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The Nervous System Spinal Cord & Spinal Nerves. Anatomy – Chapter 14 & 16 (p. 432 - 439). The Central Nervous System. The CNS is well protected by bone, CT, and fluid. Meninges – Connective tissues that surround and protect the brain and spinal cord.

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the nervous system spinal cord spinal nerves

The Nervous SystemSpinal Cord & Spinal Nerves

Anatomy – Chapter 14 & 16

(p. 432 - 439)

the central nervous system
The Central Nervous System

The CNS is well protected by bone, CT, and fluid

Meninges– Connective tissues that surround and protect the brain and spinal cord

Three layers: Dura mater, Arachnoid, Pia mater

slide3

Dura Mater – tough, fibrous outer layer;

        • 2 layers thick around brain with creation of dural sinuses between layers;
        • 1 layer around spinal cord with epidural space external

Arachnoid– “spidery” web-like middle layer

slide4

Pia Mater – delicate, thin inner layer;

        • filum terminale - extension of pia mater extends from tip of cord to coccyx to anchor cord in place;
        • denticulate ligaments anchor cord laterally
slide5

Lumbar cystern

Subarachnoid space – between arachnoid & pia mater; contains cerebrospinal fluid (CSF)

Lumbar cistern – area of subarachnoid space below the conus medularis; site for lumbar puncture (“spinal tap”)

the spinal cord
The Spinal Cord
  • Begins at foramen magnum & ends at L2 vertebral level by forming conus medularis
  • Has 2 thickened areas-

cervical enlargement - supplies nerves to upper extremity

  • lumbar enlargement - supplies nerves to lower extremity
  • Made up of 31 spinal cord segments
slide7

Dorsal root ganglion (DRG)

Dorsal root

Ventral root

  • Each spinal cord segment has a pair of
    • dorsal roots with their associated dorsal root ganglia (DRG)
    • ventral roots
slide8

Each dorsal root contains the axons of sensory neurons

  • Each dorsal root ganglion contains the cell bodies of these sensory neurons
  • Each ventral root contains the axons of motor neurons
slide9

The dorsal & ventral roots of each segment come together at the intervertebral foramen (IVF) to form a mixed spinal nerve

spinal nerves
Spinal Nerves
  • Part of the PNS
  • Contain both motor & sensory fibers
  • 31 pair of nerves – each nerve forms from union of dorsal/ventral root of spinal cord segment & exits between vertebra at IVF
    • 8 pair cervical spinal nerves – 1st cervical nerve exits between occipital bone & C1, 8th cervical nerve exits the IVF between C7-T1
    • 12 pair thoracic spinal nerves
    • 5 pair lumbar nerves
    • 5 pair sacral nerves
    • 1 pair coccygeal nerves
slide11

Below the conus medularis, spinal nerves must angle downward (in the subarachnoid space) before exiting their IVF. These spinal nerves make up the cauda equina

Cauda equina

sectional anatomy of the spinal cord

Posterior median sulcus

Posterior column

Posterior gray horn - sensory

Central canal

Lateral column

Lateral gray horn (T1-L2, S2-S4) - autonomic

Anterior gray horn - motor

Anterior column

Anterior median fissure

Sectional Anatomy of the Spinal cord

Gray commissure

slide13

The spinal cord has a narrow central canal surrounded by “horns” of gray matter connected by a commissure. Gray matter horns contain sensory & motor nuclei (groups of cell bodies).

Gray matter is surrounded by white matter “columns” which are made up of groups of myelinated axons creating organized ascending & descending tracts.

tracts motor sensory pathways chap 16 p 432 439
Tracts (Motor & Sensory Pathways)(Chap. 16, p. 432-439)
  • Groups of axons found in the white matter columns of the spinal cord that carry specific information
  • Ascending tracts - carry sensory information up the spinal cord to areas of the brain (eventually terminating in cerebrum or cerebellum)
  • Descending tracts – carry motor information from the brain down to specific levels of the spinal cord
ascending tracts pathways
Ascending Tracts (Pathways)
  • Three major groups of pathways transmit somatic sensory information originating from receptors, up the spinal cord to the brain –
  • Spinothalamic tracts
  • Posterior column pathways
  • Spinocerebellar tracts
spinothalamic tracts
Spinothalamic tracts

Anterior spinothalamic tract (ASTT) – crude touch & pressure

Lateral spinothalamic tract (LSTT) – pain & temperature

THALAMUS

posterior column pathways
Posterior Column Pathways
  • Fasciculus cuneatus & fasciculus gracilis –
  • conscious proprioception (joint position)
  • discriminitive (fine) touch (2-point discrimination, stereognosis, graphism)
  • vibration
  • pressure
spinocerebellar tracts
Spinocerebellar Tracts

Anterior spinocerebellar tract (ASCT) & Posterior spinocerebellar tract (PSCT) –

  • unconscious proprioception (from golgi tendon organs, muscle spindles & joint capsules)
  • muscle tone
  • balance
descending pathways
Descending Pathways
  • Carry motor signals from conscious & unconscious areas of the brain, down the spinal cord to control contraction of skeletal muscles
  • Corticospinal pathway (includes anterior & lateral corticospinal tracts, and corticobulbar tracts)
  • Medial pathways
  • Lateral pathways
corticospinal pyramidal pathway
Corticospinal (Pyramidal) Pathway
  • Corticobulbar tracts – voluntary control of skeletal muscles of head & neck through cranial nerves
  • Lateral corticospinal tracts (LCST) – voluntary control of skeletal muscles in neck & body; fibers cross in pyramidal decussation of M.O.
  • Anterior corticospinal tracts (ACST) - voluntary control of skeletal muscles in neck & body; fibers cross at spinal cord level in anterior commissure
medial lateral pathways
Medial & Lateral Pathways

Integrated with corticospinal pathways to allow for coordination of motor activity, maintenance of posture and muscle tone

Medial pathways – unconscious control over neck, trunk & proximal limb muscles for gross muscle movements

Lateral pathways – unconscious control over distal limb muscles for precise muscle movements

Tracts include: vestibulospinal, tectospinal, reticulospinal & rubrospinal

slide22

In order for sensory information to enter the spinal cord and ascend in a sensory tract, and for motor information to get from a descending tract to reach a skeletal muscle, impulses must travel through peripheral nerves (spinal nerves & cranial nerves)

spinal nerves23
Spinal Nerves
  • 31 pair
  • Part of PNS
  • Formed by union of ventral (motor) root and dorsal (sensory) root
slide24

Once formed, spinal nerves will branch into Rami

  • Dorsal ramus – transmits sensations from skin of back & neck; provides motor control of deep muscles of back; found at all spinal nerves
slide25

Ventral ramus – provides motor control to muscles of extremities, anterior & lateral trunk; transmits sensations from all but skin of back; found at all spinal nerves

slide26

Rami communicantes(white ramus & gray ramus) – carry autonomic motor fibers (ANS) to smooth muscles & glands in ventral body cavity; transmit visceral sensations; only found at T1-L2 spinal nerves

nerve plexuses
Nerve Plexuses

Adjacent ventral rami will form complex interwoven networks of nerve fibers (axons) known as a nerve plexus

Four plexuses – cervical, brachial, lumbar, & sacral

Emerging from each plexus will be specifically named peripheral nerves, which will contain fibers from multiple spinal cord levels

cervical plexus c1 c5
Cervical plexus (C1-C5)
  • Phrenic nerve (C3-C5)
brachial plexus c5 t1
Brachial plexus (C5-T1)
  • Axillary nerve (C5-C6)
  • Musculocutaneous nerve (C5-7)
  • Radial nerve (C5-T1)
  • Median nerve (C6-T1)
  • Ulnar nerve (C8-T1)
lumbar plexus t12 l4
Lumbar plexus (T12-L4)
  • Femoral nerve (L2-L4)
  • Iliohypogastric nerve (T12-L1)
  • Obturator nerve (L2-L4)
sacral plexus l4 s4
Sacral plexus (L4-S4)
  • Sciatic nerve (L4-S3)
    • Tibial nerve
    • Common peroneal (fibular) nerve
slide32

Ventral rami from T2-T11 do not participate in a plexus. Instead they form individual intercostal nerves