Spinal Cord And Spinal Nerves - Control Flashcards

1
Q

How many cervical, thoracic, lumbar, sacral and coccygeal vertebrae are there?

A
  • cervical - 7
  • thoracic - 12
  • lumbar - 5
  • sacral - 5
  • coccygeal - 1
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2
Q

How many coccygeal spinal nerves are there?

A

1

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3
Q

How many cervical spinal nerves are there?

A

8

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4
Q

What is the nerve root of the phrenic nerve?

A

C3,4,5 keeps the diaphragm alive.

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5
Q

How many spinal cord segments are there?

A

31

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6
Q

How many thoracic spinal nerves are there?

A

12

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7
Q

How many lumbar spinal nerves are there?

A

5

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8
Q

How many sacral spinal nerves are there?

A

5

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9
Q

How many coccygeal spinal nerves are there?

A

1

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10
Q

How many segmental spinal nerves does each segment give rise to?

A

1 pair

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11
Q

How many pairs of spinal nerves are there?

A

31 pairs

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12
Q

Where do spinal nerves lie in the cervical region?

A

Above the vertebra

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13
Q

Where do the spinal nerves lie in relation to the thoracic, lumbar, sacral and coccygeal vertebrae?

A

Below the vertebra

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14
Q

Where does spinal nerve C1 emerge?

A

Between the skull and C1 vertebra

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15
Q

Where do the spinal nerves C2 to C7 emerge?

A

Superior to pedicles

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16
Q

Where does the spinal nerve C8 emerge?

A

Inferior to Pedicles of C8 vertebra

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17
Q

Where do the spinal nerves T1 to Co emerge?

A

Inferior to the Pedicles of their respective vertebrae

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18
Q

How many vertebra does the vertebral column contain?

A

30

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19
Q

What is a laminectomy?

A

cut through the lamina to look into the vertebral column

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20
Q

What is the Cauda equine?

A

cluster of rootlets

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21
Q

what is the conus medullaris?

A

inferior tip of the spinal cord - L1/2 - termination of spinal cord

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22
Q

what is the dorsal rootlet?

A

a very small series of rootlets that go to a specify segment

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23
Q

What does the cervical enlargement contain? (what plexus?

A

the brachial plexus

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24
Q

What types of information does the dorsal rootlet contain?

A

sensory information

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25
What is the filum terminale?
Extensions of Pia mater - 1 fine strand attaches to the coccyx and is a remnant of the developing spinal cord
26
What does the lumbar enlargement accommodate?
sciatic nerve
27
What are dura, arachnoid and pia mater?
meninges that surround the spinal cord
28
What is dura mater?
tough, fibrous sleeve separated from bone by fat filled epidural (extra) space.
29
How many layers of dura mater are there?
1
30
What is arachnoid mater?
Thin, delicate layer pressed against dura by CSF
31
What is Pia mater?
thin layer attached to surface of cord
32
what does pia mater form?
denticulate ligaments
33
How does CSF enter the subarachnoid space?
by leaving the median and lateral apertures of the ventricular system
34
What layer is the spinal cord made up of?
meningeal layer ONLY
35
How many layers of dura surround the spinal cord?
a single layer
36
What does the periosteal layer in the skull become as it leaves the skull?
Becomes part of the periosteum of the skull
37
When is an epidural used?
during child birth
38
What does the sub -arachnoid space push against?
the arachnoid mater running on the underside of the dura mater
39
Which space does an epidural go into?
epidural space
40
Does an epidural space run through the dura mater?
no
41
Does a spinal anaesthetic pass through the dura mater?
yes
42
What is the denticulate ligament?
extensions of pia mater which attach to the lateral walls of the vertebral canal for stability.
43
What types of fibres do ventral roots contain?
motor fibres and efferent fibres thate sit the spinal cord.
44
What are ganglion/ganglia?
collection of cell bodies
45
What does the lumbar cistern not contain?
the spinal cord
46
where is the lumbar cistern?
from the conus medullaris (L1/2) to S2.
47
What does the lumbar cistern contain? (3)
1. CSF 2. Filum terminale 3. Cauda equina
48
What rootlets are in the caudal equina?
dorsal and ventral roots of lower lumbar, sacral and cocygeal segmental spinal nerves.
49
What happens to nerve roots when a needle is inserted during a lumbar puncture?
The nerve roots move out of the way - that is why a lumbar puncture is ideal
50
What is the lumbar cistern a good entry for?
Lumbar puncture
51
How does the spinal cord change in length from foetus to birth to adult life?
The spinal cord straightens out. Foetus - the vertebral canal grows faster than the spinal cord hence the spinal cord is shorter Birth - finishes at L3 Adult - L1/2
52
Where does the spinal cord receive arterial blood supply from?
unpaired anterior spinal arteries paired posterior spinal arteries
53
Where do the anterior and posterior spinal arteries arise from?
vertebral artery
54
what are the vertebral arteries supported by along the length of the spinal cord?
- segmental medullary arteries | - radicular arteries
55
What spinal branch comes off at the neck?
vertebral artery
56
What spinal branch comes off in the thorax?
posterior intercostal artery
57
what spinal branch comes off the abdomen?
lumbar
58
What spinal branch comes off the pelvis?
lateral sacral artery
59
What spinal branches do you need to know?
1. anterior segmental medullary artery 2. posterior intercostal artery 3. posterior dorsal branch 4. posteior intercostal artery 5. posterior spinal artery 6. anterior spinal artery
60
What is contained with in grey matter (pathways) and what colour is it no a transverse section?
Cell bodies of ascending and descending pathways. Black
61
What does white matter contain?
axons and tracts - long pathways
62
How do the dorsal grey horn and ventral grey horn span across the transverse section of the spinal cord?
across the entire length
63
What type of nerves does the lateral grey horn contain?
autonomic nerves
64
What do you need to know in regards to the transverse section of the spinal cord?
1. lateral, ventral, dorsal grey horn 2. ventral white commissure 3. lateral, ventral and dorsal white column
65
Where is the lateral grey horn present (what levels of vertebrae)?
T1-L2 and S2-S4
66
What forms the epineurium?
spinal nerves leaving the vertebral canal taking the meningeal covering with it
67
What is the epineurium?
a protective outer sheath of connective tissue
68
What happens to white matter as it ascends the spinal cord?
it increases
69
When does the ventral horn enlarge?
It enlarges where motor fibres to limbs arise - cervical and lumbar enlargements
70
Above which segment are 2 dorsal columns on each side of the midline of the transverse section of the spinal cord?
above T6
71
What are the 2 dorsal columns on either side of the midline above T6?
Gracile fascicle medially Cuneate fascicle laterally 2 regions of white matter
72
What does a fascicle contain?
white matter - tracts and axons
73
What does the gracile fascicle relate to?
Lower limbs - gracilis muscle
74
What does the cuneate fascicle relate to?
Upper limbs
75
Is the spinal grey matter specialised?
Yes
76
What nuclei is the spinal grey matter site of?
sensory or motor nuclei
77
Is the dorsal column ipsilateral or contralateral?
ipsilateral
78
What does the dorsal column do?
position sense vibration sense
79
What does the lateral corticospinal tract do?
voluntary movement on the right
80
What is the ventral corticospinal tract involved in?
voluntary movement on the right
81
What is the spinothalamic tract involved in?
pain, light touch and temp
82
Is the spinothalamic tract ipsilateral or contralateral?
Contralateral
83
Are the ascending and descending tracts present on both sides of the spinal cord?
yes