Corticospinal tract

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Corticospinal tract
1426 Corticospinal Pathway.jpg
Corticospinal pathway
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Identifiers
Latin tractus corticospinalis
FMA 265580
Anatomical terms of neuroanatomy

The corticospinal tract is a white matter motor pathway starting at the cerebral cortex that terminates on lower motor neurons and interneurons in the spinal cord, controlling movements of the limbs and trunk. [1] There are more than one million neurons in the corticospinal tract, and they become myelinated usually in the first two years of life.

Contents

The corticospinal tract is one of the pyramidal tracts, the other being the corticobulbar tract.

Anatomy

The corticospinal tract originates in several parts of the brain, including not just the motor areas, but also the primary somatosensory cortex and premotor areas. [1] Most of the neurons originate in either the primary motor cortex (precentral gyrus, Brodmann area 4) or the premotor frontal areas. [2] [3] About 30% of corticospinal neurons originate in the primary motor cortex, 30% more in the premotor cortex and supplementary motor areas, with the remaining 40% distributed between the somatosensory cortex, the parietal lobe, and cingulate gyrus. [4] These upper motor neurons originate in layer V pyramidal cells of the neocortex, [1] and travel through the posterior limb of the internal capsule in the forebrain, to enter the cerebral crus at the base of the midbrain. Then both tracts pass through the brain stem, from the pons and then to the medulla. [2] The corticospinal tract, along with the corticobulbar tract, form two pyramids on either side of the medulla of the brainstem—and give their name as pyramidal tracts. [1] Corticospinal neurons synapse directly onto alpha motor neurons for direct muscle control.

Betz cells are very large cells that are very visible under a microscope, and while they account for only about 5% of cells projecting to the spinal cord, they are often considered most crucial for communication of motor signals. [2] These cells are notable because of their rapid conduction rate, over 70m/sec, the fastest conduction of any signals from the brain to the spinal cord. [4]

There are two divisions of the corticospinal tract, the lateral corticospinal tract and the anterior corticospinal tract. The lateral corticospinal tract neurons cross the midline at the level of the medulla oblongata, and controls the limbs and digits. [1] [3] The lateral tract forms about 90% of connections in the corticospinal tract; [2] the vast majority cross over in the medulla, while the rest (about 2-3%) remain ipsilateral. The anterior corticospinal tract neurons, the remaining 10%, stay ipsilateral in the spinal cord but decussate at the level of the spinal nerve in which they exit, and control the trunk, shoulder and neck muscles. [1]

Function

The primary purpose of the corticospinal tract is for voluntary motor control of the body and limbs.

However, connections to the somatosensory cortex suggest that the pyramidal tracts are also responsible for modulating sensory information from the body. [1]

Because most (75-80%) of the connections cross the midline at the level of the medulla and others at the level of the spinal cord, each side of the brain is responsible for controlling muscles on the opposite side of the body. [1]

After patients are lesioned in some part of the pyramidal tracts, they are paralyzed on the corresponding side of the body. However, they can re-learn some crude, basic motions, just no fine movements. [2]

This implies that the connections to these tracts are crucial for fine movement, and only partial recovery is possible if they are damaged.

Related Research Articles

The motor system is the set of central and peripheral structures in the nervous system that support motor functions, i.e. movement. Peripheral structures may include skeletal muscles and neural connections with muscle tissues. Central structures include cerebral cortex, brainstem, spinal cord, pyramidal system including the upper motor neurons, extrapyramidal system, cerebellum, and the lower motor neurons in the brainstem and the spinal cord.

<span class="mw-page-title-main">Brainstem</span> Posterior part of the brain, adjoining and structurally continuous

The brainstem is the posterior stalk-like part of the brain that connects the cerebrum with the spinal cord. In the human brain the brainstem is composed of the midbrain, the pons, and the medulla oblongata. The midbrain is continuous with the thalamus of the diencephalon through the tentorial notch, and sometimes the diencephalon is included in the brainstem.

<span class="mw-page-title-main">Extrapyramidal system</span> Spinal cord

In anatomy, the extrapyramidal system is a part of the motor system network causing involuntary actions. The system is called extrapyramidal to distinguish it from the tracts of the motor cortex that reach their targets by traveling through the pyramids of the medulla. The pyramidal tracts may directly innervate motor neurons of the spinal cord or brainstem, whereas the extrapyramidal system centers on the modulation and regulation of anterior (ventral) horn cells.

<span class="mw-page-title-main">Internal capsule</span> White matter structure situated in the inferomedial part of each cerebral hemisphere of the brain

The internal capsule is a white matter structure situated in the inferomedial part of each cerebral hemisphere of the brain. It carries information past the basal ganglia, separating the caudate nucleus and the thalamus from the putamen and the globus pallidus. The internal capsule contains both ascending and descending axons, going to and coming from the cerebral cortex. It also separates the caudate nucleus and the putamen in the dorsal striatum, a brain region involved in motor and reward pathways.

<span class="mw-page-title-main">Neural pathway</span> Connection formed between neurons that allows neurotransmission

In neuroanatomy, a neural pathway is the connection formed by axons that project from neurons to make synapses onto neurons in another location, to enable neurotransmission. Neurons are connected by a single axon, or by a bundle of axons known as a nerve tract, or fasciculus. Shorter neural pathways are found within grey matter in the brain, whereas longer projections, made up of myelinated axons, constitute white matter.

<span class="mw-page-title-main">Pyramidal tracts</span> Include both the corticobulbar tract and the corticospinal tract

The pyramidal tracts include both the corticobulbar tract and the corticospinal tract. These are aggregations of efferent nerve fibers from the upper motor neurons that travel from the cerebral cortex and terminate either in the brainstem (corticobulbar) or spinal cord (corticospinal) and are involved in the control of motor functions of the body.

<span class="mw-page-title-main">Spinothalamic tract</span> Sensory pathway from the skin to the thalamus

The spinothalamic tract is a part of the anterolateral system or the ventrolateral system, a sensory pathway to the thalamus. From the ventral posterolateral nucleus in the thalamus, sensory information is relayed upward to the somatosensory cortex of the postcentral gyrus.

<span class="mw-page-title-main">Dorsal column–medial lemniscus pathway</span> Sensory spinal pathway

The dorsal column–medial lemniscus pathway (DCML) is a sensory pathway of the central nervous system that conveys sensations of fine touch, vibration, two-point discrimination, and proprioception (position) from the skin and joints. It transmits information from the body to the primary somatosensory cortex in the postcentral gyrus of the parietal lobe of the brain. The pathway receives information from sensory receptors throughout the body, and carries this in nerve tracts in the white matter of the dorsal column of the spinal cord to the medulla, where it is continued in the medial lemniscus, on to the thalamus and relayed from there through the internal capsule and transmitted to the somatosensory cortex. The name dorsal-column medial lemniscus comes from the two structures that carry the sensory information: the dorsal columns of the spinal cord, and the medial lemniscus in the brainstem.

<span class="mw-page-title-main">Corticobulbar tract</span> Motor pathway in the brain connecting the motor cortex to the medullary pyramids

In neuroanatomy, the corticobulbartract is a two-neuron white matter motor pathway connecting the motor cortex in the cerebral cortex to the medullary pyramids, which are part of the brainstem's medulla oblongata region, and are primarily involved in carrying the motor function of the non-oculomotor cranial nerves. The corticobulbar tract is one of the pyramidal tracts, the other being the corticospinal tract.

<span class="mw-page-title-main">Upper motor neuron</span> Neurons in the brain that carry signals to lower motor neurons

Upper motor neurons (UMNs) is a term introduced by William Gowers in 1886. They are found in the cerebral cortex and brainstem and carry information down to activate interneurons and lower motor neurons, which in turn directly signal muscles to contract or relax. UMNs in the cerebral cortex are the main source of voluntary movement.

<span class="mw-page-title-main">Precentral gyrus</span> Motor gyrus of the posterior frontal lobe of the brain

The precentral gyrus is a prominent gyrus on the surface of the posterior frontal lobe of the brain. It is the site of the primary motor cortex that in humans is cytoarchitecturally defined as Brodmann area 4.

<span class="mw-page-title-main">Spinocerebellar tract</span>

The spinocerebellar tract is a nerve tract originating in the spinal cord and terminating in the same side (ipsilateral) of the cerebellum.

<span class="mw-page-title-main">Vestibulospinal tract</span>

The vestibulospinal tract is a neural tract in the central nervous system. Specifically, it is a component of the extrapyramidal system and is classified as a component of the medial pathway. Like other descending motor pathways, the vestibulospinal fibers of the tract relay information from nuclei to motor neurons. The vestibular nuclei receive information through the vestibulocochlear nerve about changes in the orientation of the head. The nuclei relay motor commands through the vestibulospinal tract. The function of these motor commands is to alter muscle tone, extend, and change the position of the limbs and head with the goal of supporting posture and maintaining balance of the body and head.

<span class="mw-page-title-main">Lateral corticospinal tract</span>

The lateral corticospinal tract is the largest part of the corticospinal tract. It extends throughout the entire length of the spinal cord, and on transverse section appears as an oval area in front of the posterior column and medial to the posterior spinocerebellar tract.

<span class="mw-page-title-main">Anterior corticospinal tract</span>

The anterior corticospinal tract is a small bundle of descending fibers that connect the cerebral cortex to the spinal cord. Descending tracts are pathways by which motor signals are sent from upper motor neurons in the brain to lower motor neurons which then directly innervate muscle to produce movement. The anterior corticospinal tract is usually small, varying inversely in size with the lateral corticospinal tract, which is the main part of the corticospinal tract.

<span class="mw-page-title-main">Alpha motor neuron</span>

Alpha (α) motor neurons (also called alpha motoneurons), are large, multipolar lower motor neurons of the brainstem and spinal cord. They innervate extrafusal muscle fibers of skeletal muscle and are directly responsible for initiating their contraction. Alpha motor neurons are distinct from gamma motor neurons, which innervate intrafusal muscle fibers of muscle spindles.

<span class="mw-page-title-main">Medullary pyramids (brainstem)</span> White matter structures within the brainstems medulla oblongata

In neuroanatomy, the medullary pyramids are paired white matter structures of the brainstem's medulla oblongata that contain motor fibers of the corticospinal and corticobulbar tracts – known together as the pyramidal tracts. The lower limit of the pyramids is marked when the fibers cross (decussate).

<span class="mw-page-title-main">Spinal cord</span> Long, tubular central nervous system structure in the vertebral column

The spinal cord is a long, thin, tubular structure made up of nervous tissue, which extends from the medulla oblongata in the brainstem to the lumbar region of the vertebral column (backbone). The backbone encloses the central canal of the spinal cord, which contains cerebrospinal fluid. The brain and spinal cord together make up the central nervous system (CNS). In humans, the spinal cord begins at the occipital bone, passing through the foramen magnum and then enters the spinal canal at the beginning of the cervical vertebrae. The spinal cord extends down to between the first and second lumbar vertebrae, where it ends. The enclosing bony vertebral column protects the relatively shorter spinal cord. It is around 45 cm (18 in) long in adult men and around 43 cm (17 in) long in adult women. The diameter of the spinal cord ranges from 13 mm in the cervical and lumbar regions to 6.4 mm in the thoracic area.

<span class="mw-page-title-main">Primary motor cortex</span> Brain region

The primary motor cortex is a brain region that in humans is located in the dorsal portion of the frontal lobe. It is the primary region of the motor system and works in association with other motor areas including premotor cortex, the supplementary motor area, posterior parietal cortex, and several subcortical brain regions, to plan and execute voluntary movements. Primary motor cortex is defined anatomically as the region of cortex that contains large neurons known as Betz cells, which, along with other cortical neurons, send long axons down the spinal cord to synapse onto the interneuron circuitry of the spinal cord and also directly onto the alpha motor neurons in the spinal cord which connect to the muscles.

References

  1. 1 2 3 4 5 6 7 8 Kolb, B. & Whishaw, I. Q. (2009). Fundamentals of human neuropsychology: Sixth edition. New York, NY: Worth Publishers.
  2. 1 2 3 4 5 Purves, D. et al. (2012). Neuroscience: Fifth edition. Sunderland, MA: Sinauer Associates, Inc.
  3. 1 2 Kolb, B. & Whishaw, I. Q. (2014). An introduction to brain and behavior: Fourth edition. New York, NY: Worth Publishers.
  4. 1 2 Hall, Arthur C. Guyton, John E. (2005). Textbook of medical physiology (11th ed.). Philadelphia: W.B. Saunders. pp. 687–690. ISBN   978-0-7216-0240-0.