Spinal Cord Review Flashcards

1
Q

What is neural tube formation affected by

A

folic acid in the 1st trimester

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2
Q

what is the neural tube derived from

A

ectoderm

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3
Q

how does the spinal cord start and at what week

A

starts distal to the 4th pair of somites in the 3rd week of gestation

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4
Q

At what week does the neural tube close

A

4th week of gestation

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5
Q

how long is the spinal cord (start + finish)

A

begins at foramen magnum and ends at L1/2

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6
Q

Where is the regional enlargement of the spinal cord

A

cervical (c6) and at lumbosacral regions

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7
Q

what is the 3 coverings of the spinal cord from outside to inside

A

outer- dura mater
middle- arachnoid with subarachnoid under w CSF
inner- pia mater with hilum terminal and two dentate ligs which anchor the spinal cord to spinal dura

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8
Q

where does the dural sac end

A

@S2

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9
Q

What coverings of t psinal cord extend along with the spinal nerves

A

dura and arachnoid extend along the spinal nerves as they pass thru the IVF

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10
Q

what do the posterior section of the the spinal cord carry up (what type of info)

A

vibration, fine touch and jt pos sense

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11
Q

Fasicculus gracilis vs fasicculus cunateus

A

gracilis lower limb
cunateus upper limb

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12
Q

what does the spinocerebellar path carry

A

unconscious proprioception

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13
Q

what does the spinothalamic path carry

A

pain, temp, crude touch and pressure

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14
Q

Fasicuculs gracilis/ cunatus- 1st order neutron, 2nd order, decision,3rd order

A

vibration, fine touch, jt pos sense

2nd- nuclei gracilis and cuneatus

decussion- medulla

3rd- VPL nucleus of thalamus

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15
Q

Spinothalamic- 1st, 2nd, decussion, 3rd order neutrons

A

1- temp, crude touch, pressure

2- lamina 1/2

decussion- spinal cord

3- VPL nucleus of thalmus

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16
Q

Dorsal spinocerebeller- 1st, 2nd, decussion, 3rd order neutron

A
  1. unconscious prop from lower limb

2- clarkes nucleus

  1. DOES NOT CROSS
  2. cerebellum via inf cerebeller peduncle
17
Q

Ventral spinocerebeller- 1st, 2nd, decussion, 3rd order

A

1- unconscious prop from both lower + upper limb

2- lamina 7

decussion- twice- first at spinal cord then again at pons (stays ipsilat)

3rd- cerebellum via sup cerebellar peduncle

18
Q

Lateral corticospinal- function, 1st, decussion, 2nd order

A

fun- voluntary control of mm in limbs

1st- precentral gyrus

dec- medulla

2nd- lamina 4-9

19
Q

Ventral corticospinal- function, 1st, dec, 2nd order

A

voluntary control of mm in head, neck and trunk

1- precentral gyrus

dec- spinal cord at level of exit

2- lamina 6-9

20
Q

RUbrospinal function, 1, dec, 2nd

A

eis prox flexprs and inhibits extensors mainly in Upper limb

1- red nucleus

dec- midbrain

2- lamina 5-8

21
Q

Reticulospinal - function, 1, dec, 2

A

restricts voluntary mvmts thru gamma motor neuorns

1- reticular formaton

dec- various levels

2- lamina 8

22
Q

Tectospinal- function, 1st, dec, 2nd

A

function- head and eye turning in response to light and sound

1st- tectum of midbrain

dec- midbrain

2nd- lamina 6-8

23
Q

Vestibulospinal- function, 1st, decussion, 2nd

A

involved in postural reflexes (neck, extensors)

1- vestibular nuclei

dec- uncrossed

2- lamina 6-8

24
Q

where is the intermediallateral horn found in the spinal cord

A

T6-L1- represents region that carries sympathetic fibres

25
what does the lamina 1 carry
contains neurone which synapse with the first order neurone and sends axons to CL spinothalmic tracts
26
What is found in high concentrations in lamina I, II
Substance P, a neuropeptide involved in pain sensibility
27
What is laminae 3 and 4 + what does it carry
nucleus proprius -main input is from fibres that carry mechanoreception and light touch
28
What does lamina VI receive
receives mechanical signals from skin and joints
29
what is laminae VII and what does it carry
dorsal nucleus of clarke -carry unconscious proprioception
30
Laminae VIII and IX represents what
motor neurone groups in the ventral horn
31
what is the blood supply of the spinal cord from
segmental spinal arteries that give rise to radicular and segmental medullary arteries
32
what does the segmental medullary artery give rise to and what do they supply
single ant spinal (supplies ant 2/3 of spinal cord) Two post spinal (supply post 1/3 of spinal cord)
33
UMN- reflexes, tone, atrophy, fasciculation’s, Babinski
reflexes- increased w clonus tone- spastic atrophy- absent fasciculation’s- absent babinski- presnet
34
LMN lesion- reflexes, tone, atrophy, fasiculations, babinski
reflexes- decreased/absent tone- Flaccid Atrophy- presnent Fasiculatins- present Babinski- absent