Transcript for:
Understanding Spinal Cord Tracts

within the spinal cord there are several different tracts grossly they are divided into ascending and descending tracts on the cross section of the spinal cord these tracts make up the white matter named because of the whitish colour that the myelin around the axon gives the gray matter is located centrally comprising the ventral and dorsal horns the ascending pathways are responsible for transporting information from the body these are sensory tracts we will color these tracts in blue and starting from the posterior column also known as the dorsal column we have the fasciculus cunatus and for siculus gracilis these are responsible for fine touch or tactile sensation vibration and proprioception fasciculus gracilis lies medially to fasciculus cunatus and the difference between the pathways is that signals from the lower limb generally below t6 travel in the fasciculus gracilis while signals from the upper limb generally t6 and above travel in the fasciculus cunatus you can remember this with the l in gracilis reminding you of legs or lower limbs these tracts run ipsilaterally through the spinal cord and decorate in the medulla of the brainstem therefore a spinal cord injury will lead to loss of ipsilateral fine touch vibration and proprioceptive sensation next up we have the anterior spinothalamic and the lateral spinothalamic pathways the anterior spinothalamic tract is responsible for crude touch and pressure while the lateral spinothalamic tract is responsible for pain and temperature in contrast to the dorsal column tracts the anterolateral pathways decorate within the spinal cord and then travel up to the brain this means that a lesion of the spinal cord will generally cause a contralateral loss of crew touch pressure pain and temperature sensation this is not a 100 rule however as nerves entering the anterolateral pathways typically ascend one or two vertebral levels before they cross to the other side both the dorsal column and anterolateral pathways are involved in transmitting conscious sensation the next tracts the anterior and posterior spinal cerebellar tracts and the spinal olivery tract instead carry unconscious sensation specifically they are involved in transmitting proprioceptive information of the lower limbs up to the cerebellum in addition to these pathways there are the cunio cerebellar and rostral spinal cerebellar tracts that exist more superiorly these carry the proprioceptive signals of the upper limbs and neck back to the cerebellum now we'll take a look at the descending pathways the pathways responsible for muscle movement first we have the pyramidal tracts which are the anterior and lateral corticospinal tracts these carry signals down from the brain involved with voluntary movement of the limbs the lateral corticospinal tract is comprised of decassated fibers meaning if they originated from neurons in the left cerebral cortex they will travel on the right side of the spinal cord in contrast the anterior corticospinal tract fibers do not decorate until they reach the spinal cord level which they innervate this then leaves the four extra pyramidal tracts first is the rubro spinal tract providing contralateral innervation involved in fine motor control then we have the reticular spinal tracts which include the medial reticular spinal tract involved in facilitation of voluntary muscle contraction and increasing muscle tone as well as the lateral reticular spinal tract which inhibits voluntary movement reduces muscle tone and plays a role in automatic breathing next is the vestibular spinal tract which helps control balance and posture and the fourth tract is then the tectospinal tract which is involved in the coordination of head movements with vision