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Cerebral Cortex ,[object Object],[object Object],[object Object],[object Object]
Cerebral Cortex - Generalizations ,[object Object],[object Object],[object Object],[object Object],[object Object]
Motor Areas ,[object Object],[object Object]
Primary Motor Cortex ,[object Object],[object Object]
Pyramidal cells ,[object Object],[object Object],Dendrites
Pyramidal Tracts ,[object Object]
Motor Somatotopy  ,[object Object],[object Object],[object Object]
Motor Somatotopy  ,[object Object],[object Object]
Motor Somatotopy   ,[object Object],[object Object],[object Object]
Premotor Cortex ,[object Object],[object Object]
Premotor Cortex ,[object Object],[object Object],[object Object]
Premotor Cortex ,[object Object],[object Object]
Premotor Cortex ,[object Object],[object Object],[object Object]
Broca’s area ,[object Object],[object Object]
Broca’s area ,[object Object],[object Object]
Frontal Eye Field ,[object Object],[object Object]
DESCENDING PATHWAYS FROM THE MOTOR CORTEX SOME CORTICAL NEURONS PROJECT AXONS THAT SYNAPSE ON SPINAL MOTOR NEURONS
Descending (Motor) Tracts ,[object Object]
Descending (Motor) Pathways ,[object Object],[object Object],[object Object],[object Object]
The Direct (Pyramidal) System ,[object Object],[object Object],[object Object],[object Object],[object Object]
The Direct (Pyramidal) System Figure 12.34a
 
Descending (Motor) Tracts ,[object Object]
Corticospinal Tract Origin:  Cerebral Cortex Brodmann Area 4 (Primary Motor Area, M I) Brodmann Area 6 (Premotor Area, PM )   Brodmann Area 3,1,2 (Primary Somesthetic Area, S I)  Brodmann Area 5 (Anterior Portion of Sup. Parietal Lobule)  Corona Radiata lnternal Capsule, Posterior Limb Crus Cerebri, Middle Portion Longitudinal Pontine Fiber Pyramid - pyramidal decussation Corticospinal Tracts:  - Lateral (crossed) - 85% - Anterior (Not crossed) - 15% Termination:  Spinal Gray (Rexed IV-IX) Spinal Cord  Descending Tracts
Corticobulbar tract  ,[object Object],[object Object],[object Object]
Bilateral – 5, 7 (upper  face), ambiguus Contralateral – 7  (lower face); 12
Descending (Motor) Tracts ,[object Object],[object Object]
Indirect (Extrapyramidal) System ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Indirect (Extrapyramidal) System Figure 12.34b
Extrapyramidal (Multineuronal) Pathways ,[object Object],[object Object],[object Object]
Involved in control of facial and jaw musculature, swallowing and tongue movements. From the motor cortex to several nuclei in the pons and medulla Corticobulbar tract The major function of this pathway is fine voluntary motor control of the limbs. The pathway also controls voluntary body posture adjustments. From the motor cortex to lower motor neurons in the ventral horn of the spinal cord Corticospinal tract Function Pathway Tract
(Lateral) (Medial)
Difference between pyramidal and extrapyramidal tracts   ,[object Object],[object Object],[object Object],[object Object],[object Object]
Upper Motor Neurons ,[object Object]
Lower Motor Neurons ,[object Object],[object Object],[object Object]
Lower Motor Neurons ,[object Object],[object Object]
upper motor neuron UMN SOMATIC MOTOR SYSTEM lower motor neuron LMN Brain Stem  Descending Pathway Final Common Pathway EFFECTORS skeletal muscle Pyramidal Tract VOLUNTARY CONTROL AUTOMATIC CONTROL Rubrospinal Tract Tectospinal Tract Vestibulospinal Tract Reticulospinal Tract REFLEX
Upper Motor Neuron (UMN) vs. Lower Motor Neuron (LMN) Syndrome UMN syndrome  LMN Syndrome Type of Paralysis  Spastic Paresis Flaccid Paralysis Atrophy  No (Disuse) Atrophy  Severe  Atrophy Deep Tendon Reflex  Increase  Absent DTR Pathological Reflex  Positive  Babinski  Sign  Absent Superficial Reflex  Absent  Present Fasciculation and  Absent  Could be  Fibrillation  Present
Paralysis/Paresis ,[object Object],[object Object],[object Object],[object Object]

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Cns 6

  • 1.
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17. DESCENDING PATHWAYS FROM THE MOTOR CORTEX SOME CORTICAL NEURONS PROJECT AXONS THAT SYNAPSE ON SPINAL MOTOR NEURONS
  • 18.
  • 19.
  • 20.
  • 21. The Direct (Pyramidal) System Figure 12.34a
  • 22.  
  • 23.
  • 24. Corticospinal Tract Origin: Cerebral Cortex Brodmann Area 4 (Primary Motor Area, M I) Brodmann Area 6 (Premotor Area, PM ) Brodmann Area 3,1,2 (Primary Somesthetic Area, S I) Brodmann Area 5 (Anterior Portion of Sup. Parietal Lobule) Corona Radiata lnternal Capsule, Posterior Limb Crus Cerebri, Middle Portion Longitudinal Pontine Fiber Pyramid - pyramidal decussation Corticospinal Tracts: - Lateral (crossed) - 85% - Anterior (Not crossed) - 15% Termination: Spinal Gray (Rexed IV-IX) Spinal Cord Descending Tracts
  • 25.
  • 26. Bilateral – 5, 7 (upper face), ambiguus Contralateral – 7 (lower face); 12
  • 27.
  • 28.
  • 30.
  • 31. Involved in control of facial and jaw musculature, swallowing and tongue movements. From the motor cortex to several nuclei in the pons and medulla Corticobulbar tract The major function of this pathway is fine voluntary motor control of the limbs. The pathway also controls voluntary body posture adjustments. From the motor cortex to lower motor neurons in the ventral horn of the spinal cord Corticospinal tract Function Pathway Tract
  • 33.
  • 34.
  • 35.
  • 36.
  • 37. upper motor neuron UMN SOMATIC MOTOR SYSTEM lower motor neuron LMN Brain Stem Descending Pathway Final Common Pathway EFFECTORS skeletal muscle Pyramidal Tract VOLUNTARY CONTROL AUTOMATIC CONTROL Rubrospinal Tract Tectospinal Tract Vestibulospinal Tract Reticulospinal Tract REFLEX
  • 38. Upper Motor Neuron (UMN) vs. Lower Motor Neuron (LMN) Syndrome UMN syndrome LMN Syndrome Type of Paralysis Spastic Paresis Flaccid Paralysis Atrophy No (Disuse) Atrophy Severe Atrophy Deep Tendon Reflex Increase Absent DTR Pathological Reflex Positive Babinski Sign Absent Superficial Reflex Absent Present Fasciculation and Absent Could be Fibrillation Present
  • 39.