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Practical Neuroanatomy Practical Neuroanatomy Lecture 2 Lecture 2 Christine Hulette MD Christine Hulette MD CORTICOSPINAL TRACT CORTICOSPINAL TRACT CORTICOBULBAR TRACT CORTICOBULBAR TRACT EXTRAPYRAMIDAL SYSTEM EXTRAPYRAMIDAL SYSTEM VESTIBULAR SYSTEM VESTIBULAR SYSTEM CEREBELLUM CEREBELLUM AUTONOMIC NERVOUS SYSTEM AUTONOMIC NERVOUS SYSTEM

Practical Neuroanatomy Lecture 2 Christine Hulette MD CORTICOSPINAL TRACT CORTICOBULBAR TRACT EXTRAPYRAMIDAL SYSTEM VESTIBULAR SYSTEM CEREBELLUM AUTONOMIC

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Page 1: Practical Neuroanatomy Lecture 2 Christine Hulette MD CORTICOSPINAL TRACT CORTICOBULBAR TRACT EXTRAPYRAMIDAL SYSTEM VESTIBULAR SYSTEM CEREBELLUM AUTONOMIC

Practical NeuroanatomyPractical NeuroanatomyLecture 2 Lecture 2

Christine Hulette MDChristine Hulette MD

Practical NeuroanatomyPractical NeuroanatomyLecture 2 Lecture 2

Christine Hulette MDChristine Hulette MD

CORTICOSPINAL TRACTCORTICOSPINAL TRACTCORTICOBULBAR TRACTCORTICOBULBAR TRACT

EXTRAPYRAMIDAL SYSTEMEXTRAPYRAMIDAL SYSTEMVESTIBULAR SYSTEMVESTIBULAR SYSTEM

CEREBELLUMCEREBELLUMAUTONOMIC NERVOUS SYSTEMAUTONOMIC NERVOUS SYSTEM

Page 2: Practical Neuroanatomy Lecture 2 Christine Hulette MD CORTICOSPINAL TRACT CORTICOBULBAR TRACT EXTRAPYRAMIDAL SYSTEM VESTIBULAR SYSTEM CEREBELLUM AUTONOMIC

CORTICOSPINAL TRACTCORTICOSPINAL TRACTCORTICOSPINAL TRACTCORTICOSPINAL TRACT

Page 3: Practical Neuroanatomy Lecture 2 Christine Hulette MD CORTICOSPINAL TRACT CORTICOBULBAR TRACT EXTRAPYRAMIDAL SYSTEM VESTIBULAR SYSTEM CEREBELLUM AUTONOMIC
Page 4: Practical Neuroanatomy Lecture 2 Christine Hulette MD CORTICOSPINAL TRACT CORTICOBULBAR TRACT EXTRAPYRAMIDAL SYSTEM VESTIBULAR SYSTEM CEREBELLUM AUTONOMIC
Page 5: Practical Neuroanatomy Lecture 2 Christine Hulette MD CORTICOSPINAL TRACT CORTICOBULBAR TRACT EXTRAPYRAMIDAL SYSTEM VESTIBULAR SYSTEM CEREBELLUM AUTONOMIC
Page 6: Practical Neuroanatomy Lecture 2 Christine Hulette MD CORTICOSPINAL TRACT CORTICOBULBAR TRACT EXTRAPYRAMIDAL SYSTEM VESTIBULAR SYSTEM CEREBELLUM AUTONOMIC
Page 7: Practical Neuroanatomy Lecture 2 Christine Hulette MD CORTICOSPINAL TRACT CORTICOBULBAR TRACT EXTRAPYRAMIDAL SYSTEM VESTIBULAR SYSTEM CEREBELLUM AUTONOMIC
Page 8: Practical Neuroanatomy Lecture 2 Christine Hulette MD CORTICOSPINAL TRACT CORTICOBULBAR TRACT EXTRAPYRAMIDAL SYSTEM VESTIBULAR SYSTEM CEREBELLUM AUTONOMIC
Page 9: Practical Neuroanatomy Lecture 2 Christine Hulette MD CORTICOSPINAL TRACT CORTICOBULBAR TRACT EXTRAPYRAMIDAL SYSTEM VESTIBULAR SYSTEM CEREBELLUM AUTONOMIC
Page 10: Practical Neuroanatomy Lecture 2 Christine Hulette MD CORTICOSPINAL TRACT CORTICOBULBAR TRACT EXTRAPYRAMIDAL SYSTEM VESTIBULAR SYSTEM CEREBELLUM AUTONOMIC
Page 11: Practical Neuroanatomy Lecture 2 Christine Hulette MD CORTICOSPINAL TRACT CORTICOBULBAR TRACT EXTRAPYRAMIDAL SYSTEM VESTIBULAR SYSTEM CEREBELLUM AUTONOMIC
Page 12: Practical Neuroanatomy Lecture 2 Christine Hulette MD CORTICOSPINAL TRACT CORTICOBULBAR TRACT EXTRAPYRAMIDAL SYSTEM VESTIBULAR SYSTEM CEREBELLUM AUTONOMIC
Page 13: Practical Neuroanatomy Lecture 2 Christine Hulette MD CORTICOSPINAL TRACT CORTICOBULBAR TRACT EXTRAPYRAMIDAL SYSTEM VESTIBULAR SYSTEM CEREBELLUM AUTONOMIC
Page 14: Practical Neuroanatomy Lecture 2 Christine Hulette MD CORTICOSPINAL TRACT CORTICOBULBAR TRACT EXTRAPYRAMIDAL SYSTEM VESTIBULAR SYSTEM CEREBELLUM AUTONOMIC
Page 15: Practical Neuroanatomy Lecture 2 Christine Hulette MD CORTICOSPINAL TRACT CORTICOBULBAR TRACT EXTRAPYRAMIDAL SYSTEM VESTIBULAR SYSTEM CEREBELLUM AUTONOMIC
Page 16: Practical Neuroanatomy Lecture 2 Christine Hulette MD CORTICOSPINAL TRACT CORTICOBULBAR TRACT EXTRAPYRAMIDAL SYSTEM VESTIBULAR SYSTEM CEREBELLUM AUTONOMIC

behavioralphys.wikispaces.com behavioralphys.wikispaces.com

Page 17: Practical Neuroanatomy Lecture 2 Christine Hulette MD CORTICOSPINAL TRACT CORTICOBULBAR TRACT EXTRAPYRAMIDAL SYSTEM VESTIBULAR SYSTEM CEREBELLUM AUTONOMIC
Page 18: Practical Neuroanatomy Lecture 2 Christine Hulette MD CORTICOSPINAL TRACT CORTICOBULBAR TRACT EXTRAPYRAMIDAL SYSTEM VESTIBULAR SYSTEM CEREBELLUM AUTONOMIC

upload.wikimedia.org/wikipedia/commons/5/51/A...upload.wikimedia.org/wikipedia/commons/5/51/A... upload.wikimedia.org/wikipedia/commons/5/51/A...upload.wikimedia.org/wikipedia/commons/5/51/A...

Page 19: Practical Neuroanatomy Lecture 2 Christine Hulette MD CORTICOSPINAL TRACT CORTICOBULBAR TRACT EXTRAPYRAMIDAL SYSTEM VESTIBULAR SYSTEM CEREBELLUM AUTONOMIC

Alberts B, Bray D, Lewis J, et al. 1994Alberts B, Bray D, Lewis J, et al. 1994Alberts B, Bray D, Lewis J, et al. 1994Alberts B, Bray D, Lewis J, et al. 1994

Page 20: Practical Neuroanatomy Lecture 2 Christine Hulette MD CORTICOSPINAL TRACT CORTICOBULBAR TRACT EXTRAPYRAMIDAL SYSTEM VESTIBULAR SYSTEM CEREBELLUM AUTONOMIC

Barr 1979Barr 1979Barr 1979Barr 1979

Page 21: Practical Neuroanatomy Lecture 2 Christine Hulette MD CORTICOSPINAL TRACT CORTICOBULBAR TRACT EXTRAPYRAMIDAL SYSTEM VESTIBULAR SYSTEM CEREBELLUM AUTONOMIC

England and Wakely 1991England and Wakely 1991England and Wakely 1991England and Wakely 1991

Page 22: Practical Neuroanatomy Lecture 2 Christine Hulette MD CORTICOSPINAL TRACT CORTICOBULBAR TRACT EXTRAPYRAMIDAL SYSTEM VESTIBULAR SYSTEM CEREBELLUM AUTONOMIC

CORTICOBULBAR TRACTCORTICOBULBAR TRACTCORTICOBULBAR TRACTCORTICOBULBAR TRACT

Page 23: Practical Neuroanatomy Lecture 2 Christine Hulette MD CORTICOSPINAL TRACT CORTICOBULBAR TRACT EXTRAPYRAMIDAL SYSTEM VESTIBULAR SYSTEM CEREBELLUM AUTONOMIC
Page 24: Practical Neuroanatomy Lecture 2 Christine Hulette MD CORTICOSPINAL TRACT CORTICOBULBAR TRACT EXTRAPYRAMIDAL SYSTEM VESTIBULAR SYSTEM CEREBELLUM AUTONOMIC
Page 25: Practical Neuroanatomy Lecture 2 Christine Hulette MD CORTICOSPINAL TRACT CORTICOBULBAR TRACT EXTRAPYRAMIDAL SYSTEM VESTIBULAR SYSTEM CEREBELLUM AUTONOMIC
Page 26: Practical Neuroanatomy Lecture 2 Christine Hulette MD CORTICOSPINAL TRACT CORTICOBULBAR TRACT EXTRAPYRAMIDAL SYSTEM VESTIBULAR SYSTEM CEREBELLUM AUTONOMIC
Page 27: Practical Neuroanatomy Lecture 2 Christine Hulette MD CORTICOSPINAL TRACT CORTICOBULBAR TRACT EXTRAPYRAMIDAL SYSTEM VESTIBULAR SYSTEM CEREBELLUM AUTONOMIC

Barr 1979Barr 1979Barr 1979Barr 1979

Page 28: Practical Neuroanatomy Lecture 2 Christine Hulette MD CORTICOSPINAL TRACT CORTICOBULBAR TRACT EXTRAPYRAMIDAL SYSTEM VESTIBULAR SYSTEM CEREBELLUM AUTONOMIC

EXTRAPYRAMIDAL MOTOR EXTRAPYRAMIDAL MOTOR SYSTEMSYSTEM

EXTRAPYRAMIDAL MOTOR EXTRAPYRAMIDAL MOTOR SYSTEMSYSTEM

Substantia nigraSubstantia nigra

Basal GangliaBasal Ganglia

Subthalamic nucleusSubthalamic nucleus

Red nucleusRed nucleus

ThalamusThalamus

Page 29: Practical Neuroanatomy Lecture 2 Christine Hulette MD CORTICOSPINAL TRACT CORTICOBULBAR TRACT EXTRAPYRAMIDAL SYSTEM VESTIBULAR SYSTEM CEREBELLUM AUTONOMIC
Page 30: Practical Neuroanatomy Lecture 2 Christine Hulette MD CORTICOSPINAL TRACT CORTICOBULBAR TRACT EXTRAPYRAMIDAL SYSTEM VESTIBULAR SYSTEM CEREBELLUM AUTONOMIC
Page 31: Practical Neuroanatomy Lecture 2 Christine Hulette MD CORTICOSPINAL TRACT CORTICOBULBAR TRACT EXTRAPYRAMIDAL SYSTEM VESTIBULAR SYSTEM CEREBELLUM AUTONOMIC
Page 32: Practical Neuroanatomy Lecture 2 Christine Hulette MD CORTICOSPINAL TRACT CORTICOBULBAR TRACT EXTRAPYRAMIDAL SYSTEM VESTIBULAR SYSTEM CEREBELLUM AUTONOMIC
Page 33: Practical Neuroanatomy Lecture 2 Christine Hulette MD CORTICOSPINAL TRACT CORTICOBULBAR TRACT EXTRAPYRAMIDAL SYSTEM VESTIBULAR SYSTEM CEREBELLUM AUTONOMIC
Page 34: Practical Neuroanatomy Lecture 2 Christine Hulette MD CORTICOSPINAL TRACT CORTICOBULBAR TRACT EXTRAPYRAMIDAL SYSTEM VESTIBULAR SYSTEM CEREBELLUM AUTONOMIC
Page 35: Practical Neuroanatomy Lecture 2 Christine Hulette MD CORTICOSPINAL TRACT CORTICOBULBAR TRACT EXTRAPYRAMIDAL SYSTEM VESTIBULAR SYSTEM CEREBELLUM AUTONOMIC

England and Wakely 1991England and Wakely 1991England and Wakely 1991England and Wakely 1991

Page 36: Practical Neuroanatomy Lecture 2 Christine Hulette MD CORTICOSPINAL TRACT CORTICOBULBAR TRACT EXTRAPYRAMIDAL SYSTEM VESTIBULAR SYSTEM CEREBELLUM AUTONOMIC

Barr 1979Barr 1979Barr 1979Barr 1979

Page 37: Practical Neuroanatomy Lecture 2 Christine Hulette MD CORTICOSPINAL TRACT CORTICOBULBAR TRACT EXTRAPYRAMIDAL SYSTEM VESTIBULAR SYSTEM CEREBELLUM AUTONOMIC

www.ncbi.nlm.nih.gov/bookshelf/www.ncbi.nlm.nih.gov/bookshelf/ www.ncbi.nlm.nih.gov/bookshelf/www.ncbi.nlm.nih.gov/bookshelf/

Page 38: Practical Neuroanatomy Lecture 2 Christine Hulette MD CORTICOSPINAL TRACT CORTICOBULBAR TRACT EXTRAPYRAMIDAL SYSTEM VESTIBULAR SYSTEM CEREBELLUM AUTONOMIC
Page 39: Practical Neuroanatomy Lecture 2 Christine Hulette MD CORTICOSPINAL TRACT CORTICOBULBAR TRACT EXTRAPYRAMIDAL SYSTEM VESTIBULAR SYSTEM CEREBELLUM AUTONOMIC

VESTIBULAR SYSTEM TRACTSVESTIBULAR SYSTEM TRACTSVESTIBULAR SYSTEM TRACTSVESTIBULAR SYSTEM TRACTS

Lateral vestibulospinalLateral vestibulospinal

VestibuloocularVestibuloocular

VestibulocorticalVestibulocortical

Page 40: Practical Neuroanatomy Lecture 2 Christine Hulette MD CORTICOSPINAL TRACT CORTICOBULBAR TRACT EXTRAPYRAMIDAL SYSTEM VESTIBULAR SYSTEM CEREBELLUM AUTONOMIC

Gertz 1991Gertz 1991Gertz 1991Gertz 1991

Page 41: Practical Neuroanatomy Lecture 2 Christine Hulette MD CORTICOSPINAL TRACT CORTICOBULBAR TRACT EXTRAPYRAMIDAL SYSTEM VESTIBULAR SYSTEM CEREBELLUM AUTONOMIC
Page 42: Practical Neuroanatomy Lecture 2 Christine Hulette MD CORTICOSPINAL TRACT CORTICOBULBAR TRACT EXTRAPYRAMIDAL SYSTEM VESTIBULAR SYSTEM CEREBELLUM AUTONOMIC

CEREBELLUMCEREBELLUMCEREBELLUMCEREBELLUM

Spinocerebellar tractSpinocerebellar tract

Vestibulospinal tractVestibulospinal tract

Corticopontocerebellar tractCorticopontocerebellar tract

Dentatorubrothalamic tractDentatorubrothalamic tractCoordinates muscle activity, equilibrium and tone

Tracts are uncrossed

Page 43: Practical Neuroanatomy Lecture 2 Christine Hulette MD CORTICOSPINAL TRACT CORTICOBULBAR TRACT EXTRAPYRAMIDAL SYSTEM VESTIBULAR SYSTEM CEREBELLUM AUTONOMIC
Page 44: Practical Neuroanatomy Lecture 2 Christine Hulette MD CORTICOSPINAL TRACT CORTICOBULBAR TRACT EXTRAPYRAMIDAL SYSTEM VESTIBULAR SYSTEM CEREBELLUM AUTONOMIC
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Page 46: Practical Neuroanatomy Lecture 2 Christine Hulette MD CORTICOSPINAL TRACT CORTICOBULBAR TRACT EXTRAPYRAMIDAL SYSTEM VESTIBULAR SYSTEM CEREBELLUM AUTONOMIC
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AUTONOMIC NERVOUS AUTONOMIC NERVOUS SYSTEMSYSTEM

AUTONOMIC NERVOUS AUTONOMIC NERVOUS SYSTEMSYSTEM

SympatheticSympathetic

ParasympatheticParasympathetic

Page 50: Practical Neuroanatomy Lecture 2 Christine Hulette MD CORTICOSPINAL TRACT CORTICOBULBAR TRACT EXTRAPYRAMIDAL SYSTEM VESTIBULAR SYSTEM CEREBELLUM AUTONOMIC

SYMPATHETIC NERVOUS SYSTEMSYMPATHETIC NERVOUS SYSTEMSYMPATHETIC NERVOUS SYSTEMSYMPATHETIC NERVOUS SYSTEM

Fight or flightFight or flight

T1-L3 lateral gray of spinal cordT1-L3 lateral gray of spinal cord

NoradrenalineNoradrenaline

Increases heart rate, respiration, dilate Increases heart rate, respiration, dilate pupilspupils

Page 51: Practical Neuroanatomy Lecture 2 Christine Hulette MD CORTICOSPINAL TRACT CORTICOBULBAR TRACT EXTRAPYRAMIDAL SYSTEM VESTIBULAR SYSTEM CEREBELLUM AUTONOMIC
Page 52: Practical Neuroanatomy Lecture 2 Christine Hulette MD CORTICOSPINAL TRACT CORTICOBULBAR TRACT EXTRAPYRAMIDAL SYSTEM VESTIBULAR SYSTEM CEREBELLUM AUTONOMIC

Alberts B, Bray D, Lewis J, et al.Alberts B, Bray D, Lewis J, et al. 19941994Alberts B, Bray D, Lewis J, et al.Alberts B, Bray D, Lewis J, et al. 19941994

Page 53: Practical Neuroanatomy Lecture 2 Christine Hulette MD CORTICOSPINAL TRACT CORTICOBULBAR TRACT EXTRAPYRAMIDAL SYSTEM VESTIBULAR SYSTEM CEREBELLUM AUTONOMIC

PARASYMPATHETIC NERVOUS PARASYMPATHETIC NERVOUS SYSTEMSYSTEM

PARASYMPATHETIC NERVOUS PARASYMPATHETIC NERVOUS SYSTEMSYSTEM

Basal metabolismBasal metabolism

Brainstem, cervical and sacral spinal Brainstem, cervical and sacral spinal cordcord

Slows heart rate, respiration, constricts Slows heart rate, respiration, constricts pupilspupils

AcetylcholineAcetylcholine

Page 54: Practical Neuroanatomy Lecture 2 Christine Hulette MD CORTICOSPINAL TRACT CORTICOBULBAR TRACT EXTRAPYRAMIDAL SYSTEM VESTIBULAR SYSTEM CEREBELLUM AUTONOMIC

Ross, Romrell and Kaye 1999Ross, Romrell and Kaye 1999Ross, Romrell and Kaye 1999Ross, Romrell and Kaye 1999