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Spinal Cord
Medical Neuroscience
Dr. Wiegand
Directions
dorsal
rostral
ventral
caudal
Terms
rostral - toward the “beak”
 caudal - toward the “tail”
 ventral - toward the front (anterior)
 dorsal - toward the back (posterior)
 superior - above
 inferior - below

Spinal Cord

Central gray nuclei
and outer white
matter (tracts)
Descending
Cell
bodies
tracts
Peripheral
nerve
fibers
Ascending
tracts
Peripheral and Central
Nervous System
PNS
sensory
motor
Lesions
CNS
Spinal nerves & cord




31 pairs with
anterior and
posterior root
C1 often doesn’t
have posterior root
Spinal cord
enlarged in C5 – T1
and L2 – S3 levels
Spinal cord ends at
L1 vertebral level
Dermatomes & Myotomes


Dermatome – an
area of skin
innervated by a
single posterior root
Myotome – a group
of muscles
innervated by a
single anterior root
C4
T4
T10
L3
Dermatomes
L5
Myotomes
Stretch Reflexes

Examples:
C5-6 = biceps
tendon
 C6 =
brachioradialis
 C7-8 = triceps
tendon
 L2-4 = patellar
tendon
 S1-2 = Achilles
tendon

External Spinal Cord
Conus medullaris
Filum terminale
Cauda equina
Dura mater
External Structure – Spinal
Cord
Posterior Median Sulcus
Lateral sulci
Posterior
Intermediate
Sulci
Anterior Median Fissure
Internal Structure – White
Matter
Posterior
Funiculi
Lateral
Anterior
White Matter Organization:
Ascending Pathways
Posterior Columns
Lateral &
Anterior
Spinothalamic
Tracts
Posterior &
Anterior
Spinocerebellar
Tracts
White Matter Organization:
Descending Pathways
Lateral
Corticospinal
Tract
Rubrospinal
Tract
Reticulospinal
Tracts
Anterior
Corticospinal
Tract
Vestibulospinal
Tracts
White Matter Organization:
Intersegmental Pathways
Lissauer’s
Tract
Intersegmental
Tracts
White Matter Organization:
Ascending Pathways
Posterior Columns
Lateral &
Anterior
Spinothalamic
Tracts
L
N
White Matter Organization:
Descending Pathways
Legs
T
A
Neck
Grey Matter Organization
Posterior
Motor Groups
Intermediate
Anterior
Lateral
Medial
Grey Matter Organization:
Anterior Cell Columns
Grey Matter Organization:
Lateral Grey Horns: T1 –
L2/3
AKA
Intermediolateral
Cell Column
Grey Matter Organization:
Posterior Cell Column
Dorsomarginal nucleus
Substantia gelatinosa
Nucleus proprius
Nucleus dorsalis
(Clarke’s column)
From Pritchard &
Alloway: Fig. 3-7
http://lansing.bellarmine.edu/
pt/atlas/cover.html
Rexed Lamina
Dorsomarginal n.
Substantia gelatinosa
Nucleus proprius
Nucleus dorsalis
(Clarke’s column)
Motor nuclei
Brown-Sequard Syndrome
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