Clinical Neuro Unit 7

Tectospinal Tract origin

In terms of LCT, lesions ABOVE the Pyramidal decussation will cause weakness to what side

Quick Review: Which system releases norepinephrine as its PostGanglonic neuron?

Spinal Muscular Atrophy affects ______

Atrophy is a cause of which

ALS affects just the LMN's.

Provides 1/3 blood supply to the spine

T or F. ACT is commonly used for postural control of muscles like the head and neck

Provides 2/3 blood supply to the spine

Vestibulospinal Tracts origin

Just review again

An ALS pt may complain of dropping objects at home

When talking about DCML the legs are more

Automatic posture and gait related movements

SEVERAL radicular arteries also assist with supplying the spinal cord. True or false

Where does the reticulospinal tract terminate?

This art of the VST focuses more on the maintenance of head and neck tone

Which makes up the medial motor system

UPN lesions causes an INCREASE in tone. T or F

The neurons that tell the body what and how to move originate where?

Lesions here would drastically effect our DCML and ASL

Between the 6 total medial motor system tracts, which ones have 2

Onset of age for MS

What part of the VST terminates in the entire cord?

Weakness is a cause of which

T or F. Primary sensory cortex is efferent

Slow and continually worsen through time. DO NOT have periods of resolution of symptoms

The LCST descends through the _____ of the midbrain

Descending motor pathways are divided how, based off the location in the spinal cord

A lesion at the T 10 Transverse Cord can present how

Muscles that deal with with extension tend to be....

Where is the primary motor cortex located?

Where does the rubrospinal tract originate from?

What is the least common type of MS

the most clinically important descending motor pathway in the nervous system

The LCST descends through the basis portis of the pons. T or F

Where is the most white matter?

Quick check: What is the vulnerable zone again?

Autoimmune of CNS myelin, with no known cause

Reticulospinal Tract orign

Match motor association cortex with its correct brodmann's area

Which innervates the skeletal muscle

ANOTHER REVIEW: Which means no movement

Any lesion of the anterior cerebral artery would cause deficits where?

MS pts require an interdisciplinary approach during their remitting phase more than relapsing p

The pts dorsal columns are not in tact in Anterior Cord Syndrome. T or F

Degradation of myelin causes insulation of nerve conduction leading to what

Where is the primary sensory cortex located?

MS affects ppl in all but which (types of phases)

An MS pt would prob be on which medications

Quick Review: Fight or Flight is a component of the _______

T or F. ACT is commonly used for voluntary motions

Quick review: How many tracts does the lateral motor system have?

controls voluntary, fine, skilled movements of extremities (distal movements)

What part of the VST terminates in the cervical/upper thoracic cord?

Match the Primary Sensory Cortex with its correlated brodmann's area

Which RST descends BILATERALLY through the entirecord to enter anterior horn to synapse on MLMN

Begins as relapse remitting then later stages becomes progressively worse through time

Anterior Cord syndrome is caused by which

The somatosensory association cortex is in what lobe?

Muscles that deal more with our distal limbs are more....

A transverse cord section of T10 would result in

Quick Review: Rest and Digest is a component of the _______

Identify the red

LMN lesion causes an INCREASE Reflex. T or F

The pt has damage at the C1 level. What can we expect

Primary Lateral Sclerosis affects _____

Where does the lateral corticospinal tract originate?

Quick Review: (T or F) The SNS has long preganglionic fibers.

LCT site of decussation

Identify the blue

(T or F) LCT unique contribution is to activate muscles dependently of other muscles

Muscles that deal with with flexion tend to be

In terms of LCT, lesions BELLOW the pyramidal decussation will cause weakness to what side

(Image C) Central Cord syndrome is a result of a tumor that is growing centrally around

descends bilaterally

Within the ALS the legs are

Which NM disorder displays both U/LMN signs and symptoms throughout the disease progression

What is the motor association cortex made up of?

The medial motor system has how many tracts

lateral corticospinal tract terminates where

Fasciculations is a cause of which?

With posterior cord syndrome a pt will have complete loss of touch/feeling sensation. T or F

contains motor nuclei that sends axons out via ventral nerve root filaments

Lesions at the primary motor cortex would cause motor deficits where

T10 hemi cord (stabbing or bullet) lesion results in a lesion to which

Which is a branch of BOTH the vertebral and PICA

Lesions in the somatosensory association cortex results in SEVERE sensory loss. T or F

Both the LCST and the Rubospinal Tract originate in the Telencephalon. T or F

Lesion in B6 causes what kind of impairments

RST can be broken down into what 2 domains

Someone with MS will have plaques where the white matter is. T or F

Provides major blood supply to lumbar and sacral cord

What is the cause of the attack on the nerves in ALS

Where is the Great Radicular artery of Adamkiewicz usually located

Lesions here would cause severe sensory deficits of the contralateral side of the body and face

Where does the MVST originate?

Rubrospinal tract site of decussation

Just review LCT pathway

Our main intervention for a pt with MS should be to do all but which

How many neuron pathways does the lateral corticospinal tract have?

Where does the LVST originate?

The Vestibulospinal tracts terminates in both the cervical/upper thoracic cord + entire cord

Muscles that deal more with our trunk or axis are more....

coordination of hand and eye movement

Overall function of the lateral corticospinal tract?

Rubrospinal tract terminates where

Where are the motor neurons the biggest in the spine

(Image D) Central Cord syndrome is a result of a tumor that is growing centrally around

Where is the vulnerable zone of the spine located at, due to lack of radicular arteries

When talking about the corticospinal tract, the legs are USUALLY.....

In LCT, whcih neuron is known as the alpha neuron?

Match Primary motor cortex with its correct Brodmann's area

Which makes up the lateral motor system?

The LCST descends through the _____ limb of the internal capsule

LMN's are second in command. T or F

ALS is most common in what group

Descends ipsilateral balance for the whole body

The main cause of demise when diagnosed with ALS

You see your mother. You hear her voice. You have no idea who is talking to you. This is an ex

Where does the tectospinal tract terminate?

Has periods of resolution of symptoms despite a continually worsening disease trajectory

Amyotrophic Lateral Sclerosis (ALS)

Match correctly

position of the head and neck, plus helps balance is the Vestibulospinal Tract, match correct

control of bilateral and axial girdle muscles

An automimmune and chronic inflammatory disease

The only medial motor system that dessicates

Commonly known as Lou Gehrigs Disease

Where does the anterior corticospinal tract terminate

Quick Review: What is the main PreGanglionic NT for both sympathetic and parasympathetic?

Overall function of the rubrospinal tract

A lesion in B5, B7 would cause what defecit

Anterior corticospinal tract origin

(T or F) RST is NOT involved in posture and gait related movements

Periods of exacerbation that resolve, worsen in intensity through time

The rubrospinal tract originates then dessucates immeditely in the midbrain. T or F

There are specific blood markers that can be used to test for ALS

Thats right MotherTucker! palsy can mean both

Inflame signals trigger the degradation of myelin

What is the most common type of MS

MVST is the most important VST. T or F

Lesions of middle cerebral artery would cause deficits where?

Where does the tectospinal tract dessusate

LCT has 2 neuron pathways, which sets are correct

Posterior Cord Syndrome is a result of a lesion where?

Match the somatosensory association cortex with its correct brodmann's area

T or F. ACT goes through all levels of the spinal cord?

Which means WEAKNESS (partial paralysis)

Where does LMN reside