Spinal Cord Flashcards

1
Q

What gives rise to the cauda equina?

A

Conus Medularis.

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2
Q

In the brain, the grey matter cortex is on the outside, is the spinal cord the same or different?

A

In the spinal cord the central area has the grey processing matter.

The rest is white matter, and there is a vast amount

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3
Q

What is the posterior median sulcus?

A

Halfway point for the spinal cord.

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4
Q

Difference between post. and ventral median sulcus?

A

Ventral Median Sulcus has a significant rift, whereas the Dorsal is tightly packed

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5
Q

Where do the dorsal roots come in?

A

The Dorsolateral sulcus.

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6
Q

What are white matter ‘funniculi’?

A

larges white matter tracts/ropes. Make up ~50% of the spinal cord. There is a ventral, lateral and dorsal funiculus

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7
Q

Dorsal funiculus —>
ventral funiculus —>
lateral funiculus —>

A

Dorsal funiculus —> sensation
ventral funiculus —> pain + temp
lateral funiculus —> motor

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8
Q

What are the 2 subdivisions of the Dorsal Funiculus

A

Gracile fasiculus

Cuneate fasiculus

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9
Q

Purpose of the Gracile Funiculus?

A

Carries all the sensory info from the leg/foot as it comes in from the dorsal root ganglion to a part of the gracile fasiculus.
Brought in froma Psuedo unipolar neuron (unyelinated).

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10
Q

Sensory Info from my toe would go where in the gracile funiculus?

A

Medial most part, wheres hip would be lateral.

Organised like a homonculus.

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11
Q

The gracile fuciculus is present at ___ levels of the spinal cord. Why?

A

All levels, as it takes info from the Lower Limbs

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12
Q

The cuneate fusiculus is present at ___ levels of the spinal cord. Why?

A

As it carries sensory info from the upper limbs, and therefor will not be present further down.

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13
Q

Why does injury your foot hurt more then injuring your knee?

A

There are more nerves present in the foot (see pg 45)

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14
Q

What’s in grey matter

A

Dorsal Horn
Ventral Horn
Lateral Horn

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15
Q

What’s in white matter

A

Columns
tracts
Fasiculi
Funiculi

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16
Q

Cell that can pick up information about pain and temperature come through the ‘Tract of Lissauer’. Where do they synapse

A

Rexas Lamine

Synapse at Lamina 1 or 2, where the 2nd order neurons then decussate to the ventral funinculus and travel up to the thalamus via the spinothalamic tract

17
Q

Describe Lamina 1 fibres

A

Slow Conducting
Un-myelinated
Convey info on pain and temp

18
Q

Convergence of the spinal cord.

A

Occurs on lamina 3/4 and allows the huge surface area of the body to be condensed into the spinal cord, means that many fibres that come into the lamina also synapse onto the funniculus —> brain

19
Q

Lamina 2

A
  • Pain and temp

- Aren’t really affected by anasthetic, except opiod analgesics (as they have opiod receptors)

20
Q

Lamina 3 + 4

A
  • Convergence of touch and pressure sensory neurons
  • Nucleus proprios
  • These neurons then still travel to their respective areas of the gracile and cuneate fasiculus
21
Q

Lamina 5 + 6

A

Info on noxious visceral stimuli

22
Q

Lamina 7

A

All involved in ANS

Centrally: “Dorsal Nucleus of Clark” which is involved in the cerebellum tract and unconscious proprioreception

23
Q

Lamina 8+9

A

where Lower motor neurons pass through (from previously synapsing with UMNs in the lateral funinculus) where they then pass out via the ventral root > muscles of the body

Extensors: periphery
Flexors: medially

24
Q

What type of cells does each lamina have? Remember granule=sensory and pyramidal=motor

A

L1-4: granule
L5-7: mixed
L8-9: pyramidal

25
Q

Where does Pain and temp info from L1/2 go?

A

To the OPPOSING Ventral Funiculus, then up to the brain via the ‘spinothalamic tract’

26
Q

Where does the info from Lamina 3/4 go?

A

To the dorsal columns upto the spinal cord on the SAME SIDE

27
Q

What passes through lamina 8/9 and then where does it go?

A

UMN from the lateral funiculus (from the motor cortex) come in, synapsing with LMN at 8/9 to travel to the the body via the ventral root

28
Q

Myotactic Reflex

A

Happens bc the discriminative ifor from the periphery, instead of going to the gracile/cuneate fasiculi, it comes down to 8/9 and informs them, the flexor/extensor neurons coordinate for movement such as walking.

Brain only informed AFTER

29
Q

Withdrawal Reflex

A

Due to pain or heat, also occurs at the spinal segmental level.
Info synapses in 1/2, and then from there another fibre comes down to 8/9, then ANOTHER fibre that comes down through ventral roots.

Theese 3 fibres cause us to pull away before the brain even realises