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SPINAL CORD & ITS TRACTS – II
(DESCENDING TRACTS)
Dr. Abdul Qadeer
MBBS;(MRCS);FCPS;FICS
Assistant Prof. of Surgery
LCMD, Karachi.
Descending tracts of spinal cord
A. Pyramidal (cortico-
spinal) tracts
1. Lateral cortico-
spinal tract
2. Anterior cortico-
spinal tract
B. Extra-pyramidal
tracts
1. Rubro-spinal tract
2. Medial reticulo-spinal
tract
3. Lateral reticulo-spinal
tract
4. Olivo-spinal tract
5. Vestibulo-spinal tract
6. Tecto-spinal tract
LOWER MOTOR NEURON (LMN):
• LOWER MOTOR NEURON (LMN): It is the
neuron situated in the anterior gray horn of
the spinal cord
• Its axon innervates skeletal muscle through
the anterior roots of the spinal nerve
• LMN constitutes the final common pathway to
the muscles
UPPER MOTOR NEURON (UMN)
• UPPER MOTOR NEURON (UMN): These are
the nerve fibers that descend in the white
matter from different supra-spinal centers like
medulla, pons, midbrain & cerebral cortex
• Collectively they form descending tracts
• UMNs constantly send the impulses from
higher centers to the LMNs
Anatomical organization of descending
tracts
• First-order neuron has the cell body in the
cerebral cortex
• Second-order neuron (an internuncial neuron) is
situated in the anterior gray column of the spinal
cord. It is usually short
• Third-order neuron is an LMN, situated in the
anterior gray horn. It innervates the skeletal
muscle through anterior root & spinal nerve
• Sometimes, 1st order neuron (UMN) terminates
directly on 3rd order neuron (LMN)
Functions of the descending tracts
• Corticospinal tracts: are concerned with
voluntary, discrete, skilled movements,
especially those of the distal parts of the limbs
• Reticulospinal tract: may facilitate or inhibit
voluntary movement or reflex activity
• Tectospinal tract: is concerned with reflex
postural movements in response to visual
stimuli and causes pupillodilatation reflex in
darkness
Functions of the descending tracts
• Rubrospinal tract: facilitates the activity of
flexor muscles & inhibits the activity of
extensor or antigravity muscles
• Vestibulospinal tract: is concerned with
postural activity associated with balance
• Olivospinal tract: may play some role in
muscular activity
• Descending autonomic fibers: control the
visceral activity
Cortico-spinal tracts
• Theses are:
1. Lateral cortico-spinal tract
2. Anterior cortico-spinal tract
Cortico-spinal tracts
• Their cells arise from the cerebral cortex
Descending fibers converge in the corona
radiata Then pass through internal
capsule Pass through midbrain
To pons To medulla oblongata
Cortico-spinal tracts within medulla
oblongata
• In the medulla oblongata, many fibers are
grouped together to form a swelling known as
the pyramid
• Hence these fibers are called pyramidal tract
• At the junction of the medulla & spinal cord,
most of the fibers cross the midline at the
decussation of the pyramids & enter the
lateral white column of the spinal cord to form
the lateral corticospinal tract
Cortico-spinal tracts within medulla
oblongata
• The remaining fibers do not cross in the
decussation but descend in the anterior white
column of the spinal cord as the anterior
corticospinal tract
• The fibers of anterior corticospinal tract cross
the midline in the cervical and upper thoracic
regions and terminate in the anterior gray
horn
Cortico-spinal tracts
• Most corticospinal fibers synapse with the
internuncial neuron
• The remaining fibers synapse directly with the
motor neuron
• The corticospinal tracts are used in performing
rapid skilled movements
Reticulo-spinal tracts
• The reticular formation is formed by groups of
nerve cells scattered throughout the midbrain,
pons and medulla oblongata
• Pontine part of reticulospinal tract remain
uncrossed, and descend through the anterior
white column of spinal cord
• Medullary part of reticulospinal tract is
crossed & uncrossed, descend through the
lateral white column of the spinal cord
Functions of reticulo-spinal tracts
• They facilitate or inhibit the voluntary
movements and reflex activity
• Control the sympathetic outflow and sacral
parasympathetic outflow
Tectospinal tract
• Fibers arise from the nerve cells situated within
the superior colliculus of the midbrain
• Most of the fibers cross the midline immediately
& descends through the brain stem
• It descends through the anterior white column of
spinal cord close to the anterior median fissure
• Majority of fibers terminate in the anterior gray
horn in the upper cervical segments of the spinal
cord by synapsing with internuncial neuron
Functions of tectospinal tract
• These are concerned with reflex postural
movements in response to visual stimuli
Rubrospinal tract
• Red nucleus is situated in the tegmentum of the
midbrain at the level of the superior colliculus
• The fibers cross the midline at the level of the
red nucleus , descend as the rubrospinal tract
through the pons & medulla oblongata to enter
the lateral white column of the spinal cord
• The fibers terminate on the internuncial
neurons in the anterior gray horn of the cord
Functions of rubrospinal tract
• The red nucleus receives afferent impulses
from the cerebral cortex & cerebellum
• Therefore, the cerebral cortex & cerebellum
indirectly infuence the spinal cord through
this tract
• The tract facilitates the activity of the flexor
muscles and inhibits the activity of the
extensor or antigravity muscles
Vestibulospinal tract
• Vestibular nuclei are situated in the pons &
medulla oblongata beneath the floor of the 4th
ventricle
• These nuclei receive afferent fibers from the
inner ear through the vestibular nerve & from
the cerebellum
• The neurons of lateral vestibular nucleus give
rise to the axons that form the vestibulospinal
tract
Vestibulospinal tract
• The tract descends uncrossed through the
medulla and spinal cord in the anterior white
column
• The fibers terminate on the internuncial
neurons in the anterior gray horn
Functions of vestibulospinal tract
• The inner ear & the cerebellum, by means of
this tract, facilitate to maintain the balance of
the body by facilitating the extensor muscles
and inhibiting the flexor muscles
Olivospinal tract
• Arises from the inferior olivary nucleus
• Descends in the lateral white column of the
spinal cord
• Influences the activity of motor nucleus in the
anterior gray horn
Descending autonomic fibers
• Higher centers of the CNS which control the
autonomic activity are situated in:
1. Cerebral cortex
2. Hypothalamus
3. Amagdaloid complex
4. Reticular formation
Descending autonomic fibers
• The fibers arise from the neurons within
higher centers
• Cross the midline in brain stem
• Descend in the lateral white column of spinal
cord
• Synapse with the autonomic motor cells in the
lateral gray horn in the thoracic & upper
lumbar (sympathetic) and mid-sacral
(parasympathetic) levels of spinal cord
Intersegmental tracts
• Short ascending and descending tracts that
originate and end within spinal cord
• Exist in anterior, lateral and posterior white
columns
• These tracts interconnect the neurons of
different segmental levels
• Important in intersegmental spinal reflexes
Decerebrate rigidity
• Spinal segmental reflexes are influenced by
higher centers through descending tracts
• In spinal shock, due to severance of spinal
cord, the segmental spinal reflexes are
depressed
• Spinal shock disappears within few weeks, the
segmental spinal reflexes return & muscle
tone returns, called decerebrate rigidity
Renshaw cells
• These are the internuncial neurons which make a
connection between the:
1. Collateral branch of LMN &
2. Axon of LMN itself
• These internuncial neurons (Renshaw cells)
provide feedback on the lower motor neurons,
hence inhibiting their activity
Renshaw cell
THE END

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Spinal cord & its tracts II (Descending tracts)

  • 1. SPINAL CORD & ITS TRACTS – II (DESCENDING TRACTS) Dr. Abdul Qadeer MBBS;(MRCS);FCPS;FICS Assistant Prof. of Surgery LCMD, Karachi.
  • 2.
  • 3. Descending tracts of spinal cord A. Pyramidal (cortico- spinal) tracts 1. Lateral cortico- spinal tract 2. Anterior cortico- spinal tract B. Extra-pyramidal tracts 1. Rubro-spinal tract 2. Medial reticulo-spinal tract 3. Lateral reticulo-spinal tract 4. Olivo-spinal tract 5. Vestibulo-spinal tract 6. Tecto-spinal tract
  • 4.
  • 5. LOWER MOTOR NEURON (LMN): • LOWER MOTOR NEURON (LMN): It is the neuron situated in the anterior gray horn of the spinal cord • Its axon innervates skeletal muscle through the anterior roots of the spinal nerve • LMN constitutes the final common pathway to the muscles
  • 6. UPPER MOTOR NEURON (UMN) • UPPER MOTOR NEURON (UMN): These are the nerve fibers that descend in the white matter from different supra-spinal centers like medulla, pons, midbrain & cerebral cortex • Collectively they form descending tracts • UMNs constantly send the impulses from higher centers to the LMNs
  • 7. Anatomical organization of descending tracts • First-order neuron has the cell body in the cerebral cortex • Second-order neuron (an internuncial neuron) is situated in the anterior gray column of the spinal cord. It is usually short • Third-order neuron is an LMN, situated in the anterior gray horn. It innervates the skeletal muscle through anterior root & spinal nerve • Sometimes, 1st order neuron (UMN) terminates directly on 3rd order neuron (LMN)
  • 8. Functions of the descending tracts • Corticospinal tracts: are concerned with voluntary, discrete, skilled movements, especially those of the distal parts of the limbs • Reticulospinal tract: may facilitate or inhibit voluntary movement or reflex activity • Tectospinal tract: is concerned with reflex postural movements in response to visual stimuli and causes pupillodilatation reflex in darkness
  • 9. Functions of the descending tracts • Rubrospinal tract: facilitates the activity of flexor muscles & inhibits the activity of extensor or antigravity muscles • Vestibulospinal tract: is concerned with postural activity associated with balance • Olivospinal tract: may play some role in muscular activity • Descending autonomic fibers: control the visceral activity
  • 10.
  • 11.
  • 12.
  • 13. Cortico-spinal tracts • Theses are: 1. Lateral cortico-spinal tract 2. Anterior cortico-spinal tract
  • 14. Cortico-spinal tracts • Their cells arise from the cerebral cortex Descending fibers converge in the corona radiata Then pass through internal capsule Pass through midbrain To pons To medulla oblongata
  • 15. Cortico-spinal tracts within medulla oblongata • In the medulla oblongata, many fibers are grouped together to form a swelling known as the pyramid • Hence these fibers are called pyramidal tract • At the junction of the medulla & spinal cord, most of the fibers cross the midline at the decussation of the pyramids & enter the lateral white column of the spinal cord to form the lateral corticospinal tract
  • 16. Cortico-spinal tracts within medulla oblongata • The remaining fibers do not cross in the decussation but descend in the anterior white column of the spinal cord as the anterior corticospinal tract • The fibers of anterior corticospinal tract cross the midline in the cervical and upper thoracic regions and terminate in the anterior gray horn
  • 17.
  • 18.
  • 19. Cortico-spinal tracts • Most corticospinal fibers synapse with the internuncial neuron • The remaining fibers synapse directly with the motor neuron • The corticospinal tracts are used in performing rapid skilled movements
  • 20. Reticulo-spinal tracts • The reticular formation is formed by groups of nerve cells scattered throughout the midbrain, pons and medulla oblongata • Pontine part of reticulospinal tract remain uncrossed, and descend through the anterior white column of spinal cord • Medullary part of reticulospinal tract is crossed & uncrossed, descend through the lateral white column of the spinal cord
  • 21. Functions of reticulo-spinal tracts • They facilitate or inhibit the voluntary movements and reflex activity • Control the sympathetic outflow and sacral parasympathetic outflow
  • 22. Tectospinal tract • Fibers arise from the nerve cells situated within the superior colliculus of the midbrain • Most of the fibers cross the midline immediately & descends through the brain stem • It descends through the anterior white column of spinal cord close to the anterior median fissure • Majority of fibers terminate in the anterior gray horn in the upper cervical segments of the spinal cord by synapsing with internuncial neuron
  • 23. Functions of tectospinal tract • These are concerned with reflex postural movements in response to visual stimuli
  • 24. Rubrospinal tract • Red nucleus is situated in the tegmentum of the midbrain at the level of the superior colliculus • The fibers cross the midline at the level of the red nucleus , descend as the rubrospinal tract through the pons & medulla oblongata to enter the lateral white column of the spinal cord • The fibers terminate on the internuncial neurons in the anterior gray horn of the cord
  • 25. Functions of rubrospinal tract • The red nucleus receives afferent impulses from the cerebral cortex & cerebellum • Therefore, the cerebral cortex & cerebellum indirectly infuence the spinal cord through this tract • The tract facilitates the activity of the flexor muscles and inhibits the activity of the extensor or antigravity muscles
  • 26. Vestibulospinal tract • Vestibular nuclei are situated in the pons & medulla oblongata beneath the floor of the 4th ventricle • These nuclei receive afferent fibers from the inner ear through the vestibular nerve & from the cerebellum • The neurons of lateral vestibular nucleus give rise to the axons that form the vestibulospinal tract
  • 27. Vestibulospinal tract • The tract descends uncrossed through the medulla and spinal cord in the anterior white column • The fibers terminate on the internuncial neurons in the anterior gray horn
  • 28. Functions of vestibulospinal tract • The inner ear & the cerebellum, by means of this tract, facilitate to maintain the balance of the body by facilitating the extensor muscles and inhibiting the flexor muscles
  • 29. Olivospinal tract • Arises from the inferior olivary nucleus • Descends in the lateral white column of the spinal cord • Influences the activity of motor nucleus in the anterior gray horn
  • 30. Descending autonomic fibers • Higher centers of the CNS which control the autonomic activity are situated in: 1. Cerebral cortex 2. Hypothalamus 3. Amagdaloid complex 4. Reticular formation
  • 31. Descending autonomic fibers • The fibers arise from the neurons within higher centers • Cross the midline in brain stem • Descend in the lateral white column of spinal cord • Synapse with the autonomic motor cells in the lateral gray horn in the thoracic & upper lumbar (sympathetic) and mid-sacral (parasympathetic) levels of spinal cord
  • 32.
  • 33. Intersegmental tracts • Short ascending and descending tracts that originate and end within spinal cord • Exist in anterior, lateral and posterior white columns • These tracts interconnect the neurons of different segmental levels • Important in intersegmental spinal reflexes
  • 34. Decerebrate rigidity • Spinal segmental reflexes are influenced by higher centers through descending tracts • In spinal shock, due to severance of spinal cord, the segmental spinal reflexes are depressed • Spinal shock disappears within few weeks, the segmental spinal reflexes return & muscle tone returns, called decerebrate rigidity
  • 35. Renshaw cells • These are the internuncial neurons which make a connection between the: 1. Collateral branch of LMN & 2. Axon of LMN itself • These internuncial neurons (Renshaw cells) provide feedback on the lower motor neurons, hence inhibiting their activity
  • 37.