ReceptorWhere the pathway begins: a touch receptor in the skin. The first neuron's fiber ends in it.
First-order neuronRuns from the receptor into the cord and up to the medulla. Its cell body sits in the dorsal root ganglion.
Dorsal root ganglionHolds the cell bodies of the first-order neurons. It lies on the dorsal root, outside the cord.
Fasciculus gracilis (dorsal column)The inner strip of the dorsal column. First-order fibers from the lower body climb in it without crossing.
Second-order neuronStarts in the medulla, crosses the midline and climbs to the thalamus.
Decussation (crossing in the medulla)Where the second-order fibers cross the midline. Above it, each side of the body is carried on the opposite side.
Medial lemniscusThe band of crossed second-order fibers. It climbs through the brainstem to the thalamus.
ThalamusThe relay where the second-order neuron ends and the third begins.
Third-order neuronRuns from the thalamus up to the cortex. It is the last neuron of the chain.
Primary somatosensory cortexWhere the pathway ends: the parietal lobe's postcentral gyrus.
Spinothalamic tractA second route, for pain and temperature. Its second neuron crosses in the cord and climbs to the thalamus.
Descending (motor) 9
Primary motor cortexWhere the pathway starts, in front of the central sulcus. The upper motor neuron's cell body lies here.
Upper motor neuronRuns from the motor cortex down to the cord. It ends on a lower motor neuron.
Internal capsuleA white-matter band that lies between thalamus and basal ganglia. The fibers gather in it.
Cerebral peduncle (crus cerebri)The stalk at the front of the midbrain. The fibers run down through it.
PyramidA bump on the front of the medulla, made by the fibers. It gives the pyramidal tract its name.
Decussation of the pyramidsWhere most of the fibers cross to the other side. It lies at the lower end of the medulla.
Lateral corticospinal tractThe crossed fibers. They run down the side of the cord.
Anterior corticospinal tractThe fibers that stay uncrossed at the medulla. They run down the front of the cord.
Lower motor neuronIts cell body is in the front horn of the cord. Its axon leaves the cord and reaches a skeletal muscle.
How this list was compiled: Every name and step checked on 2026-10-03 in at least two of these. (1) Wikipedia, English edition: Dorsal column-medial lemniscus pathway, Spinothalamic tract, Pyramidal tracts, Upper motor neuron and Lower motor neuron, text only. (2) Neuroscience Online, McGovern Medical School at UTHealth Houston: Section 2, Chapter 4, Somatosensory Pathways; Section 3, Chapter 1, Motor Units and Muscle Receptors; Section 3, Chapter 2, Spinal Reflexes and Descending Motor Pathways; Section 3, Chapter 3, Motor Cortex. (3) TeachMeAnatomy: The Ascending Tracts and The Descending Tracts. Hints and detail lines are in our own words. Licence: own work
The drawing: Drawn for this site on 2026-10-03 from plain geometry; nothing traced. A plan, not to scale. Licence: own work
How it works
An ascending pathway carries a sensation up to the brain in a chain of three neurons. A descending pathway carries a command down in two. Each drawing stacks slices of the cord, the brainstem and the cerebrum.
Read the full guide
Up: three neurons
From the receptor (1), the first-order neuron (2) passes the dorsal root ganglion (3) and climbs the fasciculus gracilis (4). The second-order neuron (5) crosses (6) and climbs in the medial lemniscus (7) to the thalamus (8). The third-order neuron (9) ends in the primary somatosensory cortex (10). The dashed route is the spinothalamic tract (11).
Down: two neurons
The upper motor neuron (13) leaves the primary motor cortex (12), passes the internal capsule (14), the cerebral peduncle (15) and the pyramid (16), and crosses (17) into the lateral corticospinal tract (18). Uncrossed fibers form the anterior tract (19). The lower motor neuron (20) reaches the muscle.
Ascending means up to the brain and sensory; descending means down from it and motor.
Both main routes cross in the medulla, so each half of the brain serves the opposite side of the body.
Questions and answers
What are the ascending and descending pathways of the CNS?
Ascending pathways carry sensory signals up the spinal cord to the brain; descending pathways carry motor commands down from the brain. This page draws one of each: the dorsal column-medial lemniscus pathway and the corticospinal tract.
What are first-, second- and third-order neurons?
The three neurons of a sensory chain. The first-order neuron runs from the receptor into the cord, the second-order neuron crosses and climbs to the thalamus, and the third-order neuron runs from the thalamus to the cortex.
Where do the pathways cross to the other side?
The touch pathway crosses in the medulla, where the second-order neuron starts. The spinothalamic tract crosses in the spinal cord. Most corticospinal fibers cross at the decussation of the pyramids, at the lower end of the medulla.
What is the difference between an upper and a lower motor neuron?
An upper motor neuron has its cell body in the brain, and its axon stays inside the central nervous system. A lower motor neuron's axon leaves the cord and reaches a skeletal muscle.
Can I practice here for “correctly identify and label the structures associated with some ascending pathways of the CNS.”?
Yes, and for “correctly identify and label the structures associated with two descending pathways of the CNS.” Both are instructions of labeling exercises. The drawing here is our own and not a copy of any course figure, so yours may ask for other names.