Corticospinal Pathway

The corticospinal pathway is a network of descending nerve fibers that carries voluntary motor commands from the cerebral cortex to the spinal cord, making it essential for purposeful movement and motor control. Signals originate primarily in the motor cortex, pass through the brainstem, and mostly cross at the medullary pyramidal decussation before descending to spinal motor circuits that activate skeletal muscles. In neuroscience, studying this pathway clarifies how the brain plans and executes movement, coordinates skilled actions, and adapts through motor learning. Damage to corticospinal fibers can produce weakness, impaired dexterity, and abnormal reflexes, providing important insight into neurological injury and rehabilitation.

Corticospinal Pathway - Related Videos

Research

JoVE EoE - Neurotherapeutics

Assessing Corticospinal Pathways Using Transcranial Magnetic Stimulation

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2025

Source: Charalambos, C. C., et al. Bilateral Assessment of the Corticospinal Pathways of the Ankle Muscles Using Navigated Transcranial Magnetic Stimulation. J. Vis. Exp. (2019)This video demonstrates the method to assess corticospinal pathways of the leg muscles using transcranial magnetic stimulation (TMS). Rest and active muscle responses are recorded from one brain hemisphere to evaluate the contralateral corticomotor function of leg muscles.

Research

JoVE Journal - Behavior
Free Sample

Corticospinal Excitability Modulation During Action Observation

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Cited by 22 •

2013

Single-pulse transcranial magnetic stimulation over the primary motor cortex, neuronavigation, and registration of electromyographic activity of hand muscles were used in this study to explore corticospinal excitability while participants were observing action sequences.

Bilateral Assessment of the Corticospinal Pathways of the Ankle Muscles Using Navigated Transcranial Magnetic Stimulation

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Cited by 10 •

2019

The present protocol describes the simultaneous, bilateral assessment of the corticomotor response of the tibialis anterior and soleus during rest and tonic voluntary activation using a single pulse transcranial magnetic stimulation and neuronavigation system.

Targeted Viral Delivery to Corticospinal Neurons in a Neonatal Rat to Study Spinal Cord Injury

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2025

Source: Smit, R. D., et al. Targeting the Corticospinal Tract in Neonatal Rats with a Double-Viral Vector using Combined Brain and Spine Surgery. J. Vis. Exp. (2021)This video demonstrates the targeted delivery of viral vectors to corticospinal neurons in a neonatal rat. The protocol enables precise gene expression using anterograde and retrograde viral injections, facilitating research on neural regeneration and plasticity following spinal cord injury.

Combining Multiple Data Acquisition Systems to Study Corticospinal Output and Multi-segment Biomechanics

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Cited by 1 •

2016

The use of transcranial magnetic stimulation (TMS) to study human motor control requires the integration of data acquisition systems to control TMS delivery and simultaneously record human behavior. The present manuscript provides a detailed methodology for integrating data acquisition systems for the purpose of investigating human movement via TMS.

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