Chapter 13 - Spinal Cord and Nerves Flashcards
- tunnel down through middle of spinal cord in the gray matter
Central canal
– large fissure in the midline on the ventral (anterior) side of the cord
Anterior median fissure
fold at the midline on the dorsal (posterior) side of the cord
Posterior median sulcus
– large swelling in the dorsal
roots of the spinal nerves; where the soma of afferent neurons is found
Dorsal root ganglion (also known as posterior root ganglion)
– enlarging of spinal cord in area where sensory fibers enter and
motor fibers leave for innervation of arms and hands; roughly C3 to T2 with largest
area at C5-C6.
Cervical enlargement
enlarging of spinal cord in area where sensory fibers enter and
motor fibers leave for innervation of hips, legs and feet; roughly T11 to conus
medullaris
Lumbar enlargement
myelinated tracts (myelin appears white)
White matter
soma of neurons
Gray matter
connection between R and L side of spinal cord within white
matter
White commissure
- connection between R and L side of spinal cord within gray matter
Gray commissure
contains neurons receiving synapses from afferent
(sensory) neurons
Posterior or dorsal horns
contains the soma of spinal motor neurons for
somatic nervous system; these send out axons that form nerve fibers
connecting to skeletal muscle
Anterior or ventral horns
contains the soma of autonomic motor
neurons; these send out axons that form nerve fibers that connect via
ganglionic neurons to various internal organs and glands.
Lateral horn of gray matter
– the membrane tightly attached to the surface of the spinal cord (and brain)
pia mater
– the middle of the 3 meninges; it attaches pia mater with fibrous
extensions that look like a spider’s web in cross-sections
arachnoid mater
the tough outer membrane that wraps around the spinal cord and brain; also
called the dural sheath
dura mater
the space between vertebrae and dura mater (outside dural sheath) and
thus unique to the spinal cord and column; this is where epidural anesthetics should be
injected for epidural anesthesia; it contains blood vessels, adipose tissue and connective
tissue
Epidural space
is the space between the arachnoid mater and the pia mater in both
brain and spinal cord; it is filled with cerebrospinal fluid (CSF).
Subarachnoid space
samples CSF by inserting a needle through the
meninges and into the space inferior to conus medullaris where cauda equine resides
lumbar puncture (also called spinal tap
are named consecutively for the segment (cervical, thoracic, lumbar, sacral, coccygeal) and then numbered from superior to inferior direction running down the cord (see chart above).
Spinal nerves
conducts sensory information
Dorsal root
where the
soma of these sensory neurons is located.
dorsal root ganglion
contains neurons receiving
the sensory input.
dorsal horn
contains somatic motor neurons
Ventral root
contains
autonomic motor neurons.
lateral horn
conduct sensory information to the brain via ascending tracts
Posterior funiculi
conduct motor information from the brain via descending tracts
Anterior funiculi
• Bundles of axons in the funiculi
Fascicles
The gracile and cuneate fasciculi (in posterior)
carry bulk of
somatosensory/visceral sensory information.
which there is crossing in the spinal cord through the
gray matter commissure.
Anterolateral pathway
2 types of ascending pathways
Anterolateral and posterior column
crosses at the decussation of the pyramids, the
fibers then synapse onto motor neurons at the ventral horn (90% of fibers).
Lateral Corticospinal tract
tract crosses at the white commissure; the fibers then
synapse onto motor neurons at the ventral horn (10% of fibers
Anterior Corticospinal
2 types of descending pathways
Lateral corticospinal tract and anterior corticospinal
chain of ganglia attached to the body of thoracic vertebrae in thoracic/lumbar regions.
Sympathetic Chain
branch goes back to the spinal cord, innervating the meninges
Meningeal branch
– innervates muscles and joints in spine/back
Dorsal ramus
– innervates skin of ventral/lateral portions of trunk
Ventral ramus
carries autonomic fibers that communicate with sympathetic
chain
Connecting rami
the point in which some spinal nerves join together to form one large peripheral nerve
nerve plexus
• A map of the sensory area of the body’s skin that sends signals to the spinal cord along a
particular spinal nerve.
Dermatomes
- Specialized muscle cells called intrafusal
muscle fibers are embedded and innervated in the muscle near tendons.
Muscle Spindle fiber (stretch receptors)
sensory organ embedded in the tendon that sends afferent
nerve signals about the speed and direction of movement, load on muscle and any
detected overstretch of the muscle
Golgi Tendon Organ
s involve a response of a muscle to a stimuli without sending the nerve
impulses to the cortex. They occur with a few synapses in the spinal cord or in the
brainstem.
Reflex arcs
generate fast, automatic responses.
Reflex arcs
type of spinal reflex arc where you withdraw from
pain.
Withdrawal reflexes