Descending motor pathways
1. Upper motor neurons in cortex
2. Fibers descend through internal capsule and midbrain
3. Some synapse on pontine nuclei (cortico-pontine fibers)
4. Some continue to medulla and decussate at pyramids (corticospinal fibers)
5. Some synapse on brainstem nuclei (cortico-nuclear/cortico-bulbar fibers)
6. Cortico-pontine fibers connect to cerebellum via middle cerebellar peduncles