

| DORSAL COLUMN - MEDIAL LEMNISCAL |
| Proprioception, Fine touch Fasciculus gracilis & cuneatus Lower medulla synapse at nucleus gracilis & cuneatus Medullary decussation - internal arcuate fibers Medial lemniscus - VB thalamus - 3, 1, 2 cortex |
| ANTEROLATERAL SYSTEM - LATERAL SPINOTHALAMIC |
| Pain, Temperature & Crude Touch Ascent in dorsolateral fsciculus or synapse at dorsal horn - decussation in ant. white commissure of cord Spinothalamin/anterolateral tract - VB thal - 3, 1, 2 cortex Send collaterals to the reticular formation |
| LATERAL CORTICOSPINAL TRACT - PYRAMIDAL |
| Fractioned & independent movement/distal flexors Cerebral cortex 4, 6, 3, 1, 2, 5 - internal capsule - basis pedunculi diverge at pons - medullary pyramids - decussation of pyramids 90% - lat. corticospinal OR 10% no decussation - anterior corticospinal (cross at cord) Synapse in ventral/dorsal/intermed horns |
| Brain |
|
Frontal, Parietal, Occipital and Temporal lobes |
| Ventricles and CSF |
| Produced by the choroid plexus in the lateral, 3rd and
4th ventricles. Foramen of Munro: lateral ventricle to 3rd Aqueduct of Sylvius: 3rd ventricle to 4th ventricle Hydrocephalus: increased volume of ventricles with increase in CSF caused by obstruction to CSF flow or cortical atrophy leading to hydrocephalus ex vacuo. |