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The spinothalamic tract is a nerve tract in the anterolateral system in the spinal cord. [1] This tract is an ascending sensory pathway to the thalamus.From the ventral posterolateral nucleus in the thalamus, sensory information is relayed upward to the somatosensory cortex of the postcentral gyrus.
The spinothalamic tract thus decussates very soon after entering the spinal cord, ascending in the spinal cord, contralateral to the side from where it provides (pain and temperature) sensory information.
The anterolateral system (ALS) is a bundle of afferent somatosensory fibers from different ascending tracts in the spinal cord. These fibers include those of the spinomesencephalic tract, spinothalamic tract, and spinoreticular tract amongst others. [5] Spinomesencephalic fibres project to the periaqueductal gray, and to the tectum.
The loss of the spinothalamic tract leads to pain and temperature sensation being lost from the contralateral side beginning one or two segments below the lesion. In addition, if the lesion occurs above T1 of the spinal cord it will produce ipsilateral Horner's syndrome with involvement of the oculosympathetic pathway.
The two ascending tracts meet at the level of the sixth thoracic vertebra (T6). Ascending tracts typically have three levels of neurons, namely first-order, second-order, and third-order neurons, that relay information from the physical point of reception to the actual point of interpretation in the brain. Neural connections in the DCML pathway.
However, the trigeminal lemniscus also carries pain and temperature sensations from the contralateral orofacial region, just as the spinothalamic tract carries these sensations from the contralateral body. Thus, the trigeminal lemniscus of the head is functionally analogous to both the DCML tracts and the spinothalamic tract of the body.
The region affected includes the descending corticospinal tract, ascending spinothalamic tract, and autonomic fibers. It is characterized by a corresponding loss of motor function, loss of pain and temperature sensation, and hypotension. Anterior spinal artery syndrome is the most common form of spinal cord infarction. [1]
This syndrome is characterized by sensory deficits that affect the trunk and extremities contralaterally (opposite to the lesion), and sensory deficits of the face and cranial nerves ipsilaterally (same side as the lesion). Specifically a loss of pain and temperature sensation if the lateral spinothalamic tract is involved. The cross body ...