Spinal Cord Flashcards
Spinal Cord Anatomy 3 parts
Anterior medial fissure 2) posterior median sulcus 3) Central canal
Regions of the Spinal Cord
1) Cervical(8) 2) Thoracic (12) 3) Lumbar (5) 4) Sacral (5) 5) Coccygeal (1)
Parts of the Spinal cord structures 5
1) Cervical Enlargement 2) Lumbar Enlargement 3) Conus medullaris(tapering end) 4) Cauda equina(horse tail) 5) Filum terminalis (pia mater (anchors to coccyx)
SC Meninges of Spinal Cord
1) Dura (epidural and subdural) 2) Arachnoid Layer(subarachnoid space) 3) Pia mater (adheres to Spinal Cord)
Denticulate ligaments
Attach pia matter to arachnoid and dura mater helps anchor(blue triangle on model)
Gray matter in Spinal cord
1) Anterior horn (wider 2) Lateral Horns 3) Posterior Horns (all the way to the surface) 4) Gray commissure
Where are sensory neurons found?
IN the Dorsal (posterior) Root
Sensory cell bodies
Dorsal root ganglia
Motor neurons are found in?
Ventral(anterior) root
Motor cell bodies are found? 2 Types?
In the lateral horn(autonomic neuron) and anterior horns(somatic)
Ascending Tract
Sensory
Descending Tract
Motor
Funiculi
contain axons organized into tracts
Spinal Nerves and how many pairs
31 pairs of Bundle of axon in PNS
How does an axon enter/exit SC
Via the ROOTS formed from smaller ROOLETS
Anterior(ventral root) and where bodies are
Motor (Soma in anterior & lateral horns
Somas
bodies
Posterior (dorsal) Root and where bodies are
Sensory; somas in dorsal root ganglion
What is it called when the anterior and posterior roots unite within the intervertebral foramen
Spinal nerves that are both sensory and motor(mixed)
What is the name for branches off spinal nerves (3)
Rami: 1) Posterior Rami 2) Anterior Rami
What does the Posterior (dorsal rami Innervate?
Muscles/skin of the back
What does the Anterior (ventral) rami Innervate?
!) innervate anterior & lateral trunk 2) innervate libs 3) form plexuses 4) Rami communicantes
Dermatomes
Segments of the skin supplied by a spinal nerve (MAP) (all nerves innervate skin except C1)
Nerve Plexuses
A network of ANTERIOR RAMI of spinal nerves found on both sides of the body. Split into NEVERS that INNERVATE Body structures
Main Nerve Plexuses (4)
1) Cervical 2) Brachial 3) Lumbar 4) Sacral
Thoracis spinal nerves
T2-T12 DO NOT from plexuses. Directly innervate structures( intercostal muscles; abdominal muscles and chest wall. T1 helps form the brachial plexus
Cervical Plexus(where and what it innervates)
Ant Rami of C1-C4 Major nerves is the Phrenic nerve and innervates Diaphragm
Brachial Plexus Formed from
Formed from C5-T1 Supplies upper limbs
Brachial Plexus Major Nerves(5)
1)Axillar nerve 2) Musculocutaneous nerve 3) median nerve 4)Radial nerve 5) Ulnar nerve
Division and Organization of Brachial plexus (in order)
1)Roots(ant rami) 2) Trunks 3) Divisions 4) Cord
Axillary Nerve
Muscles in axillary region - Deltoid and teres minor
Musculocutaneous nerve
Flexors of humerus (ELBOW) (biceps brachii; brachialis; Coracobrachialis)
Median Nerve
Most anterior forearm muscles WRIST FLEXORS and PRONATORS ( Flexor carpi radialis; flexor digitorum superficialis; Palmaris Longus; Pronator Teres; Pronator Quadratus)
Radial Nerve
Extensors of elbow and Wrist( Triceps brachii; extensor carpi ulnaris; longus; brevis; extensor digitorum and Brachioradiales(Flexes)
Ulnar Nerve
Flexors or wrist(on medial side) (Flexor carpi ulnaris)
What nerve would you hit on the medial epicondyle that give the funny bone sensation
Ulnar nerve
Lumbar Plexus Location and Nerves
Formed from L1-L4 and make Femoral nerve and Obturator Nerve
Femoral Nerve
Muscles on anterior upper leg( Psoas major iliacus; sartorius; Quadriceps muscles)
Obturator nerve
Adductor of Leg Adductors; brevis; longus; and manus and gracilis
Sacral Plexus Location and Nerves
Formed from L4 S4 (sciatic nerve)
Sciatic nerve Parts(2)
1) Tibial and Fibular(peroneal) Started out as fused then the fibular goes to the front
Tibial Branch
Muscles on back of leg( Most of hamstrings; Gastrocnemius; Soleus; Popliteus)
Common fibular branch
Lower lateral/anterior leg; tibialis anterior and fibularis longus(peroneus)
Reflex Arc Order
1) Receptor 2) Sensory Neuron 3) Integration center 4) Motor Neurons 5) Effector(Muscle here)
Monosynaptic vs Polysynaptic
Mononsynaptic: direct communication between sensory and motor neuron WHILE Polysynaptic has an interneuron that facilitates communication
Ipsilateral vs Contralateral
Same side vs opposite
Muscle spindle(reflexes)
reflex contraction in response to rapid stretch
Golgi tendon Organ(GTO)(reflexes
Inhibits excessive tension(can be trained)