Vestibulospinal Tract - Classification

Classification

The vestibulospinal tract is part of the "extrapyramidal system" of the central nervous system. In human anatomy, the extrapyramidal system is a neural network located in the brain that is part of the motor system involved in the coordination of movement. The system is called "extrapyramidal" to distinguish it from the tracts of the motor cortex that reach their targets by traveling through the "pyramids" of the medulla. The pyramidal pathways, such as corticospinal and some corticobulbar tracts, may directly innervate motor neurons of the spinal cord or brainstem. This is seen in anterior (ventral) horn cells or certain cranial nerve nuclei. Whereas the extrapyramidal system centers around the modulation and regulation through indirect control of anterior (ventral) horn cells. The extrapyramidal subcortical nuclei include the substantia nigra, caudate, putamen, globus pallidus, thalamus, red nucleus and subthalamic nucleus.

The traditional thought was that the extrapyramidal system operated entirely independently of the pyramidal system. However, more recent research has provided a greater understanding of the integration of motor control. Motor control from both the pyramidal and extrapyramidal systems have extensive feedback loops and are heavily interconnected with each other. A more appropriate classification of motor nuclei and tracts would be by their functions. When broken down by function there are two major pathways: medial and lateral. The medial pathway helps control gross movements of the proximal limbs and trunk. The lateral pathway helps control precise movement of the distal portion of limbs. The vestibulospinal tract, as well as tectospinal and reticulospinal tracts are examples of components of the medial pathway.