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508        SecTioN iii    Neurology aNd Special SeNSeS  `  neurology—AnAtomy And Physiology                                            Neurology aNd Special SeNSeS  `  neurology—AnAtomy And Physiology





                       Spinal cord and   Legs (Lumbosacral) are Lateral in Lateral corticospinal, spinothalamic tracts. Thoracic spinal cord
               associated tracts      section in  A .
                                    Dorsal columns are organized as you are, with hands at sides. “Arms outside, legs inside.”

                                 A
                                               Central canal

                                                                                     Dorsal column

                             Posterior horn                                          Intermediolateral column (sympathetic)
                                                                                     (T1 - L2/L3)
                       Lateral corticospinal tract
                      Anterior white commissure



                                                                                     Lateral spinothalamic tract



                                                                               Anterior spinothalamic tract
                                  Anterior horn


                                                                                      ASCENDING
                                                                                      Dorsal column
                                                                                      (pressure, vibration, fine touch, proprioception)
                                                   Central canal
                                                                                      • Fasciculus graciLis (Lower body, legs)
                                                                                      • Fasciculus cUneatus (Upper body, arms)
                                Posterior horn
                                                              Sacral  Lumbar
                           DESCENDING                             Thoracic  Cervical  Gray matter
                    Lateral corticospinal tract                                    Intermediate horn (sympathetic)
                         (voluntary motor)                                         (T1 - L2/L3)
                              • Sacral
                              • Cervical
                                                                                      ASCENDING
                   Anterior corticospinal tract
                         (voluntary motor)                                            Lateral spinothalamic tract (pain, temperature)
                                                                                      • Sacral
                              White matter                                            • Cervical
                                                                                      Anterior spinothalamic tract (crude touch, pressure)
                                   Anterior horn


































          FAS1_2019_12-Neurol.indd   508                                                                                11/8/19   7:39 AM
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