Tract Origin Pathway 1st 2nd Termination Laterality Function
(1st synapse synapse
neuron (2nd (3rd cell neuron neuron body) cell cell body) body) Dorsal DRG DRG-> Nucleus VPL of 1ry Contralateral Proprioception, column/Medial Fasciculus Cuneate thalamus somatosensory crosses via fine touch for Lemniscal Tract gracilus or OR cortex internal arms, trunk, leg cuneate -> nucleus arcuate lines Internal gracilus towards arcuate fibers - medial > medial lemniscus at lemniscus -> level of VPL thalamus - sensory > post limb IC - decussation > BA 3,1,2 1ry somatosensory cortex ALS DRG DRG-> Substantia VPL 1ry Contralateral Pain and Substantia gelatinosa thalamus somatosensory - crosses via temperature gelatinosa -> -> lamina I cortex ventral lamina I and V and V white -> commissure spinothalamic at level of SC tract -> VPL -> 1ry somatosensory cortex LCST 1ry Posterior limb Contralateral Flexor bias motor IC -> crosses at cortex level of motor decussation ACST 1ry Bilateral Flexor bias motor does not - though it is cortex cross, rather part of the the fibers anteriomedial innervate group both sides