Spinal Cord Protection: Meninges and Vertebrae
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Questions and Answers

List four ways the spinal cord is protected.

bone, meninges, epidural space, cerebrospinal fluid

The meninges are connective tissue coverings that run continuously around both the spinal cord and the brain.

True (A)

Which of the following is another name for the outer spinal meninx?

  • Dura Mater (correct)
  • Pia Mater
  • Epidural Space
  • Arachnoid

Within the dura mater, what are the channels called that collect venous blood to return to the cardiovascular system?

<p>dural sinuses</p> Signup and view all the answers

What is the name of the space between the dura mater and the vertebrae?

<p>epidural space</p> Signup and view all the answers

What is the middle spinal meninx also known as?

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

What fluid does the subarachnoid space contain?

<p>circulating cerebrospinal fluid</p> Signup and view all the answers

What procedure involves the withdrawal of CSF in the subarachnoid space at approximately L4?

<p>lumbar puncture</p> Signup and view all the answers

What adheres to the surface of the spinal cord and brain?

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

Denticulate ligaments hold the spinal cord in the middle of its what?

<p>dural sheath</p> Signup and view all the answers

Where is cerebrospinal fluid (CSF) found?

<p>subarachnoid space and central canal of the gray commissure</p> Signup and view all the answers

What is the typical length of the spinal cord?

<p>17 or 18 inches</p> Signup and view all the answers

The spinal cord begins as a continuation of the ________, passes through the Foramen Magnum, and terminates at the conus medullaris at L2.

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

The cervical enlargement of the spinal cord extends from:

<p>C4 to T1 (B)</p> Signup and view all the answers

What region does the lumbar enlargement supply nerves to?

<p>lower extremities</p> Signup and view all the answers

Where is the conus medullaris located in relation to the lumbar enlargement?

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

At what level does the spinal cord end?

<p>1st and 2nd lumbar vertebrae</p> Signup and view all the answers

What is another name for the cauda equina?

<p>horse's tail</p> Signup and view all the answers

What is the non-nervous fibrous tissue cord extending from the sacrum to the coccyx, anchoring the spinal cord?

<p>filum terminale</p> Signup and view all the answers

What is the spinal cord divided into?

<p>right and left sides</p> Signup and view all the answers

What are the names of the two grooves that divide the spinal cord into right and left sides?

<p>anterior (ventral) median fissure and posterior (dorsal) median sulcus</p> Signup and view all the answers

Gray matter lacks myelin, giving it a gray color.

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

What letter does gray matter form within the white matter?

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

Where is the central canal located?

<p>Gray Commissure (A)</p> Signup and view all the answers

Collections of nerve cell bodies in the gray matter of the CNS are known as:

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

White matter gets its name because it contains myelin, a phospholipid with a whitish color.

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

Into what regions is white matter organized?

<p>dorsal columns, lateral columns, and ventral columns</p> Signup and view all the answers

Ascending tracts carry what type of impulses?

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

What does the name of a tract usually indicate?

<p>Which white column the tract travels, where the cell bodies of the tract originate, and where the axons of the tract terminates</p> Signup and view all the answers

In the withdrawal reflex, what happens before you are aware of the pain?

<p>The reflex action withdraws the affected part (A)</p> Signup and view all the answers

How many spinal segments are there?

<p>31</p> Signup and view all the answers

How many spinal nerves does the cervical region contain?

<p>8</p> Signup and view all the answers

How many spinal nerves does the thoracic region contain?

<p>12</p> Signup and view all the answers

How many spinal nerves does the lumbar region contain?

<p>5</p> Signup and view all the answers

How many spinal nerves does the coccyx contain?

<p>1</p> Signup and view all the answers

Where does the first pair of spinal nerves emerge?

<p>between the occipital bone and the atlas</p> Signup and view all the answers

What structure do nerves below L2 continue as before emerging from the spine?

<p>cauda equina</p> Signup and view all the answers

What is a nerve?

<p>a bundle of fibers</p> Signup and view all the answers

What is a fasciculus?

<p>a bundle of individual nerve fibers</p> Signup and view all the answers

What connective tissue layer covers each individual fiber in the spinal nerve?

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

What connective tissue layer covers each fasciculus?

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

What is the outer covering around the entire nerve, continuous with the meninges?

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

What are the two roots that connect each spinal nerve to the spinal cord?

<p>dorsal ramus and ventral ramus</p> Signup and view all the answers

Which ramus possesses sensory fibers and can be recognized by the dorsal root ganglia?

<p>dorsal ramus</p> Signup and view all the answers

Which ramus possesses motor fibers?

<p>ventral ramus</p> Signup and view all the answers

Having both sensory and motor fibers makes each spinal nerve a mixed nerve.

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

What is the term for the networks into which most of the spinal nerves will divide?

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

Flashcards

Spinal Cord Protection

The spinal cord is protected by bone, meninges, denticulate ligaments, and cerebrospinal fluid.

Meninges

Connective tissue coverings surrounding the spinal cord and brain.

Dura Mater

The outermost layer of the meninges, tough and fibrous.

Epidural Space

The space between the dura mater and vertebrae, filled with fat and blood vessels.

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Arachnoid

The middle layer of the meninges with a spiderweb-like appearance.

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Subarachnoid Space

The space between the arachnoid and pia mater, containing cerebrospinal fluid.

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Pia Mater

The innermost layer of the meninges, directly adheres to the spinal cord.

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Denticulate Ligaments

Membranous extensions of the pia mater that stabilize the spinal cord.

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Cerebrospinal Fluid

Fluid found in the subarachnoid space that cushions and protects the spinal cord.

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Conus Medullaris

The tapered end of the spinal cord located around the L2 vertebra.

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Cauda Equina

A bundle of spinal nerves that resembles a horse's tail, below the conus medullaris.

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Spinal Cord Length

The spinal cord is approximately 17 or 18 inches long.

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Gray Matter

Part of the spinal cord lacking myelin, forming an H-shaped area.

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Dorsal Horn

The posterior section of the gray matter where sensory neurons enter.

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Ventral Horn

The anterior part of gray matter containing motor neurons.

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White Matter

Part of the spinal cord that contains myelinated axons, organized into columns.

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Ascending Tracts

Pathways that carry sensory impulses from the body to the brain.

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Descending Tracts

Pathways that carry motor impulses from the brain to the body muscles.

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Reflex Arc

The neural pathway that controls reflex actions.

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Spinal Nerve Segments

The spinal cord has 31 segments categorized into regions.

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Epineurium

The outer covering of a spinal nerve, continuous with the meninges.

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Plexus

A network of nerves formed from ventral rami of spinal nerves.

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Cervical Plexus

A network of nerves that supplies the head, neck, and diaphragm.

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Brachial Plexus

A network supplying nerves to the arms and shoulders.

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Lumbar Plexus

A network that supplies lower abdomen and legs.

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Sacral Plexus

A network that supplies the lower extremities and buttocks.

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Real Truckers Drink Cold Beer?

Mnemonic for remembering the order of plexus distribution: Rami, Trunks, Divisions, Cords, Branches.

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Study Notes

Spinal Cord Protection System

  • The spinal cord is protected by four systems: bone, meninges, epidural space, and subdural space.
  • Vertebrae form a protective bony wall around the spinal cord.
  • Meninges are connective tissue coverings surrounding the spinal cord and brain. There are three layers, from outer to inner: dura mater, arachnoid, and pia mater.
  • The dura mater is a tough, inelastic, fibrous membrane that merges with the periosteum of the skull and vertebral canal. It contains dural sinuses that collect venous blood.
  • The epidural space is between the dura mater and the vertebrae and contains fat, connective tissue, and blood vessels. This space is not found in the brain. It's used for anesthetic injections like saddleblocks.
  • The subdural space is between the dura mater and arachnoid mater.

Spinal Meninges

  • Arachnoid (middle layer) - appears spiderweb-like due to loose connective tissue strands. It holds circulating cerebrospinal fluid (CSF).
  • The subarachnoid space is between the arachnoid and pia mater and contains CSF. Lumbar puncture is a procedure to withdraw CSF in this space.
  • Pia mater (inner layer) - adheres to the surface of the spinal cord and brain. Blood vessels pass through it to supply the nervous tissue.

Denticulate Ligaments

  • Membranous extensions of the pia mater that hold the spinal cord suspended within its dural sheath.
  • They prevent shock and displacement of the spinal cord.

Cerebrospinal Fluid

  • Found in the subarachnoid space and central canal of the spinal cord.

Spinal Cord General Features

  • Length: 17-18 inches
  • Begins as an extension of the medulla oblongata, passing through the foramen magnum of the occipital bone, and terminates at the conus medullaris (L2).
  • Two enlargements are important: cervical (C4-T1) for supplying upper extremities, and lumbar (T9-T12) for supplying lower extremities.
  • Conus medullaris: the tapered conical portion of the spinal cord below the lumbar enlargement.

Spinal Cord Cross-Section

  • The spinal cord is divided into right and left sides by grooves: anterior (ventral) median fissure and posterior (dorsal) median sulcus.
  • Composed of gray and white matter.
  • Gray matter lacks myelin, giving it a gray color. It forms an H-shaped area within the white matter. The H has dorsal horns, lateral horns, and ventral horns.
  • Gray commissure is the crossbar of the H. Contains the central canal filled with CSF.
  • White matter contains myelinated axons, forming sensory and motor tracts. White matter is organized into dorsal, lateral, and ventral columns.

Spinal Tracts

  • Ascending tracts carry sensory impulses from the body to the brain.
  • Descending tracts conduct motor impulses from the brain to muscles and glands.

Spinal Nerves

  • Each spinal nerve has a dorsal root and a ventral root.
  • Dorsal roots contain sensory fibers (sensory neurons).
  • Dorsal root ganglia: groups of sensory neuron cell bodies.
  • Ventral roots contain motor fibers (motor neurons).
  • Spinal nerves are mixed nerves (contain sensory and motor fibers) that merge immediately after exiting the spinal column to form plexuses. These plexuses further distribute branches to specific areas.

Major Spinal Nerves and Plexuses

  • Cervical plexus (C1-C4) supplies skin and muscles of the head, neck, and upper shoulders, and diaphragm.
  • Brachial plexus (C5-T1) supplies upper extremities, neck, and shoulder regions.
  • Lumbar plexus (L1-L4) supplies lower extremities, external genitals, and abdominal wall.
  • Sacral plexus (L4-S4) supplies lower extremities and buttocks.
  • Cervical region is the only area that doesn't form a plexus.

Spinal Cord Function

  • Impulse conduction is through ascending and descending tracts.
  • Reflex integration is the functional unit of the nervous system. Reflexes are quick responses to stimuli that don't require conscious thought.
  • Spinal nerves are grouped or organized into segments (cervical, thoracic, lumbar, sacral, coccygeal) based on the region of the spinal cord from which they emerge.
  • The location of nerves correlates with the segment to which they belong.

Rami

  • Recall the use of the "REAL Truckers Drink Cold Beer" mneumonic to remember the components of spinal rami (trunk/dorsal rami (muscles of trunk/dorsal part of trunk vs. ventral rami (muscles of extremities/lateral and ventral part of trunk)).

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Description

Explore the protective systems of the spinal cord: bone, meninges, epidural space, and subdural space, with focus on the meningeal layers (dura mater, arachnoid, pia mater). Learn about the spaces surrounding the meninges and their functions.

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