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Dura Mater
One of the meninges
the outermost and toughest layer
surrounded by a fat-filled space, the epidural space
common site for the injection of anesthetic during labor and some surgeries
Arachnoid Mater
one of the meninges
spiderweb-like extensions to the deepest layer
Pia Mater
one of the meninges
deepest layer
tightly adheres to the spinal cord, but between it and the arachnoid mater is a fluid-filled cavity, the subarachnoid space
extends to create the filum terminale and the denticular ligaments
Subarachnoid Space
between the pia mater and the arachnoid mater
fluid-filled cavity with cerebrospinal fluid (CSF)
provides a protective cushion around the spinal cord and the brain
Central Canal
narrow passageway in the spinal cord
CSF is found here
Meninges
three layers: dura, arachnoid, and pia mater
protect the spinal cord and brain
Epidural Space
surrounds the dura mater
fat-filled space
common site for the injection of anesthetic during labor and some surgeries
Cerebrospinal Fluid
fluid that surrounds the spinal cord and brain
Conus Medullaris
cone-shaped termination of the spinal cord
L1-L2
since the vertebral column’s growth outpaces the spinal cord, the spinal cord does not extend the full length of the vertebral canal in newborns and adults
Filum Terminale
the pia mater continues past the end of the cord becoming this
“terminal thread”
tethers the spinal cord to the sacrum and coccyx
Denticulate Ligaments
around 20 paired lateral extensions along the length of the spinal cord formed by the pia mater
provides further stability for the spinal cord
Cauda Equina
bundle of spinal nerve roots formed below the conus medullaris
L2 and lower spinal nerves
resembles a horse’s tail
collection of lumbar, sacral, and coccygeal spinal nerves that passed through the vertebral canal on their way to the appropriate body level
Spinal Nerves
cervical, thoracic, lumbar, sacral, and coccygeal, which serve these respective regions of the body
their roots emerge from the right and left sides of the spinal cord
Anterior Median Fissure
fissure that cuts into the white matter along the entire spinal cord
White Matter
consists of myelinated axons that give it its color and make it distinct from gray matter
Dorsal Column
a bundle of axons running up and down the spinal cord organized into a column on the posterior side of the spinal cord
Lateral Column
a bundle of axons running up and down the spinal cord organized into a column on the lateral side of the spinal cord
Ventral Column
a bundle of axons running up and down the spinal cord organized into a column on the anterior side of the spinal cord
Corticospinal Tract
the largest descending tracts (axons with a similar function organized into large bundles)
brings motor information from the brain to either the lateral or ventral horn to the appropriate place in the body
Composed of 2 neurons: 1 peripheral and 1 interneuron
Decussation of the upper motor neuron occurs in the medullary pyramids of the medulla oblongata
Spinothalamic Tract
ascending tract
sends non-localized sensations from the entire body to the brain (ex. pain/temperature)
Composed of 3 neurons
1 peripheral (PNS) - 1st order
2 interneurons (CNS) - 2nd/3rd order
decussation occurs at the level of the spinal cord where the sensation was felt
Gray Matter
contains the interneurons that allow communication to and from the brain and other regions of the spinal cord
in cross-section it is shaped like the letter ‘H’ or like a butterfly
contains portions of sensory and motor neurons that bring signals into or out of the spinal cord
forms columns that run the spinal cord’s length, containing the cell bodies of neurons that receive sensory information and those that send motor information
Dorsal Horn
a gray matter column that contains cell bodies of neurons that neurons that receive sensory information
interneurons, not sensory neurons
Somatic Sensory
signals from the skin, skeletal muscles, and bones arrive at the dorsal-most region of the dorsal horn
Visceral Sensory
regions from the internal organs arrive at the central region of the dorsal horn
Somatic Motor
neurons that travel out of the spinal cord to the skeletal muscles have their cell bodies within the ventral horn
Visceral Motor
neurons that travel to glands and smooth or cardiac muscles have their cell bodies within the lateral horn
Ventral Horn
the somatic motor region
where motor neurons cell bodies are found as they travel out of the spinal cord
Lateral Horn
the visceral motor region
where motor neurons cell bodies are as they travel to glands and smooth or cardiac muscles
Dermatome
skin’s segments
one pair of spinal nerves and its branches provide sensory innervation to each of these segments
no physical boundaries are visible
numbering scheme corresponds to the numbering of the spinal nerves that innervate them
C / T / L Spinal Nerves
Cervical, Thoracic, and Lumbar Spinal nerves
Cervical Spinal Nerves
there are 8, one more than the number of vertebrae
Thoracic Spinal Nerves
there are 12
Lumbar Spinal Nerves
there are 5
Dorsal Root
contains only sensory neurons that are entering the dorsal horn of the spinal cord
Dorsal Root Ganglion
the sensory neurons’ cell bodies form a swelling within the dorsal root
Ventral Root
contains only axons of motor neurons
carries all motor information
no ganglion
Dorsal Ramus
contains somatic motor and somatic sensory neurons headed to or from the skin, muscle, and bones of the back
information from back of torso/body
Ventral Ramus
carries somatic motor and somatic sensory neurons to the skin, muscle, and bones of the body wall and limbs
fromt front of torso/body and limbs (all arms/legs)
Communicating Rami
a pair of small branches that carry neurons to the smooth muscle, cardiac muscle, and glands of the body (visceral organs)
Sympathetic Ganglion
the site of synapse and the location of the cell bodies not too far from the communicating rami
Sympathetic Chain
the sympathetic ganglia and connecting branches for this
a distribution hub for visceral neurons
Intercostal Nerves
ventral rami that travel along the inferior surface of the ribs
send small branches to the nearby muscles, bones, and skin
Cervical Plexus
formed from ventral rami of cervical spinal nerves, and it innervates many of the neck muscles
Brachial Plexus
formed from ventral rami of C5-T1 spinal nerves, and it supplies the upper appendage
Lumbosacral Plexus
formed from ventral rami of L2-S4 spinal nerves, and it supplies the lower appendage
Withdrawal Reflex
a protective reflex
suppose you put your hand on a hot stove. the immediate response of your arm is to withdraw from the source of pain
although your brain may be informed of the pain, the withdrawal happens before you know it’s happening
the reflex occurs irrespective of the notification to the brain
Polysynaptic Reflex
when at least two synapses are present in the reflex
Vertebral Canal
the pathway that is created by the alignment of each vertebral foramen
spinal cord runs down
intervertebral foramen
foramina in between the vertebrae
where spinal nerves emerge
Tract
bundle of neurons with related function
Autonomic Nervous system
aka visceral motor division
2 parts: sympathetic nervous system and parasympathetic nervous system
Sympathetic Nervous System
fight or flight
Parasympathetic Nervous System
rest and digest
Monosynaptic Reflexes
sensory neuron synapses directly with motor neuron in ventral horn
no interneurons involved
ex. knee-jerk (patellar) reflex
Lower Motor Neuron
peripheral neuron
synapse in the ventral horn
corticospinal tract
Upper Motor Neuron
interneuron
corticospinal tract
1st Order Neuron
peripheral neuron
goes from stimuli to the dorsal horn and synapses with 2nd order
spinothalamic tract
2nd Order Neuron
interneuron
Decussates and enters the white matter tract; synapse in the thalamus with 3rd order
Spinothalamic tract
3rd Order Neuron
interneuron
carries signal from thalamus to the cerebral cortex for sensation
spinothalamic tract
Decussation
when a neuron crosses over to the opposite side of the spinal cord