Point 11


Intro

Pathway

Deficit

Note

Clinical

Taste

Overview

Problems


Contents

Anatomy

 

 

Solitariothalamic TractThe ROSTRAL portion of the solitary complex is a component of the TASTE PATHWAY. The axons within the rostral tractus solitarius are the central processes of cells within THREE cranial nerve ganglia, the GENICULATE GANGLION OF C.N. VII, the INFERIOR GANGLION of C.N. IX and the INFERIOR GANGLION of C.N. X. These central processes travel with the rostral tractus solitarius terminate within the ROSTRAL or GUSTATORY portion of the nucleus solitarius. The peripheral processes of these neurons innervate the TASTE BUDS of the tongue in the following distribution:

  • C.N. VII=anterior two­thirds
  • C.N. IX=posterior one­third
  • C.N. X=taste buds on epiglottis

Like other ascending sensory pathways, taste information heads for the thalamus (the great GATEWAY to the cerebral cortex!), and in particular to the ventral posteromedial nucleus (VPM; the nucleus of the HEAD!; after all, the tongue is in the head; remember the trigeminal-VPM relationship). The third neuron in the pathway i.e., the thalamic VPM neuron, then sends its axon to the ventral lateral portion of the postcentral gyrus, areas 3, 1, and 2. UNLIKE OTHER ASCENDING SENSORY PATHWAYS THE SOLITARIOTHALAMIC TRACT (STT) IS UNCROSSED, repeat, UNCROSSED, repeat, UNCROSSED.

SOLITARIOTHALAMIC=UNCROSSED

A LESION OF THE ROSTRAL NUCLEUS AND TRACTUS SOLITARIUS WILL RESULT IN THE LOSS OF TASTE FROM THE IPSILATERAL ONE-HALF OF THE TONGUE. SO WILL A LESION OF THE SOLITARIOTHALAMIC TRACT

You should also keep in mind that the interruption of the solitariothalamic tract will not result in major problems in respiratory and cardiovascular control, since most of the pathways over which the nucleus solitarius controls these functions pass caudally in the brain stem. Let's reserve a loss of taste from the ipsilateral side of the tongue for lesions of the solitariothalamic tract. Lesions of the rostral nucleus solitarius will also result in loss of taste from the ipsilateral side of the tongue. In contrast, a lesion of the CAUDAL portion of nucleus solitarius will result in an INCREASE IN HEART RATE.

LESION of the ROSTRAL SOLITARIUS=LOSS IPSILATERAL TASTE

while

LESION of the CAUDAL SOLITARIUS=INCREASE HEART RATE