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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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