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Conduction
bundles of fibers passing information up and down spinal cord, connecting different levels of the trunk with each other and the brain
Locomotion
walking involves repetitive, coordinated actions of several muscle groups
Central pattern generators
pools of neurons providing control of flexors and extensors that cause alternating movements of lower limbs
Reflexes
involuntary, stereotypes responses to stimuli
involves brain, spinal cord and peripheral nerves
Spinal cord
cylinder of nervous tissue that arises from the brainstem at the foramen magnum of the skull
passes through the vertebral canal
Where does the spinal cord end?
L1, or slightly beyond
How many pairs of the spinal nerves come off the spinal cord?
31
Segment
part of the spinal cord supplies by each pair of spinal nerves

Anterior median fissure
front longitudinal grooves on spinal cord

Posterior median sulcus
back longitudinal groove on spinal cord
What are the regions of the spinal cord?
cervical
thoracic
lumbar
sacral
Cervical enlargement
thicker area of spinal cord that supplies nerves to upper limb
Lumbar enlargement
thicker area of spinal cord that supplies nerves to the pelvic region and lower limbs
Medullary cone (conus medullaris)
cord tapers to a point inferior to lumbar enlargement
Cauda equina
bundle of nerve roots that occupy the vertebral canal from L2 to S5
Grey matter
neuron cell bodies with little myelin, site of information processing
White matter
abundantly myelinated axons, carry signals from one part of the CNS to another
Dura mater
forms dural sheath of tough, collagenous membrane surrounded by epidural space filled with blood vessels and loose connective tissue
Dural sheath
loose-fitting sleeve around spinal cord
Arachnoid membrane
layer of simple squamous epithelium lining dura mater and a loose mesh of collagenous and elastic fibers spanning the gap b/t this and the pia mater
Subarachnoid space
space between arachnoid membrane and the pia mater, filled with cerebrospinal fluid
Pia mater
delicate, translucent membrane that follows the contour of the spinal cord
Denticualte ligaments
extend through the arachnoid to the dura mater, anchors spinal cord to limit side to side movement
Posterior (dorsal) horns
2
receive sensory nerve fibers, synapse with interneurons in horn
Anterior (ventral) horns
2
contain cell bodies of motor neurons
Lateral horns
present in segments, T2 through L1, associated with sympathetic nervous system
Grey commissure
connects left and right sides of spinal cord
Central canal
center of commissure
What are the three bundles that make up the white matter?
large axon bundles, posterior, lateral and anterior funiculus
What are the subdivisions of funiculus?
fasciculi or tracts
What are the sectional divisions of the spinal nerves?
cervical (C1-C8)
thoracic (T1-T12)
lumbar (L1-L5)
sacral (S1-S5)
coccygeal
What are the layers of connective tissue covering the spinal nerves?
epineurium, perineurium, endoneurium
Rami
spinal nerve branches
posterior (dorsal) ramus
anterior (ventral) ramus
Plexuses
network of axons, all anterior rami minus T1-T11
Cervical plexus (C1-C5)
supply neck and phrenic nerve to diaphragm
Brachial plexus (C5-T1)
supplies upper limb and some of shoulder and neck
Lumbar plexus (L1-L4)
supplies abdominal wall, anterior thigh, genitalia
Sacral plexus (L4, L5, S1-S4)
supplies lower trunk and lower limb
Coccygeal plexus (S4, S5 and C0)
glutes
Dermatome
area of the skin that provide sensory input to the CNS via one pair of spinal nerves
Paraplegia
paralysis of lower limbs
Quadriplegia
paralysis of all four limbs
Hemiplegia
typically due to stroke or other brain injury, paralysis of one side of the body
Spina bifida
congenital defect in which one or more vertebrae fail to form a complete vertebral arch for enclosure of the spinal cord
spina bifida occulta - one arch fails to form
spina bifida cystica - multiple arches fail to form
avoided by consuming folic acid prior to conception
Poliomyelitis
caused by poliovirus, destroys motor neurons in brainstem and anterior horn of spinal cord
symptoms include muscle pain, weakness and loss of reflexes
virus spread by fecal contamination in water
Amyotrophic lateral sclerosis (ALS) Lou-Gehrig disease
destruction of motor neurons and muscular atrophy
sclerosis of lateral regions of spinal cord
astrocytes fail to reabsorb GLU, toxic levels accumulate
Chickenpox
caused by varicella-zoster virus
clears up on its own, but virus remains for life on posterior ganglia root
Shingles
caused by herpes zoster, caused by chickenpox reemerging due to failing immune system, very painful
Reflex
automatic, sudden, predictable, involuntary response to stimuli
Cranial reflexes
integrated into brainstem
Spinal reflexes
integrated into spinal cord
Somatic reflexes
have responses involving skeletal muscles
Autonomic reflexes
involve internal processes and are usually not consciously perceived
Reflex arc
pathway followed by nerve impulses to produce a reflex
sensory receptor
sensory neuron
integrating center
motor neuron
effector
Stretch reflex
contraction of skeletal muscle in response to stretching of another muscle
monosynaptic reflex, ipsilateral
Monosynaptic
2 neural junctions
Poly synaptic
2+ neural junctions
Ipsilateral
stays on one side of the spinal column
Contralateral
crosses sides of the spinal column
Reciprocal innervation
arrangement where components of a neural circuit simultaneously cause contraction of one muscle and relaxation of the antagonistic muscle
Tendon reflex
polysynaptic reflex, controls muscle tension by causing muscle relaxation when muscle tension is too great
can override stretch reflex to prevent over contracting and tendon tearing
Flexor (withdrawal) reflex
polysynaptic reflex, ipsilateral
activates interneurons on several segments of the spinal cord, intersegmental reflex arc
Crossed extensor reflex
polysynaptic reflex, contralateral
contraction of muscle in the opposite limb in response to a painful stimulus, allows balance of opposite limb