MS1 Spinal Cord and Spinal Nerves Flashcards
What are the components of the CNS
brain and spinal cord
What are the components of the PNS
cranial and spinal nerves, ganglia, and associated terminals (motor endings and sensory receptors)
Where is the spinal cord found
within the vertebral column
What is the function of the spinal cord
allows communication between brain and body, conducts reflexes as part of the CNS
What is the positioning of the spinal cord within the vertebral canal
The spinal cord is shorter than the vertebral column
What causes the spinal cord to be shorter than the vertebral column
differential growth
the vertebral canal grows faster than the spinal cord
Where will the spinal cord end in adults
L1-L2
Where will the spinal cord end in infants
L3-L4
How many nerve pairs are found in each segment of the spinal cord
Cervical 8 Thoracic 12 Lumbar 5 Sacral 5 Coccygeal 1
What are the two enlargements of the spinal cord
cervical enlargement and lumbar enlargement
What is the cervical enlargement
Innervation to the upper limb C5-T1
What is the lumbar enlargment
L1 to S3, innervation to the lower leg
What is seen beyond the lumbar enlargment
spinal cord tapers to form conus medullaris
What is gray matter composed of
cell bodies of motor neurons in the spinal cord
What is white matter
axons of sensory neurons in the spinal cord
What is contained within the anterior horn of the spinal cord
Cell bodies of GSE neurons that will travel through the anterior root
What is found in the DRG
cell bodies of sensory neurons through the posterior root
What is the conus medullaris
tapered termination of spinal cord past the lumbar enlargement
Where is the conus medullaris found
L1-L2
What is the cauda equina
inferior projection from conus medullaris composed of lumbar and sacral roots to the lower limbs, buttocks, and perineum
What is the conus medularis surrounded by
CSF
Where is the conus medularis housed
lumbar cisterne
How are spinal nerves named
Cervical: based on the vertebral body number below, except for C8 (exit above vertebrae, except C8)
Thoracic and Lumbar are named for vertebral body above (exit below vertebrae)
What spinal level will be affected by a posterolateral herniation
The spinal cord level below where the herniation occurs
What spinal level will be affected by a lateral herniation
THe spinal cord level at where the herniation occurs
WHy do posterolateral herniations impact the nerve exiting below
spinal nerves hug a pedicle of the corresponding vertebrae as they exit through the intervertebral foramen
What do vertebral arteries contribute to the spinal cord
anterior and posterior spinal arteries
What do body wall arteries (from aorta) give rise to
segmental spinal arteries
What do the segmental arteries give rise to
segmental medullary arteries
anterior and posterior radicular arteries
What are segmental medullary arteries
feed spinal arteries 8-10
What are anterior and posterior radicular arteries and where are they located
every level, and supply roots
What is the artery of Adamkiewicz
segmental medullary artery, major supply of blood to lower spinal cord
Why is the artery of Adamkiewicz significant from a clinical standpoint
it comes from the left and is at risk during hernia repair and abdominal surgeries
What occurs if the artery of Adamkiewicz is damaged
leads to weakness and sensory loss in the lower limbs
What is the clinical significance of venous drainage of the spinal cord and vertebral column
valveless and allows easy spread of cancer cells
What composes the venous drainage system of the spinal cord
anterior/posterior spinal veins
internal vertebral plexus
intervertebral veins
Where is the internal vertebral plexus located
in the epidural space
What is the venous system of the vertebral columns
basivertebral veins
external vertebral plexus
Where are the basivertebral veins
in the vertebral bodies
Where are the anterior and posterior spinal veins
they go to the anterior and posterior roots of the spinal nerve
What are the meninges found on the spinal cord
dura mater
arachnoid mater
pia mater
What do the lateral extensions of the dura mater enclose
proximal portion of spinal nerve
What is the name for the dura mater that covers the proximal portion of spinal nerve
dural root sheaths
Where do the dural root sheaths go
merge with epineurium
What are the attachments of the dura mater
foramen magnum and vertebral bodies of C2-C3
inferiorly ends at S2
What type of structure does the dura mater have
dense elastic membrane
Does the dura mater receive blood supply and innervation
yes
What is the structure of the arachnoid mater
delicate fibrous and elastic membrane
What connects the dura mater to the arachnoid mater
pressed against by the pressure of CSF