organization of spinal nerves - lecture 5 Flashcards
what is every spinal cord connected to
a pair of spinal nerves
what is each spinal cord segment surrounded by
3 connective tissue layers
that support structures and contain blood vessels
3 connective tissue layers
epineurium
perineurium
endoneurium
epineurium
outermost layer
dense network of collagen fibers
perineurium
middle layer
divides nerves into fascicles
axon bundles
endoneurium
inner layer
surround individual axons
what happens almost immediately after emerging from its intervertebral foramen (Spinal nerves)
will divide into a dorsal ramus, ventral ramus and a meningeal branch
the meningeal branch re-enters and innervates the meninges and associates with blood vessels
each ramus is mixed
what is joint to the base of the ventral rami of spinal nerves
in the thoracic region
rami communicantes
these are sympathetic fibers
what do dorsal rami supply
the posterior body trunk
what do the ventral rami supply
thicker
rest of the body (trunk and limbs)
what ventral rami form interlacing networks
all but T2-T12
these networks are called plexuses
what does each resulting branch of a plexus contain
fibers from several spinal nerves
where does each muscle receive a nerve supply from
more than one spinal nerve
can damage to one spinal segment completely paralyze a muscle?
no
cervical plexus
formed by ventral rami of C1-C4
what are most branches of the cervical plexus
cutaneous nerves of the neck, ear, back of head and shoulders
where is the cervical plexus located
neck
deep to SCM
what does the cervical plexus contain
phrenic nerve
lesser occipital nerve
greater auricular nerve
accessory nerve (C3-C4)
what is the brachial plexus formed by
ventral rami of C5-C8 and T1
C4 and T2 may also contribute to this plexus
what does the brachial plexus supply
nerves of the upper limb
lumbar/sacral plexus
arises from L1-L4 and L4-S4
what does the lumbar/sacral plexus innervate
thigh
abdominal wall
psoas muscle
the buttock
lower limb
pelvic structures
perineum
dermatomes
always check sensation before testing myotomes or muscle strength