Ascending Tracts of goll and burdach (fasciculus gracilis and fasciculus cutnaeous )

They are also called fasciculus gracilis and fasciculus cunateous 


 SENSATIONS 

  • fine touch 
  • propioception 
  • vibration 
  • pressure

PATHWAY

  • First-order neuron -
    • arises from receptors 
    • enters spinal cord through posterior root 
    • cell body resides in dorsal root ganglia
    • it ascends on the same side to end in the nucleus gracilis and nucleus cutaneous present in the medulla
    •  fibres closer to the midline are from the lower parts of the body 
    • the lateral fibres are from the upper part of the body 
  • Second-order neuron 
    • arises from the nucleus gracilis and nucleus cutaneous

    • they cross to the opposite side
    • ends in the ventral posterolateral nucleus of the thalamus


  • Third-order neuron 
    • arises from the thalamic nucleus 
    • ends in the sensory cortex (areas 3, 1 and 2)

RELAY 
  • they have two relays 
    • medulla 
    • thalamus 
        
IN SHORT 

  1. receptor
  2. dorsal root ganglia
  3. ascending fibres 
  4. fasciculus gracilis and fasciculus cutaneous
  5. ventral posterolateral nucleus o thalamus 
  6. cerebral cortex


FUNCTIONS 

i. Fine (epicritic) tactile sensation
ii. Tactile localization 
iii. two-point discrimination
iv. Conscious kinesthetic sensation 
v. Stereognosis It is also
a synthetic sense produced by a combination of
touch and pressure sensations.

EFFECT OF LESION 

  •  Loss of fine tactile sensation; however, crude touch sensation is normal
  • Loss of tactile localization
  • Loss of two point discrimination
  •  Loss of sensation of vibration
  • Astereognosis (inability to recognize known objects by touch while closing the eyes)
  • Lack of ability to differentiate the weight of different objects
  •  Loss of proprioception (inability to appreciate the position and movement of different parts of the body) 
  • Sensory ataxia or posterior column ataxia

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