Anterior trigeminothalamic tract

Anterior trigeminothalamic tract
Details
Identifiers
Latin	tractus trigeminothalamicus anterior
TA	A14.1.05.311
FMA	72506
*Anatomical terminology*

The anterior trigeminothalamic tract (or ventral trigeminothalamic tract) is composed of second order neuronal axons. These fibers carry sensory information about discriminative and crude touch, conscious proprioception, pain, and temperature from the head, face, and oral cavity. The anterior trigeminothalamic tract connects the principal (chief sensory) nucleus and spinal trigeminal nucleus to the ventral posteromedial (VPM) nucleus of the thalamus.

The anterior trigeminothalamic tract is also called the anterior trigeminal lemniscus.^[1]

Pathway

The first order neurons (from the trigeminal ganglion) enter the pons and synapse in the principal (chief sensory) nucleus or spinal trigeminal nucleus. Axons of the second order neurons cross the midline and terminate in the ventral posteromedial nucleus of the contralateral thalamus (as opposed to the ventral posterolateral nucleus, as in the dorsal column medial lemniscus (DCML) system). The third order neuron in the thalamus then connects to the sensory cortex of the postcentral gyrus.

References

↑ Anthoney, T. R. (1993). Neuroanatomy and the neurologic exam: a thesaurus of synonyms, similar-sounding non-synonyms, and terms of variable meaning. CRC Press.

Sources

Anthoney, T. R. (1993). Neuroanatomy and the neurologic exam: a thesaurus of synonyms, similar-sounding non-synonyms, and terms of variable meaning. CRC Press.
Norton, N. S. (2016). Netter's head and neck anatomy for dentistry. Elsevier Health Sciences.

External links

Anatomy of the pons

Dorsal/
(tegmentum)

Surface

White: Sensory

Medial longitudinal fasciculus
- Vestibulo-oculomotor fibers

White: Motor

Grey: Cranial nuclei

afferent:	GSA Trigeminal Principal Spinal Cochlear nucleus Dorsal Anterior Vestibular nuclei Superior
efferent:	SVE: Trigeminal motor nucleus Facial motor nucleus GSE: Abducens nucleus GVE: Superior salivary nucleus Inferior salivary nucleus
Other	Apneustic center Parabrachial area Pneumotaxic center Subparabrachial nucleus Medial parabrachial nucleus Lateral parabrachial nucleus Superior olivary nucleus Caerulean nucleus

Ventral/
(base)

Grey	Pontine nuclei
White: Motor/descending	Corticospinal tract Corticobulbar tract Corticopontine fibers MCP Pontocerebellar fibers
Surface	Basilar sulcus

Other grey: Raphe/
reticular

Anatomy of the midbrain

Tectum
(Dorsal)

Surface	Corpora quadrigemina: Inferior colliculus Brachium Superior colliculus Brachium
Grey matter	Pretectal area
White: Sensory/ascending	Spinotectal tract Central tegmental tract
White: Motor/descending	Tectospinal tract

Peduncle
(Ventral)

Tegmentum

White: Sensory/ascending

White: Motor/descending

Grey: cranial nuclei

Grey: other

Periaqueductal gray Raphe nuclei dorsal
Ventral tegmental area Rostromedial tegmental nucleus Pedunculopontine nucleus
Red nucleus Rostral interstitial nucleus of medial longitudinal fasciculus Parabrachial area
Interpeduncular nucleus Midbrain reticular formation

Ventricular system

Cerebral aqueduct

Base

White: Motor/descending	Cerebral crus: Corticospinal tract Corticobulbar tract Corticopontine tract/Frontopontine fibers/Temporopontine fibers
Grey: Substantia nigra	Pars compacta Pars reticulata
Surface	Superior cerebellar peduncle Decussation Interpeduncular fossa

Anatomy of the diencephalon of the human brain

Epithalamus

Surface	Pineal gland Habenula Habenular trigone Habenular commissure
Grey matter	Pretectal area Habenular nuclei Subcommissural organ

Thalamus

Surface	Stria medullaris of thalamus Thalamic reticular nucleus Taenia thalami
Grey matter/ nuclei	paired: AN Ventral VA/VL VP/VPM/VPL Lateral LD LP Pulvinar nuclei Metathalamus MG LG P cell M cell K cell midline: MD Intralaminar Centromedian Midline nuclear group Interthalamic adhesion
White matter	Mammillothalamic fasciculus Pallidothalamic tracts Ansa lenticularis Lenticular fasciculus Thalamic fasciculus PCML Medial lemniscus Trigeminal lemniscus Spinothalamic tract Lateral lemniscus Dentatothalamic tract Acoustic radiation Optic radiation Subthalamic fasciculus Anterior trigeminothalamic tract Medullary laminae

Hypothalamus

Surface

Grey matter

Autonomic zones	Anterior (parasympathetic/heat loss) Posterior (sympathetic/heat conservation)
Endocrine	posterior pituitary: Paraventricular Magnocellular neurosecretory cell Parvocellular neurosecretory cell Supraoptic oxytocin/vasopressin other: Arcuate (dopamine/GHRH) Preoptic (GnRH) Suprachiasmatic (melatonin)
Emotion	Lateral Ventromedial Dorsomedial

White matter

afferent
- Medial forebrain bundle
- Retinohypothalamic tract
efferent

Pituitary

Posterior is diencephalon, but anterior is glandular

Subthalamus

Brain and spinal cord: neural tracts and fasciculi

Sensory/
ascending

PCML

1°:	Pacinian corpuscle/Meissner's corpuscle → Posterior column (Gracile fasciculus/Cuneate fasciculus) → Gracile nucleus/Cuneate nucleus
2°:	→ sensory decussation/arcuate fibers (Posterior external arcuate fibers, Internal arcuate fibers) → Medial lemniscus/Trigeminal lemniscus → Thalamus (VPL, VPM)
3°:	→ Posterior limb of internal capsule → Postcentral gyrus

Anterolateral/
pain

Fast/lateral	1° (Free nerve ending → A delta fiber) → 2° (Anterior white commissure → Lateral and Anterior Spinothalamic tract → Spinal lemniscus → VPL of Thalamus) → 3° (Postcentral gyrus) → 4° (Posterior parietal cortex) 2° (Spinomesencephalic tract → Superior colliculus of Midbrain tectum)
Slow/medial	1° (Group C nerve fiber → Spinoreticular tract → Reticular formation) → 2° (MD of Thalamus) → 3° (Cingulate cortex)

Motor/
descending

Pyramidal

flexion: Primary motor cortex → Posterior limb of internal capsule → Decussation of pyramids → Corticospinal tract (Lateral, Anterior) → Neuromuscular junction

Extrapyramidal

flexion:	Primary motor cortex → Genu of internal capsule → Corticobulbar tract → Facial motor nucleus → Facial muscles
flexion:	Red nucleus → Rubrospinal tract
extension:	Vestibulocerebellum → Vestibular nuclei → Vestibulospinal tract
extension:	Vestibulocerebellum → Reticular formation → Reticulospinal tract
Midbrain tectum → Tectospinal tract → muscles of neck

Basal ganglia

direct:	1° (Motor cortex → Striatum) → 2° (GPi) → 3° (Lenticular fasciculus/Ansa lenticularis → Thalamic fasciculus → VL of Thalamus) → 4° (Thalamocortical radiations → Supplementary motor area) → 5° (Motor cortex)
indirect:	1° (Motor cortex → Striatum) → 2° (GPe) → 3° (Subthalamic fasciculus → Subthalamic nucleus) → 4° (Subthalamic fasciculus → GPi) → 5° (Lenticular fasciculus/Ansa lenticularis → Thalamic fasciculus → VL of Thalamus) → 6° (Thalamocortical radiations → Supplementary motor area) → 7° (Motor cortex)
nigrostriatal pathway:	Pars compacta → Striatum

Cerebellar

Afferent

Vestibular nuclei → Vestibulocerebellar tract → ICP → Cerebellum → Granule cell

Pontine nuclei → Pontocerebellar fibers → MCP → Deep cerebellar nuclei → Granule cell

Inferior olivary nucleus → Olivocerebellar tract → ICP → Hemisphere → Purkinje cell → Deep cerebellar nuclei

Efferent

Dentate nucleus in Lateral hemisphere/pontocerebellum → SCP → Dentatothalamic tract → Thalamus (VL) → Motor cortex

Interposed nucleus in Intermediate hemisphere/spinocerebellum → SCP → Reticular formation, or → Cerebellothalamic tract → Red nucleus → Thalamus (VL) → Motor cortex

Fastigial nucleus in Flocculonodular lobe/vestibulocerebellum → Vestibulocerebellar tract → Vestibular nuclei

Bidirectional:
Spinocerebellar

Unconscious proprioception	lower limb → 1° (muscle spindles → DRG) → 2° (Posterior thoracic nucleus → Dorsal/posterior spinocerebellar tract → ICP → Cerebellar vermis) upper limb → 1° (muscle spindles → DRG) → 2° (Accessory cuneate nucleus → Cuneocerebellar tract → ICP → Anterior lobe of cerebellum)
Reflex arc	lower limb → 1° (Golgi tendon organ) → 2° (Ventral/anterior spinocerebellar tract→ SCP → Cerebellar vermis) upper limb → 1° (Golgi tendon organ) → 2° (Rostral spinocerebellar tract → ICP → Cerebellum)

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