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Pyramidal tract function and the clinical "pyramidal syndrome".

Authors: M, Wiesendanger;

Pyramidal tract function and the clinical "pyramidal syndrome".

Abstract

In this review, I wish to reconcile clinical usage of terminology and experimental concepts of pyramidal tract function. The traditional view, based essentially on neurological observations in stroke patients, was that this tract provides the structural basis of volitional movements. This concept is too simple and understanding of pyramidal tract function needs a considerably larger perspective. The view is discussed that the pyramidal tract is composed of subsystems with different cortical origin, fibre terminations and fibre sizes. The system shares its motor control function with other descending pathways and it also contributes to the phenomenon of descending control of sensory inflow. The pyramidal system plays a special role in the control of digital skill and speed of movements. However, there are also somewhat neglected observations that point to its function in postural control.

Keywords

Adult, Male, Neurology, Movement, Pyramidal Tracts, Animals, Humans, Haplorhini, Syndrome, Spinal Cord Diseases

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Powered by OpenAIRE graph
Found an issue? Give us feedback
selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
13
Average
Average
Average
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