Spinal Chord and Reflexes Flashcards

1
Q

Basic structure of spinal chord

Label this diagram

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

How is the white matter of the spinal cord subdivided into areas ina cross section ?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the funiculi

A

They are the vertical columns of the white matter of the spinal chord

they transmit information up and down

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Function of ventral regions

A

Produce motor output from the efferent nerves inside

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How is the grey matter of the spinal chord organised into regions?

A

Intermediolateral cell column only present between T1 (first thoracic vertebra) and L2 (second lumbar vertebra)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Function of dorsal regions

How can it be identified ?

A

To receive sensory input

dorsal root will have swelling from the cell bodies of the sensory neurones

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Label the structure of a spinal segment from the posterior view

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the meninges and what is their function

A

3 thin layers of tissue that cover the brain and spinal chord

They provide tight anchoring of CNS to the surrounding bones to prevent side-side movement

allow passage of CSF

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Label :

A spinal segment

an artery

the meninges

the lumbar/cervical enlargements

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Afferent information enters via the ___ root

A

Dorsal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Efferent information leaves via the ____ region

A

Ventral

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

The vertebral column structure

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

where is the cauda equina found in newborns?

A

L3 - L4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

where is the cauda equina located in adults ?

A

L1-L2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what is the cauda equina

A

bundle of nerve roots at the bottom of the spine just below the spinal chord nerves responsible for movement of the legs and bladder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

label the diagram of a vertebrae cross section

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Where is local anaesthetic delivered during pregnancy ?

A

Epidural space

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Name the ascending funiculi ?

A

2 for each region of spinal chord ; as they are ascending they are responsible for providing touch, pain, sensation of temperature and proprioception

19
Q

What are the dorsal ascending funiculi present in the cervical region of the spinal chord ?

A

Gracile(hindlimb)

and cuneate (forelimb)

20
Q

Which ascending dorsal funiculi are present in the lumbar region of the spinal chord ?

A

Gracile (hindlimb) only

21
Q

What is decussation ?

A

When fibres cross from one side of a structure to another e.g when a sensory neurone passes through a funiculi that enters through the opposite side of the spinal chord

sometimes dessucation occurs in the brain

22
Q

Label the descending funiculi

A

Replicated on both sides of spinal chord

7 in total

23
Q

What does corticospinal mean ?

A

Controls voluntary movement of muscles of limbs

24
Q

function of the reticulospinal funiculi

A

Regulation of voluntary movements and muscle tone; medial stimulates movement, lateral inhibits movements

25
Q

function of vestibulospinal funiculi

A

Posture and balance via inneravtion of the anti-gravity muscles (flexors of arm, and extensors of leg)

26
Q

Role of rubrospinal

A

Promotion of flexor and inhibition of extensor muscle activity

27
Q

Role of tectospinal

A

Head and eye movement via visual stimuli

28
Q

Define lower motor neurone

A

Spinal motor neurone

29
Q

Where are upper motor neurones found

A

In the brain

30
Q

Upper motor neurones innervate …

A

Spinal motor neurone

31
Q

Alpha spinal motor neurones act on

A

Extramural muscle fibres that are responsible for contraction

32
Q

Gamma spinal motor neurones innervate ….

A

Intrafusal muscle fibres in muscle spindles

33
Q

Define humunculus

A

Spatial orientation of neural tissue relative to location of associated muscles

proximal muscles are linked to medial cell bodies

distal muscles are linked to lateral cell bodies

34
Q

Types of reflexes

A

Superficial , deep (myotactic) and visceral (autonomic)

35
Q

Superficial reflexes

A

Corneal

Sneezing (nasal )

plantar (Toes curl down in adults)

36
Q

Myotactic reflexes

A

Patellar (knee jerk)

37
Q

Visceral reflexes

A

Pupillary

micturition (peeing)

38
Q

Babinskis reflex

A

Toes curl up and fan out

seen in healthy babies

sign of upper motor neurone lesion in adults

39
Q

Abnormal babinski reflex is indicative of …

A

Upper motor neurone damage

40
Q

Describe central modulation of spinal reflexes

A

Sensory neurones deliver info to spinal chord and its passed onto the brain via ascending motor neurones

inhibition of reflexes is achieved by transmission of an AP down a descending motor neurone within the spinal chord

41
Q

Explain reciprocal inhibition

A

When a muscle contracts, it’s important that its antagonistic muscle remains relaxed

Inhibitory interneurone activated when a AP arrives from an muscle ; it synapses with efferent motor neurone causing inhibition of contraction in antagonist muscle

42
Q

What are upper and lower motor neurones

A

Upper motor neurones travel between brain and spinal chord

Lower motor neurones travel from spinal chord to muscle

43
Q

Function of interneurones

A

To connect spinal motor neurones and sensory neurones

44
Q

Crossed extensor reflex

A

Afferent sensory neurone

interneurone synapses with 2 antagonistic pair one on either side of body ; opposite effect in either side