Module 5 (Spinal cord) Flashcards

(41 cards)

1
Q

Where is the spinal cord located and what is it supported by

A

In the vertebral canal supported by the vertebral column

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2
Q

How are messages transmitted between the CNS and PNS

A

Spinal nerves exit the spinal cord to supply sensory and motor innervations to regions close to the level of exit

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2
Q

Where does the spinal cord begin

A

At the foramen magnum of the occipital lobe and extends inferiorly to the level of L2

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2
Q

Function of the spinal cord

A

Facilitates communication between the CNS and PNS through the spinal nerves

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2
Q

What is the level of L2 known as

A

Conus medullaris

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2
Q

Inferior to L2, the axons emerging from the spinal cord are known as what

A

Cauda equina

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3
Q

Within the cauda equina, a small thin strand of pia mater is known as what

A

Filum terminale

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4
Q

What does filum terminale do

A

Anchors the spinal cord to the scrum and coccyx

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5
Q

Regions of the spinal cord

A

Same names as the regions of the vertebral column

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6
Q

Where is the spinal cord enlarged

A

At the cervical and lumbar levels

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7
Q

Why do enlargements of the spinal cord occur

A

Because of the additional nerves existing in the spinal cord that supply the limbs

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8
Q

What is a spinal cord injury (SCI)

A

Occurs when the spinal cord is damaged such that signals between the brains and PNS have difficulty communicating

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9
Q

Which functions will suffer some degree of impairment below the point of injury (SCI)

A

Motor deficit
Sensory deficit
Bowel and bladder dysfunction
Respiratory difficulties

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10
Q

Where do C-level injuries occur

A

The cervical region of the spine

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11
Q

C1-C3 injuries

A

Limited movement of head and neck
Paralysis below that region
Difficulty talking
Require a ventilator to breath

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12
Q

C3-C4 injuries

A

Have head and neck movement
Limited shoulder movement
Typically able to walk
Can adjust to breathing without a ventilator

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13
Q

C5 injuries

A

have head, neck, and shoulder control
Can bend elbows and rotate hands
Self care is manageable
Can push wheelchair
Driving is frequently possible with aid

14
Q

C6 injuries

A

Movement of the head, neck, shoulder, arms and wrists
Can bend elbows, extend the wrist, and rotate the palms
Can perform most self care duties, light housekeeping
Can manage a manual wheelchair

15
Q

C7 injuries

A

Similar abilities to C6, but can manage more easily

16
Q

Where do T-level injuries occur

A

In the thoracic region of the spine

17
Q

C8-T1 injuries

A

Use of head, neck, shoulder, arms, hands, and fingers
Able to live alone

18
Q

T2-T6 injuries

A

Normal functioning upper body
Some degree of impairment in legs
Can walk with assistive devices

19
Q

T7-T12 injuries

A

Similar function to T2-T6 with slightly more control

20
Q

Where do L-level injuries occur

A

In the lumbar region of the spine

21
L-level injuries
Some ability to move the hips and knee Walking is often possible with assistive devices
22
Support and protection of the spinal cord
Similar to the brain Surrounded by protective layers of meninges
23
Order of meninges in the spinal cord
Same as the brain Pia mater being the most deep Dura mater being the most superficial
24
Dura mater
Consists of one layer, between the external surface of the dura mater and the bone is fat-filled epidural space
25
Arachnoid mater
Deep to the dura mater Between the arachnoid and the pia mater is the subarachnoid space, which is continuous with the subarachnoid space of the brain, and contains CSF
26
Pia mater
Deep to the arachnoid mater, directly attached to the spinal cord
27
Internal topography of the spinal cord
Inner grey matter and outer white matter
28
What is grey matter composed of
Dendrites, neuron cell bodies, glial cells, and unmyelinated axons
29
What is white matter composed of
Myelinated axons
30
Where is grey matter of the spinal cord located
Inside the spinal cord
31
What does grey matter consist of
Ventral and dorsal horn
31
What does the ventral horn do
Carries motor information
32
What does the dorsal horn do
Carries sensory information
33
What is between the anterior and posterior horns
Lateral/intermediate horn
34
Does does the lateral/intermediate horn do
Carries information from the sympathetic NS
35
Where is white matter of the spinal cord found
Lines the outside of the grey matter of the spinal cord
36
What does white matter consist of
Tracts of fibres separated into anterior, lateral, and posterior funiculi (bundles)