Anterior White Commissure

The anterior white commissure (ventral white commissure) is a bundle of nerve fibers which cross the midline of the

spinal cord The spinal cord is a long, thin, tubular structure made up of nervous tissue, which extends from the medulla oblongata in the brainstem to the lumbar region of the vertebral column (backbone). The backbone encloses the central canal of the spi ...

just

anterior Standard anatomical terms of location are used to unambiguously describe the anatomy of animals, including humans. The terms, typically derived from Latin or Greek roots, describe something in its standard anatomical position. This position prov ...

(in front of) to the

gray commissure The grey commissure is a thin strip of grey matter that surrounds the central canal of the spinal cord and, along with the anterior white commissure The anterior white commissure (ventral white commissure) is a bundle of nerve fibers which cross ...

(

Rexed lamina The Rexed laminae comprise a system of ten layers of grey matter (I–X), identified in the early 1950s by Bror Rexed to label portions of the grey columns of the spinal cord. Similar to Brodmann areas, they are defined by their cellular structur ...

X).

A delta fiber Group A nerve fibers are one of the three classes of nerve fiber as ''generally classified'' by Erlanger and Gasser. The other two classes are the group B nerve fibers, and the group C nerve fibers. Group A are heavily myelinated, group B ar ...

s (Aδ fibers) and

C fibers Group C nerve fibers are one of three classes of nerve fiber in the central nervous system (CNS) and peripheral nervous system (PNS). The C group fibers are unmyelinated and have a small diameter and low conduction velocity, whereas Groups A ...

carrying pain sensation in the

spinothalamic tract The spinothalamic tract is a part of the anterolateral system or the ventrolateral system, a sensory pathway to the thalamus. From the ventral posterolateral nucleus in the thalamus, sensory information is relayed upward to the somatosensory cor ...

contribute to this commissure, as do fibers of the

anterior corticospinal tract The anterior corticospinal tract (also called the ventral corticospinal tract, "Bundle of Turck", medial corticospinal tract, direct pyramidal tract, or anterior cerebrospinal fasciculus) is a small bundle of descending fibers that connect the cer ...

, which carry motor signals from the

primary motor cortex The primary motor cortex (Brodmann area 4) is a brain region that in humans is located in the dorsal portion of the frontal lobe. It is the primary region of the motor system and works in association with other motor areas including premotor co ...

. Two of the five

sensory modalities Stimulus modality, also called sensory modality, is one aspect of a stimulus or what is perceived after a stimulus. For example, the temperature modality is registered after heat or cold stimulate a receptor. Some sensory modalities include: light, ...

, pain and temperature, cross sides at the anterior white commissure, reaching the contralateral side about two vertebral levels rostral to their origin. The spinothalamic tract thus decussates very soon after entering the spinal cord, ascending in the spinal cord, contralateral to the side from where it provides (pain and temperature) sensory information. Therefore, a lesion that is caudal to the

sensory decussation In neuroanatomy, the sensory decussation or decussation of the lemnisci is a decussation (i.e. crossover) of axons from the gracile nucleus and cuneate nucleus, which are responsible for fine touch, vibration, proprioception and two-point discri ...

where the remaining 3/5 modalities decussate (at the superior medulla) will result in

contralateral Standard anatomical terms of location are used to unambiguously describe the anatomy of animals, including humans. The terms, typically derived from Latin or Greek roots, describe something in its standard anatomical position. This position prov ...

(opposite sided) pain and temperature loss (as this has already crossed over at the anterior white commissure), whereas loss of crude touch, pressure, and

proprioception Proprioception ( ), also referred to as kinaesthesia (or kinesthesia), is the sense of self-movement, force, and body position. It is sometimes described as the "sixth sense". Proprioception is mediated by proprioceptors, mechanosensory neurons ...

will be

ipsilateral Standard anatomical terms of location are used to unambiguously describe the anatomy of animals, including humans. The terms, typically derived from Latin or Greek roots, describe something in its standard anatomical position. This position pro ...

(same sided) as these have not yet crossed over. Spinal cord {{neuroanatomy-stub