neuroanatomy Neuroanatomy is the study of the structure and organization of the nervous system. In contrast to animals with radial symmetry, whose nervous system consists of a distributed network of cells, animals with bilateral symmetry have segregated, defin ...

, the sensory decussation or decussation of the lemnisci is a

decussation Decussation is used in biological contexts to describe a crossing (due to the shape of the Roman numeral for ten, an uppercase 'X' (), ). In Latin anatomical terms, the form is used, e.g. . Similarly, the anatomical term chiasma is named a ...

(i.e. crossover) of

axon An axon (from Greek ἄξων ''áxōn'', axis), or nerve fiber (or nerve fibre: see spelling differences), is a long, slender projection of a nerve cell, or neuron, in vertebrates, that typically conducts electrical impulses known as action ...

s from the

gracile nucleus In neuroanatomy, the dorsal column nuclei are a pair of nuclei in the dorsal columns in the brainstem. The name refers collectively to the cuneate nucleus and gracile nucleus, which are present at the bottom of the medulla oblongata. Both n ...

and

cuneate nucleus In neuroanatomy, the dorsal column nuclei are a pair of nuclei in the dorsal columns in the brainstem. The name refers collectively to the cuneate nucleus and gracile nucleus, which are present at the bottom of the medulla oblongata. Both nucl ...

, which are responsible for fine touch, vibration,

proprioception Proprioception ( ), also referred to as kinaesthesia (or kinesthesia), is the sense of self-movement, force, and body position. It is sometimes described as the "sixth sense". Proprioception is mediated by proprioceptors, mechanosensory neurons ...

and

two-point discrimination Two-point discrimination (2PD) is the ability to discern that two nearby objects touching the skin are truly two distinct points, not one. It is often tested with two sharp points during a neurological examination and is assumed to reflect how fi ...

of the body. The fibres of this decussation are called the internal arcuate fibres and are found at the superior aspect of the closed medulla superior to the motor decussation. It is part of the second neuron in the

posterior column–medial lemniscus pathway Posterior may refer to: * Posterior (anatomy), the end of an organism opposite to its head ** Buttocks, as a euphemism * Posterior horn (disambiguation) * Posterior probability, the conditional probability that is assigned when the relevant evi ...

Structure

At the level of the closed medulla in the posterior white column, two large nuclei namely the gracile nucleus and the cuneate nucleus can be found. The two nuclei receive the impulse from the two ascending tracts: fasciculus gracilis and fasciculus cuneatus. After the two tracts terminate upon these nuclei, the heavily myelinated fibres arise and ascend anteromedially around the

periaqueductal gray The periaqueductal gray (PAG, also known as the central gray) is a brain region that plays a critical role in autonomic function, motivated behavior and behavioural responses to threatening stimuli. PAG is also the primary control center for d ...

as internal arcuate fibres. These fibres decussate (cross) to the contralateral (opposite) side, so called the sensory decussation. The ascending bundle after the decussation is called the

medial lemniscus In neuroanatomy, the medial lemniscus, also known as Reil's band or Reil's ribbon (for German anatomist Johann Christian Reil), is a large ascending bundle of heavily myelinated axons that decussate (cross) in the brainstem, specifically in the m ...

. Unlike other ascending tracts of the brain, fibres of the medial lemniscus do not give off collateral branches as they travel along the

brainstem The brainstem (or brain stem) is the posterior stalk-like part of the brain that connects the cerebrum with the spinal cord. In the human brain the brainstem is composed of the midbrain, the pons, and the medulla oblongata. The midbrain is ...

Function

The fibres that make up the sensory decussation are responsible for fine touch, proprioception and two-point discrimination of the whole body excluding the head.

Additional images

File:Gray690.png, Deep dissection of brain-stem. Ventral view. File:Gray692.png, Superior terminations of the posterior fasciculi of the medulla spinalis.

References

External links

Image
at umd.edu Brainstem {{Portal bar, Anatomy