Spinal Cord, Peripheral Nervous System, And Cranial Nerves Flashcards

1
Q

Structural and Nutritional Support of CNS and PNS

A
  • CNS: astrocyte
  • PNS: Satellite cells
  • look at slides for what it looks like
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2
Q

Myelination in CNS and PNS

A
  • CNS: oligodendrocyte
  • PNS: Schwann cells/neurolemmacyte
  • look at slides for what they look like
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3
Q

Phagocytes

A
  • CNS: microglia
  • PNS: —
  • look at slides for what they look like
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4
Q

Line ventricles

A
  • CNS: ependymal cells
  • PNS: —
  • look at slides for what they look like
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5
Q

Spinal Cord

A
  • functions: sensory and motor innervation of body
  • 2-way conduction of signals btw body and brain
  • major center for reflexes (don’t need brain. Sensory neuron tells motor neuron to activate)
  • project white matter, so axons are gonna travel in the spinal cord and are gonna conduct signals btw the body and brain
  • begins at foramen magnum
  • terminates at L1/L2 as conus medullaris
  • Filum terminals extends from conus medullaris to coccyx; anchors spinal cord
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6
Q

Mixed spinal nerve

A
  • each spinal cord segment has a mixed spinal nerve with dorsal and ventral roots
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7
Q

Cauda equina

A
  • collection of spinal nerves traveling inferiorly to exit at associated intervertebral foramen
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8
Q

Spinal cord meninges

A
  • epidural space: filled with fat and veins (not present in cranial cavity!) (blue things = veins)
  • dura mater = toughest
  • subdural space (potential space)
  • arachnoid mater = spidery
  • subarachnoid space filled with CSF
  • Pia mater = deepest
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9
Q

Spinal cord segment

A
  • the spinal cord transmits nerve signals from the motor cortex to the body, and from afferent fibers of sensory neurons to the sensory cortex of the brain
  • in each segment a pair of spinal nerves is formed
  • each segment corresponds w/ a vertebra
  • 31 spinal cord segments
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10
Q

How is gray and white matter presented in spinal cords?

A
  • gray matter = deep
  • white matter = superficial
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11
Q

Spinal Cord Gray Matter: Posterior/dorsal horn

A
  • receives sensory neuronal input
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12
Q

Spinal Cord Gray Matter: Anterior/Ventral Horn

A
  • houses somatic motor cell bodies
  • mostly skeletal muscles
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13
Q

Dorsal Root Ganglion

A
  • sensory cell bodies found here
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14
Q

Lateral Horn

A
  • smooth muscles (organs)
  • houses visceral motor* cell bodies
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15
Q

Spinal Cord Roots

A
  • roots emerge from dorsal and ventral horns
  • one way pathway for neurons signals
  • going out of ventral root and in thru the dorsal root
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16
Q

Posterior/dorsal root

A
  • sensory (afferent) axons AND CELL BODIES found in dorsal root
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17
Q

Anterior Root

A
  • motor (efferent) axons found here
  • motor signals travel from cell body thru axon
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18
Q

Dorsal and Ventral Roots come tgthr to form a ____

A
  • mixed spinal nerve
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19
Q

Mixed spinal nerve splits to form ____

A
  • dorsal (posterior) and ventral (anterior) rami
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20
Q

Summary of Formation of Spinal Nerves

A
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21
Q

Spinal cord in vertebral column

A
  • spinal nerves are named after their adjacent vertebra
  • 8 cervical
  • 12 thoracic
  • 5 lumbar
  • 5 sacral
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22
Q

Spinal nerves in situ

A
  • dorsal rami: innervate muscles and skin surrounding vertebral column
  • ventral rami will form plexuses
  • spinal nerve travels thru intervertebral foramen
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23
Q

Nerve Plexuses

A
  • a nerve plexus is a network of nerves…formed by ventral rami only
  • all spinal nerves except T2-T12 (travel btw ribs and form intercostal nerves) branch and rejoin
  • each muscle in a limb receives its nerve supply from more that one spinal nerve… damage to one spinal nerve cannot completely paralyze any limb muscles
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24
Q

Cervical Plexus

A
  • C1-C4
  • phrenic nerve (C3,C4,C5) — travel down thru our thorax and innervate a muscle called the diaphragm
  • innervates the muscles of the neck and the diaphragm
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25
Q

Brachial Plexus

A
  • partly in neck, partly in axilla (armpit region)
  • gives rise to most nerves of the upper limb
  • mixing of ventral rami (C5-C8) and most of the ventral ramus of T1
26
Q

Main components of brachial plexus

A
  • ventral rami (roots)
  • trunks will form anterior and posterior divisions
  • divisions split up to form cords
  • cords form terminal branches
27
Q

Terminal Branches of Brachial Plexus: Axillary Nerve (C5-C6)

A
  • motor innervation: deltoid muscle (and teres minor)
  • sensory innervation: shoulder joint and skin on part of deltoid (pictured below)
  • sending axons to the skin, right around the area that we’re sending axons to the muscles
28
Q

Terminal Branches of Brachial Plexus: Musculocutaneous nerve (C5-C7)

A
  • motor innervation: anterior compartment of arm
  • sensory innervation: skin sensation for lateral forearm
29
Q

Terminal Branches of Brachial Plexus: Radial Nerve (C5-8)

A
  • sensory innervation: skin over dorso-lateral arm, forearm, and hand
  • motor innervation: posterior compartment of arm and forearm (extensors)
30
Q

Terminal Branches of Brachial Plexus: Median Nerve (C5-8)

A
  • sensory innervation: skin of lateral palm and digits 1-3 and lateral side of digit 4
  • motor innervation: anterior compartment of forearm (with ulnar)
  • intrinsic muscles of the thumb
31
Q

Terminal Branches of Brachial Plexus: Ulnar Nerve (C8-T1)

A
  • sensory innervation: skin of medial hand, medial side of digit 4, all of digit 5
  • motor innervation: flexors and intrinsic hand muscles on ulnar side of anterior forearm
32
Q

Lumbar Plexus (L1-L4)

A
  • branches that innervate part of the skin around the genitals and part of the skin around the abdominal region
  • femoral and obturator = main 2
33
Q

Femoral Nerve (L2-4)

A
  • sensory innervation: skin of antero-medial thigh and skin of medial leg and foot
  • motor innervation: muscles of anterior thigh, thigh flexors, leg extensors (iliopsoas, sartorius, rectus femoris, vastus lateralis, vastus medialis (and v. intermedius))
34
Q

Obturator Nerve (L2-4)

A
  • sensory innervation: skin of medial thigh
  • motor innervation: muscles of medial thigh (adductors)
    > adductor longus, gracilis, adductor magnus, and adductor
    brevis
35
Q

Sacral Plexus

A
  • L5-S4
  • gluteal nerves
  • sciatic nerve
  • pudendal nerve
36
Q

Gluteal Nerves

A
  • inferior gluteal nerve (L5-S1): motor innervation = gluteus Maximus
  • superior gluteal nerve (L4-S1): motor innervation = gluteus medius and minimus, tensor fascia lata
    > thigh abductors
37
Q

Sciatic Nerve

A
  • L4-S3
  • provide innervation to basically the whole posterior aspect of your leg
  • sciatic, common fibular, tibial
38
Q

Sciatic Nerve: Tibial Nerve (L4-S3)

A
  • sensory innervation: skin of postero-lateral leg. Skin of sole of foot (subdivides into plantar nerves)
  • motor innervation: muscles of posterior thing and posterior leg
  • hamstring muscles = tibial nerve
39
Q

Common Fibular Nerve (L4-2)

A
  • sensory innervation: skin of antero-lateral leg, skin on dorsum of foot
  • motor innervation: muscles of anterior leg (deep fibular) and muscles of lateral leg (superficial fibular)
40
Q

Pudenal Nerve (S2-4)

A
  • sensory innervation: skin of external genitalia
  • motor innervation: muscles of perineum (Levator ani, coccygeus), external anal sphincter
41
Q

Cranial Nerves Overview

A
  • part of peripheral nervous system
  • sensory and motor nerve fibers that innervate the head/viscera
  • all of organs in our thoracic and abdominal cavities
  • originate at brain or brain stem
  • named in order, anterior-posterior
  • 12 pairs (CN 1-CNXII)
    > 3 pairs of sensory nerves
    > 5 pairs of motor nerves
    > 4 pairs of mixed nerves
42
Q

Sensory of Cranial Nerves: CN I — Olfactory Nerve

A
  • origin in olfactory epithelium of nasal cavity
  • olfactory nerves travel thru cribriform plate
  • synapse in olfactory bulb
  • olfactory tract terminates in olfactory cortex (turns it in to a sensation that the brain can understand)
  • neurons = collect olfactory sensations
  • olfactory tract: collection if axons going to the brain
43
Q

Sensory of Cranial Nerves: CN II Optic Nerve

A
  • special sense of vision
  • origin in retina of eye
  • axons travel posteriorly in optic tract
  • some axons cross to opposite side of brain in optic chains
  • terminates in primary visual cortex (in occipital lobe) = where we make sense of this electrical signal in our retina
44
Q

Sensory of Cranial Nerves: CN VIII Vestibulocochlear

A
  • special senses of hearing and equilibrium (figuring out where you are in space if you need it balance yourself)
  • origin in the inner ear (with petrous part of temporal bone)
  • connects to brain stem at pons
  • labyrinth (balance): filled with fluid
  • cochlea (hearing): send axons into the brain
45
Q

5 motor cranial nerves

A
  • CN III, IV (4), VI (6) innervate extrinsic eye muscles
  • CN XI (11) innervates sternocleidomastoid and trapezius
  • CN XII (12) innervates muscles of the tongue
46
Q

Motor Cranial Nerves: CN III Occulomotor

A
  • innervates all extrinsic muscles of the eye except superior oblique and lateral rectus
  • origin in the midbrain
47
Q

Motor Cranial Nerves: CN IV Trochlear

A
  • innervates superior oblique muscle
  • eye look down and out
48
Q

Motor Cranial Nerves: CN VI Abducens

A
  • innervates lateral rectus (abduct the eye)
49
Q

CN XI — Spinal Accessory Nerve

A
  • sends rootlets from spinal cord up thru foramen magnum; exits again from jugular foramen
  • rootlets enter cranial cavity
  • innervates sternocleidomastoid and trapezius muscles
    > does this after it exits jugular foramen
50
Q

CN XII — Hypoglossal

A
  • originates in medulla oblongata
  • innervates muscles of tongue, including genioglossus
51
Q

Mixed Cranial Nerve: CN V — Trigeminal Nerve

A
  • sensation from the face into your brain
  • motor innervation to muscles of mastification
52
Q

Mixed Cranial Nerve: CN VII Facial Nerve

A
  • conveys special sensation (taste) from the anterior 2/3 of tongue
  • motor innervation to muscles of facial expression
53
Q

Mixed Cranial Nerve: CN IX Glossopharyngeal Nerve

A
  • conveys general and special sensation of taste to posterior 1/3 of tongue
  • visceral sensation from carotid body -> sense blood pressure and blood gases
  • motor innervation to stylopharyngeus muscle (swallowing)
  • visceral motor from your salivary glands
54
Q

Mixed Cranial Nerve: CN X Vagus Nerves

A
  • wanderer
  • visceral sensations to organs of thorax and abdomen
  • somatic motor to muscles of larynx (speaking) and pharynx (swallowing)
  • visceral motor (parasympathetic) to thoracic and abdomen
55
Q

CN V — Trigeminal Nerve

A
  • has three divisions
  • V1 Opthalmic Division of Trigeminal Nerve
  • V2 Maxillary Division Of Trigeminal Nerve
  • V3 Mandibular Division of Trigeminal Nerve
56
Q

V1 Opthalmic Division of Trigeminal Nerve

A
  • sensation to forehead, upper eyelid, cornea, bridge of nose
57
Q

V2 Maxillary Division of Trigeminal Nerve

A
  • sensation to bottom eyelid, side of nose, upper lip, maxillary region
58
Q

V3 Mandibular Division of Trigeminal Nerve

A
  • sensation to side of temple, side of ace (cheek), bottom lip and chin, mandibular teeth and anterior 2/3 tongue
  • motor innervation to muscles of mastification (masseter, temporalis, pterygoids)
59
Q

CN VII - Facial Nerve

A
  • motor to muscles of facial expression
  • visceral motor (parasympathetic) to lacrimal gland (tears) and sublingual and submandibular glands
  • taste (special sense) from anterior 2/3 of tongue
60
Q

CN IX Glossopharyngeal

A
  • motor to stylopharyngeus muscle (swallowing)
  • visceral sensory to carotid body and sinus (senses blood chemistry
  • general sensory to pharynx, posterior 1/3 of tongue (if you swallow hot coffee and it burns)
  • taste and general sense to posterior 1/3 of tongue (bitter taste, sweetness, sour, etc)
  • visceral motor to parotid gland (saliva) (what makes our mouth water with food)
61
Q

CN X Vagus

A
  • wanders all over the body
  • somatic motor to larynx and pharynx (speaking and swallowing)
  • visceral sensory to organs of thorax and abdomen (what makes us feel cramps or gas pain or a feeling of fullness)
  • visceral motor (parasympathetic) to organs of thorax and abdomen
    > what tells our stomach to speed up or slow down digestion, tells our heart to beat faster, or tells our lungs to dilates and allow more air to get in