Tract Site of Origin Site of Decussation Levels Of

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    TractSite of Origin Function

    ateral Motor Systems

    ateral Corticospinal Tract

    Rubrospinal Tract

    Cervical cord

    edial Motor Systems

    Anterior cortiospinal tract

    teral Vestibulospinal Tra

    entire cord

    none

    Site of decussation(crossing over)

    Levels of Termination

    Primary motor cortex - B4

    (33%)premotor cortex - B6

    (33%),somatosensory cortex -

    B3,1,2 (33%)

    Pyramidal decussation at

    the cervicomedullaryjunction (medulla/SC)(90% of fibers cross)

    Entire Cord -

    predominately at cervicaland lubosacralenlargements

    Movement of Contrala

    Limbs - rapid, dextrouat individual digits or j(voluntary, skilled mvm

    Lesion ABOVEpyramidal dec= contraweakness/LesionBELOW=Ipsilateral we

    Red nucleus,magnocellular division

    red nuc receives inputfrom cerebral cortex andcerebellar nuclei

    Ventral tegmentaldecussation -midbrain

    Movement of contralatlimbs (function uncert

    humans) excitesneurons innervating flmm in proximal limb

    Primary motor cortexand..

    Tract runs to terminalLMN ipsilaterally and alsocrosses thru the ventralwhite commissure to thecontralateral side at thesame level. = bilateraleffects

    cervical and upperthoracic cord

    Control of bilateral axigirdle muscles

    lateral vestibular nucleus(pons)

    none - projectsipsilaterally only

    maintain upright postbalance by exciting ex

    of mainly the legs

    medial vestibular nucleus cervical and uppper 1.) adjusts head posit

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    ppp j p

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