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Neuro Atlas

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NEUROPHYSIOLOGY<br />

Sensory Pathways: I<br />

Cerebral cortex:<br />

postcentral gyrus<br />

Posterior limb of<br />

internal capsule<br />

Ventral posterolateral<br />

(VPL) nucleus of<br />

thalamus<br />

Mesencephalon<br />

(cerebral peduncles)<br />

Medial lemniscus<br />

Spinothalamic tract<br />

Gracile nucleus<br />

Cuneate nucleus<br />

Lower part of<br />

medulla oblongata<br />

Reticular formation<br />

Cervical part<br />

of spinal cord<br />

Lateral<br />

spinothalamic tract:<br />

pain, temperature<br />

Ventral (anterior)<br />

spinothalamic tract:<br />

touch, pressure<br />

Fasciculus gracilis<br />

Fasciculus cuneatus<br />

Dorsal (posterior) spinal<br />

root ganglion<br />

Proprioception,<br />

position<br />

Touch,<br />

pressure,<br />

vibration<br />

Pain,<br />

temperature<br />

Lateral cervical nucleus<br />

Spinocervical tract<br />

Large<br />

myelinated<br />

fibers<br />

Small<br />

myelinated<br />

and unmyelinated<br />

fibers<br />

Lumbar part<br />

of spinal cord<br />

©<br />

FIGURE 2.29<br />

SOMESTHETIC SYSTEM OF THE BODY •<br />

Pain, temperature, and pressure sensations below the head ultimately<br />

are conveyed to the primary somatosensory cortex (postcentral<br />

gyrus) by the anterolateral system (spinothalamic and spinoreticular<br />

tracts). The fasciculus gracilis and cuneatus of the spinal<br />

lemniscal system convey proprioceptive, vibratory, and tactile sensations<br />

to the thalamus (ventral posterolateral nucleus), whereas<br />

the lateral cervical system mediates some touch, vibratory, and<br />

proprioceptive sensations (blue and purple lines show these dual<br />

pathways). Ultimately, these fibers ascend as parallel pathways to<br />

the thalamus, synapse, and ascend to the cortex.<br />

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