Anatomy books

Monday, November 9, 2020

Summary of Somatosensory pathways: lateral & anterior spinothalamic tract and tract of gall and cuneatus

Summary of Somatosensory pathways

The somatosensory system is a part of the sensory nervous system.

It  is a complex system of sensory neurons and neural pathways that responds to changes at the external environment or inside the body.

The axons (as afferent nerve fibers) of sensory neurons has two part peripheral and center part. Terminal portion of peripheral portion of axon of sensory neuron is converted into receptors.

 Sensory receptors are found all over the body including the skin, epithelial tissues, muscles, bones and joints, internal organs, and the cardiovascular system.

Touch is a crucial means of receiving information. This photo shows tactile markings identifying stairs for visually impaired people.

Somatic senses are sometimes referred to as somesthetic senses, with the understanding that somesthesis includes the sense of touch, proprioception (sense of position and movement), and (depending on usage) haptic perception

The mapping of the body surfaces in the brain is called somatotopy. In the cortex, it is also referred to as the cortical homunculus. This brain-surface ("cortical") map is not immutable, however. Dramatic shifts can occur in response to stroke or injury.

Our nervous system deal two types of sensation conscious and unconscious . this article summarized the main somatosensory pathways 


Topics

Lateral spino-thalamic tract  

Anterior spinothalamic tract

Tract of gracilis & cuneatus

Sensation

Pain and temperature

Light touch and pressure

Discriminative touch, vibration , conscious muscle joint sense

Receptor

Free nerve ending

Free nerve ending

Meissners corpuscles, pacinian corpuscles, muscle spindles , tendon organ

1st order neuron

Posterior root ganglion

Posterior root ganglion

Posterior root ganglion

2nd order neuron

Substantia getalinosa

Substantia getalinosa

Nuclei gracilis and nuceatus

3rd order neuron

Ventral posterior lateral nucleus of thalamus

Ventral posterior lateral nucleus of thalamus

Ventral posterior lateral nucleus of thalamus

Related with Spinal lamniscus

Present

Present

Absent

Related with Medial lamniscus

Absent

Absent

Present

Destination

Post central gyrus

Post central gyrus

Post central gyrus

 

Lesion

Contra-lateral loss of pain and thermal sensibilities below the level of the lesion

Unable to sense pin prick or recognize hot or cold objects

Contra-lateral loss of light touch and pressure  sensibilities below the level of the lesion.

Discriminative touch will be present but unable to feel light touch of cotton placed against the skin  

Ipsilateral loss of muscle and joint sensation, two point discrimination and vibration  below the level of lesion but sense of light touch is unaffected

Movement are jerky or ataxic

 

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