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Spinal Cord Length
Typically 40-45 cm (16-18 in) long.
Spinal Cord Neurons
Contains up to 100 million neurons.
Maximum Diameter of Spinal Cord
1.3 cm
Spinal Cord Superior Boundary
Foramen Magnum
Bell-Magendie Law
Dorsal roots contain sensory (afferent) fibers & ventral rootlets contain motor (efferent) fibers.
Conus Medullaris
Tapering end of the spinal cord.
Cauda Equina
The extended distance of the cord through the lumbar cistern, resembles a horse’s tail
Dorsal Horn Function
Synapses sensory information.
Ventral Horn Function
Contains motor neurons.
Lateral Horn Function
Has an autonomic function, is not located at every cord level.
Substantia Grisea
Another name for the gross structure of gray matter.
Funiculus
Term for a longitudinal bundle of white matter fibers.
Lamina I
Forms a thin cap of gray over the posterior horn, home of marginal nucleus.
Lamina II
Contains an important pain reception center called Substantia Gelatinosa, Dorsolateral tract synapses here.
Lamina III, IV
Contains the Nucleus Proprius, sense touch & pressure, anterior spinothalamic tract synapses here.
Lamina V
Contains the reticular formation of the cord - cervical area only, but lamina itself is found at all cord levels.
Lamina VI
Missing at some cord levels & is the most anterior aspect of the dorsal horn.
Lamina VII
Located in the intermediate gray area, descending tract fibers synapse here, home of Nucleus Dorsalis (Clarke's Nucleus) & Intermediolateral Nucleus.
Nucleus Dorsalis (Clarke’s Nucleus)
Extends like a column from cord levels C8 - L3, famous ascending fasciculus called posterior spinocerebellar tract.
Lamina IX
Innervates most of the body’s skeletal muscle & gives the ventral horn its name “Somatic Motor Horn”, carries class S alpha motor neurons & looks like a series of disconnected neurons.
Fasciculi (tracts)
Term for bundles of functionally related axons within a funiculus.
Gracilis Tract
Slender, present at all cord levels, & synapses in nucleus gracilis of the MO.
Cuneatus Tract
Wedge shaped, T5/6 up, & synapses in the nucleus cutaneous of the MO.
Anterolateral system
Combination name of the lateral & anterior spinothalamic tracts
Anterior Corticospinal tract
Located in the anterior funiculus, cross in the spinal cord & terminate in the mid thoracics.
Lower Motor Neurons
Neurons that originate in the CNS & extend fibers into the PNS to innervates somatic musculature
Pyramidal Neuron
UMN are involved with the initiation of skilled voluntary movement, in the cord they are considered corticospinal
Extrapyramidal
UMN originates in the brainstem; influence posture, muscle tone, reflexes & allows voluntary movements to be smooth & effective
Tectospinal Tract
Spinal tract originates in the superior colliculus of midbrain’s tectum, fibers cross as they descend & it is responsible for postural reflex enhancement, sight, auditory
Medial Reticulospinal Tract
Spinal tract originates in the pons tegmentum, mostly uncrossed, terminates at all cord levels in ventral horn, influences heart, blood pressure & respiratory
Fasciculus Proprius
System that contains Spinospinal fibers that extend short distances up or down, may or may not cross, located next to gray horns, very important for coordination for spinal reflexes
Dorsolateral Tract of Lissauer
Located between RL I & the posterior lateral sulcus of the cord, small diameter collateral fibers of posterior root axons (mainly in RL II)
Multiple Sclerosis
Clinical aspect results in the destruction of the CNS (not PNS) myelin, more common in females (2:1) between ages 20-40, symptoms can remit & relapse
Amyotrophic Lateral Sclerosis
Clinical aspect results in the destruction of UMN & LMN in the lateral corticospinal tract, males are twice as affected (45yo), characterized by localized weakness/clumsiness & condition will progress until diaphragm is affected resulting in death (lack of breathing)
Medulla Oblongata
Most inferior part of the rhombencephalon & brainstem
Accessory Oculomotor Nucleus (Edinger-Westphal)
Nucleus with parasympathetic control of ciliary & pupillary constrictor muscles of the eye
Lateral Medullary Stroke Syndrome aka Wallenberg’s Stroke Syndrome
A clinical aspect that results in a stroke that can come through the vertebrobasilar arteries or their branches, symptoms include loss of pain, temp sensation on side of the face or opposite side of the body
Rhomboid Fossa
A feature located at the dorsal part of the pons & forms part of the floor of the 4th ventricle
Pontine Nuclei
Relay input from the cerebral cortex back to the cerebellum via the Middle Cerebellar Peduncle of the Pons
Arbor Vitae
Extension of the cerebral white matter toward the cortex appear as a branching tree
Medulloblastomas
20% of all childhood brain tumors are & arise in the superior medullary velum, very invasive, mostly in males (2:1) ages 4-8
Ataxia
Clinical aspect involving lesions of the neocerebellum, abnormal performance, stagger to side, inability to rapidly supinate/probate hands - a lack of coordination
Dysmetria
Clinical aspect when measured movements are difficult, over or undershoot target
Nystagmus
Clinical aspect involving repetitive jerking movements of the eyeballs
Somatic Motor Horn
Ventral Horn called bc of RL9. Where largest and fastest conducting motor neurons exist
Rhombencephalon
Hindbrain (M.O., Pons, Cerebellum)