Chapter 12 lecture: Spinal Cord, nerves, reflexes

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74 Terms

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both brain and spinal cord

  • Receive sensory input from receptors

  • Contain reflex centers

  • Send motor output to effectors

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Reflex

  • Rapid, automatic response triggered by stimuli

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spinal reflexes

  • Controlled in the spinal cord-No brain input

  • Control some of the most rapid changes to environmental changes

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Conduction

Carry information up and down spinal cord

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locomotion

  • repetitive, coordinated actions of several muscle groups

  • Neurons controlling flexor and extensor muscles

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spinal cord structure

  • Adult length: about 45 cm (18 in)

  • ends at L1-L2 vertebrae

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Segments of the spinal cord

  • 31 segments:

  • 8 cervical

  • 12 thoracic

  • 5 lumbar

  • 5 sacral

  • 1 coccygeal

<ul><li><p><u>31 segments:</u></p></li><li><p>8 cervical</p></li><li><p>12 thoracic</p></li><li><p>5 lumbar</p></li><li><p>5 sacral</p></li><li><p>1 coccygeal</p></li></ul><p></p>
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conus medullaris

Cone shaped end of spinal cord at L1-L2

<p><strong>Cone shaped end of spinal cord at L1-L2</strong></p>
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cauda equina

  • Nerve roots from spinal cord to lower intervertebral foramen to exit

  • L2 to S5 and filum terminale

<ul><li><p>Nerve roots from spinal cord to lower intervertebral foramen to exit</p></li><li><p>L2 to S5 and filum terminale</p></li></ul><p></p>
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filum terminale

  • anchors the spinal cord to the coccyx and sacrum

  • Pia mater

  • terminal thread

<ul><li><p>anchors the spinal cord to the coccyx and sacrum</p></li><li><p>Pia mater</p></li><li><p>terminal thread</p></li></ul><p></p>
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white matter of spinal cord

  • Primarily myelinated axons, but also has unmyelinated axons

  • Contains major sensory and motor tracts to and from the brain

<ul><li><p>Primarily myelinated axons, but also has unmyelinated axons</p></li><li><p>Contains major sensory and motor tracts to and from the brain</p></li></ul><p></p>
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gray matter of spinal cord

  • Mostly neuron cell bodies, neuroglia, unmyelinated axons

  • Has central canal in the middle - contains cerebrospinal fluid

  • Site for integration of postsynaptic potentials

<ul><li><p>Mostly neuron cell bodies, neuroglia, unmyelinated axons</p></li><li><p>Has central canal in the middle - contains cerebrospinal fluid</p></li><li><p>Site for integration of postsynaptic potentials</p></li></ul><p></p>
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posterior gray horn

A

Location of sensory nuclei

<p>A</p><p>Location of sensory nuclei</p>
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lateral gray horn

B

Contains Motor nuclei (visceral)

only in thoracic and lumbar vertebrae

<p>B</p><p>Contains Motor nuclei (visceral)</p><p>only in thoracic and lumbar vertebrae</p>
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anterior gray horn

C

Contains Motor nuclei (Somatic)

<p>C</p><p>Contains Motor nuclei (Somatic)</p>
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posterior white column

Sends information up to the brain

  • sensory info

<p>Sends information up to the brain</p><ul><li><p>sensory info</p></li></ul><p></p>
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lateral white column

Information descends from the brain

<p>Information descends from the brain</p>
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anterior white column

Information descends from the brain (Brings info back to the spinal cord)

  • motor commands

<p>Information descends from the brain (Brings info back to the spinal cord)</p><ul><li><p>motor commands</p></li></ul><p></p>
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central canal of spinal cord

contains cerebrospinal fluid

<p>contains cerebrospinal fluid</p>
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posterior median sulcus

knowt flashcard image
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anterior median fissure

knowt flashcard image
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Posterior Root

Carries sensory neurons

<p>Carries sensory neurons</p>
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posterior root ganglion

Contains sensory nerve cell bodies

<p>Contains sensory nerve cell bodies</p>
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Anterior root

carries motor information

<p>carries motor information</p>
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Spinal Nerve

Collection of axons

<p>Collection of axons</p>
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posterior ramus

  • Letter A in image

  • relates to muscles, joints, and skin of the back

  • Sensory info comes in and motor response going out

<ul><li><p>Letter A in image</p></li><li><p>relates to muscles, joints, and skin of the back</p></li><li><p>Sensory info comes in and motor response going out</p></li></ul><p></p>
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Anterior ramus

  • Letter B in image

  • Impacts Anterior and lateral trunk, as well as limbs

  • Sensory info coming in and motor going out

<ul><li><p>Letter B in image</p></li><li><p>Impacts Anterior and lateral trunk, as well as limbs</p></li><li><p>Sensory info coming in and motor going out</p></li></ul><p></p>
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rami communicantes

  • Spinal nerves of autonomic nervous system

  • See chapter 12 supplemental video for image

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Sympathetic nerve

Brings in sensory information from visceral organs

Carries out motor information to visceral organs

See chapter 12 supplemental video for image

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spinal meninges

  • 3 specialized membranes surrounding spinal cord and brain

  • Stability, shock absorption, carry blood supply (oxygen and nutrients)

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3 spinal meninges (Superficial to deep)

dura mater, arachnoid mater, pia mater

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Dura mater

tough outer layer of the meninges

<p>tough outer layer of the meninges</p>
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arachnoid mater

Made of simple squamous epithelium

<p>Made of simple squamous epithelium</p>
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Pia mater

thin, delicate inner membrane of the meninges

<p>thin, delicate inner membrane of the meninges</p>
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subarachnoid space

  • between arachnoid mater and pia mater

  • filled with cerebrospinal fluid

    • shock absorber; diffusion of gases, nutrients, etc.

  • blood vessels for spinal cord

<ul><li><p>between arachnoid mater and pia mater</p></li><li><p>filled with cerebrospinal fluid</p><ul><li><p>shock absorber; diffusion of gases, nutrients, etc.</p></li></ul></li><li><p>blood vessels for spinal cord </p></li></ul><p></p>
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epidural space

  • space between dura mater and vertebrae

<ul><li><p>space between dura mater and vertebrae</p></li></ul><p></p>
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denticulate ligaments

  • pia mater, through the arachnoid mater, to dura mater

  • Prevents lateral movement

<ul><li><p>pia mater, through the arachnoid mater, to dura mater</p></li><li><p>Prevents lateral movement</p></li></ul><p></p>
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Lumbar puncture

  • Withdrawal of cerebrospinal fluid

  • needle inserted into subarachnoid space between two lumbar vertebrae.

  • Also known as spinal tap

<ul><li><p>Withdrawal of cerebrospinal fluid </p></li><li><p>needle inserted into subarachnoid space between two lumbar vertebrae.</p></li><li><p>Also known as spinal tap</p></li></ul><p></p>
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3 connective tissue layers of a spinal nerve

epineurium,

perineurium, endoneurium

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Epineurium

surrounds the entire nerve

<p>surrounds the entire nerve</p>
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Perineurium

surrounds group of axons (fascicles)

<p>surrounds group of axons (fascicles)</p>
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Endoneurium

Surrounds individual axons

<p>Surrounds individual axons</p>
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dermatome

  • Area of skin innervated by spinal nerves

  • sensory

  • Not face (CN V) or scalp

  • Some boundaries overlap

<ul><li><p>Area of skin innervated by spinal nerves</p></li><li><p>sensory</p></li><li><p>Not face (CN V) or scalp</p></li><li><p>Some boundaries overlap</p></li></ul><p></p>
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Shingles

  • varicella zoster virus

  • Causes chicken pox

  • Can later attack neurons in posterior roots and sensory ganglia

<ul><li><p>varicella zoster virus</p></li><li><p>Causes chicken pox</p></li><li><p>Can later attack neurons in posterior roots and sensory ganglia</p></li></ul><p></p>
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nerve plexus

  • anterior rami of adjacent spinal nerves

  • 4 major nerve plexuses:

  • Cervical plexus - neck + diaphragm

  • Brachial Plexus - pectoral girdle, upper limb

  • Lumbar Plexus - pelvic girdle, lower limb

  • Sacral Plexus - pelvic girdle, lower limb

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Cervical Plexus

  • Anterior Rami of C1-C5

  • Branches innervate skin/muscles of the neck

  • Contains the phrenic nerve

<ul><li><p>Anterior Rami of C1-C5</p></li><li><p>Branches innervate skin/muscles of the neck</p></li><li><p>Contains the phrenic nerve</p></li></ul><p></p>
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phrenic nerve

C3-C5 to the diaphragm, allows breathing.

<p>C3-C5 to the diaphragm, allows breathing.</p>
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brachial plexus

  • Anterior Rami of C5-T1

  • Innervates skin and muscles of Pectoral girdle, upper back, and upper limbs

<ul><li><p>Anterior Rami of C5-T1</p></li><li><p>Innervates skin and muscles of Pectoral girdle, upper back, and upper limbs</p></li></ul><p></p>
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lumbar plexus

  • Anterior rami of T12-L4

  • Innervates skin and muscles of pelvic girdle and lower limbs

<ul><li><p>Anterior rami of T12-L4</p></li><li><p>Innervates skin and muscles of pelvic girdle and lower limbs</p></li></ul><p></p>
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sacral plexus

  • Anterior rami of L4-S4

  • Innervates skin and muscles of pelvic girdle and lower limbs

<ul><li><p>Anterior rami of L4-S4</p></li><li><p>Innervates skin and muscles of pelvic girdle and lower limbs</p></li></ul><p></p>
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Subunits of nerves (medial to lateral)

  • Anterior rami unites into Trunks. Trunks branch out into divisions, which come together again to form cords

  • Lastly, the cords divide into individual nerves

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sciatic nerve

  • lots of leg movement is associated with this nerve

<ul><li><p>lots of leg movement is associated with this nerve</p></li></ul><p></p>
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Step 1 of a simple reflex arc

  • Activation of a receptor by stimulus

  • Ex: Lean on tack, stimulates pain receptors

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Step 2 of a simple reflex arc

  • Activation of a sensory neuron

  • Graded potential turns into an action potential in a sensory neuron

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Step 3 of a simple reflex arc

  • Information processing in the CNS

  • Sensory neuron

  • → excitatory postsynaptic potentials (EPSP) at interneuron

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Step 4 of a simple reflex arc

  • Activation of motor neuron

  • Interneuron stimulates motor neurons

  • Collaterals from interneuron may send pain sensations to other areas in CNS

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Step 5 of a simple reflex arc

  • Response of a peripheral effector

  • Ex: Skeletal muscle contraction to pull away from the tack

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Classification of reflexes

  • development, nature of response, complexity of circuit, processing site

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development of reflexes (2 types)

  • innate and acquired

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innate reflexes

  • basic neural reflexes formed before birth (sucking, baby grabbing your finger if you put it in their hand)

<ul><li><p>basic neural reflexes formed before birth (sucking, baby grabbing your finger if you put it in their hand)</p></li></ul><p></p>
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acquired reflexes

  • rapid, automatic, learned motor patterns

  • (slamming foot on break while driving)

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nature of response (2 types)

  • somatic reflexes and visceral reflexes

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somatic reflexes

  • involuntary control of skeletal muscles (withdrawal reflex)

<ul><li><p>involuntary control of skeletal muscles (withdrawal reflex)</p></li></ul><p></p>
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Visceral reflexes (autonomic reflexes)

  • Controls involuntary effectors: smooth muscles, cardiac muscle, glands, adipose tissue

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Complexity of circuit (2 types)

  • monosynaptic and polysynaptic reflexes

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monosynaptic reflex

Single synapse—simplest reflex arc

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polysynaptic reflex

1+ interneuron, multiple synapses

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processing site reflexes (2 types)

  • Spinal and cranial reflexes

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spinal reflexes

  • processing occurs in the spinal cord, 1+ spinal cord reflexes

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Cranial reflexes

  • Processing occurs in the brain

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ascending tracts

sensory information in posterior columns of white matter

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descending tracts

motor commands in anterior columns of white matter

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reflexes

  • rapid automatic responses to specific stimuli

  • preserve homeostasis through rapid adjustments in organ/organ system function

  • little variability in response

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Gray commissures

where axons cross, anterior and posterior sides