spinal chord Flashcards
foramen magnum
where the spinal chord leaves and orginates
conus medullaris
at L1/L2 IVD where the spinal chord stops and it branches out and down to the sacral and lumbar region
dorsal horn
posterior/ afferent/ process sensory
ventral horn
contains lower motor neurons/ efferent
medial- axial
lateral- distal
flexor- dorsal
extensor- ventral
lateral horn
T1-L2 spinal segments
autonomic information
dorsal root
fibres with cell bodies in ganglia
ventral root
fibres with cell bodies in spinal grey matter
white matter in the spinal chord decrease as
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
ventral ramus
supply muscle of back and the back skin
dorsal ramus
supply trunk muscle and limbs and skin
dermatome
afferent
myotome
efferent
2 classifications of spinal chord injuries
complete- no sensation or motor function bellow damaged level
incomplete- varied level of sensation and motor function preserved
quadriplegia/ tetraplegia
damage to cervical chord
arms/ legs= paralysis
c1- T1
c1-c3 respiration and diaphragm
most common c4/ c5
paraplegia
damage bellow cervical vert
affects the lower limb
most common t12-L1
segmenal nerve legion
altered sensation in dermatome
altered weakness in myotome
lost stretch reflex
vertical legion
white matter
loss control of BP BLADDER BOWL
BROWN SEQUARED SYNDROME
segmental
ipisilateral loss of motor and sensation
loss voluntary motor and proprioception control
contralateral- nocioreceptor and temp sensation
central chord syndrome
cervical level due to trauma
small legio- loss of nocioreceptor and temp sensation
karge impaired upper limb motor
anterior chord syndrome
no pain and temp sensation
loss of motor
preserved proprioception
spinal chord shock
temporaty loss of all function
usually ast 1 day and persist for a month
meniges functions
cover and protect CNS
protect blood vessels
form dural venous sinus
house CSF
DURAMATTER
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
arachonoid matter
closely apposed lossely atatched to the dura
subarchonoid space filled with csf= cushion