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Ascending tracts
Dorsal column pathways
精細觸覺(2-point discrimination)、震盪、壓、有意識本體覺(proprioception)
Fasciculus cuneatus (upper trunk T6以上靠外側)
1‘DRG>Post. Column
2’同側faciculus cuneatus
2’軸突:internal arcade fibers在 medulla的sensory decision 跨到對側contralateral繼續上行改叫:medial lemniscus
3’Thalamus中的ventral posterolateral nucleus (VPL)
終點:post central gurus in cerebral cortex
Fasciculus gracilis(lower trunk T7以下靠內側)
1’DRG>Post. Column
2’同側Fasciculus gracilis
2’軸突internal arcuate fibers>對側Contralateral >medial lemnisus
3’talamus中的VPL
終點:postcentral gyrus in cerebral cortex
Spinothalamic/anterolateral pathways
Lateral spinothalamic
Pain、temperature
1’DRG
2‘dorsal horn的lamina 1、2、4、5
跨到對側Lateral spinothalamic tract
3’thalamus的ventral posterolateral nucleus
終點:(cerebral cortex)postcentral gyrus
Anterior/ventral spinothalamic
1’DRG
2’灰質區(dorsal horn)的lamina1、2、、4、5
跨到對側anterior spinothalamic tract
3’thalamus的ventral posteriolateral nucleus
終點:(cerebral cortex)postcentral gyrus
crude touch、pressure
Spinocerebellar
Unconscious proprioception
Anterior spinocerebellar
1’DRG
2’dorsal horn的dorsal nucleus (5、6 laminae)
交叉到對側anterior lateral column
終點 經superior cerebella peduncle進小腦,部分纖維cross back
Dorsal is nucleus C8-L3/4才有
Posterior spinocerebellar
1’DRG
2’dorsal horn的dorsal nucleus (5、6 laminae)
同側posterior lateral column
終點 經inferior cerebella peduncle進小腦
Dorsal is nucleus C8-L3/4才有
Cuneocerebellar (posterior external arcuate fiber)
C8以上同側無意識本體
輔助spinocerebellar tract不足
1‘DRG
2’medulla 中的accessory cuneatus nucleus
脊髓上升路徑:同側Fasciculus cuneatus
終點:經下小腦角inferior cerebellar peduncle到達小腦
Descending tracts
Direct(pyramidal) tract
Corticospinal tract
Lateral corticospinal tract(90%)
Anterior corticospinal tract(10%)
Corticobulbar tract
Indirect(extrapyramidal) tract
Vestibulospinal
Reticulospinal
Rubrospinal
Tectospinal