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Funiculus
Big bundle of white matter
Dorsal Funicili
Important for discriminative sensation.
Info from periphery up spinal cord to brain
Gracile Fasciculus + Cuneate Fasciculus.
Gracile Fasciculus (Dorsal Funicili)
Info related to lower limbs
Info from toe is closest to midline, higher up is further away from midline
Cuneate Fasciculus (Dorsal Funicili)
Info related to torso & upper limbs.
Info from fingers is closer to the midline than shoulders
Lateral Funiculus/Motor Column
Info from brain down spinal cord to activate muscle
Ventral Funiculus
Pain & temperature info from the periphery up the spinal cord to brain
Spinal Cord Grey Matter Principle
Front related to motor type info
Back related to sensory info
Substantia Gelatinosa
Unmyleinated & transparent
Lots of opoid receptors
Proprioception (discriminative sensation)
Where is the body in space physically & what can be felt on the periphery of the body.
Nucleus Proprius
Responsible for proprioception.
Can integrated info from thousands of neurons into one axon to the brain due to being the same info type.
Allows spinal cord to be smaller
Worse for more precise/fine movements
Intermediate Horn
Autonomic functions, visceral functions (gut movements) & related to posture
Lower Motor Neuron Pool
Where motor neurones that will drive motor activity are localised
Myotatic/Monosynaptic Reflex:
Neurone → dorsal root ganglia → nucleus proprius → lower motor neuron pool and with a single synapse → muscle
Required for quick reflexes & automatic, quick movements like running (rapid flexion & extension)
Reflex
Something happens in the spinal cord & the brain isn’t working on
Thalamus
Constantly receives info from the periphery & decides what is prioritised based on experience. (except olfactory system)
Sends info received from medial lemniscus → internal capsule → 1° sensory cortex.
Pain > discriminative sensation.
Internal Capsule
White matter
Commisure
Left to right white matter
Spinothalamic Tract (Pain & Temperature Pathway)
Sends pain & temp info from fibres into dorsal root ganglia → SG (synapse) → cross over immediately at the spinal segmental level at ventral anterior white commissure → ventral funiculus → thalamus → representative homcunculus in sensory cortex.
Medial Lemniscal System (Pathway of Discriminative Sensation) [LEG]
Sends discriminative sensation info from fibres into dorsal root ganglia → Cuneate fasciculus→ decussation at internal arcuate fibres → medial lemniscus → pons → midbrain → internal capsule → homcunculus representation in sensory cortex.
Medial Lemniscal System (Pathway of Discriminative Sensation) [ARM]
Same as LEG version but Gracile fasciculus
Medial Lemniscal System (Pathway of Discriminative Sensation) [Nucleus Proprius]
Dorsal root ganglia → nucleus proprius → Gracile/Cuneate Fasciculus
Polysynaptic/Withdrawal Reflex Pathway
Pain & temp info from fibres into dorsal ganglia → SG → lower motor neuron pool → muscle
Polysynaptic/Withdrawal Reflex:
Pulling hand quickly away from hot temp/pain.
Slower due being used less often.
Which Reflex is faster (Monosynaptic vs Polysynaptic Reflex)
Monosynaptic reflex is faster due to a single synapse & heavy myelination compared to polysynaptic reflex
Associative Sensory Loss
Lesion on the left side of the brain/brain stem of the pain & temperature/discriminative sensation pathway would result in right side loss of touch & pressure & pain & temperature.
Dissociative Sensory Loss
Lesion on the left side of the brain/brain stem of the pain & temperature/discriminative sensation pathway would result in left side loss of touch & pressure & right side loss of pain & temperature.
E.g brown-squad syndrome.
Discriminative Pathway (Touch & Pressure)
Myelination: Heavily
Conduction Speed: 50m/s
Function: Discriminative
1st Neuron Terminates at: Cuneate fasciculus, gracile fasciculus, nucleus proprius
Deccusates at: Internal Arcuate Fibres
Non-discriminative Pathway (Pain & Temperature)
Myelination: No
Conduction Speed: 1m/s
Function: Pain & Temperature
1st Neuron Terminates at: SG
Deccusates at: Ventral Anterior White Commisure