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Anatomy Spinal Cord EENT T3 Month 1 Week 2
Anatomy Spinal Cord EENT T3 Month 1 Week 2
44
Medical
Graduate
09/10/2018

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Term
[image]
Definition
[image]
Term
do neuroanatomists use the CAT scan convention?
Definition
no
Term
Dorsal Horn
Definition
Sensory
Term
Ventral Horn
Definition
Motor
Term
[image]
Definition
motor neurons
Term
size of motor neurons
Definition
many are large, >0.1mm
Term
[image]
Definition
[image]
Term
cervical spinal cord characteristics
Definition
[image]
Term
thoracic spinal cord characteristics
Definition
[image]
Term
lumbar spinal cord characteristics
Definition
[image]
Term
sacral spinal cord characteristics
Definition
Lumbar and sacral Less white matter
Big horns for the lower limb
[image]
Term
peaks of white and grey matter
Definition
at C6- cervical enlargement and L5- lumbar enlargement
-Large Amount of Gray Matter Where the Limbs Are Involved C5 to T1 and L4 to S2
Term
[image]
Definition
[image]
Term
nuclei are arranged in
Definition
columns
Term
[image]
Definition
[image]
Term
[image]
Definition
[image]
Term
[image]
Definition
[image]
Term
T/F Ventral horn cells are organized in nuclei based on the muscles they supply.
Definition
True
Term
[image]
Definition
[image]
Term
Three Main Pathways for Sensation From the Body
Definition
1. Discriminative touch, vibration, joint position
2. Pain and temperature
3. Muscle length and tension
Term
Ascending (Sensory) Pathways
Definition
Dorsolateral (dorsal column), Anterolateral (spinothalamic) , Spinocerebellar tracts
Term
Dorsolateral (dorsal column)
Definition
joint position, discriminative touch, vibration
-Conscious sensation (projects to the cortex)
Term
Anterolateral (spinothalamic)
Definition
pain, temperature, and diffuse touch
-Conscious sensation (projects to the cortex)
Term
Spinocerebellar tracts
Definition
muscle length (muscle spindles) and tendon tension (Golgi tendon organs)
-Unconscious sensation (projects to the cerebellum)
Term
[image]
Definition
Ascending (Sensory) Pathways
[image]
Term
Corticospinal tract
Definition
control over individual motor units
Term
A motor unit is
Definition
a motor neuron and the muscle fibers it controls
Term
Reticulospinal and vestibulospinal tracts
Definition
bilateral control of trunk and postural muscles for balance and gait
Term
[image]
Definition
[image]
Term
[image]
Definition
[image]
Term
[image]
Definition
[image]
Term
[image]
Definition
[image]
Term
Segmental Vessels Follow
Definition
the Spinal Nerve Into the Vertebral Canal and Branch to Follow the Dorsal and Ventral Roots
[image]
Term
cervical spinal cord is
Definition
supplied by branches of vertebral artery
[image]
Term
Posterior Spinal Artery Supplies...
Anterior Spinal Artery Supplies.....
Definition
posterior- Dorsal Columns
anterior- Gray Matter and Corticospinal Tract
[image]
Term
if you have an Occlusion of a major branch of the anterior spinal artery
Definition
[image]
Term
where is csf found
Definition
in the subarachnoid space
[image]
Term
where is a lumbar puncture done
Definition
L4/L5
[image]
Term
T/F The anterior spinal artery in the cervical region receives a large bilateral supply from the vertebral artery.
Definition
True
Term
T/F The dorsal columns are supplied by the anterior spinal artery.
Definition
False
Term
T/F The best place to perform a lumbar puncture is between L2 and L3.
Definition
False
Term
types of axonal degeneration following injury
Definition
[image]
Term
[image]
Definition
So let's think now about how that might reveal itself in a spinal cord injury case here. This is a special stain for anterograde degeneration. So unlike the previous slides that we've looked at where we see a dark region such as here, it tells us that the axons running in that region are degenerated. And they're degenerated because they're not connected to their cell body anymore.

So we see here now that this region here, as we recall, is the corticospinal tract. And what this implies is that somewhere along the corticospinal tract, these axons have been damaged and are now undergoing degeneration. By contrast, if we look up here in the sensory region in the dorsal columns, we see that these axons are largely intact. And that's because they're supplied by cell bodies of neurons, which are, in this case, probably below the region of injury and are therefore intact.

So in this case, the injury has been somewhere superior to this image and the descending fibers here have been interrupted, but the fibers ascending from below are still intact. So the answer here then is that the superior fibers coming up from the corticospinal tract are damaged, but the inferior fibers coming up from below are still intact. So the answer here is that based on the pattern here, the injury is superior to this image.
Term
[image]
Definition
A Telencephalon
D Parasympathetic/sympathetic/enteric
C Motor
B Mylencephalon
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