Anatomy and Cell Biology 3319 Lecture Notes - Lecture 9: Dorsal Root Ganglion, Medial Lemniscus, Posterior Grey Column

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Lecture 009: Ascending Sensory Pathways
What we want to know
Origin and where they enter/ascend/terminate in the spinal cord and brain
Where the pathways cross in the midline
What kind of deficit is expected in the sensory system if there is injury to the spinal
cord/brain
Three main Ascending Pathways
1. Dorsal Column/Medial Lemniscus Sensory System
Main
Conscious tactile perception
2. Spinothalamic and Spinoreticular Pathways
○ Pain
3. Spinocerebellar Pathways
Information from spinal cord -> cerebellum
Dorsal Column of the medial Lemniscus System
Discriminative touch
You know what you are touching
Where the touch is, how firm the touch, etc
Pressure and vibration sensation
Conscious join position
CONSCIOUS proprioception
Main pathway from the body
In the cervical spinal cord
information from the upper body enters the dorsal root ganglia -> dorsal horn -> ascends
to the brain
This information does not synapse in the spinal cord
In the lumbar spinal cord
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Sensory information is received from the mixed spinal nerve
The sensory axons split from the motor axons
Those unipolar neurons have their cell bodies located in the dorsal root ganglia
The proximal part of that axon goes into the dorsal horn
Some of the information “stays” within the spinal cord (collaterals)
Synapses on other neurons in the spinal cord (dorsal/ventral horns)
Ex. Stretch reflexes
Other information is sent to the primary somatosensory cortex (cerebral cortex)
This is the major pathway
Information ascends ipsilaterally through the dorsal funiculus
Recall:
Parts of the brain are “mapped” to specific areas of the body
Same thing with the spinal cord
Body is “mapped” to different areas of the spinal cord
Lower body is represented more medial than the upper body in the dorsal funiculus
Gracile fasciculus: lower body
Map exist within this level too!
Cuneate fasciculus: upper body
Mid-torso separate the lower/upper body
Most medial = most caudal
This only applies for information that have not crossed the midline
In the medulla, the cuneate and gracile fasciculate (first order neuron) terminate in the
cuneate and gracile nucleus
First synapses with 2nd order neurons takes place here
2nd afferent nuclei
Leaving the cuneate and gracile nucleus, the information crosses the midline
“Decussation of the medial lemniscus”
Decussation = crossing
medial lemniscus is the fiber pathway in the brain stem carrying the ascending
sensory information of the secondary neurons
The secondary neuron ascends through the pons and midbrain
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Document Summary

Origin and where they enter/ascend/terminate in the spinal cord and brain. Where the pathways cross in the midline. What kind of deficit is expected in the sensory system if there is injury to the spinal cord/brain. Three main ascending pathways: dorsal column/medial lemniscus sensory system. Conscious tactile perception: spinothalamic and spinoreticular pathways. Where the touch is, how firm the touch, etc. Information from the upper body enters the dorsal root ganglia -> dorsal horn -> ascends to the brain. This information does not synapse in the spinal cord. Sensory information is received from the mixed spinal nerve. The sensory axons split from the motor axons. Those unipolar neurons have their cell bodies located in the dorsal root ganglia. The proximal part of that axon goes into the dorsal horn. Some of the information stays within the spinal cord (collaterals) Synapses on other neurons in the spinal cord (dorsal/ventral horns) Other information is sent to the primary somatosensory cortex (cerebral cortex)

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