Chapter 8 - Ascending and Descending Pathways in the Spinal Cord

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Abstract

The white matter of the spinal cord is made up of the long ascending and descending spinal pathways to and from the brain and the spinal cord, and the spinal propriospinal pathways. Ascending pathways in the dorsal funiculus are the gracile and cuneate fasciculi, and the postsynaptic dorsal column pathway. The ventrolateral funiculus of the spinal cord contains the spinothalamic, spinocervico-thalamic, spinoreticular, spinomesencephalic (including spinotectal), spino-olivary, spinoparabrachial, spinohypothalamic, and spinocerebellar pathways. Nudo and Masterton identified 27 brain centers that give rise to descending tracts which reach the spinal cord. They showed that the largest tracts arose from the cerebral cortex (corticospinal), red nucleus (rubrospinal), vestibulospinal, and the hindbrain reticular formation. Smaller descending tracts arise from the hypothalamus (paraventricular nucleus), prethalamus (zona incerta), pretectum (nucleus of Darkschewitsch), midbrain (superior colliculus, periaqueductal gray, supraoculomotor nucleus, interstitial nucleus of Cajal, cuneiform nucleus), and hindbrain (parabigeminal nucleus, medial cerebellar nucleus, locus coeruleus, subcoeruleus nuclei, nucleus gigantocellularis, raphe nuclei, and the nucleus of the solitary tract).

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