Practical 1 - station 3 - gross anatomy of the spinal cord Flashcards

1
Q

Where does the spinal cord extend from and terminate at?

A

Foramen magnum to the L2 vertebra

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2
Q

Why does the spinal cord extend past the L2 vertebra at birth?

A

Vertebral column grows faster than the cord so cord ends up being higher up eventually once column has grown.

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3
Q

What is the conus medullaris?

A

Where the spinal cord tapers off at its caudal end at the L2 vertebra

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4
Q

What is the cauda equina?

A

The sacral region where spinal roots fan out to intervertebral foramen resembling a horse’s tail

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5
Q

What is the spinal cord surrounded by?

A

3 layers of meninges - dura mater, arachnoid mater and pia mater

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6
Q

What are the 3 meninges layers like?

A

Dura mater - tough outer layer, rich blood supply
Arachnoid mater - delicate middle, avascular, thin trabeculae extending towards spinal cord which become continuous with pia mater
Pia mater - inner layer firmly attached to spinal cord surface, follows contours/grooves/fissures of the spinal cord

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7
Q

Where do the arachnoid and dura mater extend to?

A

S2

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8
Q

What is the filum terminale?

A

Extension of the pia mater which is attached to the coccygeal segments and suspends CSF

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9
Q

What is the real space of the meninges?

A

Subarachnoid space - between arachnoid and pia and is CSF filled,

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10
Q

What are the denticulate ligaments?

A

Only part of the pia mater that you can identify as distinct membrane, allow protective mechanical function of the cord, between cord surface and dura

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11
Q

Where are the enlargements of the spinal cord?

A

Cervical enlargement due to brachial plexus

Lumbar enlargement due to lumbosacral plexus

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12
Q

What is the epidural space?

A

Space between the dura mater and the vertebral ligaments

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13
Q

What does epidural space contain?

A

Connective tissue, fat, internal vertebral venous plexus

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14
Q

What is the subarachnoid space?

A

Between the sub-arachnoid mater and the pia mater

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15
Q

What does the subarachnoid space contain?

A

CSF

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16
Q

Why is CSF retrieval useful?

A

Diagnosis of CNS disorders (sub-arachnoid haemorrhage, meningitis) as they can change composition or concentration of CSF components such as blood