Spinal Cord Pathways

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Dirty Medicine

Dirty Medicine

Күн бұрын

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My goal is to reduce educational disparities by making education FREE.
These videos help you score extra points on medical school exams (USMLE, COMLEX, etc.)
For educational purposes only; NOT medical or other advice.
Some videos contain mild profanity and hyperbole solely used to assist with memorization. Viewer discretion advised.
Opinions are entirely my own.

Пікірлер: 120
@natashiayoung6878
@natashiayoung6878 3 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
@raymondbascal3703 2 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
@catherinea5767 5 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
@PowderChaser 3 жыл бұрын
Are you kidding me man?! How are you so damn good? We don't deserve you! Glad to have you!
@rebeccah.9785
@rebeccah.9785 3 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!
@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!!
@direwolfbd
@direwolfbd 2 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 ??
@pragyasingh2297
@pragyasingh2297 3 жыл бұрын
You deserve all the happiness in the universe. Thank you so much for your videos!
@PriyankaDas-bj7er
@PriyankaDas-bj7er 2 жыл бұрын
You saved many medical students. We will be grateful to you
@arslan626
@arslan626 4 жыл бұрын
You are definitely going to heaven 🤗
@charlie1banks
@charlie1banks 3 жыл бұрын
heheeee my thoughts exactly heeheeee
@karolinealves8453
@karolinealves8453 Жыл бұрын
This is the MOST incredible video ever! Im soooo thankful for your existence! lol saving med students lives!!!!! THANK YOU!
@fleurmcevoy8642
@fleurmcevoy8642 4 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.
@el-adcohen8201
@el-adcohen8201 3 жыл бұрын
Great channel for physios too! Hats off.
@hillaryfrench174
@hillaryfrench174 2 жыл бұрын
This helped so much! Thanks for saving us medical students!
@irfand4
@irfand4 2 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)
@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 😅
@Doctor-Couple
@Doctor-Couple Жыл бұрын
You deserve a medal 🏅 Thank you so much, take love 💕
@NadiaFleurantin
@NadiaFleurantin 4 жыл бұрын
WOW. you are just....amazing. thanks for this.
@r.y776
@r.y776 8 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
@agie3096 2 жыл бұрын
wonderfully explained. You are better than my professor.
@rorangarrowsson2078
@rorangarrowsson2078 Жыл бұрын
This was so great, thank you
@KP-rb9wk
@KP-rb9wk 4 жыл бұрын
This is best bro.
@pelumidaniel734
@pelumidaniel734 2 жыл бұрын
God bless this man
@mlemay2486
@mlemay2486 4 жыл бұрын
I love your videos!
@ashwaqelfal
@ashwaqelfal 11 ай бұрын
Oh GOD you saved my life! Thank youuu
@TheMedicalDots
@TheMedicalDots 6 ай бұрын
Very very helpful! Thank you so much!
@mitraahmadi7762
@mitraahmadi7762 6 ай бұрын
Thank you for making it simple i was so confused with all these tracts
@taliqarafiq2294
@taliqarafiq2294 2 жыл бұрын
This channel is GOD SENT
@StephanieMariesOldChannel
@StephanieMariesOldChannel 2 жыл бұрын
This was so helpful!!!
@israchan4474
@israchan4474 Жыл бұрын
Thank you sm! that was extremely helpful!!
@drkaymd
@drkaymd 3 жыл бұрын
Awesome explanation 👍
@hasansarhan9296
@hasansarhan9296 Жыл бұрын
The 3 pathways mentioned at the beginning are the most important
@tayyabriz9701
@tayyabriz9701 3 жыл бұрын
Bless you bro you are helping a lot
@NinaSowah
@NinaSowah 4 жыл бұрын
God sent! Thanks so much
@damienroland5350
@damienroland5350 4 жыл бұрын
Nina Sowah agreed
@fridaatallah8301
@fridaatallah8301 3 жыл бұрын
You're simply the best 😍😍
@itsemari
@itsemari 3 жыл бұрын
don't know where i'd be without you
@Liuhuayue
@Liuhuayue 4 жыл бұрын
Thanks for the refresher! Great summary.
@rua1051
@rua1051 2 жыл бұрын
Great video!
@naushadmansuri5555
@naushadmansuri5555 3 жыл бұрын
Thank you!
@bhagawanshrestha7816
@bhagawanshrestha7816 3 жыл бұрын
Great video..... thanks
@nunchukgrl2
@nunchukgrl2 4 жыл бұрын
Thank you for the big picture review!
@ana_ak
@ana_ak Жыл бұрын
Thank you so much!!🥹
@satishchandra9786
@satishchandra9786 2 жыл бұрын
Wrangle concept,well explained
@user-yehia
@user-yehia 10 ай бұрын
You are great
@d8457
@d8457 3 жыл бұрын
Thank you from 🇦🇺
@karab7369
@karab7369 3 ай бұрын
Amazing work, keep it up please
@jennifercabrera9895
@jennifercabrera9895 2 жыл бұрын
Amazing!!!!!
@topalaluiza9647
@topalaluiza9647 Жыл бұрын
Thank you so much 🙏🙏🙏
@sajiruddinsk8129
@sajiruddinsk8129 5 ай бұрын
Very good.
@lisabell7908
@lisabell7908 4 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?
@charmkang6120
@charmkang6120 3 жыл бұрын
you are,,, genius.
@jawadfarooq1
@jawadfarooq1 4 жыл бұрын
Thank you LOve from Pakistan
@christopherwashington4763
@christopherwashington4763 Жыл бұрын
Perfection
@RosannaLee-vn6jc
@RosannaLee-vn6jc 3 ай бұрын
AMAZING 😀
@evaristokunda7668
@evaristokunda7668 8 ай бұрын
Thank you 😊
@miladdulloo1997
@miladdulloo1997 3 жыл бұрын
love it
@chanchalmaheshwari4964
@chanchalmaheshwari4964 3 жыл бұрын
Pls make some videos on microbiology topics, will be waiting
@arcane4759
@arcane4759 2 жыл бұрын
I LOVE YOU!!!
@thextractor53
@thextractor53 4 жыл бұрын
You're Godsent
@TheEngaged22
@TheEngaged22 4 жыл бұрын
I swear God send you to save us all!
@PhuongHna0902
@PhuongHna0902 3 ай бұрын
dammm =))) thank you so much for this crazy mnemonic
@tinocasadeitherezo6063
@tinocasadeitherezo6063 2 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
@anthonynwobodo3347 8 ай бұрын
Thanks
@syubiased6854
@syubiased6854 Жыл бұрын
you are a king
@gabrielasuero3430
@gabrielasuero3430 4 жыл бұрын
can you do one on medullary syndromes?
@adi1096
@adi1096 4 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
@Vitalorgan934
@Vitalorgan934 3 жыл бұрын
Is there a video about vestibular ocular reflex VOR ? If not, we need one please.
@sorentran6484
@sorentran6484 3 жыл бұрын
You saved me omg.
@MutairuW.O
@MutairuW.O 2 ай бұрын
Thanks for this 😭😭😭😭😭
@marklombardo2660
@marklombardo2660 4 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
@lolajay1768
@lolajay1768 3 жыл бұрын
I got my med school diploma from Dirty Medicine School of Medicine
@muneebtakesmedicine
@muneebtakesmedicine Жыл бұрын
Jaani had de pe oko 🤧❤️
@user-hv2gq4wv8b
@user-hv2gq4wv8b 3 ай бұрын
Please make video on varoius brain herniations and their syndromes. Havent found one good video on it here on YT.
@SonaliAVoleti
@SonaliAVoleti Жыл бұрын
why do you loose pain and temp 2 segments below when the decussate at the level of the lesion?
@thefenerbahcesk4156
@thefenerbahcesk4156 Жыл бұрын
We should know the blood supply to all of these tracts though, right?
@drinaciofernandes
@drinaciofernandes 4 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
@rltyck 4 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!
@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.
@mr.safecharliedefensivedri9741
@mr.safecharliedefensivedri9741 2 жыл бұрын
Help me understand why a common term used is spinel cord The actual name is Brain cord, protected by the spine.
@journeefar6913
@journeefar6913 2 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
@ViolaMaster 2 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.
@aquaplayzyt4308
@aquaplayzyt4308 3 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
@secjuly16
@secjuly16 3 жыл бұрын
Did they ever catch the guy who did the stabbing?
@sa21456
@sa21456 2 жыл бұрын
I love u
@atheer4519
@atheer4519 2 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
@TatianaPaolah 3 жыл бұрын
Some Doctors Don’t Think Politically -> to add Decussation into the mnemonic
@clee888
@clee888 2 ай бұрын
osteopathic schools have anatomist with a Master's teach this. If there is any disagreement please let me know.
@xXchipdaripXx123
@xXchipdaripXx123 2 жыл бұрын
t🐐
@mohe6327
@mohe6327 3 жыл бұрын
you are fast no need to speed the video
@sedatgul9762
@sedatgul9762 4 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.
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