an overview of the ascending tract of the spinal cord....an anatomical approach to understand the somato-sensory pathway.
Prepared as a class presentation .
Ascending tracts
They are located in the white matter
Conduct afferent information (May or may not reach consciousness)
There are 2 types of information
Exteroceptive : Originates from outside the body (Pain, temperature & touch)
Proprioceptive : Originates from inside the body (From muscles & joints)
Normally there are 3 neurons in an ascending pathway
1st order neuron : Cell body is in the posterior root ganglion
2nd order neuron : Decussates (Crosses to the opposite side) & ascends to a higher level of the CNS
3rd neuron : Located in the thalamus & passes to a sensory region of the cortex
spinal cord, ascending tracts of the the spinal cord, spinocortical tracts, gray matter of spinal cord, white mater of spinal cord, organization of neuron, first order second order and third order neuron, anterolateral spinal tract anteroposterior spinal tract, spinolivary tract, visceral sensory tract, dorsal column tract, spino cerebellar tract , spinorectal pathway, spino olivary pathway, cerebellar peduncles,
an overview of the ascending tract of the spinal cord....an anatomical approach to understand the somato-sensory pathway.
Prepared as a class presentation .
Ascending tracts
They are located in the white matter
Conduct afferent information (May or may not reach consciousness)
There are 2 types of information
Exteroceptive : Originates from outside the body (Pain, temperature & touch)
Proprioceptive : Originates from inside the body (From muscles & joints)
Normally there are 3 neurons in an ascending pathway
1st order neuron : Cell body is in the posterior root ganglion
2nd order neuron : Decussates (Crosses to the opposite side) & ascends to a higher level of the CNS
3rd neuron : Located in the thalamus & passes to a sensory region of the cortex
spinal cord, ascending tracts of the the spinal cord, spinocortical tracts, gray matter of spinal cord, white mater of spinal cord, organization of neuron, first order second order and third order neuron, anterolateral spinal tract anteroposterior spinal tract, spinolivary tract, visceral sensory tract, dorsal column tract, spino cerebellar tract , spinorectal pathway, spino olivary pathway, cerebellar peduncles,
enlists and the description of the different descending tracts of the CNS. cortico spinal tract, cortico bulbar tract, extra pyramidal and pyramiddal tracts, homunculus, vestibulospinal tract, reticulo spinal tracts, tectospinal tract, autonomic tract, uppermotor neuron lesion, lower motor neuron lesion, spinal cord injury, brown sequard syndrome. spinal cord infection, degenerative disorders of spinal cord,
enlists and the description of the different descending tracts of the CNS. cortico spinal tract, cortico bulbar tract, extra pyramidal and pyramiddal tracts, homunculus, vestibulospinal tract, reticulo spinal tracts, tectospinal tract, autonomic tract, uppermotor neuron lesion, lower motor neuron lesion, spinal cord injury, brown sequard syndrome. spinal cord infection, degenerative disorders of spinal cord,
Functions and ascending tract of spinal cordFatima Mangrio
As the name suggests, the ascending tracts of the spinal cord ascend from the spinal cord and connect it to the brain. These tracts are named based on their origin and termination. They are found running along the dorsal, lateral, and ventral columns of the white matter.
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Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
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Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
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IMPACTION
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DIARRHEA
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HEMORRHOIDS
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FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
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PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
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2. .
CONTENTS:-
SPINAL CORD IN GENERAL
GRAY MATTER &
WHITE MATTER
TRACTS IN SPINAL CORD
ASCENDING TRACTS OF SPINAL CORD
(SITUATON, ORIGIN, COURSE, FUNCTION & EFFECTS OF
LESION )
4. SPINAL CORD
The spinal cord is a long, thin, tubular
structure made up of neural tissue, that extends
from the medulla oblongata in the brainstem to the
lumbar region of the vertebral column. It carry
information periphery to brain and brain to periphery.
Situati
on &
extent
Coveri
ng
Shape
&
Length
enlarg
ement
s
Segme
nts
Spinal
nerves
Fissure
&
sulci
From
foreman
magnu
m to
lower
border
of Ist
lumbar
vertebra
e
Dura
matter
Pia
matter
Arachno
id
matter
Cylindric
al in
shape
45 cm
(male)
43 cm
(female)
Cervical
Lumbar
enlarge
ments
31
segment
s
Cervical
=8
Thoracic
12
Lumbar
5
Sacral 5
Coccyg
eal 1
Total=
31
31 pairs
spinal
nerves
Cervical
=8
Thoracic
12
Lumbar
5
Sacral 5
Coccyg
eal 1
Total=31
pairs
Ant. Median
fissure
Antrolateral
sulcus
Post. Median
S.
post. Median
septum
Post.
Intermediate
sulcus.
Post.
Intermediate
septum
Posterolateral
sulcus
6. .
INTERNAL STRUCTURE OF SPINAL CORD
Grey matter (inner)
White matter (outer)
GREY MATTER OF SPINAL CORD:-
it is a collection of nerve cell bodies, dendrites and part of axon.
it resembles as ‘wings of butterfly’ or ‘H’ shape.
WHITE MATTER OF SPINAL CORD:-
It surrounds the grey matter. It formed by the bundles of both myelinated
and unmyelinated fibers.
The White matter of the spinal cord consists of
Ascending and Descending tracts.
It is divided into Dorsal, Lateral & Ventral Columns or Funiculi.
7. .
TRACTS OF SPINAL CORD
They are classified into:
1).Short tracts:
a. Association or intrinsic tracts:- These tracts connect adjacent segments of spinal
cord on the same side.
b. commissural tracts:- these tracts also connect opposite halves of same segment of
spinal cord.
2). Long tracts: (projection tracts)
connect the spinal cord with other parts of CNS.
a. Ascending tracts (sensory impulses)
b. Descending tracts (motor impilses)
8. .
ASCENDING TRACTS OF SPINAL CORD
Carry impulses from pain, thermal, tactile, muscle and joint receptors to the brain.
Some of this information eventually reaches a conscious level (the cerebral cortex),
while some is destined for subconscious centers (e.g. the cerebellum).
Pathways that carry information to a conscious level share certain common characteristics:
There is a sequence of Three Neurones between the peripheral receptors and the cerebral
cortex.
9. .
The first-order neurone or primary
afferent neurone) enters the spinal
cord through the dorsal root of a
spinal nerve and its cell body lies in
the dorsal root ganglion.
The main fiber remains on the
ipsilateral side of the cord and
terminates in synaptic contact
with the second neurone which
lies either in the spinal grey
matter or in the medulla
oblongata of the brain stem.
10. .
•The axon of the
second order neurone
crosses over
(decussates) to the
opposite side of the CNS
and ascends to the
thalamus, where it
terminates.
•The third-order
neurone has its cell
body in the thalamus.
•Its axon passes to the
somatosensory cortex of the
parietal lobe of the
cerebral hemisphere.
11. Three major pathways carry sensory information:
• Posterior white column (Gracile & Cuneate fasciculi)
• Lateral white column (Spinothalamic)
• Anterior white column
12. situation Tract Origin Course Terminatio
n
Function
Anterior White
column
1).Ant.
Spinothalamic
tract
Chief
sensory
nucleus
Crossing in
spinal cord
forms spinal
lemniscus
Ventral
posaterolater
al nucleus of
thalamus
Crude touch
sensation
Lateral
White
Column
1).Lateral
spinothalamic
tract
Substantia
gelatinosa
“ “ “ “ Pain and
temp.
senstation
2).Ventral
spinocerebell
ar tract
Marginal
nucleus
Crossing in
spinal cord
Ant. Lobe of
cerebellum
Subconscious
kinesthetic
sensations
3).Dorsal
spinocerebell
ar tract
Clarke
neucleus
Uncrossed
fibers
Ant. Lobe of
cerebellum
Subconscious
kinesthetic
sensations
4).Spinotectal
tract
Chief sensory
nucleus
Crossing in
spinal cord
Supior
colliculus
Spinovisual
reflex
5).Spinorectic
ular tract
Intermediolate
ral cells
Crossed and
uncrossed
fibers
Reticular
formation of
brainstem
Cnsciousness
and
awareness
6).Spino
olivary tract
Non specific Crossed and
uncrossed
fibers
Olivary
nucleus
Proprioceptio
n
13. 7).Fasiculus
dorsalateralis
Post. Nerve
root ganglion
Component of
lateral
spinothalamic
tract
Substantia
gelatinosa
Pain and
temp.
sensation
8).Spinovesti
bular tract
Non specific Crossed and
uncrossed
fibers
Lateral
vestibular
nucleus
proprioceptio
n
Posterior
White
column
1).Fasciculus
gracilis
Post. Nerve
root ganglia
Uncrossed
fibers no
synapse in
spinal cord
Nucleus
gracilis in
medulla
Tactile
sensation
Tactile
localization
Tactile
discrimination
2).Fasciculus
cuneatus
Post nerve
root ganglia
Uncrossed
fibers no
synapse in
spinal cord
Nucleus
cuneatus in
medulla
Vibratory
sensation
Conscicus
kinesthetic
sensation
stereognosis
14. Posterior Column:
Contains two tracts;
Fasciculus Gracilis (Tracts of
Goll) & Fasciculus
Cuneatus (Tract of Burdach)
Carry impulses concerned with
proprioception and
discriminative touch
from ipsilateral side of the body
Contain the axons of primary
afferent neurons that have entered
cord through dorsal roots of spinal
nerves
FG contains fibers received at
sacral, lumbar and lower thoracic
levels,
FC contains fibers received at
upper thoracic and cervical levels
15. • Fibers ascend without interruption
where they terminate upon 2nd
order neurons in nucleus gracilis
and nucleus cuneatus
• The axons of the 2nd order neurons
decussate in the medulla as internal
arcuate fibers and ascend through
the brain stem as medial
lemniscus.
• The medial lemniscus terminates in
the ventral posterior nucleus of
the thalamus (3rd order neurons),
which project to the somatosensory
cortex (thalamocortical fibers)
16. ,
• Located lateral and ventral to
the ventral horn.
• Carry impulses concerned
with; pain and thermal
sensations (Lateral tract)
and non- discriminative
touch and pressure
(Anterior tract).
• In brain stem, constitute the
spinal lemniscus.
• Information is sent to the
primary sensory cortex on
the opposite side of the
body.
SPINOTHALAMIC TRACT
17. Function:
•Carries pain & Temperature to
thalamus and sensory area of the
cerebral cortex.
Neurones: 3 Neurones
• Neurone I: Small cells in the dorsal
root ganglia.
•Neurone II: Cells of substantia
gelatinosa of Rolandi in the
posterior horn.
•Neurone III: Cells of (VP) nucleus of
the thalamus.
•The spinothalamic tract contains
second-order neurones, the cell
bodies of which lie in the contralateral
dorsal horn
Lateral Spinothalamic Tract
18. Function:
•Carries crude touch & pressure to
thalamus and sensory cortex.
Neurones: 3 Neurones
•Neurone I:
Medium sized cells in the
dorsal root ganglia.
•Neurone II:
Cells of main sensory nucleus
or
(nucleus proprius).
•Neurone III:
Cells of VP nucleus of
thalamus.
Effect of lesion:
Loss of crude touch sensation
below the level of the lesion.
Anterior Spinothalamic Tract
19. Spinocerebellar Tracts
The spinocerebellar system
consists of a sequence of only
two neurons;
Neurone I:Large cells of dorsal
root ganglia.
Neurone II: cells of the nucleus
dorsalis (Clark's nucleus.
Two tracts: Dorsal &Ventral
Located near the dorsolateral and
ventrolateral surfaces of the cord
Contain axons of the second order
neurons
Carry information derived from
muscle spindles, Golgi tendon
organs and tectile receptors to the
cerebellum
for the control of posture and
coordination of movements.
20. Posterior Spinocerebellar
Tract
Present only above level L3
The cell bodies of 2nd order neuron
lie in Clark’s column
Axons of 2nd order neuron terminate
ipsilaterally (uncrossed) in the
cerebellar cortex by entering through
the inferior cerebellar peduncle.
Posterior spinocerebellar tract
convey sensory information to the
same side of the cerebellum
21. Ventral (Anterior)Spinocerebellar
Tract
The cell bodies of 2nd order neuron
lie in base of the dorsal horn of the
lumbosacral segments
Axons of 2nd order neuron cross to
opposite side, ascend as far as the
midbrain, and then make a sharp turn
caudally and enter the superior
cerebellar peduncle
The fibers cross the midline for a
second time within the cerebellum
before terminating in the cerebellar
cortex
Ventral spinocerebellar tract convey
sensory information to the same side
of the cerebellum
22. Spinotectal Tract
Ascends in the anterolateral part, in
close association with spinothalamic
system.
Primary afferents reach dorsal horn
through dorsal roots and terminate on
2nd order neurons
The cell bodies of 2nd order neuron
lie in base of the dorsal horn.
Axons of 2nd order neuron cross to
opposite side, and project to the
periaquiductal gray matter and
superior colliculus in the
midbrain.
Involved in reflexive
turning of the head and
eyes toward a point of
cutaneous stimulation.
23. Spino - olivary Tract
Indirect spinocerebellar pathway
(spino-olivo-cerebellar)
Impulses from the spinal cord are
relayed to the cerebellum via
inferior olivary nucleus.
Conveys sensory information to
the cerebellum.
Fibers arise at all levels of the
spinal cord.
Contribute to movement
coordination associated
primarily with balance.
24. Spinoreticular
Tract
Originates in laminae IV-VIII
Contains uncrossed fibers that end in
medullary reticular formation &
crossed & uncrossed fibers that
terminate in pontine reticular
formation.
Forms part of the ascending reticular
activating system.
Involved in arousing
consciousness in the reticular
activating system through
cutaneous stimulation.