Spinal Cord and Meninges Flashcards

1
Q

List the boundaries of the vertebral canal

A
Spinal cord
Pia mater
Subarachnoid space
Arachnoid mater
Dura mater
Spinal nerves
Extradural space
Blood vessels
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2
Q

Spinal cord in adults and children

A

Adults: from foramen magnum to L1/2

Children: from foramen magnum to L3

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3
Q

Spinal cord enlargements

A

Cervical C4-T1: brachial plexus- innervation of upper limbs

Lumbosacral T11-S1: lumbosacral plexus- innervation of lower limbs

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4
Q

Spinal nerves

A
8 cervical
12 thoracic
5 lumbar
5 saccral
1 coccygeal
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5
Q

How spinal nerve comes together

A

Rootlets converge to form roots (posterior roots=sensory, anterior roots=motor), anterior and posterior roots converge to become a spinal nerve (mixed sensory and motor)

Spinal nerves divide into mixed ventral and dorsal rami

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6
Q

Spinal nerves and their corresponding number

A

Cervical nerves are numbered according to vertebra below

All other spinal nerves are numbered according to vertebra above

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7
Q

Dura Mater

A

Known as dural sac as it descends vertebral canal
Unattached to bone
Narrows at lower border of S2 and fuses with filum terminale and coccyx

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8
Q

Arachnoid mater

A

Lines dural sac
Ends at lower border of S2
Connects to pia mater by arachnoid tuberculae

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9
Q

Where is lumbar cistern found and what does it do?

A

In subarachnoid space- encloses cauda equina

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10
Q

Pia mater

A

adhered closely to surface of CNS
Becomes filum terminale at inferior end of spinal cord that attaches to coccyx
Attached to arachnoid mater in dural sac by lateral triangular denticulate ligaments

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11
Q

Where is internal vertebral venous plexus found?

A

Extradural space

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12
Q

Longitudinal arteries

A

Branches of subclavian artery
2 paired posterior spinal arteries
1 anterior spinal artery (gives off sulcul arteries)

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13
Q

Segmental arteries

A

Branches of aorta
Give off segmental medullary arteries
Support posterior/anterior spinal arteries

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14
Q

Distinctive characteristic of venous plexi

A

No valves so blood flows in either direction

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15
Q

Location of internal venous plexus

A

In extradural fat in extradural space

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16
Q

Venous connection and cancer

A

Allows metastatic spread of tumours

17
Q

External vertebral venous plexus

A

Drains medullary cavity of vertebral bodies and connects to segmental veins

18
Q

Where is lumbar puncture performed?

A

Between L3 and L4 or between L4 and L5

19
Q

List the structures a lumbar puncture needle passes

A
Skin
Superficial fascia
Supraspinous ligament
Interspinous ligament
Ligamentum flavum
Extradural space
Dura mater
Arachnoid mater 
Subarachnoid space