Point 1


Intro

Pathway

Deficits

Clinical

Note

Summary

Overview

Problems


Contents

 Anatomy

 

 

Point: 1. Pyramids (corticospinal fibers)

Function:
Motor control of the opposite (contra.) side of the body (arm, trunk, and leg).

Pathway:
Axons from cells in motor cortex course through the internal capsule, cerebral peduncle (midbrain) and the basilar pons to enter the pyramids on the ventral surface of the medulla. In the caudal medulla the fibers decussate (pyramidal dec.) and enter the lateral funiculus of the spinal cord as the lateral corticospinal tract (L.C.S.T.).

Deficits:
Lesion rostral to pyramidal decussation (motor cortex, internal capsule, cerebral peduncle, basilar pons, pyramid of medulla) results in a contra. hemiplegia and Babinski; lesion caudal to decussation (in spinal cord) results in ipsi. hemiplegia and Babinski.

Other Note:
There is NO pronounced muscle atrophy following a lesion of corticospinal fibers since they are UPPER MOTOR NEURONS.