Lateral Corticospinal Tract - Description

Description

Descending motor pathways carry motor signals from the brain down the spinal cord and to the target muscle or organ. They typically consist of an upper motor neuron and a lower motor neuron. The lateral corticospinal tract is a descending motor pathway that begins in the cerebral cortex, decussates in the pyramids of the lower medulla (also known as the myelencephalon, the most posterior division of the brain ) and proceeds down the contralateral side of the spinal cord. It is the largest part of the corticospinal tract. It extends throughout the entire length of the medulla spinalis, and on transverse section appears as an oval area in front of the posterior column and medial to the posterior spinocerebellar tract.


The lateral corticospinal tract leaves out of the anterior horns of the spinal cord. It controls fine movement of ipsilateral limbs (albeit contralateral to the corresponding motor cortex) as it lies distal to the pyramidal decussation. Control of more central axial and girdle muscles comes from the anterior corticospinal tract.

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