Nerves 13 Flashcards
Layers of meninges
Dura mater outside
Arachnoid mater
Pia mater
Spinal tap where
Btw l3-l4 or l4-l5, below chord, to subarachnoid space to get CSF
Top and bottom of chord, meninges, below chord
Top medulla oblongata
Bottom chord L2
Bottom meninges S2
Conus medullaris to filum terminale - extension of pia mater
Nerves below L2 cauda equina - horse tail
Plexus and important nerves 4
Cervical plexus - C1-C5 - phrenic nerve to diaphragm
Brachial plexus - C5-T1 - musculocutaneous, axillary, median, radial, ulnar
Lumbar plexus - L1-L4 - femoral, genitofemoral
Sacral plexus - L4-S4 - sciatic (common fibular, tibial)
Spinal chord internal anatomy 9
Posterior sensory, anterior motor Posterior white column Lateral white column Anterior white column Anterior white commissure connect right and left Anterior gray horn Lateral gray horn - autonomic Gray commissure - crossbar Central canal
Nerve coverings 3
Epineurium
Perineurium
Endoneurium
Branches of spinal nerves 3
Posterior ramus
Anterior ramus
Meningeal branch - back to vertebral cavity
Dermatomes, 2 important
Area of skin provides sensory input to one spinal nerve pair
T4 - nipple line
T9 - umbilical
Reflexes 9
Stretch reflex - contraction in response to stretching
Tendon reflex - cause muscle relax before tendon rips
Flexor and crossed extensor reflexes - flexor withdraws from pain, crossed extensor stiffens other leg to keep from falling
Patellar reflex - stretch knee jerk
Achilles reflex - stretch ankle jerk
Babinski sign - gentle stroke causes great toe extend, up to 1.5 yrs
Plantar flexion reflex - negative babinski, curl toes, after 1.5 yrs
Abdominal reflex - stroke side of abdomen, abs contract
Pupillary light reflex - both eyes constrict when light shine in one
Plegias 5 and sections 2
Monoplegia - paralysis of one limb
Diplegia - paralysis of both upper or both lower limbs
Paraplegia - paralysis of both lower limbs
Quadriplegia - paralysis of all four limbs
Hemiplegia - paralysis of both limbs on one side and trunk
Complete transection - cut of spinal chord all the way through
Hemisection - partial transection on left or right
Number of spinal and cranial nerves
31 spinal pairs 8 12 5 5 1
12 cranial pairs