Neuroanatomy Revision Flashcards

1
Q

Describe the organisation of the gray matter in the spinal cord

A

H-shaped, contains neuron cell bodies within ‘horns’

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2
Q

What is contained within each of the horns of the gray matter of the spinal cord?

A
  • Dorsal/posterior horns → cell bodies of interneurons
  • Lateral horns → visceral (autonomic) motor cell bodies (T1-L2 segments)
  • Ventral/anterior horns → somatic motor cell bodies
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3
Q

Draw a diagram showing the organisation of the spinal cord

A
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4
Q

Describe the organisation of white matter in the spinal cord

A

olumns containing a number of ascending and descending tracts (axons). All tracts are paired and most decussate

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5
Q

What are the three columns of the white matter of the spinal cord?

A
  • Ventral (anterior) columns
  • Lateral columns
  • Dorsal (posterior) columns
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6
Q

Draw a diagram showing how a spinal nerve functions

A
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7
Q

Describe C1 cervical nerve

A

passes above C1 vertebra

Motor only; no sensory fibres

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8
Q

Where does C8 spinal nerve pass?

A

Between C7 and T1

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9
Q

Where does the spinal cord end?

A

L1/2

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10
Q

Where are the cell bodies of the SNS distributed?

A
  • Cell bodies in lateral horn of T1-L2 segments
  • Postganglionic cell bodies lie in paravertebral sympathetic ganglia
  • Ganglia interconnected by the sympathetic chain
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11
Q

Where are the cell bodies of the PSNS distributed?

A

Cell bodies in midbrain and S2-4 segments

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12
Q

where do sympathetic trunks extend between?

A

Each sympathetic trunk (chain) extends between the atlas and coccyx

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13
Q

What is Horner’s Syndrome?

A

Damage to the sympathetic nerves of the face

Mitosis (constriction), Ptosis and Anydrosis of the side of the face that is affected

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14
Q

What is the action of stimulants of the SNS?

A
  • Increase BP
  • Increase pulse rate
  • Relax bronchioles
  • Dilates pupils
  • Relax uterine muscles
  • Increase blood sugar
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15
Q

What is the action of stimulants of the PSNS?

A
  • Decrease BP
  • Decrease pulse rate
  • Constricts bronchioles
  • Constrict pupils
  • Increase urinary contraction
  • Increase peristalsis
  • Increase muscle tone (indirect action)
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16
Q

What is the action of depressants of the SNS?

A
  • Decrease PR
  • Decrease BP
  • Constrict bronchioles
17
Q

What is the action of depressants of the PSNS?

A
  • Increase PR
  • Decrease mucous secretions
  • Decrease GI motility
  • Increase urinary retention
  • Dilate pupils
18
Q

What spinal cord segment is the knee reflex?

A

L3/4

19
Q

What is the spinal cord segment of the ankle reflex?

A

S1

20
Q

How is the L5 spinal cord segment tested?

A

Extension of big toe

21
Q

Why is the great anterior medullary artery of Adamkiewz important? and where does it arise from?

A
  • arises from the aorta in the lower thoracic or lumbar vertebral levels
  • It may be the major source of blood to the lower two-thirds of the spinal cord
22
Q

Where does the internal venous plexus lie and what are its properties?

A
  • Lies in the epidural/extradural space (between the dura and vertebrae)
  • Do not have valves and pressure gradients permit blood flow
  • Communicates with cranial dural venous sinuses and pelvic veins → infection and metastasis spread
23
Q

What are the characteristics of an UMN lesion?

A
  • Hypertonia (spasticity)
  • Hyperreflexia
  • Abnormal reflex (positive Babinski sign unless younger than 6 months old)
24
Q

What are the characteristics of a LMN lesion?

A
  • Hypotonia/Flaccidity
  • Hyporeflexia/areflexia
  • Fasciculations
  • Atrophy/wasting of muscles
25
Q

What is an UMN?

A

o Neuron bodies in the cortex
o Most of the axons cross over in lower medulla
o Descend in the lateral column as lateral corticospinal tract

o Synapse with LMN in the anterior horn

26
Q

What is a LMN?

A

neuron bodies in the anterior horn of the spinal cord