Nervous System II Flashcards
Learning objectives for Spinal Cord & Spinal Nerve Lecture
- Know the basic anatomy of the spinal cord
- Understand the development the nervous system
- Know the basic anatomy of the vertebral column
- Understand how the spinal cord is protected and supported within the vertebral column: cells, meninges (membranes) and cerebrospinal fluid
- Know some basic functions of the spinal cord
- Know the basic organisation of the peripheral nerves that originate from the spinal cord
This lecture is not comprehensive - basics only
Spinal cord - an overview
Part of the CNS
Protected by vertebral column & 3 specialised membranes; suspended in CSF
Average brain weight: 1500g (text book). (1300-1400g)
Average weight of spinal cord = 35g.
Average length = 45cm
(Axons can be up to 1m long)
Starts at the foramen magnum of occipital bone
Occupies upper 2/3rds of vertebral column
Ends at L1-2 - vertebral column grows faster than spinal cord
Gives rise to 31 pairs of spinal nerves
Outside composed of white matter (myelinated axons)
Inside composed of gray matter (nerve cell bodies, dendrites & glia cells)
Spinal cord - function
Basic function:
* Conduct information about the body up and down its length
* Connects brain and other regions of the spinal cord
* Neural integration:
- input from multiple sources
- integrates
- appropriate output
* Reflexes (protective role) NS Lecture 4
spinal cord
White and Gray Matter of spinal cord photo 2
Nervous system development - neurulation = revision
Neural Tube - brain & spinal cord
Neural canal - fluid filled spaces in CNS
Neural crest cells = most of the PNS
(sensory nerves, autonomic nerves,
ganglia = collection of nerve cell bodies in PNS),
Schwann cells,
neurulation
Cells of the Spinal Cord (CNS) and Spinal Nerves (PNS) = revision
Spinal cord neurons = multipolar neurons (mostly)
Central nervous system
Spinal cord supporting cells (glia) = same as brain
(CNS supporting cells)
Spinal nerve neurons = unipolar neurons (sensory)
+ multipolar neurons (motor)
Schwann cells (PNS glia)
PNS & CNS
White and Gray Matter of spinal cord photo 1
White and Gray Matter
Nerve cell bodies of sensory neurons (unipolar) are found in dorsal root ganglia (group of nerve cell bodies in PNS)
White matter forms tracts = bundles of axons that travel up & down the spinal cord
(NS lecture 4)
Polio
Poliomyelitis (polio = grey) (myelon = marrow)
= inflammation of the grey matter
A crippling and potentially fatal infectious illness unique to humans.
Spreads through food and water from one person to another via the fecal-oral route.
Polio virus spends most of its time in the gut (hence fecal-oral route of infection).
But
Occasionally gets into CNS - can cause spinal polio
= inflammation of the motor neurons in the ventral horn of spinal cord
(also brain stem or motor cortex)
Death of motor neurons causes paralysis for life.
No cure.
Prevention = vaccination.
dorsal and ventral horns of spinal cord
Meninges
Compared to the brain:
What is the same?
What differs?
* Dura (single layer)
* & fat above
* Pia mater (anchors)
(i) Filum terminale (ii) Denticulate ligaments
Meninges photo
Vertebral Column
Label:
Vertebral body
Vertebral arch
Vertebral foramen
Spinous process
Transverse process
All of the vertebral foramina = vertebral canal
Spinal cord (CNS) sits in the vertebral canal.
Vertebral Column photo
intervertbral discs photo
Spinal nerves (PNS) leave the vertebral column via spaces between vertebrae
Cranial & spinal nerves exit through foramina (foramen = opening, hole, passage)
= Boundary between CNS and PNS
Spinal nerves (PNS)
31 pairs - doesn’t correspond to the number of vertebra (only 1 coccygeal nerve)
Spinal cord ends at Lumbar vertebra 1-2 (starts to taper at medullary cone)
Cauda equina = nerve roots in vertebral canal L2-S5
Spinal nerve names reflect the level of the vertebral column from which they emerge (intervertebral foramina).
C=cervical, T=thoracic, L=lumbar, S=sacral,
Co=coccygeal
Cervical spinal nerves named differently because there are 8
・・
C1-7 exit above vertebral bodies 1-7
C8 exits below vertebral body C7
Remainder exit below associated vertebral body
The part of the body supplied by each pair of spinal nerves segment
Enlargements give rise to nerves of the limbs:
Cervical - upper limb
Lumbar - lower limb
More nerve cells
cervical photo
Spinal nerve exit points differ according to region
Spinal nerves (PNS) photo
thoracic photo
Spinal nerve exit points differ according to region
Lumbar & Sacral photo
Spinal nerve exit points differ according to region
Ratio of white to gray matter depends on spinal level
Sacral region conveys tracts (white matter) from sacral region only
Cervical conveys tracts from sacral, lumbar, thoracic & cervical regions
Also differences in amount of gray matter.
Cervical and lumbar enlargements due to extra gray matter associated with limb innervation.
cervical and thoracic
lumbar and sacral
Rootlets, Roots & Rami photo
Rootlets, Roots & Rami
Rootlets combine to form roots
Dorsal (sensory) & ventral (motor) roots combine to form spinal nerves (mixed)
Spinal nerves branch soon after the spinal nerve exits the intervertebral foramen
Main branches
Dorsal primary ramus (= branch) innervates deep back muscles + associated dermis
: Ventral primary ramus innervates everything else