neuroanatomy 2 Flashcards

1
Q

how many spinal nerves do we have

A

31 pairs

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2
Q

root of the nerve from spinal cord

A

rootlets emerge from dorsal or ventral aspect, roots then pass through the subarachnoid space until they reach intervertebral formina. the posterior root is enlarged by the posterior root ganglion. the roots fuse to form the mixed spinal nerve which produces anterior and posterior rami

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3
Q

are posterior roots sensory or motor

A

sensory

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4
Q

are anterior roots sensory or motor

A

motor

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5
Q

what is the tapered cone like shape called where the spinal cord terminates

A

conus medullaris which continues as a thin connective tissue cord called the filum terminal

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6
Q

what level does the spinal cord end

A

L1/L2

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7
Q

how is the spinal cord suspended in the canal

A

by a ribbon of tissue called denticulate ligament. it is formed of pia and arachnoid tissue and attatches to the dura at points

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8
Q

how do you know which are the posterior horns and anterior horns in teh SC

A

posterior horns extend to the edge, anterior horns do not

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9
Q

where can a lateral horn be seen

A

T1-L2. it contains preganglionic symp neurons

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10
Q

arterial supply of teh SC

A

three major longitudinal arteries (originate from vertebral arteries), segmental arteries (dervied from vertebral, intercostal and lumbar arteries), radicular arteries (travel along dorsal and ventral roots)

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11
Q

in teh SC why is there an epidural space

A

there is space between teh dura and the bone which doesnt occur in the cranial cavity. it contains adipose tissue and anterior and posterior epidural venous plexuses.

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12
Q

venous drainage

A

longitudinal and segmental

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13
Q

in sesnory sensations where is a sense from the left sode of teh body percieved

A

represented on the right cortex

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14
Q

how does the amount of grey matter change as we go down the cord

A

gets smaller as we loose motor fibres so the cord also gets smaller

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15
Q

is the sensory tract descending or ascending

A

ascending

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16
Q

what does the dorsal colums/medial lemniscus column percieve and where do fibres cross

A

fine touch, and conscious proprioception

cross in the medulla

17
Q

what does teh spinothalamic tract percieve

A

pain, temp, deep pressure. fibres cross segmentally

18
Q

where is teh primary motor cortex

A

anterior to the central sulcus

19
Q

what does teh corticospinal tract percieve

A

fine, precise movement particularly of distal limbs muscles
tracts form visible ridges referred to as the pyramids on the anterior surface of teh medulla - so also called the pyramidal tract

20
Q

wheer do the fibres cross from the corticospinal tract

A

85% cross in the caudal medulla as the decussation of teh pyramids. crossed fibres form the lateral CST. Uncrossed fibres form the ventral CST, which cross segmentally

21
Q

what can a CVA in the internal capsule cause

A

lack of descending control of teh corticospinal trcat. this results in spastic paralysis with hyperflexion of the upper limbs. sometimes referred to as decorticate posturing

22
Q

what are the motor systems outsode the pyramidal tract called

A

extrapyramidal synstem

23
Q

what does teh tectospinal tract do

A

input i smostly to cervical segments. It is thought to mediate reflex head and neck movements due to visual stimuli

24
Q

what does the reticulospinal tract do

A

reticular formation forms the central core of the brainstem. Fibres orogionate in areas of the reticular formation in pons and medulla. In general finbres origionating from pons facilitate extensor movements and inhibit flexor movements, while those origionating in medulla do the opposite

25
what does the vestibulospinal tract do
excitatory input to antigravity extensor muscles fibres origionate in the vestibular nuclei of pons and medulla. it plays an importnat role in exhibiting decebrate rigidity and paraplegia extension. Lesions in the brainstem can result in a lack of descending cortical control of thsi tract. This leads to domination of extensor muscle tone and hyperextended spastic paralysis.
26
what is brown-sequards syndrome
lateral hemisection of the cord