Spinal Cord Anatomy and Function
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Questions and Answers

What is the primary function of the dorsal horn in the spinal cord?

  • Integrating reflexes to create voluntary movements
  • Processing motor signals before they reach muscles
  • Receiving incoming sensory signals from the body (correct)
  • Supporting interneurons that maintain balance
  • Which cell type is primarily responsible for maintaining the blood-brain barrier?

  • Efferent motor neurons
  • Astrocytes (correct)
  • Microglia
  • Afferent sensory neurons
  • How are sensory signals processed in the spinal cord's reflex arc?

  • They synapse with motor neurons for immediate action
  • They generate efferent signals before reaching the spinal cord
  • They synapse with interneurons in the dorsal horn (correct)
  • They are transmitted directly to the cortex for processing
  • Which of the following statements correctly describes the gray matter in the spinal cord?

    <p>It is shaped like an H and involved in processing information</p> Signup and view all the answers

    What is the significance of the anterior horn in the spinal cord?

    <p>It houses the somatic motor neurons that control muscle movement</p> Signup and view all the answers

    What condition can result from spontaneous rupture of a blood vessel leading to subarachnoid bleeding?

    <p>Stroke</p> Signup and view all the answers

    Which component is NOT a part of the Blood Brain Barrier (BBB)?

    <p>Neuromuscular junction</p> Signup and view all the answers

    Which role do astrocytes play in the central nervous system?

    <p>Regulate dilation and constriction of microvessels</p> Signup and view all the answers

    What is the primary purpose of the Blood Brain Barrier?

    <p>Prevent the entry of toxins and pathogens into the CNS</p> Signup and view all the answers

    Which factor does NOT affect the permeability of the Blood Brain Barrier?

    <p>Size of neurotransmitters</p> Signup and view all the answers

    What type of cells are primarily responsible for the production of myelin in the CNS?

    <p>Oligodendrocytes</p> Signup and view all the answers

    Which type of transport mechanism allows glucose to cross the Blood Brain Barrier?

    <p>Active transport</p> Signup and view all the answers

    What is one way to decrease the uptake of undesirable drugs into the brain?

    <p>Make them more nonpolar</p> Signup and view all the answers

    Which glial cell type is primarily involved in protecting the CNS against infection?

    <p>Microglia</p> Signup and view all the answers

    Which molecule crosses the BBB via receptor-mediated transcytosis?

    <p>Insulin</p> Signup and view all the answers

    What is the primary role of efferent nerves in the central nervous system?

    <p>Propagate signals away from the CNS to muscles or glands</p> Signup and view all the answers

    Which pathway is specifically responsible for transmitting pain and temperature signals?

    <p>Spinothalamic tract</p> Signup and view all the answers

    What component of the meninges provides mechanical strength to protect the central nervous system?

    <p>Dura mater</p> Signup and view all the answers

    Where does the cerebrospinal fluid primarily form?

    <p>Filtration of blood</p> Signup and view all the answers

    How does intracranial pressure potentially become imbalanced?

    <p>All of the above</p> Signup and view all the answers

    What type of signals do ascending pathways in the spinal cord predominantly carry?

    <p>Sensory signals towards the brain</p> Signup and view all the answers

    What condition results from bleeding occurring between the dura mater and the skull?

    <p>Epidural hematoma</p> Signup and view all the answers

    Which region of the spinal cord is associated with the posterior columns responsible for touch and position sense?

    <p>Thoracic region</p> Signup and view all the answers

    What is the main function of the arachnoid layer in the meninges?

    <p>Suspension of the CNS in cerebrospinal fluid</p> Signup and view all the answers

    What anatomical feature connects the arachnoid layer to the pia mater?

    <p>Arachnoid trabeculae</p> Signup and view all the answers

    Study Notes

    Spinal Cord Anatomy

    • The spinal cord is continuous with the medulla of the brainstem.
    • Divisions: 7 cervical, 12 thoracic, 5 lumbar, 5 sacral, 1 coccygeal
    • Grey matter: shaped like an 'H' with a dorsal-ventral orientation.
    • Posterior/dorsal horn (PH): receives sensory neuron fibers
    • Intermediate grey (IG): houses interneurons that connect sensory and motor neurons
    • Anterior horn (AH): contains motor neurons responsible for muscle movements.
    • White matter: surrounds the grey matter and contains ascending and descending pathways

    Spinal Cord Function

    • Large and small-diameter sensory neuron fibers enter through the dorsal horn.
    • Sensory fibers synapse with interneurons in the intermediate grey, initiating reflex arcs.
    • Interneurons stimulate motor neurons in the anterior horn, leading to muscle contractions.

    Reflex Arc

    • Sensory signals (afferent) from the body synapse at the dorsal horn.
    • Interneurons in the intermediate grey transmit signals to efferent motor nerve fibers in the anterior horn.
    • This triggers muscle movement in response to sensory stimuli.

    Spinal Cord - Brain Communication

    • Sensory signals are transmitted via ascending pathways like the spinothalamic tract, which carries pain signals to the somatosensory cortex.
    • Motor commands from the cortex are conveyed via descending pathways like the lateral corticospinal tract, leading to voluntary movements.

    Autonomic System

    • The intermediate grey matter contains autonomic neurons that send signals via the ventral roots.

    Spinal Cord White Matter

    • Ascending pathways: carry sensory information from the body to the brain.
    • Descending pathways: carry motor commands from the brain to the muscles.
    • Major pathways:
      • Posterior columns: touch and position
      • Lateral corticospinal tract: voluntary movements
      • Spinothalamic tract: pain and temperature

    CNS Protection

    • Skull: 22 bones, including frontal, temporal, occipital, parietal, sphenoid, and ethmoid bones.
    • Spine: protected by vertebrae.
    • Meninges: three layers (dura mater, arachnoid mater, pia mater) that provide mechanical suspension and protection for the CNS.

    Dura Mater

    • Thick connective tissue membrane.
    • Provides mechanical strength due to its abundance of collagen.
    • Connects skull to the arachnoid layer.

    Arachnoid Mater

    • Thin, collagenous membrane.
    • Connects to the pia mater via delicate strands of tissue called arachnoid trabeculae.
    • Suspends the CNS in cerebrospinal fluid (CSF).

    Pia Mater

    • Thin, collagenous membrane.
    • Directly adheres to the surface of the brain and spinal cord.

    Cerebrospinal Fluid (CSF)

    • Approximately 150 ml of CSF surrounds the brain and spinal cord.
    • Contains nutrients and helps to cushion and protect the CNS.
    • Formed by filtration of blood.
    • Enters venous circulation through arachnoid villi.

    Arachnoid Villi

    • Outpouchings that penetrate the walls of the venous system.
    • Act as valves: CSF flows into the venous system when CSF pressure exceeds venous pressure; they close to prevent venous fluid from entering the subarachnoid space.

    Bleeding into the Meningeal Space

    • Epidural hematoma: occurs between the dura mater and the skull, often caused by skull fractures. Can cause increased intracranial pressure and brain damage.
    • Subarachnoid hemorrhage: spontaneous rupture of a blood vessel results in bleeding into the subarachnoid space. can lead to stroke and increased intracranial pressure.

    Blood Brain Barrier (BBB)

    • Protective separation between blood and the central nervous system.
    • Limits penetration of substances, including toxins, pathogens, and some drugs.
    • Facilitates the selective transport of important molecules.

    BBB Structure

    • Endothelial cell layer: forms tight junctions between cells, preventing passage of most substances.
    • Pericyte layer: lines capillaries, stabilizes endothelial layer, and regulates BBB permeability.
    • Basement membrane: provides structural support and regulates permeability.
    • Glial barrier: formed by astrocytes which interact with blood vessels regulating blood flow.

    Crossing the Blood Brain Barrier

    • Diffusion: small, nonpolar molecules (like oxygen and carbon dioxide) cross via diffusion.
    • Active transport: specific carriers move glucose and some other essential molecules across.
    • Receptor-mediated transport: certain substances (e.g., insulin) bind to receptors and are transported through the barrier.
    • Adsorptive transcytosis: some proteins (e.g., albumin) are transported by binding to receptors and moving through the cell.

    Support Cells

    • Astrocytes: a type of glial cell that plays a critical role in the BBB. Provide nutrients to neurons, control the chemical environment of neurons, and contribute to support and protection in brain injuries.
    • Oligodendrocytes: produce myelin, which insulates axons and speeds nerve impulse conduction.
    • Microglia: act as immune cells within the CNS, removing debris and protecting against infections. They can become activated during neurodegenerative diseases like Alzheimer's, Parkinson's, and Huntington's diseases.

    Neurodegenerative Diseases

    • Share common pathological characteristics like protein aggregation, impaired protein degradation, and axonal transport problems.

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    Description

    Explore the complex structure and essential functions of the spinal cord in this quiz. Learn about the divisions, grey and white matter, and how reflex arcs operate to facilitate muscle movements. Test your knowledge on the anatomy and functional pathways of this crucial part of the nervous system.

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