B6.032 Prework 2: Spinal Cord, meninges, nerve roots Flashcards

1
Q

where is the spinal cord

A

originates at foramen magnum

extends to L1-L2 region

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2
Q

what is the cauda aquina

A

nerve bundle extending downward from spinal cord

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3
Q

what are the 3 layers of meninges

A
from inside to outside
*pia
subarachnoid space
*arachnoid
*dura mater
epidural space
vertebral bone
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4
Q

function of pia

A

adheres to cord and nerve roots

contains blood vessels to supply the nerves

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5
Q

subarachnoid space

A

contains CSF
ends at S2
tap below L2 where the spinal cord ends

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6
Q

epidural space

A

contains lymphatics, fat, and venous plexus
important for spinal drainage
injections here treat nerve root pain

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7
Q

dorsal roots

A

sensory nerve roots

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8
Q

ventral roots

A

motor nerve roots

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9
Q

union of dorsal and ventral roots

A

spinal nerves

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10
Q

divisions of spinal nerves

A
dorsal ramus (smaller)
anterior ramus (larger)
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11
Q

function of dorsal ramus

A

innervates structures of the dorsal trunk

medial branch innervates facet joints

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12
Q

function of anterior ramus

A

lumbosacral plexus comes from here

innervates lower limbs and ventral trunk

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13
Q

pattern of spinal nerves in cervical region

A
ABOVE vertebral level
except at C7 vertebra
one above (C7)
one below (C8)
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14
Q

pattern of spinal nerves in rest of the spine

A

BELOW vertebral level

aka T1 nerve below T1 vertebra

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15
Q

what types of conditions can cause neural tissues problems

A

compression
traction
inflammation infection

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16
Q

neural tissues

A
spinal cord
cauda equina
nerve roots
spinal nerves
plexus and peripheral nerves
17
Q

radicular symptoms

A

leg pain > back pain
sharp pain distal to tissue injury
paresthesia
weakness

18
Q

clinical exams for suspected neural tissue damage

A

neuro exam
electrophysiology
imaging
helps tell which tissues are compromised

19
Q

components of neurological exam

A

myotomes
dermatomes
reflexes

20
Q

myotomes

A

motor roots: key muscle testing

look for weakness and atrophy

21
Q

dermatomes

A

sensory roots: cutaneous light touch

look for decrease in sensation

22
Q

reflexes

A

L3, L4, L5, S1, Babinski

look for hypo or hyper reflexes

23
Q

nerve root injury result

A

sensory and motor changes IN SPECIFIC DERMATOME AND MYOTOME patter
hypo reflexes

24
Q

spinal cord injury result

A

symptoms of NONSERMATOME AND NONMYOTOME pattern of multiple segments
hyper reflexes

25
Q

L1 root

A

sensory- groin

no motor or reflex

26
Q

L2 root

A

sensory- anterior proximal thigh

motor- hip flexion

27
Q

L3 root

A

sensory- medial aspect of distal thigh and knee
motor- knee extension
reflex- patellar tendon

28
Q

L4 root

A

sensory- lateral aspect of knee or medial distal legs
motor- DF/Inv
reflex- patellar tendon

29
Q

L5 root

A

sensory- dorsum of foot
motor- toe extension
reflex- prox hamstring tendon

30
Q

S1 root

A

sensory- lateral foot
motor- gastrocnemious/ soleus, eversion
reflex- achilles

31
Q

S2 root

A

sensory- medial aspect of heel

motor-toe flexion