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Wineski - Organiz. of the NS
Organization of the Nervous System - Spinal Cord and Spinal Nerves
25
Anatomy
Professional
08/26/2008

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Term
What is the basic organization of the nervous system?
Definition
Major Subdivisions

Central Nervous System (CNS)
-Brain & Spinal Cord

Peripheral Nervous System (PNS)
•Cranial Nerves (12 pairs)
•Spinal Nerves (31 Pairs)
Term
What is the composition of a gross nerve?
Definition
A gross nerve is composed of many individual neuron processes (mainly axons), plus supporting tissue (=neuroglia)

•Each neuron serves only one function. That function is designated as the “functional component” of the neuron.

•Each nerve may contain one or more functional types of neurons; therefore, each nerve may be described as having one, or, multiple functional components - note peripheral nerves usu. have multiple fn's
Term
What are the basic functional types of neurons in spinal nerves?
Definition
Primary sensory neurons (afferent neurons)
-Relay input from periphery to the spinal cord (Afferent neurons Affect the spinal cord)
-Cell bodies located in clusters (=ganglia) outside the spinal cord
-These will be psuedounipolar


Spinal motor neurons (efferent neurons)
-Relay output from spinal cord to periphery
-Cell bodies located in clusters (=nuclei) within spinal cord motor columns
-These will be multipolar
Term
Explain the somatic functional components
Definition
•General Somatic Afferent (GSA): Neurons relaying general sensation & muscle proprioception (position sense) from the body wall & limbs


•General Somatic Efferent (GSE): Neurons relaying motor innervation to skeletal muscle derived from myotomes

-Cell bodies of GSE are located in ventral horn of gray matter
Term
Explain the visceral functional components
Definition
General Visceral Afferent (GVA): Neurons relaying general sensation from viscera (i.e., internal organs, glands, smooth & cardiac muscle)

- Input is Dorsal



General Visceral Efferent (GVE): Neurons relaying motor innervation to viscera (ie, glands, smooth muscle, cardiac muscle).

- The visceral motor system is referred to as the autonomic nervous system

- Have Output flow
Term
Explain 1-Neuron system and 2-Neuron system
Definition
In GSE, GSA, & GVA systems, a single neuron extends from the CNS to a peripheral target


In GVE systems, the pathway from CNS to peripheral target includes 2 neurons
- Neuron #1: Preganglionic (=presynaptic) neuron

- Preganglionic autonomic neurons have cell bodies in lateral horn of gray matter (CNS)


- Neuron #2: Postganglionic (=postsynaptic) neuron have cell bodies in PNS
Term
What is the location of sensory vs.motor cell bodies?
Definition
•Sensory (GSA & GVA) fibers have cell bodies in dorsal root ganglion

•Motor (GSE) fibers have cell bodies in anterior horn of spinal cord
-Motor neurons distribute to skeletal muscle

GVE is special because it is a 2-Neuron system
Term
What is the separation of the nervous system's functional components
Definition
Somatic and visceral functional components have dorsal (posterior) and ventral (anterior) separation

there is NO left/right separation
Term
What are the different components of the spinal cord?
Definition
ventral (anterior) median fissure

dorsal (posterior) median sulcus

anterolateral sulcus

posterolateral sulcus

gray matter

white matter

central canal

conus medullaris
Term
What is the ventral median fissure
Definition
Ventral (Anterior) Median fissure: A deep, longitudinal cleft along the ventral midline
Term
What is the dorsal median sulcus?
Definition
Dorsal (posterior) median sulcus: A shallow, longitudinal groove along the dorsal midline
Term
What is the anterolateral sulcus
Definition
Anterolateral sulcus: A shallow groove along the anterior lateral side of the cord, marking the line of attachment of the ventral rootlets
Term
What is the posterolateral sulcus
Definition
Posterolateral sulcus: a shallow groove along the posterior lateral side of the cord, marking the line of attachment of the dorsal rootlets
Term
Explain gray matter in the spinal cord
Definition
The H-shaped inner core of tissue, composed largely of nerve cell bodies

•Dorsal (posterior) horn: Houses mainly cell bodies of interneurons that receive input from afferent neurons and/or other interneurons


•Ventral (anterior) horn: Houses mainly cell bodies of spinal motor neurons - GSE


•Lateral (intermediolateral) horn:
-Houses cell bodies of preganglionic autonomic neurons (GVE)
-Restricted to cord levels T1-L2/3 & S2-4
Term
Explain white matter in the spinal cord
Definition
Peripheral columns of tissue surrounding the gray matter

•Composed mainly of neuron processes, neuroglia, & blood vessels.

•The large proportion of myelinated fibers gives a white, glistening color in fresh tissue
Term
What is the central canal?
Definition
The lumen of the neural tube, containing cerebrospinal fluid. This is continuous with the ventricles within the brain
Term
What is the conus medullaris?
Definition
The tapered, terminal end of spinal cord that terminates at L2 vertebrae (or the intervertebral disk between L1 & L2)
Term
Explain spinal nerve formation
Definition
•Spinal nerves are attached to spinal cord by dorsal/ventral roots

•Ventral roots are motor, & dorsal roots are sensory
-Dorsal/Ventral Rootlets (=filaments) will coalesce together to from dorsal/ventral root


•Also, each dorsal root possesses a dorsal root ganglion

•As the spinal nerve roots pass through the intervertebral foramina, they unite to form the spinal nerves

•Spinal nerve then divides into a large ventral ramus & small dorsal ramus (each ramus contains both motor & sensory fibers)
Term
What is the cauda equina?
Definition
Cauda equina: Horse’s tail-like bundle of nerve roots extending below the conus medullaris
Term
Explain dorsal/ventral primary rami
Definition
Each spinal nerve will immediately divide into its branches. A branch is a ramus & since it is the first branch, will be called a primary ramus
Term
What is a spinal segment?
Definition
The portion of the spinal cord that gives rise to each paired set of spinal rootlets/roots/nerves
Term
What effects does the cutting of different nerves in the CNS have?
Definition
•If you cut the ventral roots = lose motor pathway

•If you cut the dorsal roots = lose sensory pathway

•If you cut the dorsal primary rami = lose both sensory & motor

•If you cut the ventral primary rami = lose both sensory & motor

•If you cut the spinal nerve = lose both sensory & motor
Term
How is the myotome split in spinal nerves?
Definition
Each myotome splits into large & small piece (myotome is split into hypomore & epimere)

•Large is the ventral piece & will be at the hypomere

•Small is the dorsal piece & will be at the epimere
Term
How are dorsal primary rami distributed?
Definition
Dorsal primary rami = Distribute to epaxial tissues

•Epaxial = above the axis

•Any muscle that forms out of the epimere is innervated from the dorsal primary rami

•Intrinsic muscles of the back = deep muscles
- These come from the epimere
Term
How are ventral primary rami distributed?
Definition
Ventral Primary Rami: Distrubute to hypaxial (below the axis) tissues, in one of two patterns:

1) Simple segmentation: Independent distribution of nerve rami to the trunk of the body

2) Nerve plexuses: Intermixing of rami in complex networks; therefore, less of gross identity of spinal segments of origin.
-Cervical plexus
-Brachial plexus
-Lumbosacral plexus
-Dorsal/ventral divisions of plexuses (within the limbs)
-Terminal peripheral nerves
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