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The anterolateral system (ALS) is an ascending bundle of fibers in the spinal cord, carried in three main pathways or tracts. [1] The tracts convey pain, [6] temperature (protopathic sensation), and crude touch from the periphery to the brain. The most important of these is the spinothalamic tract. [2]
The spinomesencephalic pathway, spinomesencephalic tract or spino-quadrigeminal system of Mott, includes a number of ascending tracts in the spinal cord, including the spinotectal tract. [1] [2] [3] The spinomesencephalic tract is one of the ascending tracts in the anterolateral system of the spinal cord that projects to various parts of the ...
The spinoreticular tract (also paleospinothalamic pathway, or indirect pathway of the anterolateral system) is a partially decussating (crossed-over) four-neuron sensory pathway of the central nervous system.
The dorsal column–medial lemniscus pathway (DCML) (also known as the posterior column-medial lemniscus pathway (PCML) is the major sensory pathway of the central nervous system that conveys sensations of fine touch, vibration, two-point discrimination, and proprioception (body position) from the skin and joints.
The most lateral of the bundles of the anterior nerve roots is generally taken as a dividing line that separates the anterolateral system into two parts. These are the anterior funiculus, between the anterior median fissure and the most lateral of the anterior nerve roots, and the lateral funiculus between the exit of these roots and the posterolateral sulcus.
Descending tracts are pathways by which motor signals are sent from upper motor neurons in the brain to lower motor neurons which then directly innervate muscle to produce movement. The anterior corticospinal tract is usually small, varying inversely in size with the lateral corticospinal tract , which is the main part of the corticospinal tract .
Anterolateral corticospinal tract is a subdivision of the corticospinal tract in the spinal cord. It is formed by approximately 2% of the corticospinal fibers that do not cross to the opposite side of the brainstem in the pyramidal decussation. This tract descends in the lateral white column anterior to the lateral corticospinal tract. [1]
The second order neurons then send their information via two pathways to the thalamus: the dorsal column medial-lemniscal system and the anterolateral system. The former is reserved more for regular non-painful sensation, while the latter is reserved for pain sensation.