The Spinal Cord and Periphery Flashcards

1
Q

what are the three columns of white matter?

A

posterior, lateral & anterior.

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2
Q

what does each column of white matter contain?

A

various bundles (tracts) of axons.

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3
Q

are ascending pathways sensory or motor?

A

sensory

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4
Q

are descending pathways sensory or motor?

A

motor

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5
Q

what are the three important tracts

A

Corticospinal/ pyramidal tract
Posterior/ dorsal column
Lateral spinothalamic tract

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6
Q

function of Corticospinal/ pyramidal tract

A

carries motor impulses from motor cortex to skeletal muscles

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7
Q

function of Posterior/ dorsal column

A

carries touch, tactile localisation, vibration sense, proprioception

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8
Q

function of Lateral spinothalamic tract

A

pain and temperature

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9
Q

where does the pathway start for CORTICOSPINAL/PYRAMIDAL TRACT

A

starts from the motor cortex (Area 4)

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10
Q

what are the characteristics of ascending spinal tracts pathways?

A

There are 3 neurons between peripheral receptor and cortex.

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11
Q

how does the posterior/dorsal column work?

A

1st order neuron ends by synapsing with the cell body of the 2nd neuron. This is situated in the lower part of the medulla.
2nd order neuron crosses over (decussates) in the medulla.

The third order neuron starts from the thalamus and axons pass through the IC and radiate to the post-central gyrus (Area 2,1,3)

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12
Q

where does the first order neuron enter in the lateral spinothalamic tract?

A

into the grey matter and ends at the same level.

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13
Q

why do the 2nd order neurons cross over in the lateral spinothalamic tract?

A

to reach the lateral column and is now called lateral spinothalamic tract

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14
Q

where does the 2nd order neuron end in the lateral spinothalamic tract?

A

thalamus and 3rd order passes through IC, radiation to reach post-central gyrus

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15
Q

what is a reflex?

A

involuntary stereotyped pattern of response brought about by a sensory stimulus.

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16
Q

action of the stretch reflex?

A

Tendon stretched

Intrafusal muscle fibres stimulated

Sensory neuron activated

Monosynaptic reflex arc

Polysynaptic reflex arc to inhibitory interneuron

Muscle contraction

5b.Reciprocal innervation

17
Q

action of the flexor reflex

A

Pain stimulus

Sensory neuron activated

Polysynaptic reflex arc
Flexion and withdrawal from noxious stimulus

4b.Crossed extensor response to contralateral limb (only in weight bearing limbs)

18
Q

why is the stretch reflex important?

A

controlling muscle tone and posture

19
Q

why is the flexor reflex important

A

Flexor reflex helps protect the body from painful stimuli

20
Q

what mediates reflexes?

A

lower motor neurones

21
Q

If LMN is not affected in a UMN lesion that causes paralysis then what happens to reflexes?

A

Reflexes are exaggerated in UMN lesions!!

22
Q

what do upper motor neurone do to muscle tone?

A

increases tone

23
Q

what does lower motor neuron do to muscle tone?

A

causes flaccidity

24
Q

what does a L UMN lesion at IC cause?

A

R sided paralysis
Hyper-reflexia
Increased tone

25
Q

what does a L UMN lesion at upper cervical spinal cord cause?

A

L sided paralysis
Hyper-reflexia
Increased tone

26
Q

what does a L LMN lesion cause?

A

L sided paralysis
Absent reflexes
Flaccid

27
Q

what does a Lesion of the UMN above the decussation cause

A

contralateral spastic paralysis and hyperreflexia

28
Q

what does a Lesion of the UMN below the decussation cause

A

ipsilateral spastic paralysis and hyperreflexia

29
Q

what does a Lesion of the LMN cause

A

ipsilateral flaccid paralysis and arreflexia

30
Q

what is motor neurone disease?

A

Group of diseases affecting the lower motor neuron in the ventral horn of spinal cord.
The neuron dies and as a result muscle supplied by it atrophies.
Progressive, incurable disease.

31
Q

does all sensory information need to be sent to the brain for decisions to be made?

A

no, in instances where an immediate response is needed, the spinal cord can make these decisions