CNS: Spinal Cord Flashcards
Gross Anatomy of Spinal Cord
18 inches
1/2 inch wide
Conus medullaris

Filum terminale

Cauda equina

Cervical Enlargement

Lumbar enlargement

Spinal cord is protected by _______
Meninges
Viral or bacterial infection of the meninges
Meningitis
L3-L5 site of _____ ______
Lumbar Puncture
space between spinal dura mater and walls of vertebral canal
Epidural Space
Anesthetic injection site affects sensory spinal nerves in the lower lumbar region
Epidural Block
- Caudal anesthetics in sacral region
*Cross Sectional Anatomy*

*Anatomy of Spinal Cord*

Spinal Cord- White and Gray Matter
Gray Matter- Butterfly / Letter H
- Contains:
- Neuron cell bodies
- Neuroglia cells (support cells)
- unmyelinated axons
- Has Projections - Gray horns
Encloses a central canal and connects the sides of the spinal cord
Gray Commissure
Posterior (Dorsal) Gray Horns -
- somatic and visceral sensory neurons synapse here
Anterior( Ventral) gray horns -
- contain somatic motor neurons
Lateral gray horns -
- are in thoracic and lumbar segments; contain autonomic neurons that serve visceral organs
Axons of somatic and autonomic motor neurons leave the spinal cord through the _____ ____
Ventral roots
Afferent axons enter the dorsal horn of the spinal cord through ____ ____
Dorsal Roots
Cell bodies of sensory neurons are found in the ______ ___ _____
Dorsal Root Ganglia
Dorsal and ventral roots join to form a _____ ____
Spinal Nerve
White Matter of Spinal Cord
- Myelinated and unmyelinated axons
- Fibers run in 3 directions:
- Ascending - up the cord
- Descending - down the cord
- Transverse - across from one side of the cord to the other
Fibers are organized into three ____ _____
White columns
- Anterior
- Posterior
- Lateral
*Ascending & descending tracts of the spinal cord*

Ascending Tracts
Sensory
- Examples:
- Spinothalamic Tract
- Spinocerebellar Tract
Descending Tracts
Motor (decussate in medulla)
- Corticospinal Tract
- Reticulospinal Tract
Spinothalamic Tract
- Sensory Tract
- Axons synapse with thalamus
- Conveys pain, warmth, coolness, itching, tickling, and deep pressure

Corticospinal Tract
Voluntary movements of skeletal muscles

Reticulospinal Tract
Maintain balance
damage to the ventral root/ horn - muscle atrophy
Flaccid Paralysis
damage to the motor neurons of the primary motor cortex in the precentral gyrus.
Spastic Paralysis
loss of sensory and motor functions in the lower limbs
Paraplegia
injury in the cervical region affects arms and legs
Quadriplegia
brain injury – paralysis on one side of the body
Hemiplegia
destruction of the ventral horn motor neuron by the poliovirus. Results in paralysis of the skeletal muscles.
Poliomyelitis