Hypothalamospinal tract | |
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Details | |
Identifiers | |
Latin | tractus hypothalamospinalis |
TA98 | A14.1.05.329 |
TA2 | 6098 |
FMA | 77482 |
Anatomical terminology |
The hypothalamospinal tract is an unmyelinated [1] non-decussated [2] descending nerve tract that arises in the hypothalamus and projects to the brainstem and spinal cord to synapse with pre-ganglionic autonomic (both sympathetic and parasympathetic) neurons.
The direct autonomic projections of the hypothalamospinal tract represent a minority of the autonomic output of the hypothalamus; most is thought to project to various relay structures. [3]
The tract originates mainly from the paraventricular nucleus of hypothalamus, [4] [2] with minor contributions from the dorsomedial, ventromedial, and posterior nuclei of hypothalamus, [4] and lateral hypothalamus. [5] [ verification needed ] The neurons of the hypothalamospinal tract receive direct afferents from the ascending nociceptive sensory spinohypothalamic tract to mediate the autonomic response to painful stimuli. [3]
The tract terminates upon pre-ganglionic autonomic neurons in the brainstem, [3] and spinal segments T1-L3 (sympathetic outflow), and S2-S4 (parasympathetic outflow). [1] [3]
The tract descends through the periaqueductal gray, [5] through the dorsal longitudinal fasciculus, [1] and adjacent to the reticular formation. [5] In the brainstem, it descends in the lateral tegmentum of the midbrain, pons, and medulla oblongata. In the spinal cord, it descends in the dorsolateral quadrant of the lateral funiculus. [6]
Fibers of the tract terminating at the spinal segment T1 synapse with second-order neurons which in turn synapse in the superior cervical ganglion with third-order neurons which provide sympathetic innervation to the eyelids, pupil, and skin of the face. [7] The hypothalamospinal tract includes fibres by which the hypothalamus projects to the ciliospinal center in the spinal cord, a part of a brain circuit regulating pupillary dilatation as part of the pupillary reflex. [3]
Lesions of the hypothalamospinal tract above spinal cord level T1 cause ipsilateral Horner's syndrome, which is characterized by a triad of ptosis, miosis, and anhidrosis due to sympathetic denervation of the face. [6]
The autonomic nervous system (ANS), sometimes called the visceral nervous system and formerly the vegetative nervous system, is a division of the nervous system that operates internal organs, smooth muscle and glands. The autonomic nervous system is a control system that acts largely unconsciously and regulates bodily functions, such as the heart rate, its force of contraction, digestion, respiratory rate, pupillary response, urination, and sexual arousal. This system is the primary mechanism in control of the fight-or-flight response.
The sympathetic nervous system is one of the three divisions of the autonomic nervous system, the others being the parasympathetic nervous system and the enteric nervous system. The enteric nervous system is sometimes considered part of the autonomic nervous system, and sometimes considered an independent system.
The solitary nucleus(SN) (nucleus of the solitary tract, nucleus solitarius, or nucleus tractus solitarii) is a series of neurons whose cell bodies form a roughly vertical column of grey matter in the medulla oblongata of the brainstem. Their axons form the bulk of the enclosed solitary tract. The solitary nucleus can be divided into different parts including dorsomedial, dorsolateral, and ventrolateral subnuclei.
The medial longitudinal fasciculus (MLF) is a prominent bundle of nerve fibres which pass within the ventral/anterior portion of periaqueductal gray of the mesencephalon (midbrain). It contains the interstitial nucleus of Cajal, responsible for oculomotor control, head posture, and vertical eye movement.
The accessory cuneate nucleus is a nucleus situated in the caudal medulla oblongata just lateral to the cuneate nucleus. It relays unconscious proprioceptive sensory information from the upper limb and upper trunk to the cerebellum via the cuneocerebellar fibers.
The dorsal longitudinal fasciculus (DLF) is a longitudinal tract interconnecting the posterior hypothalamus, and the inferior medulla oblongata. It contains both ascending tracts and descending tracts, and serves to link the forebrain, and the visceral autonomic centres of the lower brainstem. It conveys both visceral motor signals, and sensory signals.
The nucleus raphe magnus (NRM) is one of the seven raphe nuclei. It is situated in the pons in the brainstem, just rostral to the nucleus raphe obscurus.
The internal carotid plexus is a nerve plexus situated upon the lateral side of the internal carotid artery. It is composed of post-ganglionic sympathetic fibres which have synapsed at the superior cervical ganglion. The plexus gives rise to the deep petrosal nerve.
The superior cervical ganglion (SCG) is the upper-most and largest of the cervical sympathetic ganglia of the sympathetic trunk. It probably formed by the union of four sympathetic ganglia of the cervical spinal nerves C1–C4. It is the only ganglion of the sympathetic nervous system that innervates the head and neck. The SCG innervates numerous structures of the head and neck.
The lateral grey column is one of the three grey columns of the spinal cord ; the others being the anterior and posterior grey columns. The lateral grey column is primarily involved with activity in the sympathetic division of the autonomic motor system. It projects to the side as a triangular field in the thoracic and upper lumbar regions of the postero-lateral part of the anterior grey column.
The gigantocellular reticular nucleus is the (efferent/motor) medial zone of the reticular formation of the caudal pons and rostral medulla oblongata. It consists of a substantial number of giant neurons, but also contains small and medium sized neurons.
The ventral posteromedial nucleus (VPM) is a nucleus of the thalamus and serves an analogous somatosensory relay role for the ascending trigeminothalamic tracts as its lateral neighbour the ventral posterolateral nucleus serves for dorsal column–medial lemniscus pathway 2nd-order neurons.
The spinoreticular tract is a partially decussating (crossed-over) four-neuron sensory pathway of the central nervous system. The tract transmits slow nociceptive/pain information from the spinal cord to reticular formation which in turn relays the information to the thalamus via reticulothalamic fibers as well as to other parts of the brain. Most (85%) second-order axons arising from sensory C first-order fibers ascend in the spinoreticular tract - it is consequently responsible for transmiting "slow", dull, poorly-localised pain. By projecting to the reticular activating system (RAS), the tract also mediates arousal/alertness in response to noxious (harmful) stimuli. The tract is phylogenetically older than the spinothalamic ("neospinothalamic") tract.
The ciliospinal center is a cluster of pre-ganglionic sympathetic neuron cell bodies located in the intermediolateral cell column at spinal cord segment T1-T2
The dorsal trigeminal tract are uncrossed second-order sensory fibers conveying fine (discriminative) touch and pressure information from the dorsomedial division of principal sensory nucleus of trigeminal nerve to the ipsilateral ventral posteromedial nucleus of thalamus. Second-order fibers from the ventrolateral division of the principal sensory nucleus meanwhile cross-over to ascend contralaterally in the ventral trigeminal tract along with those fibers arising from the spinal trigeminal nucleus.
The raphespinal tract is an unmyelinated descending serotonergic tract involved in pain modulation. It is a descending pain-inhibiting pathway; it is a component of the reticulospinal tract.
The ciliary ganglion is a parasympathetic ganglion located just behind the eye in the posterior orbit. Three types of axons enter the ciliary ganglion but only the preganglionic parasympathetic axons synapse there. The entering axons are arranged into three roots of the ciliary ganglion, which join enter the posterior surface of the ganglion.
The interstitial nucleus of Cajal is a collection of neurons in the mesencephalon (midbrain) which are involved in integrating eye position-velocity information in order to coordinate head-eye movements - especially those related to vertical and torsional conjugate eye movements (gaze). It also mediates vertical gaze holding.
The spinohypothalamic tract or spinohypothalamic fibers is a sensory fiber tract projecting from the spinal cord to the hypothalamus directly to mediate reflex autonomic and endocrine responses to painful stimuli (the hypothalamus receives additional indirect nociceptive projections from the reticular formation, and periaqueductal gray. The fibers of this tract synapse with hypothalamic neurons which in turn give rise to the hypothalamospinal tract that mediates the response of the autonomic nervous system to pain.
The spinomesencephalic pathway, spinomesencephalic tract or spino-quadrigeminal system of Mott, includes a number of ascending tracts in the spinal cord, including the spinotectal tract. The spinomesencephalic tract is one of the ascending tracts in the anterolateral system of the spinal cord that projects to various parts of the midbrain. It is involved in the processing of pain and visceral sensations.