Spinal Cord Anatomy Flashcards
Gross appearance of the spinal cord
- begins superiorly from the_____
- termnares inferiorly in adults at the level of___; young child at the level of____
- occupies____ of the vertebral canal
- gives off____ plexus in the cervical region
- inferiorly tapers off into the____
foramen magnum
L1
upper border of L3
upper 2/3
brachial
cornus medullaris
Gross appearance of the spinal cord
- from the cornus medullaris , a prolongation of_____, called the____ descends into the____
- the spinal cord possess a____ longitudinal fissure called the_____ in the midline anteriorly
- also has a____ posterior furrow called the_____
pia matter; filum terminale; coccyx
deep ;anterior median fissure
shallow; posterior median sulcus
List the Spinal cord Enlargements
____enlargement
_____enlargement
cervical
Lumbar
Spinal cord Enlargements
cervical enlargement
-extends from___ to___
Lumbar enlargement
- from__ to ___
- below this enlargement, the cord tapers off to the____
C3; T2
L1-S3
conus medullaris
Which spinal cord enlargement is more pronounced and larger ??
Cervical enlargement is larger and more pronounced than the lumbar enlargement
GRAY MATTER OF THE SPINAL CORD
- seen as a__-shaped pillar with ___ and ___columns/horns
- a small___ column segment is present in the___ and _____ segments
- the gray matter comprises of a mixture of____ and___
- the nerve cells are ____polar
H
anterior and posterior
lateral; thoracic and upper lumbar
nerve cells; their processes
multi
the amount of gray matter present at any given level of the spinal cord is related to the amount of muscles innervated at that level
T/F
T
Gray and white matter have neuroglia and blood vessels
T/F
T
Nerve cell groups in the anterior gray columns
- the axons of larger nerves pass out the anterior gray column as____ efferents that innervates___
- the axons of smaller nerves pass out the anterior gray column as___ efferents that innervate the_____
alpha; skeletal muscles
gamma; intrafusal fibers of neuromuscular spindles
the nerves cells of the anterior gray columns are divided into 3 groups or columns:_____ ,____,and _____
medial, central, and lateral
Medial group of AGC
- present in___ segments of the spinal cord
- innervate the skeletal muscles of the___ and ____ including the____ and ____
most
neck and trunk
intercoastal and abdominal musculature
Central group of AGC
- present in ____ and ____segments
- C_to C_ innervates the diaphragm through the___ nerve
- also innervates the___ and ____ muscle
some cervical and lumbosacral
C3-C5; phrenic
trapezius and SCM
Lateral group of AGC
- present in____ and ____ segments
- responsible for innervating_____
cervical and Lumbosacral
skeletal muscles of the limbs
smallest group of AGC is ______
Central group
Nerve cell groups in the posterior gray columns
- there are 4 nerve cells groups
- 2 of the nerve cell groups extend____ of the spinal cord
- other 2 groups are_____ segments
- there may be a fifth group known as____ nucleus
the entire length
restricted to thoracic and lumbar
posteromarginal
Substantial gelatinosa group
- found at___ of PGC
- found_____ of spinal cord
- receive afferent fibers concerned with___,____,____ from the posterior root
apex
throughout length
pain ,temperature and touch
Nucleus proprius group
- situated____ to the substantia gelatinosa
- occupy ____of the spinal cord
- receives fibers of the ____column that is concerned with____,___, and ____
anterior
entire length
posterior white white
proprioception, 2-point discrimination and vibration
Nucleus proprius
Large or small
Large
Nucleus dorsalis group
- aka_____
- situated at the____ of the PGC
- extends ____ segment
- most of its cells are associated with____ endings( neuromuscular spindles and tendon spindles)
Clarke’s column
base
C8 to 3rd of 4th lumbar
proprioceptive
Visceral afferent nucleus group
- situated____ to nucleus dorsalis
- extends from____
- receives___ afferent fibers
lateral
L1-L3
visceral
Nerve cell groups in the Lateral gray columns
- extends from ___ to ___segment of spinal cord and give rise to_____ fibers
- a smaller group of cells are found in the ____segments of the spinal cord and they give rise to____ fibers
T1-L2 or L3
ganglionic sympathetic
S2-S4
parasympathetic
Nerve cell groups in the intermediate gray columns
- this part contains the _____ and ____nucleus
- sacral autonomic nucleus is located in the same place as______ but in the _____segments of spinal cord
intermediolateral nucleus and intermediomedial
intermediolateral nucleus
S2-S4
REXED LAMINAE
-gray matter is divisible into____ lamina marked by Roman numerals
10
REXED LAMINAE
lamina 1 is at____ of the___ horn
- lamina 2 corresponds to_____
- lamina 3-6 corresponds to____
the tip; post
substantia gelatinosa
nucleus proprius
REXED LAMINAE
lamina 7 corresponds to____ horn in ____segments
- lamina 8 corresponds to____ in___ segment but ______in___and____ segments
- lamina 9 corresponds to____ in___ horn
lateral
T1-L2
most of the anterior horn; thoracic
only the medial part ; cervical and lumbar
group of motor neuron; ventral
Lamina 8 also contains the Clarke’s nucleus in C8-L3 segments
T/F
F
It’s lamina 7
REXED LAMINAE
lamina X is the______. Includes the _______surrounding the central canal
gray substance that surrounds the central canal
substantia gelatinosa centralis
TRACTS OF THE SPINAL CORD
contains only large diameter axons which are myelinated
T/F
F
contains both small and large diameter axons which may or may not be myelinated
TRACTS OF THE SPINAL CORD
the fibers run in different directions:____,____,____
- some fibers are intrasegmental, i.e_____; and some are intersegmental
- fibers are grouped into tracts depending on their____
ascending , descending, horizontal
arise and terminate within a segment
functional modality
Gray commissure
- in transverse section of spinal cord, anterior and posterior gray horns are connected by a______’__shaped’
- at the center of the commissure is situated a___
transverse gray commissure; H
central canal
the central canal divides the gray commissure into___ and ____ gray commissure depending on which side it belongs to
anterior and posterior
central canal
central canal runs through only the thoracic and lumbosacral segments of the spinal cord
T/F
F
central canal runs throughout the length of the spinal cord
central canal
superiorly it corresponds with the____ of ____ and opens into the___ of the ____
- continues inferiorly with the ____where it expands into the____ and terminated below within the____ of _____
- it’s filled with___ and line by ____epithelium, the____ cells
central canal of the medulla oblongata
cavity of the 4th ventricle
conus medullaris
fusiform terminal ventricle
root of filum terminale
CSF; ciliated columnar ; ependyma
WHITE MATTER
- consists of a mixture of___,___,and ____
- its white color is due to the______
- divided into___,____,and____
nerve fibers, neuroglia, and blood vessels
high proportion of myelinated nerve fibers
anterior lateral and posterior
WHITE MATTER
Anterior: between____ and ____
-lateral: between_____ and ___
-posterior :between_____ and ——
midline and point of emergence of anterior nerve roots
anterior and posterior nerve roots
midline and point of emergence of posterior nerve roots
ARRANGEMENT OF NERVE FIBER TRACTS IN WHITE MATTER
-A tract(___/——) is a collection of____ with the same origin, course and termination
-within the CNS, a tract connects______of ___
-divided into 3
_____
______
_____
lemnisci/fasciculi
nerve fibers
2 masses of gray matter
ascending tracts
- descending tracts
- intersegmental and intrasegmental tracts
ASCENDING TRACTS OF THE SPINAL CORD
- go from_____ to _____
- the information carried are divided into 2
- Exteroceptive information: originates from____ eg_____
- Proprioceptive information: originates from______ eg _____
spinal cord to higher regions
outside the body. Eg pain temp touch
inside the body. Eg muscles and joints
Anatomical organization of ascending tract
- First order neurons
- cell bodies are in_____
- ____process connects with a sensory receptor ending while the____ process passes the posterior root to synapse on the second order neuron
dorsal root ganglion of spinal nerve
peripheral; central
Anatomical organization of ascending tract
Second order neuron
-give rise to axons that____ and ____ to higher level CNS and synapse with third order neuron
decussate and ascend
Anatomical organization of ascending tract
Third order neuron
- usually in the____
- gives rise to____ fibers that pass to a sensory region of the cerebral cortex
thalamus
projection
The ascending pathways only use 3 neurons. Never more, nerve less
T/F
F
though most of the neurons of the ascending pathway use the 3 order of neurons, some others engage with fewer or more
many of the neurons in the ascending pathways branch and give a major input to the____ which in turn activates the ____thereby maintaining_____
reticular formation
cerebral cortex
wakefulness
other ascending pathway branches pass to motor neurons and participate in ____activity
reflex muscular
A list of Ascending tracts
Mention like 9 or 10
Spinothalamic tracts:anterior and lateral
- DCML
- posterior spinocerebellar tracts
- cuneocerebellar tract
- anterior cerebellar tract
- spinotectal
- spinoreticular
- spinolivary tracts
- visceral sensory tracts
LATERAL SPINOTHALAMIC TRACTS
- pathway for___ and ____
- first order neuron at____
- the axons continue into the spinal cord and travel a distance of one or 2 segments of the spinal cord forming the____ of ____
- axons of first order neuron terminate by synapsing in the_____ of _____
- ____is the NT released at this point
pain and temperature
dorsal root ganglia
posterolateral tract of lissaeur
substantia gelatinosa of the posterior gray column
substance P
LATERAL SPINOTHALAMIC TRACTS
the axons of the second order neuron____ through the_____ and ____ of the same spinal segment and ascend in the _____of the spinal cord as the lateral Spinothalamic tract
-As this tract ascends, it is accompanied by the ____ and ______ and together forms the_____
-axons of the second order neurons ascend through the___and ____ to terminate in the 3rd order neuron in the____ of____
decussate
anterior gray and white commissures
contralateral white column
Anterior Spinothalamic tract and the spinotectal tract ; spinal lemniscus
pons and midbrain; ventral posterolateral nucleus of the thalamus
LATERAL SPINOTHALAMIC TRACTS
from the VPN, the third order neuron ascends through the ____ and _____to the____ area of the ____gyrus
internal capsule and corona radiata
somesthetic
post central
ANTERIOR SPINOTHALAMIC TRACT
- pathway for____ and ____
- first order neuron at ____and proceed to dorsal grey column
- axons of first order neuron terminate by synapsing in the_____ of _____
light/crude touch and pressure
dorsal root ganglia
substantia gelatinosa of the posterior gray column
ANTERIOR SPINOTHALAMIC TRACT
the axons of the second order neuron____ to the anterior gray and white commissures of the same spinal segment and ascend in the anterolateral white column of the spinal cord as the anterior Spinothalamic tract to the____
- then later joins___ lemniscus that ascends to___ of ____
- from the VPN, to the somesthetic area of the post central gyrus
decussate; medullar oblongata
spinal
VPN of thalamus
DCML
- pathway for____,___,and____
- fibers of first order neuron from the____ enter the spinal cord and pass to the_____ of the___ side
- they divide into____ and ____ branches
discriminative touch, vibratory sense and conscious muscle joint sense
dorsal root ganglion
posterior white column; same
long ascending and short descending
The short descending fibers of the DCML pathway are involved with_____
intersegmental reflexes
-the long ascending fibers off DCML pathways may also end by synapsing with cells in the___ grey horn with____ neurons and with___ cells
dorsal
internuncial
anterior
DCML
- many of the long ascending fibers travel upwards in the posterior white column as____ and ____
- FG is present throughout the length of spinal cord and contains long ascending fibers from the ___,_____,____, and ____spinal nerves
- FC is situated in the_____ and _____ of the spinal cord
- the fibers of FG and FC ascend ___laterally and terminate by synapsing on the second order neurons in the_____ and ____ of the _____
fasciculus gracilis(FG) and fasciculus cuneatus(FC)
coccygeal, sacral, lumbar, and lower 6 thoracic
upper thoracic and cervical segments
ipsi
nucleus gracilis(NG) and nucleus cuneatus(NC) of the medulla oblongata
Who is more medial to who
FG or FC
FG
DCML
the axons of the second order neurons (____fibers) sweep anteromedially around the____ and cross the median plane and decussate with corresponding fibers of opposite side
- the fibers ascend as a single compact bundle called the____ lemniscus to the___ (3rd neuron) of____
- from the VPN to the somesthetic area of the post central gyrus
internal arcuate
central gray matter
medial
VPN;thalamus
Posterior spinocerebellar tract
- pathway for information from the_____
- axons of first order neurons from ___enter the spinal cord and terminate at the second order neurons in the_____ aka ____
- the axons of the second order neurons ascend upwards through the_____ part of the _____ column of the___ side up to the____ then it joins the_____ and terminates at the_____
Unconscious muscle spindles ,tendons organs and joint receptors of the trunk and lower limbs
spinal root ganglion
nucleus dorsalis (Clarke’s column)
posterolateral part of the lateral white
same; medulla oblongata; inferior cerebellar peduncle; cerebellar cortex
Posterior spinocerebellar tract
doesn’t get to the thalamus or cerebral cortex
T/F
T