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The somatosensory thalamocortical system has proven a tractable model for dissecting how different neuronal populations sculpt bidirectional information exchange between the thalamus and the cortex. This chapter reviews corticothalamic (CT) pathways from layers 5 (L5) and 6 (L6) of the primary somatosensory (S1) cortex to first-order ventroposterior (VP) and higher-order posterior medial (POm) somatosensory thalamic nuclei. With a focus on insights gained from recent cell-type–specific approaches in rodent models, we contrast L5 and L6 CT pathways at the scales of network architecture, anatomical connectivity, and physiological characteristics. We further compare the distinct feedforward inhibitory circuits engaged by L6 and L5 CT pathways, which involve the thalamic reticular nucleus and extrathalamic inhibitory nuclei, respectively. Where data exist, we discuss short- and long-term synaptic dynamics of the specific CT circuits. We close with a discussion of the proposed functions of these distinct pathways in conveying “top-down” cortical signals for both the modulation of thalamic processing of sensory information and the transmission of information between cortical regions.
The main cause of motor weakness is damage to the primary crossed corticospinal tract. Most patients with stroke (80%-90%) have motor symptoms or signs. Hemiparesis with uniform weakness of the arm and leg associated with hemisensory deficit and speech deficit (dysphasia or dysarthria) usually indicates a large supratentorial lesion that involves the middle cerebral artery (MCA). Such patients have more severe weakness than do those with isolated hemiparesis. Crossed brainstem syndromes, well known with eponyms, are characterized by palsy of one of the 12 cranial nerve pairs associated with a contralateral neurological deficit due to involvement of the neurological long tracts (mainly motor or sensory). The integrity of all motor tracts, with the pyramidal tract as the main descending fiber bundle, but also the corticorubrospinal and corticoreticulospinal systems, appears to account for stroke recovery in a recent in vivo diffusion tensor imaging (DTI) study in chronic stroke patients.
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