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66 Cards in this Set

  • Front
  • Back

Information highway

Spinal cord Connects brain with lower body

Conduction

Nerve fibers that conduct information up and down the cord connecting differ levels of trunk w/ each other and the brain

Neural integration

Input from multiple sources integrated and executed output

Locomotion

Repetitive coordinated contractions of several muscle groups in the limbs

Reflexes

Involuntary stereotyped reactions of glands or muscle stimulation


- automatic responses to sensory input that occur without out intent or often even our awareness

Spinal cord

* cylinder of nervous tissue


* arises from the brainstem at the foramen magnum of the skull


* passes through vertebral canal


*ends at L1 or beyond


* rise to 31 pairs of spinal nerves


- first goes b/w skull and c1 rest goes through in vertebral foramina

Cervical enlargement

Nerves to upper limb

Lumbar enlargement

Nerves to pelvic region and lower limbs

Cauda equina

Bundle of nerve roots that occupy vertebral canal from L2 to S5

Meninges

Three fibrous connective tissue membrane that encloses the brain and spinal cord


- seperates soft tissues of central nervous system from bones of cranium and vertebral canal



3 layers


* dura matter


* arachnoid matter


* pia matter

Spina bifida

* Congenital defect


* one or more vertebrae fail to form a complete vertebral arch for enclosure of the spinal cord


* common in limbo sacral region


* folic acid prevents defect


* defect happens first 4 weeks of development supplementation must begin 3 months before conception


Gray matter

Site of information processing synaptic integration

White matter

Carry signals from one part of central nervous system to another

Ascending tracts

Carry sensory information up the spinal cord

Descending tracts

Carry motor information down the spinal cord

Decussation

As the fibers pass up or down the brainstem and spinal cord they cross over from the left to the right side and vice versa

Contralateral

When the origin and destination of a tracts are on opposite sides of the body

Ipsilateral

When the origin and destination of the tract are on the same side of the body does not cross

Sensory signals

Travel across three neurons from origin in receptors to the destination in the sensory areas of the brain

First order neuron

Detect stimulus and transmit the signal to spinal cord of the brainstem

Second order neurons

Continues to the thalamus at the upper end of the brainstem

Third order neurons

Carries the signal the rest of the way to the sensory region of the cerebral cortex

Gracile fasciculus

* carries signals from mod thoracic and lower parts of the body


* below T6


* carries signals for vibration visceral pain deep and discrimative touch and proprioception from lower limbs and lower trunk

Proprioception

Nonvisual sense of the position and movements of the body

Cuneate fasciculus

* originates T6 and up upper


- chest and limb


* ends in cuneate nucleus on ipsilateral side of the medulla oblongata


* occupies lateral portion of posterior column


* Carry signals to contralateral cerebral hemisphere

Spinothalamic tract

* passes up the anterior and lateral columns of the spinal cord


* ends in posterior horn of spinal cord


* Carry signals for pain pressure temperature light touch tickle and itch


* sends signals to the contralateral cerebral hemisphere

Spinoreticular tract

Carries pain signal resulted from tissue injury

Spinocerebullar tract

Travel through lateral column


* Carry proprioceptive signals from limbs and trunk up to the cerebellum

Upper motor neuron

In cerebral cortex

Lower motor neuron

In spinal cord

Corticospinal tracts

* from cerebral cortex for precise finely coordinated limb movements


*decussate in lower medulla


* lateral corticospinal tract on contralateral side of spinal cord

Pyramids

Ridges on anterior surface of medulla oblongata formed from fibers of this system

Spinal nerves

31 pairs


* 8 cervical nerves


* 12 thoracic nerves


* 5 lumbar nerves


* 5 sacral nerves


* 1 coccygeal nerves

Nerve

A cord like organ composed of numerous nerve fibers (axons) bound together by connective tissue

Mixed nerves

Contain both afferent (sensory) and efferent (motor) fibers


* conduct signals in two directions

Poliomielitis

* Caused by poliovirus


* Virus spread by fecal contamination of water


* Destroys motor neurons in brainstem and anterior horn of spinal cord


* Signs of polio muscle pain, weakness and loss of some reflex

Als

* destruction of motor neurons and muscular atrophy


* weakness difficulty speaking swallowing use of hands

Sensory (afferent) neurons

Carrys signal from sensory receptors to cns

Motor efferent nerves

Carry signals from cns yo muscles and glands

Nerve plexus

No thoracic plexus

Cervical plexus C1-C5

*In neck


*Supplies neck and phenix nerve to the diaphragm

Brachial Plexus C5-T1

Near the shoulder


* median nerve carpal tunnel syndrome

Lumbar plexus L1-L4

In lower back


-supplies abdominal wall, anterior thigh, genitalia

Coccygeal plexus S4,S5,and Co

,

Somatosensory

Carry sensory signals from bones,joints,muscles,and the skin

Proprioception

Brain receives information about body position and movements from nerve endings in muscles, tendons, and joints

Chickenpox

-caused by varciella-zoster virus


- virus remains for life in the posterior toot ganglion

Shingles

Localized disease caused by the virus traveling down th sensory nerves by fast axonal transport when immune system is compromised


- common after age of 50


- usually in chest and waist on one side of the body


- childhood chickenpox vaccinations reducer the risk of shingles later in life

Sciatic nerve injury

- Sciatica : sharp pain that travels from gluteal region along the posterior side of thigh and leg to ankle


- 90% cases result from herniated intervertebral disc or osteoporosis of lower spine

Dermatone

A specific area of the skin that receives sensory input from a pair of spinal nerves

The nature of reflex

- Reflexes require stimulation


- Reflexes are quick


- Reflexes are involuntary


- Reflexes are stereotyped


* they occur the same way everytime

Somatic Reflexes

Since they involve the somatic nervous system

Reflexes

Include the glandular secretion and contraction of all three types of muscle


- include some learned responses : conditioned reflexes


* we are dealing w/ unlearned skeletal muscle reflexes mediated by the brainstem and spinal cord

Somatic receptors

In skin, muscles, or tendons

Afferent nerve fibers

Carry information from receptors to posterior horn of spinal cord or brainstem

Integrating center

A point of synaptic contact b/w neurons in gray matter of spinal cord or brainstem


- determines whether efferent neurons issue signal to muscles

Efferent nerve fibers

Carry motor impulses to skeletal muscles

Effectors

The somatic effectors carry out the response

Spinal cord trauma

-Males 16-30 highest risk group


-US 10,000 to 12,000 paralyzed by spinal cord trauma each year


- 55% occur in automobile or motorcycle accidents


-Usually by vertebral fracture

Babinski sign

Paraplegia

Paralysis of both lower limbs

Quadriplegia

Paralysis of all four limbs

Hemiplegia

Paralysis of half of the body

Paresis

Partial paralysis or weakness of the limbs

Complete transection

Complete severance of cord


- immediate loss of motor control below level of injury


- above C4 Poses the threat of respiratory failure


-Spinal shock

Sacral plexus L4,L5,S1-S4

In the pelvis


* Supplies remainder of lower trunk and lower limb