The lateral corticospinal tract is a descending motor pathway that begins in the cerebral cortex, decussates in the pyramids of the lower medulla (also known as the medulla oblongata or the cervicomedullary junction, which is the most posterior division of the brain) and proceeds down the contralateral side of theClick to see full answer. Thereof, where does the corticospinal tract end?The corticospinal tract is a white matter motor pathway starting at the cerebral cortex that terminates on lower motor neurons and interneurons in the spinal cord, controlling movements of the limbs and trunk.Also Know, what does damage to the corticospinal tract cause? Injuries to the lateral corticospinal tract results in ipsilateral paralysis (inability to move), paresis (decreased motor strength), and hypertonia (increased tone) for muscles innervated caudal to the level of injury. [2] The lateral corticospinal tract can suffer damage in a variety of ways. Similarly, what is the pathway of the corticospinal tract? The corticospinal pathway is a one-neuron pathway from the cerebral cortex to the gray of the spinal cord. This pathway consists of all axons that: (1) originate from cells within the cerebral cortex, (2) pass through the pyramids of the medulla, and (3) terminate in the spinal cord.Is the corticospinal tract ipsilateral or contralateral?The corticospinal tract belongs to one of the most important descending tracts of the CNS. It contains fibers from the upper motor neurons to synapse on the lower motor neurons. The anterior corticospinal tract sends fibers mainly to the trunk or axial muscles. The control is both ipsilateral and contralateral.