Sensory decussation

The fibers of this decussation are called the internal arcuate fibers and are found at the superior aspect of the closed medulla oblongata, superior to the motor decussation. Neurons of these nuclei are second-order neurons in the dorsal column–medial lemniscus pathway.

Structure

At the level of the closed medulla in the posterior white column, two large nuclei namely the gracile nucleus and the cuneate nucleus can be found. The two nuclei receive the impulse from the two ascending tracts: fasciculus gracilis and fasciculus cuneatus. After the two tracts terminate upon these nuclei, the heavily myelinated fibres arise and ascend anteromedially around the periaqueductal gray as internal arcuate fibres. These fibres decussate (cross) to the contralateral (opposite) side, so called the sensory decussation. The ascending bundle after the decussation is called the medial lemniscus. Unlike other ascending tracts of the brain, fibres of the medial lemniscus do not give off collateral branches as they travel along the brainstem.