(IMAGE (TYPE "GIF")
       (ORIGINAL-PATH "gifs/Syllabus Chapters/SomatoMedlem/CKsomato.sum.313.08.gif")
(PATH "gifs/NotAvailable.gif"))
(OUTLINE-COLOR (NAME "YELLOW"))
(STRING-COLOR (NAME "RED"))
(PIN-COLOR (NAME "RED"))
(FRAME-INFO (STRING "Summary, Ascending Paths. \(Image modified from H.D. Patton et al., Introduction to Basic Neurology,  with permission of W.B. Saunders Co., 1976\). Schematic longitudinal view of somatosensory input at spinal cord and trigeminal levels. This summary includes both the posterior column-medial lemniscus pathway \(reviewed in this chapter\) and the spinothalamic \(pain and temperature\) pathway, which you will encounter in the next chapter. Identify nuclear groups, levels of crossing fibers, and tracts involved. The  secondary trigeminal pathways carry information from the head and accompany the medial lemniscus \(proprioception, fine touch, pressure and vibration information\) and spinothalamic \(pain and temperature\) pathways. The trigeminal ascending fibers are sometimes referred to as  a \"secondary ascending trigeminal tract\". "))
(REGION (TYPE "STRUCT")
        (ACTION "trigeminal ganglion")
        (ID 9)
        (CENTER-PT (175 158))
        (COORD-LIST (165 153) (165 163) (186 163) (186 153)))

(REGION (TYPE "STRUCT")
        (ACTION "posterior root ganglion")
        (ID 8)
        (CENTER-PT (181 261))
        (COORD-LIST (173 258) (173 267) (190 267) (190 258)))

(REGION (TYPE "STRUCT")
        (ACTION "posterior horn")
        (ID 7)
        (CENTER-PT (212 277))
        (COORD-LIST (204 272) (204 285) (219 285) (219 272)))

(REGION (TYPE "STRUCT")
        (ACTION "posterior column \(cuneate and gracile\) nuclei")
        (ID 6)
        (CENTER-PT (213 219))
        (COORD-LIST (202 209) (202 227) (221 227) (221 209)))

(REGION (TYPE "STRUCT")
        (ACTION "spinal trigeminal nucleus")
        (ID 5)
        (CENTER-PT (211 191))
        (COORD-LIST (204 180) (204 202) (219 202) (219 180)))

(REGION (TYPE "STRUCT")
        (ACTION "main sensory trigeminal nucleus")
        (ID 4)
        (CENTER-PT (211 174))
        (COORD-LIST (202 163) (202 180) (219 180) (219 163)))

(REGION (TYPE "STRUCT")
        (ACTION "ventral posterior nucleus of thalamus")
        (ID 3)
        (CENTER-PT (207 104))
        (COORD-LIST (194 94) (193 99) (194 104) (197 109) (202 112) (207 113) (212 114) (217 112) (222 109) (224 105) (224 101) (194 94)))

(REGION (TYPE "STRUCT")
        (ACTION "ventral posterior medial nucleus of thalamus")
        (ID 2)
        (CENTER-PT (233 105))
        (COORD-LIST (240 95) (240 100) (241 105) (241 110) (237 114) (233 113) (229 111) (226 107) (224 103) (240 95)))

(REGION (TYPE "STRUCT")
        (ACTION "ventral posterior lateral nucleus of thalamus")
        (ID 1)
        (CENTER-PT (247 101))
        (COORD-LIST (239 96) (240 101) (241 106) (242 111) (247 112) (252 109) (255 105) (257 101) (257 97) (256 93) (252 90) (239 96)))