Descending Tracts Dr . Niranjan Murthy H L Asst Prof of Physiology SSMC , Tumkur
• Final common path- Motor neuron • • Under the influence of Segmental
Suprasegmental Brainstem Cortical
Descending tracts
• Movements- Reflexive and Voluntary - Skilled and Postural
• Descending Tracts- Lateral and Medial - Pyramidal and Extrapyramidal
• Lateral pathways- Lateral corticospinal pathway and Rubrospinal Pathway
• Medial Pathways- Reticulospinal, Vestibulospinal, Tectospinal, Anterior
Motor Areas of Cerebral Cortex
Pyramidal Tract • Corticospinal & Corticobulbar • Origin- 30% from motor cortex, 30% from premotor cortex and 40% from parietal lobe • Course: fibers converge towards internal capsule- Corona radiata àLie in genu and anterior 2/3rd of posterior limb of internal capsule àmiddle 3/5th of crus of mid-brain
àBroken up into scattered bundles by nucleus pontis à àProduce a bulge in medullapyramids à àIn lower medulla- 80% fibers cross to opposite side and descend as lateral corticospinal tract à à20% fibers descend uncrossed as anterior corticospinal tract
• Termination: directly on motor neuron or on the interneuron • 55% end in cervical region, 20% in thoracic and 25% in lumbosacral region.
Organization through the course Motor cortex- legs medial & head lateral
Internal capsule- head anterior & legs posterior
Mid-brain- head medial & legs lateral
At each level, the fibers rotate by 90⁰
Corticobulbar tracts • Origin and course is same till pons • • Fibers terminate on cranial nerve nuclei • • Termination may be ipsilateral, contralateral, or bilateral
Functions • Execution of skilled voluntary movements • • Anterior corticospinal tract controls proximal & axial muscles • • Form part of superficial reflex pathway
Rubrospinal Tract • Originates in magnocellular portion of Red nucleus • Cross over in midbrain and descend on opposite side • Terminate on motor neurons of distal muscles • Has somatotopic map in red nucleus • Concerned with skilled movements
Vestibulospinal tract • Lateral vestibulospinal tract arise from Deiter’s nucleus- receive input from utricle & saccule • • Medial vestibulospinal tract originates from medial & descending vestibular nucleireceive signals from semicircular canals •
Reticulospinal Tract • Medullary reticulospinal tract decreases tone of antigravity muscles • • Pontine reticulospinal tract increases tone of antigravity muscle • • Under the influence of higher centers
Tectospinal tract • Originate from superior colliculus • • Cross over to opposite side • • Concerned with muscles of head and neck • • Controls visually guided head movements
Medial Longitudinal Fasciculus • Originate from medial vestibular nucleus, reticular formation, superior colliculus and interstitial nucleus of cajal • • Descend uncrossed upto cervical region • • Co-ordination of reflex ocular movement and integration of eye &
Pyramidal Vs. Extrapyramidal system Characters
Pyramidal system
Extrapyramidal system
Phylogeny
New
Old
Myelination
After birth
Before birth
Functions
Fine, skillful movements
Gross postural movements
Damage
Flaccid paralysis
Spastic paralysis
Speed of conduction
Slow
Fast
Internal capsule • Mass of axons • Laterally lenticular nucleus and medially thalamus & caudate • Ascending sensory fibers occupy posterior 1/3rd of posterior limb • Corticospinal & Corticobulbar fibers occupy genu & anterior 2/3rds of posterior limb • Frontopontine fibers & thalamocortical fibers in anterior limb • Injury at this level causes hemiplegia
Applied aspects • Hemiplegia • • UMN lesions • • Pseudobulbar palsy •