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1 Chapter 14 Central Nervous System: Spinal cord and Brain Spinal Cord 45 cm (18in) in length Posterior median sulcus- shallow groove on the dorsal surface Anterior median fissure- deep crease on the ventral surface Each region of the spinal cord contains tracts involved with that particular segment and those inferior to it Enlargements areas of coordination of incoming and outgoing messages o Cervical enlargement o Lumbar enlargement Conus medullaris + filum terminale = cauda equina The spinal cord is divided into 31 segments, each associated with a pair of o Dorsal root ganglia- contain cell bodies of sensory neurons o Dorsal root- contain axons of sensory neurons in the dorsal root ganglia o Ventral root- leaves spinal column contains axons of somatic and visceral motor neurons that control peripheral effectors Distal to each dorsal root ganglion, sensory and motor fibers form a single spinal nerve. Classified as a mixed nerve because it contains both afferent (sensory) and efferent (motor) fibers. Shingles Spinal Meninges Provide protection, physical stability and shock absorption Cover spinal cord and surrounding nerve roots 3 Layers: 1. dura mater- dense irregular connective tissue 2. arachnoid- simple squamous epithelium 3. pia mater- elastic and collagen fibers At the foramen magnum the spinal meninges are continuous with the cranial meninges that surround the brain. Cerebrospinal fluid (CSF)- acts as a shock absorber diffusion medium for dissolved gases, nutrients, chemical messengers and waste products In subarachnoid space Accessible between L3 and L4 Sectional Anatomy of Spinal Cord Anterior median fissure and posterior median sulcus divide the cord into left and right sides Gray matter- cell bodies of neural and glial cells Central canal Horns of gray matter White matter- myelinated and unmyelinated axons 2 Organization of gray matter Sensory nuclei- touch receptors Motor nuclei- issue motor commands to peripheral effectors Posterior gray horns- somatic and visceral sensory nuclei Anterior gray horns- neurons concerned with somatic motor control Lateral gray horns- found in the thoracic and superior lumbar segments contain visceral motor neurons Gray commissures- contain axons crossing from one side of the cord to the other before reaching a destination within the gray matter. Organization of white matter Divided into region or columns Posterior white column Anterior white column Lateral white column Each column contains tracts- convey sensory data or motor commands o Ascending tracts – carry sensory information toward the brain o Descending tracts – Convey motor commands into the spinal cord Spinal Nerves 31 Pair Cervical nerves C1-C8 Thoracic nerve T1-T12 Lumbar nerves L1-L5 Sacral nerves S1-S4 Each peripheral nerve has 3 concentric layers of CT 1. epineurium 2. perineurium 3. endoneurium Peripheral distribution of the spinal nerves Autonomic ganglion- associated with the sympathetic division of the ANS Preganglionic axons are myelinated = white ramus Unmyelinatd postganglionic fibers that innervate glands and smooth muscle form the gray ramus that rejoins the spinal nerve Gray ramus + white ramus = rami communicantes (communicating branches) Dorsal ramus- provides sensory innervation from and motor innervation to a specific segment of the skin and muscles of the back Ventral ramus- supplies the ventrolateral surface of the body- structures in the body wall and limbs Dermatome- an area of the body surface that is monitored by a pair of spinal nerves Nerve plexus- interwoven network of nerves. 4 major plexuses 1. cervical 2. brachial 3. lumbar 4. sacral