cuneatus
dorsal column/medial lemniscus (2nd order neurons)
cell bodies are in the nuclei gracile and cuneatus
- axons cross as the internal arcuate fibers and ascend as the medial lemniscus
dorsal column/medial lemniscus (3rd order neurons)
cell bodies are in the VPL thalamic nucleus
- axons course through the internal capsule to the sensory cortex, postcentral gyrus/post paracentral lobule (homunculus)
dorsal column/medial lemniscus 1st 2nd and 3rd order neurons are ________ organized
somatotopically
anterolateral system conveys
pain and temperature (some touch and pressure)
- A delta/C fibers
anterolateral system - A delta fibers
fast conducting; localized sharp/acute pain
anterolateral system - C fiber
slow conducting; poorly localized; burning; aching pain
anterolateral system cross at
ventral white commissure
anterolateral system includes three tracts…
spinothalamic, spinoreticular, spinomesencephalic
ALS - spinothalamic system includes…
neospinothalamic (somatotopically organized) and paleospinothalamic
ALS - spinothalamic - neospinothalmic
1st order - A delta
2nd order - lamina I and V (VI-VII) and axons cross and ascend
3rd order - VPL of thalamus
conveys: sharp, well localized, discriminatory pain
terminates @ primary sensory cortex (homunculus)
ALS - spinothalamic - paleospinothalamic
1st order - C fibers
2nd order - lamina VII - VIII and axons cross and ascend
- collaterals go to reticular formation
3rd order - intralaminar thalamic nucleus
conveys: dull achy pain
terminates @ widespread cortex
ALS - spinoreticular tract conveys
- dull achy
- autonomic, behavioral, and emotional responses to the painful stimuli
- arouses cortex to maintain alertness and attentiveness (focus attention on a painful area)