A Reappraisal of the Ascending Systems in Man, with Emphasis by Prof. Dr. Enrico Marani, Dr. Jaap H.R. Schoen (auth.)

By Prof. Dr. Enrico Marani, Dr. Jaap H.R. Schoen (auth.)

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1B, b,c,d) but also extend into the adjoining medial part of the nucleus ventralis posterior (Fig. 1B, a). Dorsal to the nucleus of the centre médian, degeneration is also present in the internal medullary lamina and in the nucleus centralis lateralis. Degeneration in the centre médian seems to pass through, not terminate in this nucleus. Discussion on Spinal Ascending Systems 27 4 Discussion on Spinal Ascending Systems The course of the ascending degeneration following lesions of the spinal cord in the human brain stem had already been settled around the turn of the century, nineteenth to twentieth, that is, with the Marchi techniquer (Marchi and Algeri 1885) and essentially no new pathways have been added since.

At pretectal levels the degeneration in and around the tip of the medial lemniscus appears to be minimal. A tremendous amount of preterminal degeneration in the lateral part of the ventral posterior nucleus of the thalamus is present (Fig. 2C, H5631). These spinothalamic terminations are characteristically arranged in clusters of terminals or “bursts” (Fig. 2C, a, b, c). In H5412 these bursts are not limited to the lateral part (Fig. 1B, b,c,d) but also extend into the adjoining medial part of the nucleus ventralis posterior (Fig.

The thin degenerated fibers now are located in and around top of the lateral lemniscus, some entering the sagulum. The coarse fibers of the ventral spinocerebellar tract meanwhile have separated from them to enter the cerebellum superficially through the brachium conjunctivum. In one case (H3655) a conspicuous, aberrant bundle of thin brachium pontis fibers accompanies the degenerated ventral spinocerebellar fibers into the brachium conjunctivum (Fig. 5B, see aberr. bp in section 41). 7 Spinoreticular Projections Spinoreticular projections can be visualized in the Nauta-impregnated sections only; in the Häggqvist-stained material visible degeneration in the reticular formation is extremely scanty.

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