Anatomy Flashcards
(457 cards)
Spinal cord arterial supply from aorta to small vessels
Aorta –> lumbar arteries/intercostal arteries/vertebral arteries –> segmental spinal artery –> dorsal/ventral root artery –> irregular vascular ring, dorsolateral spinal arteries, ventral spinal artery
Irregular vascular ring –> radial arteries
Venral spinal artery –> vertical artery
Inner zone - vertical artery (mostly gray, some white matter); middle zone - vertical and radial arteries; outer zone - radial arteries (white matter)
King
Connective tissue and epithelial cells of the dura, arachnoid and pia
Dura: Dense connective tissue, inner simple squamous epithelial cells
Arachnoid - delicate collagenous connective tissue, inner and outer simple squamous epithelial cells
Pia - outer simple squamous epithelium, inner connective tissue
Between spinal roots: pia + arachnoid are joined and connected to the dura via denticulate ligament
King
What sinuses make up the dorsal system of cranial venous sinuses?
What sinuses make up the ventral system of cranial venous sinuses?
What sinuses make up the connecting sinuses?
Dorsal: dorsal forebrain/deep forebrain –> dorsal cerebral vein and great cerebral vein –> dorsal saggital sinus and straight sinus –> transverse sinus –> SIGMOID SINUS
Ventral: Ventral forebrain –> ventral cerebral vein –> cavernous sinus, petrosal sinus –> SIGMOID SINUS
Connecting: Sigmoid sinus (also called connecting sinus) –> maxillary vein
King’s
Pathway for the superficial and deep cerebral veins
Superficial:
- superficial cerebral veins –> dorsal cerebral veins and ventral cerebral veins
- Dorsal cerebral veins –> dorsal system of cranial venous sinuses –> transverse sinus
- Ventral cerebral veins –> ventral system of cranial venous sinuses –> petrosal sinus
Deep: Deep cerebral veins –> great cerebral vein –> straight sinus –> transverse sinus
King’s
Pathway of spinal cord veins –> systemic venous return
veins of the spinal cord –> ventral spinal vein (w/ ventral spinal artery) or veins on the surface of the spinal cord –> both drain into veins that accompany nerve roots –> vertebral venous sinus –> intervertebral veins (through foramnia, have valves) –> vertebral veins, azygous vein, caudal vena cava
venous blood from the vertebral bodies also drains into the vertebral venous sinus
King’s
When do the epiphysis of the vertebral body appear? When is fusion complete?
How many ossification centers does a vertebrae have?
Appear @ 2-8 weeks
Complete fusion @ 14 mos
Vertebrae has 3 ossification centers: 1 body, 2 laminae
Big Miller’s
What makes up the vertebral arch?
What processes are found on all vertebral arches?
Vertebral arch = 2 pedicles + 2 laminae
- each pedicle has a cranial and caudal vertebral notch - when articulated they form the intervertebral foramen
- each laminae unites dorsally at the spinous process (actually 2 spinous processes that are completely fused)
- processes
- transverse process (junction of pedicle and body)
- cranial and caudal articular processes (junction of pedicle and laminae)
- cranial articular process points craniodorsal/medial
- caudal articular process points caudoventral/lateral
Big Miller’s
What is the transverse foramen of the vertebrae? Where is it absent?
Foramen at the root of the transverse process of the cervical vertebrae EXCEPT C7
- The transverse foramen divides the transverse process into dorsal and ventral components
- The dorsal part is homologous to the transverse process of the other vertebrae
- the ventral part is homologous to the rib
Big Miller’s

The ____ of the atlas unite the dorsal and ventral arch
The _____ of the atlas articulates with the occipital condyles
The _____ of the atlas articulates with the axis
lateral mass
- AKA body of the atlas
- formed by intercentrum I
- The transverse processes (wings) project from the lateral masses
cranial articular fovea (forms the yes joint)
caudal articular fovea
- the dorsal surface of the ventral arch of the atlas contains the fovea of the dens
Big Miller’s
What are the 3 foramen of the atlas
Where is the alar notch located and what runs there?
- Vertebral foramen for the spinal cord
- Alar foramen - short canal passes through the transverse process for the vertebral artery and vein
- Lateral vertebral foramen - canal through the craniodorsal vertebral arch for C1 and vertebral artery
Alar notch - cranial border at the base of the transverse process, vertebral artery runs here
Big Miller’s
What forms centrum 1 of the axis?
Where are the cranial articular processes of the axis?
Where are the caudal articular processes of the axis?
Centrum 1 = dens + cranial articular surface
Cranial articular surfaces of the axis are located laterally on the expanded cranial end of the VERTEBRAL BODY
Caudal articular processes are ventrolateral extensions of the VERTEBRAL ARCH and spinous processes that face ventrally
The dens develops from which 2 ossification centers?
Centrum of the proatlas and centrum 1
- Proatlas (centrum of the proatlas) = transient ossification at the apical tip of the dens, ossified around 42 days post partum and fuses with the dens around 100 days post partum (significant variation)
- Centrum 1 - forms the cranial articular surface of the axis body and the dens
- Ossification first seen at 1-3 weeks
Big Miller’s
What are the 3 ossification centers of the atlas
- Intercentrum 1 = ventral arch
- Pair of neural arches that become the dorsal arch and transverse processes
Big Miller’s
What are the ossification centers of the body of the axis called? (3)
Intercentrum 2
- Fuses with centrum 1 (dens and cranial articular surface) at 7-9 mos
- Narrow ossification center between the ossification centers of centrum 1 and centrum 2
Centrum 2
- Forms the central region of the body of the axis
Caudal epiphyseal ossification center
DeLahunta
Embryology of the vestibular system?
- Derived from ectoderm, contained within mesodermally derived structure
-
Otic placode: proliferation of ectodermal epithelial cells on the surface of the embryo, adjacent to the developing rhombencephalon
- Subsequently invaginates –> otic pit and otic vesicle (otocyst) –> breaks away from its attachment to the surface ectoderm
- Saccular structure undergoes extensive modification of its shape, always retains its fluid filled lumen and surrounding thin epithelial walls as it becomes the membranous labyrinth of the inner ear
- Special modifications of its epithelial surface at predetermined sites form the receptor organs for the vestibular and auditory systems
- Corresponding developmental modifications occur in the surrounding paraxial mesoderm –> provide supporting capsule for the membranous labyrinth
- Fluid-filled ossified structure is the bony labyrinth contained within the developing petrous portion of the temporal bone
(DeLahunta)
What are the 3 components of the bony labyrinth and 4 components of the membranous labyrinth? What kind of fluid is each filled with?
Bony labyrinth of petrous temporal bone (mesodermal origin)
- Vestibule - With vestibular window (stapes inserted here)
- 3 semicircular canals - Each contains a dilation = ampulla
- Cochlea - With cochlear window
- All 3 contain PERILYMPH - Similar to CSF
Membranous labyrinth - ECTODERMAL origin
- Filled with endolymph
- 3 Semicircular ducts with ampullae
- Utriculus + saccule - Within the bony vestibule
- Cochlear duct

Within the membranous labyrinth:
- Semicircular ducts connect with?
- Utriculus connects to saccule by?
- Saccule connects with the cochlear duct by?
Semicircular ducts connect with the utriculus
Utriculus and saccule connect to each other via the endolymphatic duct and sac
Saccule connects with the cochlea via small ductus reuniens
(deLahunta)
What kind of movement do the crista ampullaris semicircular ducts detect? What is the mechanism?
Semicircular ducts detect acceleration and deceleration (especially when the head is rotated)
Rotation of the head to the right: endolymph flows in the right lateral duct –> right cupula is deflected toward the right utriculus –> deviation of the stereocilia toward the kinocilium –> increased activity of the right vestibular neuron
Rotation of the head to the right: Left cupula deflected away from the left utriculus –> deviation of the stereocilia AWAY from the kinocilium –> decreased activity of the left vestibular neurons
Jerk nystagmus to the right
Stereocilia bends towards the kinocilium - does this cause hyperpolarization or depolarization of the vestibular nerve?
Stereocilia + kinocilium bend in the direction of the kinocilium –> opens K+ channels –> influx of K+ and depolarization
Depolarized hair cell –> influx of Ca –> release of glutamate and aspartate –> stimulates vestibular nerve
Where are the macula found? What do they detect and what is the receptor mechanism?
Utriculus
- Oriented horizontally - detects gravity
Saccule
- Oriented vertically - detects deceleration/acceleration
Stereocilia and kinocilium project into the otolithic membrane –> movement of the statoconia AWAY from the hair cells –> bends stereocilia –> impulse in the dendritic zones
What type of neurons make up the vestibular portion of CN 8? Where are the cell bodies located?
Where do the axons of CN 8 enter the CNS?
Once they enter the CNS, what are the 2 possible locations vestibular CN 8 axons will synapse?
Bipolar sensory neurons
Cell bodies are inserted along the course of the axons within the petrous temporal bone = vestibular ganglion
CN 8 enters @ internal acoustic meatus –> lateral surface of the rostral medulla @ the level of the trapezoid body attachment to the caudal cerebellar peduncle
Synapse on:
- Vestibular nuclei
- Caudal cerebellar peduncle –> cerebellum (fastigal nucleus or flocculonodular lobe)
(DeLahunta)
What is the orientation of the 4 vestibular nuclei?
Where does each nucleus project?
Rostral: small, medial
- continues as the medial vestibulospinal tract
Medial: long, medial
- contributes to medial vestibulospinal tract
Lateral: short, lateral
- Continues as the lateral vestibulospinal tract
Caudal: Long, lateral
- continues as the medial vestibulospinal tract
** all are dorsal to the CN VII and CN V GSE neurons/tracts
** Just caudal to the medial and caudal vestibular nuclei is the lateral cuneate nucleus

Lateral vestibulospinal tract
- Where are cell bodies located?
- Travels in which funiculus
- Terminates at?
- Function?
Lateral vestibulospinal tract
- Cell bodies located in the lateral vestibular nucleus
- Courses in the ipsilateral ventral funiculus throughout entire spinal cord
- Axons terminate on INTERNEURONS of the ventral gray columns of all spinal cord segments
- Interneurons are facilitatory to ipsilateral alpha/gamma motor neurons to extensor muscles
- Interneurons are inhibitory to ipsilateral flexor muscles
- Crosses to interneurons that are inhibitory to contralateral alpha/gamma motor neurons of extensors
- Effect of stimulation of the lateral vestibulospinal tract is ipsilateral extensor tonus and inhibition of contralateral extensor tonus
The vestibular nuclei are facilitatory to the vestibulospinal tracts

Medial vestibulospinal tract
- Cell bodies located?
- Travels in which funiculus
- Terminates at?
- Function?
Medial vestibulospinal tract
- Cell bodies in the rostral, medial, and caudal vestibular nuclei
- Ipsilateral ventral funiculus (medial longitudinal fasiculus)
- Terminates on interneurons in the cervical and cranial thoracic spinal cord segments –> alpha and gamma motor neurons
- Controls muscles of the neck (head turn/tilt towards side of vestibular dysfunction)
- The vestibular nuclei are facilitatory to the vestibulospinal tracts





























































































