spinal chord Flashcards

1
Q

foramen magnum

A

where the spinal chord leaves and orginates

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2
Q

conus medullaris

A

at L1/L2 IVD where the spinal chord stops and it branches out and down to the sacral and lumbar region

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3
Q

dorsal horn

A

posterior/ afferent/ process sensory

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4
Q

ventral horn

A

contains lower motor neurons/ efferent

medial- axial
lateral- distal
flexor- dorsal
extensor- ventral

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5
Q

lateral horn

A

T1-L2 spinal segments
autonomic information

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6
Q

dorsal root

A

fibres with cell bodies in ganglia

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7
Q

ventral root

A

fibres with cell bodies in spinal grey matter

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8
Q

white matter in the spinal chord decrease as

A

we move down because less nerve impulses at this level

e.g at c2 it is supply the whole body at
l1 only the lower limbs

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9
Q

ventral ramus

A

supply muscle of back and the back skin

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10
Q

dorsal ramus

A

supply trunk muscle and limbs and skin

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11
Q

dermatome

A

afferent

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12
Q

myotome

A

efferent

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13
Q

2 classifications of spinal chord injuries

A

complete- no sensation or motor function bellow damaged level
incomplete- varied level of sensation and motor function preserved

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14
Q

quadriplegia/ tetraplegia

A

damage to cervical chord
arms/ legs= paralysis
c1- T1
c1-c3 respiration and diaphragm
most common c4/ c5

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15
Q

paraplegia

A

damage bellow cervical vert
affects the lower limb
most common t12-L1

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16
Q

segmenal nerve legion

A

altered sensation in dermatome
altered weakness in myotome
lost stretch reflex

17
Q

vertical legion

A

white matter
loss control of BP BLADDER BOWL

18
Q

BROWN SEQUARED SYNDROME

A

segmental

ipisilateral loss of motor and sensation

loss voluntary motor and proprioception control

contralateral- nocioreceptor and temp sensation

19
Q

central chord syndrome

A

cervical level due to trauma
small legio- loss of nocioreceptor and temp sensation

karge impaired upper limb motor

20
Q

anterior chord syndrome

A

no pain and temp sensation
loss of motor
preserved proprioception

21
Q

spinal chord shock

A

temporaty loss of all function
usually ast 1 day and persist for a month

22
Q

meniges functions

A

cover and protect CNS
protect blood vessels
form dural venous sinus
house CSF

23
Q

DURAMATTER

A

outermost layer- tough fibrous membrain

flax cerbri- seprates cerebrum
flax cerebelli- seperates cerebellum
tentorium cerebei- seperates cerebellum and cerebrum
dural venous sinus- blood channels
dural sac- extension to the spinal chord

24
Q

arachonoid matter

A

closely apposed lossely atatched to the dura

subarchonoid space filled with csf= cushion

25
pia matter
innermost/ delicate layer follows contours of the brain dense rich blood supply
26
CSF
vesnticles in the brain e.g the lateral ones produced in chorid plexus - clears waste/ provides nutrients cushions reabsored in the venous sinus
27
the 2 arteries that make basiler
internal carotid and the vertebral artery converge medially
28
circle of willis
anterior cerberal artery- unpaired frontal/ parital= primary motor/ primary somato middle cerbreal artery- frontal/ temp/parital/ occipital= hearing language/ motor/ basal ganglia posterior cerebral artery- temp/ occipital - vision and hippocampus
29
anastomosis
occur incase blockage so multiple blood supply to the same tissue
30
stroke
blood supply is disrupted no O2
31
tranisient ischeamic
breif focal lose of brain function
32
complete stroke
symptoms persist longer then 1 day
33
progressive stroke
increase in symptoms over time
34
ischaemic or brain infarction
embolus/ thrombus- obstruct blood flow causes deprvation of O2
35
haemorrahge
burst/ bleed blood leak causes pressure on brain intracranial or subarachonoid
36
subaracanoid haemoraghe
bleed into subarchanoid space progressive
37
ischaemic core
tissue that has died