Corticomesencephalic tract

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Corticomesencephalic Tract[edit | edit source]

The corticomesencephalic tract is a neural pathway that originates in the cerebral cortex and projects to the midbrain, or mesencephalon. This tract is a component of the larger corticobulbar tract system, which is involved in the voluntary control of cranial nerve functions.

Brodmann area 8 animation

Anatomy[edit | edit source]

The corticomesencephalic tract primarily arises from the frontal lobe of the cerebral cortex, particularly from Brodmann area 8, which is associated with the frontal eye fields. These areas are crucial for the control of voluntary eye movements.

The fibers of the corticomesencephalic tract descend through the internal capsule, a white matter structure that carries information past the basal ganglia. From there, the fibers continue through the cerebral peduncles of the midbrain.

Function[edit | edit source]

The primary function of the corticomesencephalic tract is to mediate voluntary control over certain cranial nerve nuclei located in the midbrain. This includes the oculomotor nerve (CN III) and the trochlear nerve (CN IV), which are responsible for controlling eye movements.

Oculomotor nerve nucleus

The tract plays a significant role in coordinating eye movements, such as saccades, which are rapid movements of the eye that adjust the line of sight. The frontal eye fields, through the corticomesencephalic tract, send signals to the oculomotor and trochlear nuclei to execute these movements.

Clinical Significance[edit | edit source]

Damage to the corticomesencephalic tract can result in deficits in eye movement control. Lesions affecting this tract may lead to conditions such as internuclear ophthalmoplegia or gaze palsy, where the ability to move the eyes in a coordinated manner is impaired.

Sobo 1909 676

Pathway[edit | edit source]

The pathway of the corticomesencephalic tract can be summarized as follows:

1. Originates in the frontal eye fields of the cerebral cortex. 2. Descends through the internal capsule. 3. Passes through the cerebral peduncles in the midbrain. 4. Synapses in the oculomotor nucleus and trochlear nucleus.

Related Structures[edit | edit source]

The corticomesencephalic tract is closely related to other descending tracts such as the corticospinal tract and the corticopontine tract. These tracts collectively contribute to the control of voluntary motor functions.

Gray's Anatomy illustration of the brainstem

Related Pages[edit | edit source]

Pons section at facial colliculus
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Contributors: Prab R. Tumpati, MD