Chapter 13: The Spinal Cord and
Spinal Cord Anatomy Protective
structures: Vertebral column and the meninges provide protect the spinal cord and provide physical stability. a. Dura mater, b. Arachnoid, c. Pia mater Epidural space, subdural space and subarachnoid space
Spinal Cord Anatomy
External Anatomy of the Spinal Cord Two
enlargements: cervical and lumbar Conus medullaris Filum terminale Cauda equina Posterior (dorsal root) & anterior(ventral) root Posterior (dorsal root) ganglion Spinal nerve
External Anatomy of Spinal Cord
Internal Anatomy of the Spinal Cord Anterior median fissure Posterior median sulcus Gray and white commissures Central canal Anterior, posterior & lateral gray
horns Anterior, posterior & lateral white columns
Internal Anatomy of Spinal Cord
Internal Anatomy of Spinal Cord
Spinal Nerves 31 pairs; mixed nerves. Cervical (C1-C8), thoracic
(T1-T12), lumbar (L1-L5), sacral (S1-S5) and coccygeal.
Connective tissue coverings of spinal nerves: Epineurium, perineurium and endoneurium: Fascicles
Spinal Nerves
Spinal Nerves
Distribution of Spinal Nerves Spinal
nerves branch and their braches are called rami: Posterior (dorsal) ramus Anterior (ventral) ramus Plexuses: a network of axons Anterior rami except T2-T12 form plexuses.
Cervical Plexus Formed by the anterior rami of C1C5. Phrenic nervesimportant nerves from the cervical plexuses.
Brachial plexus Formed by the anterior rami of C5C8 & T1. Supplies the shoulders and upper limbs. Roots → trunks → divisions → cords → nerves.
Brachial plexus continued Important nerves that arise from the brachial plexuses are Axillary nerve Musculocutaneous nerve Radial nerve Median nerve Ulnar nerve
Injuries to the Brachial Plexus Erb-Duchenne palsy (waiter’s tip)- loss of sensation along the lateral side of the arm. Wrist drop- inability to extend the wrist and fingers.
Injuries to the Brachial Plexus Median
nerve palsy- numbness, tingling and pain in the palm and fingers. Ulnar nerve palsy- inability to abduct or adduct fingers Winged scapula- the arm cannot be abducted beyond the horizontal position.
Injuries to the Brachial Plexus
Lumbar Plexus Formed by the anterior rami of L1-L4. Supplies the anterolateral abdominal wall, external genitals, and part of the lower limbs. Femoral nerves, obturator nerves.
Sacral Plexus Formed by the anterior rami of L4-L5 and S1-S4. Supplies the buttocks, perineum, and lower limbs. Gives rise to the largest nerve in the body- the sciatic nerve.
Distribution of Nerves from the Lumbar and Sacral Plexuses
Coccygeal Plexus Formed by the anterior rami of S4-S5 and the coccygeal nerves. Supplies a small area of skin in the coccygeal region.
Dermatome
Dermatome is the area of the skin that provides sensory input to the CNS via one pair of spinal nerves or the trigeminal nerve.
Sensory and Motor Tracts
The name of the tract often indicates its location in the white matter and where it begins and ends. The white matter contains both sensory and motor tracts.
Reflex Arc The
pathway followed by nerve impulses that produce a reflex is a reflex arc. A reflex arc includes: a. sensory receptor b. sensory neuron c. integrating center d. motor neuron e. effector
Reflex Arc
The Stretch Reflex Causes
contraction of a skeletal muscle in response to stretching of the muscle. Monosynaptic reflex. Patellar or knee-jerk reflex: Stretching of a muscle →activation of muscle spindles →sensory neuron →spinal cord→motor neuron → muscle contraction. Ipsilateral.
Stretch Reflex
The Tendon Reflex Polysynaptic reflex. Control muscle tension
by causing muscle relaxation when muscle tension is great. Sensory receptors- Golgi tendon organs. ↑ Tension applied to the tendon → tendon organ stimulation → nerve impulse → spinal cord →motor neuron causes muscle relaxation and
Tendon Reflex
Flexor (Withdrawal) Reflex Polysynaptic reflex Ipsilateral. Stepping on a tack
(stimulus) → nerve impulse → activation of the interneuron → activation of the motor neuron →muscle contraction →withdrawal of the leg.
Flexor (Withdrawal) Reflex
Crossed Extensor Reflex Polysynaptic reflex. Contralateral reflex. Contraction of muscles
that extend joints in the opposite limb in response to a painful stimulus. Stepping on a tack (stimulus) → nerve impulse →activation of several interneurons → activation of the motor neurons → muscle contraction causing flexion of the leg stepping on a tack & extension on the opposite side.
Crossed Extensor Reflex
End of Chapter 13