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Spinal Cord
- Information highway between brain and body.
- Extends through vertebral canal from foramen magnum to L1
- Each pair of spinal nerves receives sensory information and issues motor signals to muscles and glands
- Spinal cord is part of the central nervous system, while nerves are part of the peripheral nervous system
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Functions of the Spinal Cord
- Conduction: Pass information between brain and nerves
- Locomotion: Repetitive, coordinated actions of muscle groups
- Reflexes: Involuntary responses to stimuli
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Anatomy of the Spinal Cord
- 31 pairs of spinal nerves among the cervical, thoracic, lumbar, and sacral regions
- Cervical and lumbar enlargements
- Medullary cone tapers at the end
- Cauda Equina: (Horse's Tail) L2-S5 nerves
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Meninges
Fibrous Layers covering spinal cord like the Dura Mater, Arachnoid Mater, and Pia Mater
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Dura Mater
Tough membrane made of collagen
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Arachnoid Mater
Squamous epithelial cells create loose mesh of fibers filled with cerebral spino fluid
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Pia Mater
Delicate membrane
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Spina Bifida
- Failure of vertebral arch to close covering of spinal cord
- Often causes paralysis below affected area
- Folic acid as part of a healthy diet (before conception) drastically decreases risk
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Gray Matter
Neuron cell bodies
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White Matter
Myelinated axons
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Cuneate Fasciculus
- or Dorsal Column-medial Lemniscus Pathway
- Carries touch, movement, and limb position information up the spinal cord to the brain
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Decussation
Crossing over to other side of brain
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Spinothalamic Tract
Carries pain and temperature information up spinal cord to the brain
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Corticospinal Tract
Carries planned movement information to motor neurons in spinal cord
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Nerves
- Bundles of axons
- Epineurium covers nerves, perineurium surrounds a bundle of nerves (fascicle), endoneurium surrounds individual axons
- Blood vessels penetrate perineurium
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Ganglia in Peripheral Nervous System
- Cluster of neuron cell bodies in PNS
- Dorsal root ganglion is cluster of sensory neuron cell bodies
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Spinal Nerves
- 31 Pairs
- Mixed with sensory and motor neurons
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Spinal Nerves Connection with Spinal Cord
- Dorsal root is sensory input
- Ventral root is motor output
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Dorsal Root
Sensory neuron entry into spinal cord
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Ventral Root
Motor neuron exit from spinal cord
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Dorsal Ramus
Muscles and joints on dorsal surface
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Ventral Ramus
Muscles and joints of trunk and limbs
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Nerve Plexi
- Ventral rami branch and come together to form 5 nerve plexi
- Cervical in the neck: C1-C5 (neck and diaphragm)
- Brachial in armpit: C5-T1 (arm and some of shoulder and neck)
- Lumbar in lower back: L1-L4 (abdominal wall, anterior thigh, and genitalia)
- Sacral in pelvis: L4-S4 (lower trunk and legs)
- Coccygeal: S4-S5
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Cervical Plexus
- Sensory: ear, chin, neck, shoulder, anterior chest
- Motor: diaphragm
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Lumbar Plexus
Sensory and motor for lower abdomen, anterior thigh
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Sacral and Coccygeal Plexi
Sensory and motor for remainder of leg (posterior thigh, distal portion), foot, genitals, and gluteal region
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Sciatica
Sciatic nerve gets pinched and pain from sciatica radiates from the buttock down the leg and can travel as far as the feet and toes
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Poliomyelitis
- Virus that can enter CNS and destroy motor neurons
- Muscle weakness and paralysis
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Amyotropic Lateral Sclerosis
Degeneration of motor neurons, which leads to muscle weakness and paralysis
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Dermatome/Myotome
- Each nerve sends and receives information to and from a band of the body
- There's lots of overlap between adjacent nerves
- Total loss of sensation requires 3 adjacent nerves to be damaged
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Shingles (Herpes Zoster)
- Chicken pox virus remains dormant in dorsal root ganglia for life
- Can become active in one dorsal root ganglion in older adults
- Only parts of the body receiving input from that nerve are affected
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Reflexes
- Require sensory input
- Occur very quickly
- Involuntary
- Stereotyped
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Sensory Part of Reflex: Muscle Spindle
- Muscle spindle sensory fibers fire action potentials when muscle is stretched
- This causes motor neurons to induce muscle contraction
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Flexor and Crossed-Extension Reflex
- Pain receptor stimulation can induce flexor reflex
- Allows withdrawal from painful stimulus
- Crossed-extension reflex does opposite in other leg
- Prevents falling on face
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Golgi Tendon Organ Reflexes
- GTO sensory fibers fire action potentials when muscle contracts
- This stops motor neuron from firing so that muscle won't contract further
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What does the Sympathetic Nervous System Increase?
Alertness, heart rate, blood pressure, pulmonary air flow, blood glucose, blood from to muscles
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What does the Sympathetic Nervous System Decrease?
Blood flow to skin and digestive tract, reproductive processes, and immune system funtions
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Parasympathetic Nervous System
- Complementary of sympathetic NS
- Digestion and reproductive processes occur
- Heart rate, blood pressure etc. decreases
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