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A&P : Unit 2 > Chapter 13.1 : The Spinal Cord > Flashcards

Chapter 13.1 : The Spinal Cord Flashcards

1
Q

Functions of the Spinal Cord

A

Conduction, Locomotion, Reflexes

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2
Q

local neural circuits (central pattern generators)

A

are pools of neurons located at each segment of the spinal column that help to control of flexors and extensors which cause alternating movements of the lower limbs // brain sends command but local neural circuits carry out the actual movements

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3
Q

The spinal cord passes through the

A

vertebral foramen

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4
Q

The inferior margin of the brain ends at __ or a little beyond

A

L1

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5
Q

Spinal cord size

A

averages 1.8 cm thick and 45 cm long

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6
Q

Spinal cord occupies the upper ______ of the
vertebral canal

A

two thirds

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7
Q

At each segment of the bony spinal column, a pair of
axon exit the spinal cord. These are the ______ _____
that connect the cord to muscles and other organs..

A

spinal nerves

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8
Q

The spinal cord gives rise to __ pair of spinal nerves

A

31

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9
Q

The first pair of spinal nerve passes between the skull and C1. All other pass through the ________ _________

A

intervertebral foramen

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10
Q

medullary cone

A

(conus medullaris)

cord tapers to a point inferior to
lumbar enlargement

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11
Q

cauda equina

A

bundle of nerve roots that occupy the vertebral canal
from L2 to S5

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12
Q

terminal filum

A

extension of pia matter from medullary cone which
anchors spinal cord to inferiorly to coccyx

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13
Q

Longitudinal grooves on anterior and posterior surface
of spinal cord

A

anterior median fissure and posterior median sulcus

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14
Q

Spinal cord divided into the

A

cervical, thoracic, lumbar, and sacral regions

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15
Q

Two areas of the cord are thicker than elsewhere

A
  • cervical enlargement – nerves to upper limb
  • lumbar enlargement – nerves to pelvic region and
    lower limbs
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16
Q

Lateral horns located only at

A

thoracic and lumbar segments

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17
Q

The Meninges of the Spinal Cord

A

Three fibrous connective tissue membranes that
enclose the brain and spinal cord
– separate soft tissue of central nervous system from
bones of cranium and vertebral canal
– from superficial to deep
* dura mater
* arachnoid mater
* pia mater

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18
Q

The Meninges of the Spinal Cord from superficial to deep

A
  • dura mater
  • arachnoid mater
  • pia mater

DAP

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19
Q

Dura Mater

A

Forms loose fitting sleeve around
spinal cord // dura mater around
brain is fused to periosteum

Dura mater is tough, collagenous
membrane with an epidural space
between dura mater and
periosteum. This space is filled
with adipocytes.

An epidural anesthesia is often
injected into the epidural space
during childbirth.

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20
Q

arachnoid membrane

A

Layer of simple squamous epithelium lining dura mater and a loose mesh of collagenous and elastic fibers spanning the gap between the arachnoid membrane and the pia mater

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21
Q

subarachnoid space

A

gap between arachnoid membrane and the pia mater /// filled with cerebrospinal fluid (CSF)

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22
Q

lumbar cistern. What does it contain?

A

subarachnoid space inferior to medullary cone that contains cauda equina and CSF

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23
Q

Pia Mater

A

delicate, translucent membrane that follows the contours
of the spinal cord

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24
Q

terminal filum

A

fibrous strand of pia mater that extends
beyond the medullary cone within the lumbar cistern

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25
coccygeal ligament
formed from fusion of terminal filum and dura mater // anchors the cord and meninges to vertebra Co1
26
denticulate ligaments
pia mater extends through the arachnoid mater to the dura mater // anchors spinal cord to limit side to side movement
27
Connective tissue from axon to spinal nerve order
Axon, myelin sheath, endoneurium, perineurium (surround fascicle), fascicles and blood vessels make up a spinal nerve that is covered in epineurium around entire nerve.
28
gray matter shaped like a
butterfly
29
white matter in _ columns // white areas = ____
3 ; tracts
30
gray matter
neuron cell bodies with little myelin // site of information processing – synaptic integration // grey matter = horns
31
white matter
abundantly myelinated axons // carry signals from one part of the CNS to another
32
Posterior grey horns
cell bodies and axons of interneurons + incoming sensory neurons form dorsal root ganglion
33
Anterior grey horns
somatic motor nuclei to skeletal muscles (LMN /// local motor neurons)
34
Lateral grey horns
only in thoracic and upper lumbar / contain autonomic motor nuclei / regulate smooth muscle – cardiac muscle - glands
35
Grey commissure
connects right and left sides // punctured by a central canal lined with ependymal cells and filled with CSF
36
White matter is
bundles of axons that course up and down the cord (i.e. arranged in fasicles) Provide pathway of communication between CNS and PNS target tissues
37
columns
or funiculi – three pair of these white matter bundles * Posterior columns (dorsal) * Anterior columns (ventral) * Lateral columns
38
tracts or fasciculi
subdivisions of each column
39
ascending tracts
carry sensory information up the spinal cord
40
descending tracts
carry motor information down the spinal cord // all nerve fibers in a given tract have a similar origin, destination, and function
41
decussation
as the fibers pass up or down the brain stem and spinal cord they cross over from the left to the right side and vise versa
42
contralateral
when the origin and destination of a tract are on opposite sides of the body
43
ipsilateral
when the origin and destination of a tract are on the same side of the body // does not decussate
44
ascending tracts carry
sensory signals up the spinal cord // sensory to the brain
45
sensory signals travel across _ neurons from origin in receptors to the destination in the sensory areas of the brain // typical pattern
3 – first order neurons – detect stimulus and transmit signal to spinal cord or brain-stem – second order neurons – continues to the thalamus at the upper end of the brain-stem – third order neurons – carries the signal the rest of the way to the sensory region of the cerebral cortex
46
first order neurons
detect stimulus and transmit signal to spinal cord or brain-stem
47
second order neurons
continues to the thalamus at the upper end of the brain-stem
48
third order neurons
carries the signal the rest of the way to the sensory region of the cerebral cortex
49
Major Ascending Tracts
* cuneate fasciculus (above T6) * gracile fasciculus (below T6) * spinothalamic tract * spinoreticular tract * spinocerebellar tracts - posterior and anterior
50
Cuneate Fasciculus // Ascending
carries signals for vibration, visceral pain, deep and discriminating touch, and proprioception from lower limbs and lower trunk
51
What is proprioception? Called the forgotten sensation
non-visual sensation for the position and movement of the body from receptors located in skeletal muscles / CF is a conscious pathway
52
Gracile Fasciculus // Ascending
carries signals for vibration, visceral pain, deep and discriminating touch, and proprioception from lower limbs and lower trunk
53
medial lemniscus
formed from the second-order neurons of gracile and cuneate systems that decussate in the medulla
54
Spinothalamic Pathway // Ascending
pain, pressure, temperature, light touch, tickle, and itch
55
Spinoreticular Tract // Ascending
carries pain signals resulting from tissue injury ascends the cord // end in reticular formation
56
reticular formation
loosely organized core of gray matter in the medulla and pons
57
Spinocerebellar Tracts // Ascending
carry proprioceptive signals from limbs and trunk to the cerebellum
58
first-order neurons originate in the ______ and ______ // end in ____________________
muscles ; tendons ; posterior horn of the spinal cord
59
Spinocerebellar Tracts provide cerebellum with feedback needed to _______ ______ _____ // subconscious knowledge of muscle's actual performance
coordinate muscle actions
60
The Descending Motor Tracts
Carry motor signals down the brain-stem and spinal cord
61
What are the two pathways of descending motor tract?
pyramidal pathway VS extra-pyramidal pathway
62
Pyramidal
voluntary // origin = precentral gyrus = motor strip
63
Extrapyramidal
involuntary // origin = subcortical nuclei
64
Pyramidal and extrapyramidal pathways use two neurons between their origin and their destination (skeletal muscles)
upper motor neuron and lower motor neuron
65
upper motor neuron. Where does it originate? Where does it terminate?
originate in cerebral cortex or brainstem // terminates on a lower motor neuron (cranial nerve or soma in anterior horn)
66
lower motor neuron Where does it originate?
originate in brainstem or spinal cord // the upper motor neuron synapse on LMN that leads the rest of the way to the muscle or other target organ
67
Descending “Pyramidal” Tract
Tracts from precentral gyrus carry action potentials downward through the brainstem and spinal cord. Pathways from precentral gyrus are voluntary pathways used to control skeletal muscles /// consist of upper and lower motor neurons
68
Two upper motor neuron tracts // synapse on lower motor neurons
– Corticospinal = upper motor neuron /// synapse with anterior horn neurons = lower motor neuron // innervate muscles below neck – Corticobulbar = upper motor neuron / synapse with cranial nerves = lower motor neuron /// innervate skeletal muscles in head and neck
69
Corticospinal
upper motor neuron /// synapse with anterior horn neurons = lower motor neuron // innervate muscles below neck
70
Corticobulbar
upper motor neuron / synapse with cranial nerves = lower motor neuron /// innervate skeletal muscles in head and neck
71
About lower motor neurons for corticospinal tract
LMN somas in the anterior horn // LMN called common pathway
72
About lower motor neurons for corticobulbar tract
LMN somas are cranial nerves' nuclei in brainstem // LMN called common pathway
73
Corticospinal Tracts // Descending or Motor
from cerebral cortex for precise, finely coordinated movement of our skeletal muscles in arms and legs
74
pyramids
ridges on anterior surface of the medulla oblongata formed from fibers of this system
75
UMN // These nuclei originate in medulla oblongata
1. tectospinal tract 2. vestibulospinal tract 3. rubriospinal tract 4. reticularspinal tract
76
Tectospinal tract
begins in midbrain region (tectum) – crosses to contralateral side of midbrain – reflex turning of head in response to sights and sounds
77
Reticulospinal tract
– originate in the reticular formation of brainstem – controls muscles of upper and lower limbs // especially those for posture and balance // send signals to “gama fibers” of the muscle spindle to adjust “sensitivity” of the muscle spindle in the “stretch reflex” - how the CNS can influence the “stretch reflex” – contain descending analgesic pathways // reduce the transmission of pain signals to brain
78
Rubiospinal tract
It is one of the pathways for the mediation of voluntary movement. The tract is responsible for large muscle movement as well as fine motor control, and it terminates primarily in the cervical spinal cord, suggesting that it functions in upper limb but not in lower limb control. It primarily facilitates flexion in the upper extremities
79
Vestibulospinal tract
begins in brainstem vestibular nuclei receives impulses form vestibular organs of balance from inner ear controls extensor muscles of limbs for balance control. Responsible for the trip response // activates extensor muscles in the arms and legs.
80
paraplegia
paralysis of lower limbs
81
quadriplegia
paralysis of all four limbs
82
hemiplegia
paralysis of one side of the body only
83
respiratory paralysis
loss of sensation or motor control respiratory paralysis
84
spina bifida
congenital defect in which one or more vertebrae fail to form a complete vertebral arch for enclosure of the spinal cord
85
What reduces the risk of spina bifida?
folic acid (a B vitamin) as part of a healthy diet for all women of childbearing age reduces risk – defect occurs during the first four weeks of development, so folic acid supplementation must begin 3 months before conception

A&P : Unit 2 (7 decks)

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