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Questions and Answers
Which of the following is NOT a function of the spinal cord?
Which of the following is NOT a function of the spinal cord?
What is the primary role of the filum terminale?
What is the primary role of the filum terminale?
At which level does the spinal cord terminate?
At which level does the spinal cord terminate?
Which layer of the meninges is the outermost?
Which layer of the meninges is the outermost?
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What do the cervical and lumbar enlargements correlate with?
What do the cervical and lumbar enlargements correlate with?
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What condition is characterized by a paralysis of the arm due to nerve stretching during childbirth?
What condition is characterized by a paralysis of the arm due to nerve stretching during childbirth?
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Which nerve is most commonly associated with the sensation referred to as bumping one's 'funny bone'?
Which nerve is most commonly associated with the sensation referred to as bumping one's 'funny bone'?
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What is the common symptom experienced with median nerve injury?
What is the common symptom experienced with median nerve injury?
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What can result from injury to the long thoracic nerve?
What can result from injury to the long thoracic nerve?
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What is the primary function of the lumbar enlargement in the spinal cord?
What is the primary function of the lumbar enlargement in the spinal cord?
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Which of the following best describes carpal tunnel syndrome?
Which of the following best describes carpal tunnel syndrome?
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Where is the white matter located in the spinal cord compared to the brain?
Where is the white matter located in the spinal cord compared to the brain?
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What type of axons are found exclusively in the posterior (dorsal) root of the spinal cord?
What type of axons are found exclusively in the posterior (dorsal) root of the spinal cord?
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Which component is necessary for epidural anesthesia to be performed effectively?
Which component is necessary for epidural anesthesia to be performed effectively?
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What structure in the posterior root contains the cell bodies of sensory neurons?
What structure in the posterior root contains the cell bodies of sensory neurons?
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Which nerve innervates the flexor muscles of the hip joint and the extensor muscles of the knee joint?
Which nerve innervates the flexor muscles of the hip joint and the extensor muscles of the knee joint?
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What structures are innervated by the ilioinguinal nerve?
What structures are innervated by the ilioinguinal nerve?
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Which nerve is primarily responsible for innervating the gluteus maximus muscle?
Which nerve is primarily responsible for innervating the gluteus maximus muscle?
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Which nerve provides sensory innervation to the skin over the lateral, anterior, and posterior aspects of the thigh?
Which nerve provides sensory innervation to the skin over the lateral, anterior, and posterior aspects of the thigh?
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What is the primary function of the obturator nerve?
What is the primary function of the obturator nerve?
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Study Notes
Chapter 13: The Spinal Cord and Spinal Nerves
- The purpose of this chapter is to identify and describe the anatomical features of the spinal cord and spinal nerves, discuss the functions of the spinal cord and spinal nerves, and understand spinal reflex arcs.
- The spinal cord is protected by bone (vertebrae), connective tissue (meninges), and fluid (cerebrospinal fluid).
Introduction
- The purpose of this chapter is to:
- Identify and describe the anatomical features of the spinal cord and spinal nerves.
- Discuss the functions of the spinal cord and spinal nerves, and their role in maintaining homeostasis.
- Understand spinal reflex arcs.
Functions of the Spinal Cord
- Processes reflexes.
- Integrates EPSPs and IPSPs.
- Conducts sensory impulses to the brain and motor impulses to effectors.
Spinal Cord Anatomy
- (Information about spinal cord anatomy is omitted)
Protection of the Spinal Cord
- Protected by bone (vertebrae), connective tissue (meninges), and fluid (cerebrospinal fluid)-
Meninges
- The meninges consist of three layers:
- Dura mater
- Arachnoid mater
- Pia mater
External Anatomy of the Spinal Cord
- The spinal cord begins as an extension of the medulla oblongata at the foramen magnum, terminating at the level of L2.
- The cauda equina (horses tail) is the roots of the lower spinal nerves.
- There are two enlargements: cervical and lumbar. The cervical enlargement controls sensory and motor input for upper extremities, while the lumbar enlargement handles that of legs.
Internal Anatomy of the Spinal Cord
- White matter is on the outside, gray matter is on the inside.
- Information about spinal nerve details, including specific sections, nerve roots etc omitted.
Sensory and Motor Processing
- The internal anatomy of the spinal cord allows for organized processing of sensory and motor information
Spinal Nerves
- Spinal nerves connect the CNS to sensory receptors, muscles, and glands, functioning as part of the peripheral nervous system.
- There are 31 pairs of spinal nerves
- Roots attach to a spinal nerve to the spinal cord segment.
Connective Tissue Covering of Spinal Nerves
- Three connective tissue layers cover spinal nerves:
- Epineurium
- Perineurium
- Endoneurium
Peripheral Nerves
- Spinal nerves communicate between the spinal cord and specific areas of the body.
- Nerves are grouped into fascicles surrounded by perineurium
- Entire nerve sheathed by epineurium
Peripheral Nerves
- Spinal nerves exit the CNS and immediately split into three major branches: anterior ramus, posterior ramus, and rami communicantes.
- Some nerves travel alone while others join into large "braided ropes" called plexuses.
Branches of a Spinal Nerve
- Spinal nerves branch into rami
- Branches include posterior ramus, anterior ramus and meningeal branches
Dermatomes
- Certain skin segments are supplied by spinal nerves that carry somatic sensory nerve impulses to the brain.
Cervical Plexus
- Supplies the skin and muscles of the head, neck, upper part of the shoulders and chest, and the diaphragm.
- A main nerve within this plexus is the phrenic nerve that controls the diaphragm.
Brachial Plexus
- Provides the major nerve supply for the shoulders and upper limbs.
- Median nerve injury results in carpal tunnel syndrome, characterized by numbness and tingling in the palm and fingers.
Nerve Plexuses
- The long thoracic nerve emerges, supplying the serratus anterior muscle
- Injuries can happen to any of the brachial plexuses.
- The ulnar nerve is the largest unprotected nerve in the human body. Damages often result in abnormal sensations in the 4th and 5th fingers.
Lumbar Plexus
- Originates from various spinal nerves, with different branches supplying various parts of the lower body.
Sacral Plexus
- Primarily concerns itself with the sciatic nerve
Spinal Cord Physiology
- To regulate homeostasis, the spinal cord conducts nerve impulses and processes information.
- White matter transmits nerve impulses to and from the brain; gray matter processes incoming and outgoing information, executing spinal reflexes.
Sensory and Motor Tracts
- White matter tracts conduct nerve impulses to and from the brain.
- Gray matter receives and integrates information, performing spinal reflexes.
Reflexes and Reflex Arcs
- Reflexes are fast, involuntary, and unplanned responses to stimuli.
- Gray matter acts as the coordinating center for spinal reflexes
Reflexes
- Contains various important spinal reflexes in the body; including knee-jerk (patellar) reflex, Achilles reflex & plantar reflex.
Disorders
- Traumatic injuries causing monoplegia, paraplegia, hemiplegia, quadriplegia
- Damage from other processes (examples: spinal cord compression, degenerative diseases, shingles, Polio)
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Description
Test your knowledge on the anatomy and functions of the spinal cord, including its various components and associated conditions. This quiz covers essential details such as spinal cord termination, nerve injuries, and specifics about related syndromes like carpal tunnel syndrome.