脊髄小脳疾患
- 関
- hereditary ataxia、inherited spinocerebellar degeneration、Marinesco-Sjogren syndrome、spinocerebellar degeneration
WordNet
- an impairment of health or a condition of abnormal functioning
- caused by or altered by or manifesting disease or pathology; "diseased tonsils"; "a morbid growth"; "pathologic tissue"; "pathological bodily processes" (同)morbid, pathologic, pathological
PrepTutorEJDIC
- (体の)『病気』,疾患 / (精神・道徳などの)病気,病弊
- 女性の話術芸人 =diseur
- 病気にかかった / 病的な,不健全な(morbid)
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2014/08/05 21:01:24」(JST)
[Wiki en表示]
Brain: Spinocerebellar tract |
Spinocerebellar tracts are labeled in blue at right.
|
Latin |
Tractus spinocerebellaris |
Gray's |
p.761 |
NeuroNames |
ancil-2137625602 |
The spinocerebellar tract is a set of axonal fibers originating in the spinal cord and terminating in the ipsilateral cerebellum. This tract conveys information to the cerebellum about limb and joint position (proprioception).
Contents
- 1 Origins of proprioceptive information
- 2 Subdivisions of the tract
- 3 Pathway for dorsal and spinocuneocerebellar tracts
- 4 Pathway for ventral and rostral spinocerebellar tracts
- 5 References
- 6 External links
Origins of proprioceptive information
Proprioceptive information is obtained by Golgi tendon organs and muscle spindles.
- Golgi tendon organs consist of a fibrous capsule enclosing tendon fascicles and bare nerve endings that respond to tension in the tendon by causing action potentials in Ib afferent neurons (relatively large, myelinated, quickly conducting).
- Muscle spindles fibers are complicated systems of length monitoring within muscles which result in information being carried via Ia neurons (larger and faster than Ib) (from both nuclear bag fibers and nuclear chain fibers) and II neurons (solely from nuclear chain fibers).
All of these neurons are "first order" or "primary", are sensory (and thus have their cell bodies in the dorsal root ganglion) and pass through Rexed laminae layers I-VI of the dorsal horn, to form synapses with "second order" or "secondary" neurons in the layer just beneath the dorsal horn (layer VII)
Subdivisions of the tract
The tract is divided into:[1][dubious – discuss]
Division |
Peripheral Process of First Order the Neuron |
Region of Innervation |
dorsal (posterior) spinocerebellar tract |
from muscle spindle (primarily) and golgi tendon organs |
Ipsilateral Caudal Aspect of the body and legs |
ventral (anterior) spinocerebellar tract |
from golgi tendon organs |
Ipsilateral Caudal Aspect of the body and legs |
cuneocerebellar tract |
from muscle spindle (primarily) and golgi tendon organs |
Ipsilateral arm |
rostral spinocerebellar tract |
from golgi tendon organs |
Ipsilateral arm |
Pathway for dorsal and spinocuneocerebellar tracts
The sensory neurons synapse in an area known as Clarke's nucleus or "Clarke's column".
This is a column of relay neuron cell bodies within the medial gray matter within the spinal cord in layer VII (just beneath the dorsal horn), specifically between T1-L3. These neurons then send axons up the spinal cord, and project ipsilaterally to medial zones of the cerebellum through the inferior cerebellar peduncle.
Below L3, relevant neurons pass into the fasciculus gracilis (usually associated with the dorsal column-medial lemniscal system) until L3 where they synapse with Clarke's nucleus (leading to considerable caudal enlargement).
The neurons in the accessory cuneate nucleus have axons leading to the ipsilateral cerebellum via the inferior cerebellar peduncle.
Pathway for ventral and rostral spinocerebellar tracts
Some neurons of the ventral spinocerebellar tract instead form synapses with neurons in layer VII of L4-S3. Most of these fibers cross over to the contralateral lateral funiculus via the anterior white commissure and through the superior cerebellar peduncle. The fibers then often cross over again within the cerebellum to end on the ipsilateral side. For this reason the tract is sometimes termed the "double-crosser."
The Rostral Tract synapses at the dorsal horn lamina (intermediate gray zone) of the spinal cord and ascends ipsilaterally to the cerebellum through the inferior cerebellar peduncle.
References
- ^ Siegel, Allan, and Hreday N. Sapru. Essential Neuroscience. 2nd. Lippincott, 2011. 146-149.
External links
- http://www.anatomyatlases.org/MicroscopicAnatomy/Section17/Plate17327.shtml
Anatomy of torso (primarily): the spinal cord (TA 14.1.02, GA 9.749)
|
|
External, dorsal |
- Posterior median sulcus
- Posterolateral sulcus
|
|
Grey matter/
Rexed laminae |
I–VI: Posterior horn |
- I: Marginal nucleus
- II: Substantia gelatinosa of Rolando
- III+IV: Nucleus proprius
- Spinal lamina V
- Spinal lamina VI
|
|
VII: Lateral horn |
- Intermediolateral nucleus
- Posterior thoracic nucleus
|
|
VIII–IX: Anterior horn |
- Interneuron
- Alpha motor neuron
|
|
X: Other |
- Central gelatinous substance
- Gray commissure
- Central canal
- Terminal ventricle
|
|
|
White matter |
somatic/
ascending
(blue) |
Posterior/PCML: |
|
|
Lateral: |
- proprioception: Spinocerebellar
- pain/temp: Spinothalamic
- Posterolateral (Lissauer)
- Spinotectal
|
|
- Spinoreticular tract
- Spino-olivary tract
|
|
|
motor/
descending
(red) |
Lateral: |
|
|
Anterior: |
- Corticospinal
- Ep
- Vestibulospinal
- Reticulospinal
- Tectospinal
|
|
|
both |
- Anterior white commissure
|
|
|
External, ventral |
- Anterior median fissure
- Anterolateral sulcus
|
|
External, general |
- Cervical enlargement
- Lumbar enlargement
- Conus medullaris
- Filum terminale
- Cauda equina
|
|
|
anat (n/s/m/p/4/e/b/d/c/a/f/l/g)/phys/devp
|
noco (m/d/e/h/v/s)/cong/tumr, sysi/epon, injr
|
proc, drug (N1A/2AB/C/3/4/7A/B/C/D)
|
|
|
|
Human brain, rhombencephalon, metencephalon: cerebellum (TA 14.1.07, GA 9.788)
|
|
Surface anatomy |
Lobes |
- Anterior lobe
- Posterior lobe
- Flocculonodular lobe
|
|
Medial/lateral |
- Vermis: anterior
- Central lobule
- Culmen
- Lingula
- posterior
- Vallecula of cerebellum
- Hemisphere: anterior
- posterior
- Biventer lobule
- Cerebellar tonsil
|
|
|
Grey matter |
Deep cerebellar nuclei |
- Dentate
- interposed
- Fastigial
|
|
Cerebellar cortex |
- Molecular layer
- Stellate cell
- Basket cell
- Purkinje cell layer
- Purkinje cell
- Bergmann glia cell = Golgi epithelial cell
- Granule cell layer
- Golgi cell
- Granule cell
- Unipolar brush cell
- Fibers: Mossy fibers
- Climbing fiber
- Parallel fiber
|
|
|
White matter |
Internal |
|
|
Peduncles |
- Inferior (medulla): Dorsal spinocerebellar tract
- Olivocerebellar tract
- Cuneocerebellar tract
- Juxtarestiform body (Vestibulocerebellar tract)
- Middle (pons): Pontocerebellar fibers
- Superior (midbrain): Ventral spinocerebellar tract
- Dentatothalamic tract
- Trigeminocerebellar fibers
|
|
|
|
anat (n/s/m/p/4/e/b/d/c/a/f/l/g)/phys/devp
|
noco (m/d/e/h/v/s)/cong/tumr, sysi/epon, injr
|
proc, drug (N1A/2AB/C/3/4/7A/B/C/D)
|
|
|
|
Brain and spinal cord: neural tracts and fasciculi
|
|
Sensory/
ascending |
PCML |
1°: |
- Pacinian corpuscle/Meissner's corpuscle → Posterior column (Gracile fasciculus/Cuneate fasciculus) → Gracile nucleus/Cuneate nucleus
|
|
2°: |
- → sensory decussation/arcuate fibers (Posterior external arcuate fibers, Internal arcuate fibers) → Medial lemniscus/Trigeminal lemniscus → Thalamus (VPL, VPM)
|
|
3°: |
- → Posterior limb of internal capsule → Postcentral gyrus
|
|
|
Anterolateral/
pain |
Fast/lateral |
- 1° (Free nerve ending → A delta fiber) → 2° (Anterior white commissure → Lateral and Anterior Spinothalamic tract → Spinal lemniscus → VPL of Thalamus) → 3° (Postcentral gyrus) → 4° (Posterior parietal cortex)
2° (Spinotectal tract → Superior colliculus of Midbrain tectum)
|
|
Slow/medial |
- 1° (Group C nerve fiber → Spinoreticular tract → Reticular formation) → 2° (MD of Thalamus) → 3° (Cingulate cortex)
|
|
|
|
Motor/
descending |
Pyramidal |
- flexion: Primary motor cortex → Posterior limb of internal capsule → Decussation of pyramids → Corticospinal tract (Lateral, Anterior) → Neuromuscular junction
|
|
Extrapyramidal |
flexion: |
- Primary motor cortex → Genu of internal capsule → Corticobulbar tract → Facial motor nucleus → Facial muscles
|
|
flexion: |
- Red nucleus → Rubrospinal tract
|
|
extension: |
- Vestibulocerebellum → Vestibular nuclei → Vestibulospinal tract
|
|
extension: |
- Vestibulocerebellum → Reticular formation → Reticulospinal tract
|
|
- Midbrain tectum → Tectospinal tract → muscles of neck
|
|
|
Basal ganglia |
direct: |
1° (Motor cortex → Striatum) → 2° (GPi) → 3° (Lenticular fasciculus/Ansa lenticularis → Thalamic fasciculus → VL of Thalamus) → 4° (Thalamocortical radiations → Supplementary motor area) → 5° (Motor cortex)
|
|
indirect: |
1° (Motor cortex → Striatum) → 2° (GPe) → 3° (Subthalamic fasciculus → Subthalamic nucleus) → 4° (Subthalamic fasciculus → GPi) → 5° (Lenticular fasciculus/Ansa lenticularis → Thalamic fasciculus → VL of Thalamus) → 6° (Thalamocortical radiations → Supplementary motor area) → 7° (Motor cortex)
|
|
nigrostriatal pathway: |
|
|
|
|
Cerebellar |
Afferent |
- Vestibular nuclei → Vestibulocerebellar tract → ICP → Cerebellum → Granule cell
- Pontine nuclei → Pontocerebellar fibers → MCP → Deep cerebellar nuclei → Granule cell
- Inferior olivary nucleus → Olivocerebellar tract → ICP → Hemisphere → Purkinje cell → Deep cerebellar nuclei
|
|
Efferent |
- Dentate nucleus in Lateral hemisphere/pontocerebellum → SCP → Dentatothalamic tract → Thalamus (VL) → Motor cortex
- Interposed nucleus in Intermediate hemisphere/spinocerebellum → SCP → Reticular formation, or → Cerebellothalamic tract → Red nucleus → Thalamus (VL) → Motor cortex
- Fastigial nucleus in Flocculonodular lobe/vestibulocerebellum → Vestibulocerebellar tract → Vestibular nuclei
|
|
Bidirectional:
Spinocerebellar |
Unconscious
proprioception |
- lower limb → 1° (muscle spindles → DRG) → 2° (Posterior thoracic nucleus → Dorsal/posterior spinocerebellar tract → ICP → Cerebellar vermis)
- upper limb → 1° (muscle spindles → DRG) → 2° (Accessory cuneate nucleus → Cuneocerebellar tract → ICP → Anterior lobe of cerebellum)
|
|
Reflex arc |
- lower limb → 1° (Golgi tendon organ) → 2° (Ventral/anterior spinocerebellar tract→ SCP → Cerebellar vermis)
- upper limb → 1° (Golgi tendon organ) → 2° (Rostral spinocerebellar tract → ICP → Cerebellum)
|
|
|
|
|
anat (n/s/m/p/4/e/b/d/c/a/f/l/g)/phys/devp
|
noco (m/d/e/h/v/s)/cong/tumr, sysi/epon, injr
|
proc, drug (N1A/2AB/C/3/4/7A/B/C/D)
|
|
|
anat (h/r/t/c/b/l/s/a)/phys (r)/devp/prot/nttr/nttm/ntrp
|
noco/auto/cong/tumr, sysi/epon, injr
|
|
|
|
|
UpToDate Contents
全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.
English Journal
- Somatic instability of expanded CAG repeats of ATXN7 in Japanese patients with spinocerebellar ataxia type 7.
- Katagiri S1, Hayashi T, Takeuchi T, Yamada H, Gekka T, Kawabe K, Kurita A, Tsuneoka H.
- Documenta ophthalmologica. Advances in ophthalmology.Doc Ophthalmol.2015 Jun;130(3):189-95. doi: 10.1007/s10633-015-9488-8. Epub 2015 Feb 3.
- PURPOSE: Spinocerebellar ataxia type 7 (SCA7) is a disease characterized by progressive ataxia syndrome and retinal degeneration. SCA7 is caused by expansion of CAG repeats in the ataxin 7 gene. The purpose of this study was to describe the clinical and genetic features in a two-generation Japanese
- PMID 25643591
- Sensorimotor skills in Fxn KO/Mck mutants deficient for frataxin in muscle.
- Filali M1, Lalonde R2, Gérard C3, Coulombe Z3, Tremblay JP3.
- Brain research.Brain Res.2015 May 22;1608:91-6. doi: 10.1016/j.brainres.2015.03.001. Epub 2015 Mar 10.
- Friedreich ataxia is the most common autosomal recessive disorder of the cerebellum, causing degeneration of spinal sensory neurons and spinocerebellar tracts. The disease is caused by severely reduced levels of frataxin, a mitochondrial protein involved in iron metabolism. An experimental model has
- PMID 25765157
- A native interactor scaffolds and stabilizes toxic Ataxin-1 oligomers in SCA1.
- Lasagna-Reeves CA1, Rousseaux MW1, Guerrero-Munoz MJ2, Park J1, Jafar-Nejad P1, Richman R3, Lu N1, Sengupta U2, Litvinchuk A1, Orr HT4, Kayed R2, Zoghbi HY3.
- eLife.Elife.2015 May 19;4. doi: 10.7554/eLife.07558. [Epub ahead of print]
- Recent studies indicate that soluble oligomers drive pathogenesis in several neurodegenerative proteinopathies, including Alzheimer and Parkinson disease. Curiously, the same conformational antibody recognizes different disease-related oligomers, despite the variations in clinical presentation and b
- PMID 25988806
Japanese Journal
- Square-wave JerkとMacrosaccadic Oscillation
- 小宮山 純
- 神経眼科 32(1), 23-31, 2015
- 臨床的有用性が日常診療で際立つ眼振が緩徐相に異常があるのに対して,saccadic intrusionは不適切なサッカードが混入する異常眼球運動を指す.Saccadic intrusionはサッカード間隔の有無が鑑別上重要であり,本稿では間隔を有する代表的なsquare-wave jerk(SWJ)とmacrosaccadic oscillation(MSO)について解説した.SWJは固視点より一 …
- NAID 130005073798
- The handkerchief guide: a simple and practical method to improve ataxic gait in cerebellar subjects
- , , , ,
- 臨床神経学 55(5), 311-319, 2015
- … Methods: Gait analysis was carried out on seven patients with degenerative cerebellar disease (DCD), seven patients with unilateral cerebellar vascular disease (CVD), and seven healthy control (HC) subjects. … CVD, cerebellar vascular disease; … DCD, degenerative cerebellar disease; …
- NAID 130005073103
- 運動失調はみとめずパーキンソン症状を呈したspinocerebellar ataxia type 6(SCA6)の1例
- 竹島 愼一,竹田 育子,小畠 敬太郎,山下 徹,阿部 康二,栗山 勝
- 臨床神経学 55(4), 243-247, 2015
- … MSA-C)と進行性核上性麻痺の臨床診断であった.患者,母親,母親の兄(MSA-C)3名の遺伝子検査でspinocerebellar ataxia type 6(SCA6)と診断した.小脳失調はみとめず,パーキンソン症状のSCA6は非常にまれである. …
- NAID 130005066232
Related Links
- Best Answer: Spinocerebellar ataxia (SCA) is a genetic disease with multiple types, each of which could be considered a disease in its own right, the main complaint is of a progressive ataxia. Spinocerebellar ...
- Spinocerebellar Ataxia Disease norqistina Subscribe Subscribed Unsubscribe 5 Subscription preferences Loading... Loading... Working... Add to Want to watch this again later? Sign in to add this video to a playlist. ...
Related Pictures
★リンクテーブル★
[★]
- 英
- spinocerebellar disease
- 関
- 脊髄小脳変性症、遺伝性運動失調症、遺伝性脊髄小脳変性症、マリネスコ・シェーグレン症候群
[★]
遺伝性脊髄小脳変性症
- 関
- hereditary ataxia、Marinesco-Sjogren syndrome、spinocerebellar degeneration、spinocerebellar disease
[★]
- 疾患:illnessより厳密な概念。「ある臓器に明確な障害が確認され、それによって症状が出ているとはっきり説明できる場合」 (PSY.9)
- 特定の原因、病態生理、症状、経過、予後、病理組織所見が全てそろった場合 (PSY.9)
- something that is very wrong with people's attitudes, way of life or with society.
- 関
- ail、ailment、disease entity、disorder、ill、illness、malady、sick、sickness
- disease ≠ illness ≠ disorder