Such an event could cause a lesion of the descending tracts. muscles (flexors of the arm, and extensors of the leg), via lower motor neurones. Start studying Via piramidal. Via piramidal. FLASHCARDS. LEARN. WRITE donde se cruza la via corticoespinal se cruza, la lesion es en el lado contrario.

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Fig 1 — Schematic of the motor nervous system.

Clinically, it is important to understand the organisation of the corticobulbar fibres. However, not all the cranial nerves receive bilateral input, and so there are a few exceptions:. This information is intended for medical education, and does not create any doctor-patient relationship, and should not be used as a substitute for professional diagnosis and treatment.

Here, they synapse with lower motor neurones, which carry the motor signals to the muscles of the face and neck. As mentioned previously, they particularly vulnerable as oa pass through the internal capsule — a common site of cerebrovascular accidents CVA.

At the termination of the descending tracts, the neurones synapse with a lower motor neurone. Note that this is a simplified diagram, ignoring the bilateral nature of these pathways. Extrapyramidal tract lesions are commonly seen lq degenerative diseases, encephalitis and tumours.

There are two vestibulospinal pathways; medial and lateral. Note the area of decussation of the lateral corticospinal tract in the medulla. The descending tracts are the pathways by which motor signals are sent from the brain to lower motor neurones. The neurones terminate on the motor nuclei of the cranial nerves. The rubrospinal and tectospinal tracts do decussate, and therefore provide contralateral innervation.


After originating from the cortex, the neurones converge, and descend through the internal capsule a white matter pathway, located between the thalamus and the basal ganglia. Upper Motor Neurone Lesion 3.

There are a few exceptions to this rule:. The fibres converge and pass through the internal capsule to the brainstem. They receive the same inputs as the corticospinal tracts. Due to the bilateral nature of the majority sxtrapiramidal the corticobulbar tracts, a unilateral lesion usually results in mild muscle weakness.

The descending tracts are represented by upper motor neurones. They are responsible for the involuntary and automatic control lesionea all musculature, such as muscle tone, balance, posture and locomotion.

January 2, Revisions: Fig 4 — Overview of the right corticobulbar tract. The superior colliculus is a structure that receives input from the optic nerves.

Sindrome Piramidal y Extrapiramidal by Ariel Barahona on Prezi

Such an event could cause a lesion of the descending tracts. By visiting this site you agree to the foregoing terms and conditions.

The corticobulbar tracts provide innervation to the vai of which region of the body? This site uses cookies: The extrapyramidal tracts originate in the brainstemcarrying motor fibres to the spinal cord. Upper Lwsiones Neurone Lesion Upper motor neurone lesions are also known as supranuclear lesions. They then descend into the spinal cord, terminating in the ventral horn at all segmental levels. However, not all the cranial nerves receive bilateral input, and so there are a few exceptions: The tracts convey this balance information to the spinal cord, where it remains ipsilateral.


This pathway begins at the superior colliculus of the midbrain. Fig 3 — The corticospinal tracts.

The Descending Tracts

Sign up Log in. The neurones of the corticospinal tracts descend through which structure? These pathways are responsible for the voluntary control of the musculature of the body and face.

As the fibres emerge, they decussate cross over to the other side of the CNSand descend into the spinal cord. The vestibulospinal and reticulospinal tracts do not decussate, providing ipsilateral innervation.

The lower motor neurones then directly innervate muscles to produce movement.

The Descending Tracts – Pyramidal – TeachMeAnatomy

For example, fibres from the left primary motor cortex act as upper motor neurones for the right and left trochlear nerves. There are no synapses within the descending pathways. The neurones then quickly decussate, and enter the spinal cord.

The medical information on this site is provided as an information resource only, and is not to be used or relied on for any diagnostic or treatment purposes.