Spinal Cord Pathways

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My goal is to reduce educational disparities by making education FREE.
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Пікірлер: 120

  • @natashiayoung6878
    @natashiayoung68783 жыл бұрын

    This channel saved my degree.

  • @shionafernandes4343

    @shionafernandes4343

    2 жыл бұрын

    Same here🤣

  • @Ajiizleee

    @Ajiizleee

    2 жыл бұрын

    @@shionafernandes4343 unfortunately just found it but it's killer for boards

  • @geneveweil2938

    @geneveweil2938

    Жыл бұрын

    Hahahahahaha same, so succinctly put

  • @ikhlassboukhraiss7771

    @ikhlassboukhraiss7771

    7 ай бұрын

    1:44 ​@@shionafernandes4343

  • @raymondbascal3703
    @raymondbascal37032 жыл бұрын

    The names of the pathways also tell you a bit about what the pathways do. Ex. Cortico-spinal can be translated to cortex to spine which means it's going from the head to body. You can then deduce this is motor related. Ex. Spinothalamic can be translated to from spine to cortex. You can then assume that this is sensory. If you're short on time, this can at least help you eliminate some choices even if you don't know exactly what it is.

  • @sydneytompkins9534

    @sydneytompkins9534

    2 жыл бұрын

    Thank you! This makes so much sense.

  • @newplatypus

    @newplatypus

    2 жыл бұрын

    I never realised this and it makes so much sense... Thank you!!!

  • @sungheumjo873

    @sungheumjo873

    2 ай бұрын

    Dude, this is hilarious. I was reading this comment and thought.. wow super helpful, guy must be smart. And then I saw your name and picture !! totally checks out haha

  • @catherinea5767
    @catherinea57675 ай бұрын

    I don't usually comment but I just wanted to say - I passed my neuro block because of you. Thank you Dirty Medicine!!!

  • @PowderChaser
    @PowderChaser3 жыл бұрын

    Are you kidding me man?! How are you so damn good? We don't deserve you! Glad to have you!

  • @christophersmith9040
    @christophersmith9040 Жыл бұрын

    These pathways are so forgettable that I have to re-learn it every now and then. These mnemonics make it easier. Btw, my teacher taught me a mnemomic for Brown-Sequard syndrome which makes it very easy that I remember it upto this point. I want to share it. DISC LION DISC is for SENSORY loss (below the lesion) DI = Dorsal column (Ipsilateral), SC = Spinothalamic tract (contralateral) For those wondering what about "At the level of the lesion", it's obvious. You can deduce that there'll be hyperesthesia on the same side, and nothing will happen on the opposite side. LION is for MOTOR loss. LI = Lesion (ipsilateral), ON = Normal (opposite) So, at the level of the lesion, you'll have LMNL and below the level of the lesion, UMNL. Even though motor is said to be "normal" for opposite site of the lesion, there will be some deficit in axial and proximal muscles because of ACST damage.

  • @sabikunsatil1393

    @sabikunsatil1393

    5 ай бұрын

    wow.. that makes sense... best best!!

  • @rebeccah.9785
    @rebeccah.97853 жыл бұрын

    I'm in my second last year of medicine and honestly, I have never understood these concepts as clearly as I do now, after watching your videos. Thank you so much!

  • @pragyasingh2297
    @pragyasingh22973 жыл бұрын

    You deserve all the happiness in the universe. Thank you so much for your videos!

  • @direwolfbd
    @direwolfbd2 жыл бұрын

    2 weeks away from my step 1 and I have never understood brown sequard syndrome so clearly as I do now. THANK YOU DIRTY

  • @aleenatahir4094

    @aleenatahir4094

    Жыл бұрын

    Hi how did your step go ??

  • @PriyankaDas-bj7er
    @PriyankaDas-bj7er2 жыл бұрын

    You saved many medical students. We will be grateful to you

  • @karolinealves8453
    @karolinealves8453 Жыл бұрын

    This is the MOST incredible video ever! Im soooo thankful for your existence! lol saving med students lives!!!!! THANK YOU!

  • @amolr2014
    @amolr2014 Жыл бұрын

    Good vid but kind’ve counterintuitive on the colorings for the Corticospinal tract where you put the LCST (UMN) in red in writing but the picture that’s up has it as a blue tract, and the Anterior Horn (LMN) is blue in writing but red on the drawing 😅

  • @fleurmcevoy8642
    @fleurmcevoy86424 жыл бұрын

    Thanks so much for your videos on neurology, they are excellent!

  • @chanelv5373
    @chanelv5373 Жыл бұрын

    Just Wow! You Sir have a gift at making everything so understandable. Thank you.

  • @irfand4
    @irfand42 жыл бұрын

    3 synapses in DCML pathway : Sensory neuron in the fingers/toes >> Dorsal column nuclei (sensory neuron projects upto the DCN in medulla where it decussates in the medial lemniscus and projects upwards to the thalamus) Dorsal column nuclei >> Thalamus Thalamus >> Primary sensory cortex (cortical centre of the brain responsible for processing all sensory input from the body)

  • @hillaryfrench174
    @hillaryfrench1742 жыл бұрын

    This helped so much! Thanks for saving us medical students!

  • @arslan626
    @arslan6264 жыл бұрын

    You are definitely going to heaven 🤗

  • @charlie1banks

    @charlie1banks

    3 жыл бұрын

    heheeee my thoughts exactly heeheeee

  • @el-adcohen8201
    @el-adcohen82013 жыл бұрын

    Great channel for physios too! Hats off.

  • @NadiaFleurantin
    @NadiaFleurantin4 жыл бұрын

    WOW. you are just....amazing. thanks for this.

  • @Doctor-Couple
    @Doctor-Couple Жыл бұрын

    You deserve a medal 🏅 Thank you so much, take love 💕

  • @r.y776
    @r.y7768 ай бұрын

    Many Thanks! I used to have a hard time getting into it when I was a preclinical student. And I just understood this NOW! 😢

  • @agie3096
    @agie30962 жыл бұрын

    wonderfully explained. You are better than my professor.

  • @rorangarrowsson2078
    @rorangarrowsson2078 Жыл бұрын

    This was so great, thank you

  • @pelumidaniel734
    @pelumidaniel7342 жыл бұрын

    God bless this man

  • @KP-rb9wk
    @KP-rb9wk4 жыл бұрын

    This is best bro.

  • @hasansarhan9296
    @hasansarhan9296 Жыл бұрын

    The 3 pathways mentioned at the beginning are the most important

  • @mlemay2486
    @mlemay24864 жыл бұрын

    I love your videos!

  • @naushadmansuri5555
    @naushadmansuri55553 жыл бұрын

    Thank you!

  • @NinaSowah
    @NinaSowah4 жыл бұрын

    God sent! Thanks so much

  • @damienroland5350

    @damienroland5350

    4 жыл бұрын

    Nina Sowah agreed

  • @drkaymd
    @drkaymd3 жыл бұрын

    Awesome explanation 👍

  • @itsemari
    @itsemari3 жыл бұрын

    don't know where i'd be without you

  • @TheMedicalDots
    @TheMedicalDots6 ай бұрын

    Very very helpful! Thank you so much!

  • @taliqarafiq2294
    @taliqarafiq22942 жыл бұрын

    This channel is GOD SENT

  • @israchan4474
    @israchan4474 Жыл бұрын

    Thank you sm! that was extremely helpful!!

  • @tayyabriz9701
    @tayyabriz97013 жыл бұрын

    Bless you bro you are helping a lot

  • @ashwaqelfal
    @ashwaqelfal11 ай бұрын

    Oh GOD you saved my life! Thank youuu

  • @fridaatallah8301
    @fridaatallah83013 жыл бұрын

    You're simply the best 😍😍

  • @mitraahmadi7762
    @mitraahmadi77626 ай бұрын

    Thank you for making it simple i was so confused with all these tracts

  • @topalaluiza9647
    @topalaluiza9647 Жыл бұрын

    Thank you so much 🙏🙏🙏

  • @ana_ak
    @ana_ak Жыл бұрын

    Thank you so much!!🥹

  • @StephanieMariesOldChannel
    @StephanieMariesOldChannel2 жыл бұрын

    This was so helpful!!!

  • @bhagawanshrestha7816
    @bhagawanshrestha78163 жыл бұрын

    Great video..... thanks

  • @rua1051
    @rua10512 жыл бұрын

    Great video!

  • @satishchandra9786
    @satishchandra97862 жыл бұрын

    Wrangle concept,well explained

  • @user-yehia
    @user-yehia10 ай бұрын

    You are great

  • @d8457
    @d84573 жыл бұрын

    Thank you from 🇦🇺

  • @lisabell7908
    @lisabell79084 жыл бұрын

    In Brown Sequard, there would also be LMN findings ipisilaterally AT the level of the lesion, correct? Not just UMN below level on the lesion? Thanks!

  • @Lundefuglable

    @Lundefuglable

    4 жыл бұрын

    Correct.

  • @Princeheart90

    @Princeheart90

    2 жыл бұрын

    What about Transverse myelitis?

  • @Liuhuayue
    @Liuhuayue4 жыл бұрын

    Thanks for the refresher! Great summary.

  • @evaristokunda7668
    @evaristokunda76688 ай бұрын

    Thank you 😊

  • @karab7369
    @karab73693 ай бұрын

    Amazing work, keep it up please

  • @jennifercabrera9895
    @jennifercabrera98952 жыл бұрын

    Amazing!!!!!

  • @nunchukgrl2
    @nunchukgrl24 жыл бұрын

    Thank you for the big picture review!

  • @jawadfarooq1
    @jawadfarooq14 жыл бұрын

    Thank you LOve from Pakistan

  • @sajiruddinsk8129
    @sajiruddinsk81295 ай бұрын

    Very good.

  • @charmkang6120
    @charmkang61203 жыл бұрын

    you are,,, genius.

  • @tinocasadeitherezo6063
    @tinocasadeitherezo60632 жыл бұрын

    After doing synapsis with the second neuron, does its axon go by the dorsal column? Or is there a colateral way to the medulla oblongata neuron? I couldn't understand your scheme just at this point...

  • @anthonynwobodo3347
    @anthonynwobodo33478 ай бұрын

    Thanks

  • @gabrielasuero3430
    @gabrielasuero34304 жыл бұрын

    can you do one on medullary syndromes?

  • @Vitalorgan934
    @Vitalorgan9342 жыл бұрын

    Is there a video about vestibular ocular reflex VOR ? If not, we need one please.

  • @christopherwashington4763
    @christopherwashington4763 Жыл бұрын

    Perfection

  • @miladdulloo1997
    @miladdulloo19973 жыл бұрын

    love it

  • @RosannaLee-vn6jc
    @RosannaLee-vn6jc3 ай бұрын

    AMAZING 😀

  • @chanchalmaheshwari4964
    @chanchalmaheshwari49643 жыл бұрын

    Pls make some videos on microbiology topics, will be waiting

  • @adi1096
    @adi10964 жыл бұрын

    17:14 - Decreased pin prick refers to decreased pain sensation not discriminative touch and would indicate a lateral spinothalamic tract problem, right?

  • @NeurologyAnalogy

    @NeurologyAnalogy

    3 жыл бұрын

    Yup

  • @TheEngaged22
    @TheEngaged224 жыл бұрын

    I swear God send you to save us all!

  • @arcane4759
    @arcane47592 жыл бұрын

    I LOVE YOU!!!

  • @thextractor53
    @thextractor534 жыл бұрын

    You're Godsent

  • @PhuongHna0902
    @PhuongHna09023 ай бұрын

    dammm =))) thank you so much for this crazy mnemonic

  • @SonaliAVoleti
    @SonaliAVoleti Жыл бұрын

    why do you loose pain and temp 2 segments below when the decussate at the level of the lesion?

  • @marklombardo2660
    @marklombardo26604 жыл бұрын

    At 7:28 you say upper motor neuron is red and lower motor neuron is blue, your picture shows the opposite just FYI.

  • @kpill9382

    @kpill9382

    4 жыл бұрын

    I was confused for a moment myself

  • @indraneeldeshmukh2493

    @indraneeldeshmukh2493

    3 жыл бұрын

    Thank you for this, i thought i was alone in noticing that !

  • @aminahhanuar

    @aminahhanuar

    3 жыл бұрын

    thank you for telling. i was so confused

  • @user-hv2gq4wv8b
    @user-hv2gq4wv8b3 ай бұрын

    Please make video on varoius brain herniations and their syndromes. Havent found one good video on it here on YT.

  • @syubiased6854
    @syubiased6854 Жыл бұрын

    you are a king

  • @MutairuW.O
    @MutairuW.O2 ай бұрын

    Thanks for this 😭😭😭😭😭

  • @thefenerbahcesk4156
    @thefenerbahcesk4156 Жыл бұрын

    We should know the blood supply to all of these tracts though, right?

  • @drinaciofernandes
    @drinaciofernandes4 жыл бұрын

    when you say that the effect for first two tracts(corticospinal tract and posterior colum) is ipsilateral you say that because of the variation of the decussation of the tract compared to the Spinothalamic tract( as in the decussation for the first two happens in the medulla and the decussation for the lateral spinothalamic tract happens in the spinal cord level). please correct me if im wrong.

  • @noreenaaslam1371

    @noreenaaslam1371

    4 жыл бұрын

    you are right...spinothalamic tract descussate immediately in spinal cord thats why opposite side

  • @aquaplayzyt4308

    @aquaplayzyt4308

    3 жыл бұрын

    injury occurs at the spinal cord and decussation is in medulla in first two tracts,so decusation occurs before the injury ,so ipsilateral

  • @rltyck
    @rltyck4 жыл бұрын

    I must have missed something...since the Corticospinal Tract and the Medial Lemniscus decussate in the medulla, aren't their effects contralateral? The video says ipsilateral, so I'm confused. Help!

  • @AsadR43

    @AsadR43

    4 жыл бұрын

    LST crosses instantly at spinal level, which is why in BSS you'll see contralateral effects for it. The other two tracts cross in Medulla. Their normal functions are contralateral, but BSS will show ipsilateral effects since it is dealing with a spinal (not cortical) injury. Hope that made sense!

  • @rltyck

    @rltyck

    4 жыл бұрын

    @@AsadR43 Now I get it...thanks!

  • @SimranAgain

    @SimranAgain

    2 жыл бұрын

    @@AsadR43 I had the same doubt! And your comment appropriately cleared it. Thank you!

  • @sorentran6484
    @sorentran64843 жыл бұрын

    You saved me omg.

  • @muneebtakesmedicine
    @muneebtakesmedicine Жыл бұрын

    Jaani had de pe oko 🤧❤️

  • @Immortaxio135
    @Immortaxio135 Жыл бұрын

    Why are there no pain and temp sensation loss at the level of Brown squard lesion? If the signal comes to dorsal nucleus then it need to cross to the opposite side via the lissauer tract which is destroyed…😅 Also I don’t remember adding 2-3 levels when localizing the level of lesion of spinal cord injury using either motor or sensory deficit like in ASIA classification.

  • @lolajay1768
    @lolajay17683 жыл бұрын

    I got my med school diploma from Dirty Medicine School of Medicine

  • @mr.safecharliedefensivedri9741
    @mr.safecharliedefensivedri97412 жыл бұрын

    Help me understand why a common term used is spinel cord The actual name is Brain cord, protected by the spine.

  • @journeefar6913
    @journeefar69132 жыл бұрын

    Why wouldn't we consider ipsilateral vs contralateral manifestations of the lesions based on if the lesion is above or below the decussation?

  • @muneebtakesmedicine

    @muneebtakesmedicine

    Жыл бұрын

    Because the first two pathways decussate at the brain stem level (not the spinal cord level) and we're dealing with SPINAL CORD injuries here and so the only pathway among the three that decussate at the SC level is the Spinothalamic (hence its effect is gonna be Contralateral). Hope it helped :)

  • @ViolaMaster
    @ViolaMaster2 жыл бұрын

    Sorry, isn't it flipped in 6:49? Blue is UMN and red is LMN?

  • @evaafif7239

    @evaafif7239

    Жыл бұрын

    Yes, you are correct.

  • @secjuly16
    @secjuly163 жыл бұрын

    Did they ever catch the guy who did the stabbing?

  • @aquaplayzyt4308
    @aquaplayzyt43083 жыл бұрын

    why sensation is lost at level (LMN) and UMN below the level of lesion ?

  • @NeurologyAnalogy

    @NeurologyAnalogy

    3 жыл бұрын

    This is a common feature for any spinal cord lesion, as the UMNs generally act to modulate mainly via inhibition the LMNs. With spinal cord injury, the damaged UMN and LMN at the level cause a LMNL picture at the lesion level, but below this, the LMNs are released from inhibition from the descending UMNs, causing UMNL features below the lesion level. If it helps, I have 2 animated videos on my channel; one on spinal cord injury that helps visualise the UMNL and LMNL issue, and a Brown-Sequard video also

  • @sa21456
    @sa214562 жыл бұрын

    I love u

  • @clee888
    @clee8882 ай бұрын

    osteopathic schools have anatomist with a Master's teach this. If there is any disagreement please let me know.

  • @atheer4519
    @atheer45192 жыл бұрын

    Why did this video come to me after the exam? It's hurts

  • @DirtyMedicine

    @DirtyMedicine

    2 жыл бұрын

    better late than never

  • @TatianaPaolah
    @TatianaPaolah3 жыл бұрын

    Some Doctors Don’t Think Politically -> to add Decussation into the mnemonic

  • @xXchipdaripXx123
    @xXchipdaripXx1232 жыл бұрын

    t🐐

  • @mohe6327
    @mohe63273 жыл бұрын

    you are fast no need to speed the video

  • @sedatgul9762
    @sedatgul97624 жыл бұрын

    It is a good video overall, thanks. But I believe that it is too superficial. May be used as a last review only.

  • @NeurologyAnalogy

    @NeurologyAnalogy

    3 жыл бұрын

    If it helps, I've created an animated Brown-Sequard video on my channel that goes into much more detail. For example, it covers why you also lose spinothalamic loss ipsilaterally approx 2 levels below, then contralaterally all the way down.

  • @sedatgul9762

    @sedatgul9762

    3 жыл бұрын

    @@NeurologyAnalogy Thanks! I'll check it out. Thank you for your contribution. I'm sure you made so many medical students' day!

  • @XTheSpartanX7
    @XTheSpartanX7 Жыл бұрын

    I fucking hated neuroanatomy, now I am ok with it.