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Updated: May 23, 2026

Measuring and Manipulating Functionally Specific Neural Pathways in the Human Motor System with Transcranial Magnetic Stimulation
Published on: February 23, 2020
Termination differences in the primary sensorimotor cortex between the medial lemniscus and spinothalamic pathways in
Sung Ho Jang1, Yong Hyun Kwon, Mi Young Lee
1Department of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University, Republic of Korea.
The medial lemniscus (ML) pathway, crucial for proprioception and movement, shows greater M1 termination than the spinothalamic tract (ST) pathway, which is linked to pain and temperature. This suggests ML
Area of Science:
- Neuroscience
- Motor Control
- Somatosensory System
Background:
- The medial lemniscus (ML) pathway transmits proprioception, vital for motor function.
- The spinothalamic tract (ST) pathway conveys pain and temperature sensations.
- Understanding the differential cortical projections of these pathways is key to deciphering motor control and sensory processing.
Purpose of the Study:
- To investigate the distinct distribution patterns of the primary motor cortex (M1) and primary somatosensory cortex (S1) for the ML and ST pathways.
- To determine if the ML pathway's projections favor motor or sensory cortical areas more than the ST pathway's projections.
Main Methods:
- Diffusion tensor imaging (DTI) tractography was employed to delineate the ML and ST pathways.
- Seed masks were placed on the medulla (ML/ST) and thalamus (VPL nucleus) to define pathway origins and terminations.
- Voxel counts and relative percentages were analyzed to quantify pathway distribution within M1 and S1.
Main Results:
- No significant difference in ML pathway volume was observed between M1 and S1.
- The ST pathway showed a significantly greater mean voxel number in S1 compared to M1.
- The ML pathway exhibited a significantly higher relative voxel percentage in M1 (84%) compared to the ST pathway (67%) relative to S1.
Conclusions:
- The ML pathway demonstrates a preferential termination in the primary motor cortex (M1) over the primary somatosensory cortex (S1).
- This finding suggests a stronger link between the ML pathway and motor execution compared to the ST pathway.
- Differential thalamocortical projections highlight distinct roles in sensory processing and motor control.
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