Lateral spinothalamic track

 SENSATION 

carries sensation for pain and temprature 

LOCATION 

    it is located in the lateral column towards the medial side, near grey matter 

PATHWAY

First-order neuron 

  • sensory fibres enter the spinal cord through the dorsal horn 
  • they synapse with the marginal nucleus and the substantial gelatinosa

second-order neuron 
  • they cross to reach the opposite side at the same segment 
  • ascends and passes through the medulla, pons and midbrain to reach reticular formation of the brainstem 
Third-order neuron 
  • they carry sensation from the reticular formation of the brainstem and ends in the somesthetic area of the
    cerebral cortex (sensory cortex)

EFFECT OF LESION 

bilateral lesion 
                - loss of pain and temperature sensation on both the sides                         below the level of lesion 

unilateral lesion 
                - loss of pain and temperature sensation in the opposite                             side, below the level of lesion 


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