Spinal cord ascending tracts

All ascending tracts cross to the opposite side of the CNS. For example, sensory input entering the left side of the spinal cord ultimately terminates on the right side of the cerebral cortex. These tracts may cross — at the level of entry into the spinal cord a few segments above the level of entry or within the medulla of the brainstem. The locations of specific ascending tracts are illustrated in Figure 7.2 and a summary of their functions is found in Table 7.1. 

Figure 7.2 Ascending and descending tracts in white matter of the spinal cord. Tracts are formed of bundles of neuronal axons that transmit similar types of information.

Table 7.1 Ascending and Descending Tracts in White Matter of the Spinal Cord...

Stimulation of a nociceptor in the periphery of the body elicits action potentials in the first-order neuron, which transmits the signal to the second-order neuron in the dorsal horn of the spinal cord. From the spinal cord, the signal is transmitted to several regions of the brain. The most prominent ascending nociceptive pathway is the spinothalamic tract. Axons of the second-order sensory neurons project to the contralateral (opposite) side of the spinal cord and ascend in the white matter, terminating in the thalamus (see Figure 8.1). The thalamus contributes to the basic sensation or awareness of pain only it cannot determine the source of the painful stimulus. 

If a spinal cord is cross-sectioned, the gray matter appears as a roughly H-shaped area in its middle which is, divided into dorsal (posterior), lateral, and ventral (anterior) horns. The horns are interconnected by a crossbar, the gray commissure. The rest of the spinal cord is the white matter, made up largely of tracts of myelinated nerve fibers (axons). Ascending tracts carry afferent sensory impulses towards the brain, descending tracts transmit motor impulses from the brain to the motor neurons in the ventral or lateral horns of the gray matter. 

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