ASCENDING ASCENDING TRACTS TRACTS POSTERIOR POSTERIOR COLUMN COLUMN DR. NILESH N. KATE M.D ASSOCIATE PROFESSOR Department Of Physiology
ASCENDING ASCENDING TRACTSTRACTS
POSTERIOR POSTERIOR COLUMNCOLUMN
DR. NILESH N. KATE M.DASSOCIATE PROFESSOR
Department Of Physiology
OBJECTIVESAt the end of the class, you should know1. Tracts of spinal cord & brain stem
2. Posterior column
3. Origin
4. Distribution
5. Course
6. Crossing
7. Termination
8. Applied
Dorsal
Ventral
Dorsal
Lateral
Ventral
Horns
Spinal Cord
Spinal cord Dorsal horn - sensory input Lateral horn - autonomic N.S. Ventral horn - motor output ~
Ascending Pathways Three-neuron pathways:
Primary sensory neurons:From external receptorsTravel through dorsal roots of spinal cordSecondary neurons:Make up tracts in spinal cord and brainstemTertiary neurons:From thalamus to primary sensory cortexTravel through internal capsule
Ascending Pathways For conscious perception:
Spinothalamic systemMedial Lemniscal system
For unconscious perception:SpinocerebellarSpino-olivarySpinotectalSpinoreticular
Medial Lemniscus System Also called posterior column system. Carries sensations for two-point
sensation (fine touch), pressure, and vibration.
Medial Lemniscus System Primary fibers ascend entire length of
spinal cord and synapse with secondary neurons in medulla:
Fasciculus gracilisFasciculus cuneatus
Medial Lemniscus Red:
Gracilis Blue
cuneatus
Medial Lemniscus System Fibers of fasciculus gracilis synapse in
nucleus gracilis:Convey sensations from below midthoracic level.
Fibers of fasciculus cuneatus synapse in nucleus cuneatus:Convey sensations from above midthoracic level.Also conveys proprioceptive sensation from arms to cerebellum.
Medial Lemniscus System Secondary fibers decussate. Secondary fibers ascend to synapse in
VPL of thalamus. Tertiary fibers ascend through
internal capsule to primary sensory cortex.
Medial Lemniscus
Medial Lemniscus
Somatosensory Pathways
Crossover at spinal cordPain and TemperatureTickle and ItchPoorly localised touch
Crossover in medullaDiscriminative touchShape, size texture, weightVibrationProprioception
Criteria for a sensory pathway
All sensation has to pass through thalamus
3 Order Neuronal pathway is essential
Body represented in the contralateral cerebral hemisphere
POSTERIOR COLUMN
Spino thalamic (lateral & anterior)
Description of a tract Synonyms OriginDistribution Course CrossingTermination Function Applied
Ascending Spinal Tracts
Convey sensory information from cutaneous receptors, proprioceptors and visceral receptors to cerebral cortex.
Sensory fiber tract decussation may occur in medulla or spinal cord.
Ascending tracts Major 1)posterior
column 2)Anterolateral
system(spinothalamic)
3)Spino cerebellar tract
Sensations carried by Dorsal columns:
Light touch (tactile sensation,2. Tactile discrimination 3. Tactile localization)4. Conscious proprioception –5. Joint position and movement.6. Vibration sensation7. Stereognosis.8. Pressure sensation with fine
gradations.
Functions of posterior column
Somatosensory Cortex
Area on somatosensory cortex related to degree of innervation
c. Dorsal Column Pathway
.The axons from these first-order neurons pass upward in the fasciculus gracilis or fasciculus cuneatus.
c. Dorsal Column Pathway
The axons from the second-order neurons (nucleus gracilis or nucleus cuneatus) cross to the opposite side of the medulla and ascend to the thalamus through the medial lemniscus of the medulla, pons, and midbrain.
Ascending Pathways
Figure 13.33a
Tracts of the Spinal Cord
Figure 13.32
The Spinal Cord
Ventral
Dorsal
3 GROUP OF CELLS IN THE POSTERIOR HORN
1.Substantia gelatinosa of rolando(sgr)
2.Chief sensory nucleus
3.Clarke’s column
Posterior Column
Spinothalamic Pathways
Somatosensory cortex of Postcentral Gyrus
Relative sizes of cortical areas proportional to number
of sensory receptors proportional to the
sensitivity of each part of the body
Can be modified with learning learn to read Braille &
will have larger area representing fingertips
Sensory Homunculi
Sensory Homunculi
Somatic Sensory Somatic Sensory PathwaysPathways
First-order neuron conduct impulses to brainstem or spinal cord either spinal or cranial nerves
Second-order neurons conducts impulses from spinal cord or brainstem to thalamus--cross over to opposite side before reaching thalamus
Third-order neuron conducts impulses from thalamus to primary somatosensory cortex (postcentral gyrus of parietal lobe)
Posterior Column
Posterior Column
• Proprioception, vibration, discriminative touch, weight discrimination & stereognosis
• Signals travel up spinal cord in posterior column
• Fibers cross-over in medulla to become the medial lemniscus pathway ending in thalamus
• Thalamic fibers reach cortex
Two-Point Touchdiscrimination Minimum distance at
which 2 points of touch can be perceived as separate. Measures of distance
between receptive fields. Indication of tactile
acuity. If distance between 2 points
is less than minimum distance, only 1 point will be felt.
Receptive FieldsReceptive fields in the thalamusthalamus have centre-surround organization.
Cortical receptive Cortical receptive fields (left)fields (left) are smaller in the fingers and larger on the hand and forearm.
STEREOGNOSIS
Thank you…
Today’s PHYSIOLOG
Y is
tomorrow’s MEDICINE.
Thank you.
OBJECTIVES.
Monday, May 1, 2023
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