Rachidian Roots and Spinal Cord Anatomy

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Questions and Answers

What system does the rachidian root belong to?

  • Peripheral nervous system (correct)
  • Sensitive system
  • Central nervous system
  • Motor nervous system

From where does the anterior root originate?

  • Spinal cord (correct)
  • Horse tail
  • Cervical vertebra
  • Lumbar and dorsal vertebra

At what level does the terminal horn of the spinal cord end?

  • D10-D12
  • L1-L2 (correct)
  • L3-L4
  • L4-L5

Which organs does the cauda equina (horse tail) innervate?

<p>Organs of the pelvis (B)</p> Signup and view all the answers

How many rachidian roots are there?

<p>33 pairs (A)</p> Signup and view all the answers

The spinal root is formed through the joint of which roots?

<p>Anterior and posterior root (D)</p> Signup and view all the answers

What is the function of the anterior root?

<p>Motor (C)</p> Signup and view all the answers

If an experiment is performed by cutting the anterior root on the left side at L3, what is the expected result?

<p>Paralysis of the left paw (D)</p> Signup and view all the answers

If an experiment is performed by cutting the posterior root on the right side at L3, what is the expected result?

<p>Anesthesia of the right paw (A)</p> Signup and view all the answers

If an experiment is performed by cutting the anterior root at L3 on the left side and the posterior root at L3 on the right side, what is the expected result?

<p>Paralysis of the left paw and anesthesia of the right paw (D)</p> Signup and view all the answers

At what level is a lumbar puncture typically performed?

<p>L4-L5 (D)</p> Signup and view all the answers

After cutting the anterior root on the right side at level L1, forgetting the central bout, what observation is expected?

<p>No motor response (B)</p> Signup and view all the answers

If the bout distal of the anterior root L1 is stimulated after it has been sectioned, what result is expected?

<p>Motricity of the right paw (C)</p> Signup and view all the answers

If the bout central of the posterior root L1 is stimulated after it has been sectioned, what result is expected?

<p>Sensibility of the right paw (D)</p> Signup and view all the answers

Following an accident, a patient presents with paralysis in both legs. Fracture is suspected in which region?

<p>Lumbar spine (A)</p> Signup and view all the answers

What does paralysis refer to?

<p>Paralysis can occur on either the left or right leg (D)</p> Signup and view all the answers

A patient sustains an injury, and a radiologic exam reveals a fracture at C4-C5. What is the patient likely experiencing?

<p>Paralysis of both arms and legs (C)</p> Signup and view all the answers

What are the symptoms of cauda equina syndrome?

<p>Urinary and fecal retention (B)</p> Signup and view all the answers

Flashcards

Racine antérieure

The origin of the anterior root.

Anterior Root Function

Motor function.

Posterior Root Function

Sensory function.

Anterior Root Cut Experiment Result

At the level of L3 on the left, paralysis of the right paw.

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Posterior Root Cut Experiment Result

At the level of L3 on the right, Anesthesia of the left paw.

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Queue de cheval

The lower end of the spinal cord.

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Queue de cheval innervates

Innervates the organs of the pelvis.

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Number of Spinal Nerve Roots

33 pairs.

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Distal Anterior Root L1

Motor function of the right paw

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Central Posterior Root L1

Sensitivity of the right paw

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Distal Posterior Root L1

Sensitivity of the paw

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Spinal Fracture Suspected

Sacral spine.

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Paralysis refers to

Paralysis of all four limbs

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Anterior Spinal Nerve Root

Anterior horn of the spinal cord.

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Posterior Spinal Nerve Root

Distal to the spinal ganglia.

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Ascending Tract Function

Sensory touch.

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Fascicles are located in the

Goll and Burdach columns.

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Goll and Burdach

Sensory function.

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Spinothalamic tracts

Antero-lateral spinal cord.

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Pyramidal Tracts Function

Voluntary movement.

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Study Notes

  • Rachidian roots originate from the peripheral nervous system.
  • The anterior root comes from the anterior horn.
  • The terminal horn of the spinal cord ends at L1-L2.
  • The cauda equina innervates the pelvic organs.
  • A typical number of rachidian roots is 33.
  • Rachidian roots arise from the combination of anterior and posterior roots.
  • The anterior root originates from the spinal cord.
  • The anterior root is motor.
  • The posterior root is sensitive and centripetal.
  • Severing the anterior root at L3 on the left results in paralysis of the right leg.
  • Severing the posterior root at L3 on the right results in anesthesia of the left leg.
  • Severing the anterior root on the left and posterior root on the right at L3 results in anesthesia of the right leg and paralysis of the left leg.
  • Lumbar puncture is performed at the L4-L5 level.
  • Cutting the right anterior root at L1, results in no motor response.
  • Stimulation of the distal end of the severed right anterior L1 root results in motor function of the right leg.
  • Stimulation of the central end of the severed right posterior L1 root, results in sensitivity of the right leg.
  • Stimulation of the distal end of the severed right posterior L1 root results in sensitivity of the right leg.
  • Suspect a fracture in the sacral region if a patient has paralysis in both legs.
  • Paralysis is when a patient can have paralysis of both legs and arms.
  • A patient with a fracture at C4-C5 may experience paralysis of both arms and legs.
  • Cauda equina syndrome includes urinary retention.
  • Influx carried by the anterior root is centrifuge.
  • Lumbar puncture is used to diagnose meningitis.
  • Recurrence sensitivity is caused by excitation of the posterior root.
  • The spinal cord is part of the central nervous system.
  • A dermatome is the area of skin innervated by a posterior root .
  • A myotome includes muscles innervated by an anterior root.
  • Cutting the anterior root of the spinal cord results in degeneration of the distal end.
  • Cutting the posterior root of the spinal cord between the cord and spinal ganglion results in degeneration at the central end.
  • Cutting the posterior root of the spinal cord between the spinal ganglion and nerve of conjugation results in degeneration at the distal end.
  • Ascending tracts of the spinal cord conduct general sensitivity.
  • Descending tracts of the spinal cord conduct motor skills.

Faisceaux of the Spinal Cord

  • Goll and Burdach fasicles are in the posterior horn.
  • Goll and Burdach tracts conduct heterolateral sensitivity.
  • Spinothalamic tracts are in the anterolateral column.
  • Spinocerebellar tracts are in the lateral column.
  • Spinocerebellar tracts of Flechsig and Gowers conduct tactile, painful, epicritic sensitivity.
  • Pyramidal tracts are motor.
  • Pyramidal tracts conduct voluntary motor activity.
  • Pyramidal tracts originate from the cerebrum.
  • Extrapyramidal tracts originate from the cerebral cortex through central gray nuclei.
  • The extrapyramidal tracts conduct voluntary motor function.
  • Cutting the pyramidal tracts causes locomotor ataxia.
  • Paraplegia is caused by a lesion of the spinal cord.
  • Hemiplegia results from a cerebral cortex lesion.
  • Locomotor ataxia involves uncoordinated movement.
  • Deep sensitivity includes sensitivity to the direction of movement and position.
  • Pain caused by a central lesion is difficult to treat with level 3 analgesics.
  • Reflexes are sought by tapping the patellar tendon to find the patellar reflex.
  • The Achilles reflex is found by tapping the heel.
  • The triceps reflex is found by tapping the elbow.
  • The abdominal reflex is found by gently scratching the skin of the abdomen.
  • The cremasteric reflex is found by scratching the inner thigh.
  • The plantar cutaneous reflex is found by scratching the sole.
  • The plantar cutaneous reflex causes the big toe to flex downward and other toes to fan out.
  • Babinski's sign is characterized by the big toe turning upwards and the other toes fanning.
  • Babinski's sign results from lesions of the pyramidal tract.
  • Gray central nuclei are located in the cerebral cortex.
  • Excitation of the central gray nuclei causes choreoathetosic movement.
  • Destruction of the central gray nuclei causes contralateral paralysis.
  • Parkinson's disease is caused by senescence of gray nuclei.
  • Chorea athetosis is characterized by sudden and slow involuntary movements.
  • Attention helps stop the tremors caused by excitation of the central gray nuclei.

Sleep

  • Sleep is a human necessity.
  • A person forced to stay awake for 10 days can die.
  • Newborn babies sleep 20 hours a day which is normal.
  • Adults need at least 6 hours sleep per day.
  • A 60-year-old has slept 20 years of their life.
  • After being asleep for 10 years, one can dream for 4 years.
  • Depth of sleep is measured by sound levels.
  • There are 3 types of sleep: slow, rapid and behavioral.
  • Sleep is an analysis of cortex cerebral cells.

Medical Terms

  • Patients with anxiety conditions are investigated for emotional distress..
  • A conditioned reflex requires practice.
  • A conditioned reflex disappears if it is not regularly maintained.
  • Layer 4 of the cerebral cortex is the internal granular layer.
  • There are 4 cerebral circumvolutions on the external face of the cerebral cortex.
  • The inferior face of the cerebral cortex has the A-Frontal ascendant circumvolution.
  • The corpe callosum circumvolution is located on the occipital.
  • The external perpendicular fissure divides into frontal ascendant and parietal ascendant.
  • The frontal ascendant function is voluntary motor skills.
  • A rupture of the left meningeal artery causes left hemiplegia.
  • Intense forgetting of the cortex of the frontal ascendant exhibits epileptic convulsions.
  • The zone of the frontal ascendant cortex with the largest surface area governs hand, lip, mouth.
  • Parietal ascendant has a sensitivity function.
  • The visual area is located in the occipital lobe.
  • The auditory area is located in the temporal lobe.
  • The center responsible for sexual sensitivity is located in the temporal lobe.
  • The olfactory area is located in the hippocampus.
  • The gustatory area is located in the hippocampus at the foot of the rolandic operculum.
  • Loss of sight is called deafness.
  • Loss of taste is called ageusia.
  • Loss of smell is called anosmia.
  • Loss of hearing (deafness) is called surdity.
  • Loss of a portion of the visual field is called hemianopia.
  • Hemianopsia is caused by unilateral injury of the upper side of the calcarine lip.
  • The speech center is located in the left cerebral cortex for right-handed people.
  • Verbal surdity means hearing only, not speaking.
  • Verbal cecity means sight only.
  • Broca's motor aphasia means an inability to speak due to the inability to move the mouth.
  • Wernicke's sensory asphasia means being only able to hears and not understand the answers.
  • Psychoanalysis of dreams analyzes the dreams mostly remembered by the patient.
  • A newborn who sleeps 20 hours a day sleeps normally physiologicaly.
  • A person who eats and drinks enough but cannot sleep for days may live with little strength..
  • Quinal is a drug composed of paracetamol and caffeine and the medicine has analgesic.
  • A person who cannot see but the eye specialist confirms that their glasses are normal exists.
  • Pretending to be unconscious is comfirmed by checking pupillary reflex.
  • Seeing flatworms causes salivation known as conditonne reflex.
  • During combat while in a brawl is knocked out by punch, the right response from paramedics is to perform eye movement with pen light.
  • A patient with right hemianopia who cannot speak the reason is due to from affect of the frontside ascendante and center point of contact for language.
  • Patient with a cranial traumastism has a one sign of réflexe to be sought after to comfirm injuries.
  • Having large feet is a Réflexe phenomenon.
  • A child in in mother's womb receives oxygen due to in part through the cord connected between mother an baby.
  • A patient has polyuria the cause could be due to a hyper excitability de reflexe de la miction.
  • Incontinence is due to Syndrome de la queue de cheval.

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