The statement is partially correct but incomplete. Here's the full picture:
Origin of the Lateral Corticospinal Tract
The traditional teaching — that the corticospinal tract originates entirely from Betz cells in Brodmann area 4 (primary motor cortex) — is a common oversimplification.
What area 4 contributes
Area 4 (primary motor cortex) contributes only ~30% of corticospinal axons. It contains the large Betz cells, but there are only ~25,000–35,000 Betz cells, whereas the medullary pyramid contains approximately 1 million axons — so Betz cells alone cannot account for the full tract.
Where the rest comes from
The corticospinal tract actually arises from multiple cortical areas:
| Source | Estimated Contribution |
|---|
| Area 4 — primary motor cortex | ~30% |
| Area 6 — premotor & supplementary motor cortex | ~30% |
| Areas 1, 2, 3 — primary somatosensory cortex | ~40% combined (with parietal areas) |
| Areas 5, 7 — superior parietal lobule | (included above) |
(Data from monkey studies by Russell and DeMyer; human data are less precise.)
Summary
The statement is not wrong, but it is incomplete. Area 4 is a major contributor, but roughly 60% of corticospinal fibers originate outside area 4 — primarily from premotor area 6 and somatosensory/parietal cortices.
— Adams and Victor's Principles of Neurology, 12th Edition, pp. 68–69