Neuroanatomy of the Spine (Quiz 2) Flashcards

1
Q

What are the 9 contents of the vertebral canal?

A

1) PLL
2) periosteum of vertebrae
3) meninges
4) dural sac
5) CSF
6) epidural space/fat
7) spinal cord
8) vessels (arteries and veins)
9) nerve rootlets and roots

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2
Q

The spinal cord extends from the foramen magnum to….

A

L1/L2 (osseous)

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3
Q

The spinal cord extends from the _________________ to ___________________

A

medulla oblongata, conus medullaris (soft tissue)

note: conus medullaris is cone shaped at the end of the spinal cord

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4
Q

At the end of the spinal cord/conus medullaris is a collection of nerve roots called…

A

cauda equina (looks like horses tail)

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5
Q

The spinal cord is tethered to the coccyx by a structure called the __________________. It anchors the cord to the meninges and coccyx. It contains nervous tissue and connective tissue. It is covered by ______ mater. The most dorsal portion is called the coccygeal ligament

A

filum terminale, pia

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6
Q

The spinal cord is wrapped in connective tissue called meninges. What are the meninges from superficial to deep?

test q

A

-dura mater
-arachnoid mater
-pia mater

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7
Q

What does the spinal dural sac help protect?

A

spinal cord (its a thick leathery material)

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8
Q

What is the spinal dural sac formed by?

test q

A

dura and arachnoid mater

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9
Q

The spinal dural sac runs the length of the vertebral canal. What is it anchored by?

A

-superiorly at the foramen magnum
-inferiorly at the coccyx by the filum terminale

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10
Q

The spinal dural sac is called ________________ as it extends laterally through the IVF and wraps around nerve roots blending in with the epineurium for protection

A

dural root sheath

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11
Q

The arachnoid mater forms trabeculae that span the _________________ connecting the arachnoid and pia mater, which stabilizes the spinal cord

A

subarachnoid space

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12
Q

What is the subarachnoid space filled with?

A

CSF

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13
Q

What is the difference between the central canal and the subarachnoid space in terms of CSF?

test q

A

central canal holds CSF within the spinal cord

subarachnoid space holds CSF that surrounds the cord

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14
Q

The lumbar cistern is where the dural sac comes together and holds what?

A

cauda equina + CSF

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15
Q

The lumbar cistern is an enlargement of what space in the dural sac?

A

subarachnoid space

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16
Q

Lumbar cistern contains….

A

-CSF
-filum terminale
-nerve roots
-cauda equina

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17
Q

The lumbar cistern extends from the ___________________ to ____________________

A

conus medullaris, 2nd sacral vertebra

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18
Q

Where is the location of a lumbar puncture?

A

lumbar cistern

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19
Q

What is the thin innermost layer of the meninges?

A

pia mater

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20
Q

What does the pia mater cover?

A

-spinal cord
-nerve roots
-vessels
-filum terminale

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21
Q

What ligaments are formed by the pia mater and what is its function?

A

pia mater forms denticulate ligaments to secure the dural sac

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22
Q

Where is the epidural space located?

A

between the vertebral periosteum and dura mater

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23
Q

What does the epidural space contain?

A

veins and fat

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24
Q

The epidural space runs the length of the vertebral canal. What are its boundaries?

A

-superiorly= foramen magnum
-inferiorly= sacral hiatus
-laterally= IVFs

25
Q

The spinal cord has 2 enlargements that give rise to plexuses that innervate the limbs. What are they and what segments are involved in each one?

A

1) cervical enlargement (C4-T1)
2) lumbar (lumbosacral) enlargement (T11-S1)

26
Q

What is responsible for spinal cord enlargements?

A

the amount of ventral horn grey matter

27
Q

Ventral horn contains what neurons?

A

somatic motor neurons that are responsible for limb movement (the spinal cord enlargements are at the levels of limbs for limb movement)

28
Q

What cell bodies and axons are found in dorsal horns?

A

-interneuron cell bodies
-sensory axons

29
Q

Ventral horns are mostly somatic motor neuron cell bodies. Where do ventral horns exit and what do they do?

A

-exit spinal cord via ventral rootlets to roots
-send signals to skeletal muscle for limb movement

30
Q

Where are lateral horns found?

A

at thoracic and superior lumbar cord segment levels only

31
Q

Lateral horns are mostly _________________ nervous system motor neuron cell bodies

A

sympathetic

32
Q

Where do lateral horns exit and what do they do?

A

-exit spinal cord with somatic motor neurons via ventral roots
-send signals to visceral organs, eyes, glands, skin, genitalia, and the bladder

33
Q

What does the gray commissure connect? What does it surround?

A

-connects horns
-surrounds central canal, CSF flows through canal

34
Q

Most of the cords white matter is composed of _____________ tracts

A

myelinated

35
Q

Ascending sensory pathways involves 3 neurons. What are they?

A

1) 1st order neurons
2) 2nd order neurons
3) 3rd order neurons

36
Q

1st order neurons from ascending sensory pathways form __________ receptors to brain stem or spinal cord

A

somatic

37
Q

2nd order neurons from ascending sensory pathways start in brainstem or spinal cord and go to ______________ (except olfactory). The axons decussate

A

thalamus

38
Q

3rd order neurons from ascending sensory pathways start in the thalamus and go to….

A

primary somatosensory area

39
Q

The dorsal white column has ______________ tracts

A

ascending

40
Q

What does the dorsal white column carry?

A

sensory impulses from periphery to brain

41
Q

Where does the dorsal white column decussate?

A

at medulla oblongata

42
Q

The dorsal white column is made up of 2 tracts. What are they and their functions?

A

1) fasciculus gracilis (discriminative touch and vibration, source of stimulus can be precisely located on body)
2) fasciculis cuneatus (joint proprioception)

43
Q

The spinocerebellar tracts has __________ tracts

A

ascending

44
Q

What is the function of spinocerebellar tracts?

A

-carry sensory proprioceptive fibers from skeletal muscles or tendons to the cerebellum
-subconscious
-allows cerebellum to coordinate skeletal muscle movement

45
Q

Which tract did we learn is the only one that DOES NOT decussate?

A

spinocerebellar tracts

46
Q

Spinothalamic tracts has ____________ tracts

A

ascending

47
Q

What is the function of spinothalamic tracts?

A

-mainly transmits impulses for pain and temp., but also course touch and excessive pressure
-acute pain can be precisely located (ex: pin prick test)
-chronic or visceral pain is difficult to precisely locate

48
Q

Where do spinothalamic tracts decussate?

A

in spinal cord

49
Q

Do descending motor pathways deal with voluntary or involuntary movement?

A

voluntary

50
Q

What 2 neurons are involved in descending motor pathways?

A

UMNs and LMNs

51
Q

Where do UMNs originate and what do they do?

A

-originate in or just under the cortex
-convey efferent (motor) impulses from the brain to spinal cord

52
Q

Where do LMNs originate and what do they do?

A

-originate in the ventral horn of the spinal cord
-they convey efferent motor impulses from the cord to skeletal muscle, glands, and viscera

53
Q

Pyramidal/ corticospinal tracts have ___________ tracts

A

descending

54
Q

Pyramidal/corticospinal tracts have a direct pathway. UMNs descend without synapsing from the cortex to the spinal cord. What impulses do they send and to where?

A

send efferent motor impulses to skeletal muscles

55
Q

Extrapyramidal tracts have indirect motor pathways that are complex and multi-synaptic. What 4 tracts are involved within extrapyramidal tracts?

A

1) rubrospinal tracts
2) reticulospinal tracts
3) vestibulospinal tracts
4) tectospinal tracts

56
Q

What are rubrospinal tracts?

A

-a part of extrapyramidal tracts
-derived from red nucleus
-controls flexor muscles (allows you to make a fist)

57
Q

What are reticulospinal tracts?

A

-a part of extrapyramidal tracts
-in charge of excitation and inhibition of antigravity muscles to controlling equilibrium
-in charge of proprioception (usually with the use of extensor muscles)

58
Q

What are vestibulospinal tracts?

A

-a part of extrapyramidal tracts
-in charge of visual and hearing sensations
-excitation and inhibition of antigravity muscles to controlling equilibrium

59
Q

What are tectospinal tracts?

A

-a part of extrapyramidal tracts
-mediate head movements in response to visual stimuli (move head when you hear or see something)