Spinal Cord Flashcards
If lesion in left side of anterolateral column…
Will lose pain and temperature sensation from the right side (contralateral) side of the body
If lesion on left side of Dorsal Column-medial Lemniscal pathway
Will lose fine touch and proprioception of the left side (ipsilateral) side of body.
If you were a doctor who needs to get some CSF out of a patient where would you draw it out and why?
Lumbar cistern because you wont damage the spinal cord!!!
Gray matter in spinal cord
Dorsal horn on top - sensory function
Ventral horn on bottom - movement
Gray matter
Nervous system consisting mainly of neuronal cell bodies, dendrites and synapses
White matter
Bundles of myelinated axons
Ventral Root
Motor fibers
Dorsal Root
Sensory fibers
Dorsal root ganglion (DRG)
Ganglion
Collection of cell body’s in the PNS
Organized cluster of neuronal cell bodies in the PNS
Nucleus (Nuclei)
An organized cluster of neuronal cell bodies in the CNS
How many pairs of spinal nerves run down the length of the spinal cord?
31 pairs
Dermatome
A pair of spinal nerves innervating a region of the body surface
Interneurons
Connect the sensory and motor neurons
Autonomic neurons
Neurons leave through ventral roots and synapse with post-ganglionic neurons that act on lungs and heart and autonomic functions.
Fine touch pathway
Enters through dorsal root
Bypasses gray matter and goes into white matter, little slit of white matter between the two dorsal horns, then it turns upward and heads up to the brainstem.
Describe where on the spinal cord the dorsal column (column of axons) is located
Dorsal side of spinal cord, white matter, at the left, between the two dorsal horns of grey matter
Where, other then the dorsal column, do neurons on the fine touch pathway synapse?
Pain and temperature pathway
1) Comes in through dorsal pathway
2) Second order neuron synapses on grey matter, dorsal horn of the spinal cord
3) Neuron cross over to the other side down to ventral area of grey matter and passes out ot white matter of anterolateral column white then goes up to the thalamus
Why is it called the anterolateral pathway?
Because it is in the anterior and lateral part of the spinal cord.
Fibers in medial part correspond to _____ and fibers in lateral part correspond to _____.
Fibers in dorsal column are very organized.
Medial part correspond to legs
Lateral part correspond to arms
Somatotopic organization(map)
Topography
There is essentially a map of the body in the dorsal column that goes from medial to lateral.
Is there a somatotopic map of the body at every level up until the cerebral cortex?
YES
Are the anteriolateral columns somatotopically orgranized?
YES
Central Pattern Generators
Intrinsic circuitry of the spinal cord forms central pattern generators responsible for rhythmic movements like walking, scratching and the rhythmic motions of swimming fish
Spinal reflexes
Simplest goal-directed movements
Involuntary coordinated patterns of muscle contraction and relaxation. Elicited by peripheral stimuli
Sensory stimuli come from receptors in muscle, joints and skin
They produce complex movements that serve protective and postural functions - e.g withdrawal reflex, stretch reflex
Withdrawal reflex
Put hand on hot stove then move it away
Stretch reflex
Tendon is stretched when knee is tapped.
Tendon is connected to muscle, when muscle gets stretched that activates sensory neurons in the muscle that detect muscle stretch (Muscle spindle)
When sensory neurons detect this stretch they begin to fire action potentials
These enter the spinal cord, go through the spinal cord grey matter and make direct excitatory synapses with flexor muscle and excitatory synapse with inhibitory neuron of extensor muscle
Why stretch reflex?
Imagine holding box of books then more books are added so your arms go down a bit then back up.
It’s for posture and protection
Can descending inputs from higher brain areas modify and regulate reflexes?
Reflexes are at the level of the spinal cord but they can be modulated and regulated and gated by higher brain centers depending on circumstance
Fiber tract (tract)
Bundle of axons in CNS
Nerve
Bundle of axons in PNS
Projections
Axons that extend from one region of the nervous system to another
3 parts of Brainstem in order of top to bottom on mid-saggital cut
1) Midbrain
2) Pons
3) Medulla