Nervous System Part 2 for Anatomy

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    Spinal Cord, Spinal Nerves and

    Autonomic Nervous System

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    Spinal Cord

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    The spinal cord extends from theforamen magnumto the inferior bordeof the first lumbar vertebra.

    Visible features of the spinal cordnclude:

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    shallow lonitudinal roove

    on the dorsal surface.

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    !osteriormedian sulcus

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    " deep crease on the ventralsurface.

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    Anterior medianfissure

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    " alon the lenth ofhe spinal cord the reions devoted

    o processin information associatewith the limbs are enlared. Thesenclude:

    # " $supplies nerves to the upper limb an!ectoral irdle

    # $# " $ " supplies nerves to

    he lower limbs and pelvic irdle.

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    %nlarement

    Cervical %nlarement C&' T(

    )umbosacral a*a lumbar%nlarement )+'S

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    The conical end of the spinal

    cord.

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    Conus medullaris

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    slender thread of fibrous piamaterthat extends from the tipof the spinal cord and anchors

    onitudinally.

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    -ilum terminale

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    " The

    spinal cord stops rowinbefore the vertebral column. Asa result the dorsal and ventralroots continue to row as their

    exit points move further away.

    This collection of roots within

    the vertebral column at thispoint formthe .

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    Cauda %uina

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    Spinal Cord Sements

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    There are ( spinal cordsements, cervical,thoracic, lumbar, sacral

    and coccyeal sements.

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    / cervical,

    (+ thoracic,& lumbar,& sacral and

    ( coccyeal sements.

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    %ach sement is associatedwith the pair of spinal nerves

    that arise from it.

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    The spinal nerves result from thfusion of and

    .

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    0orsal and Ventral 1oots

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    The roots themselves result frothe fusion of thatextend from either side of each

    spinal sement

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    1ootlets

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    The dorsal and ventral roots exthe vertebral column throuh th

    .

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    2ntervetebral -oramina

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    At the exit point there is athat

    contains the cell bodies of the

    sensory neurons found in thedorsal root.

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    0orsal 1oot 3anlion

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    The ventral root which contains, fuses with

    he dorsal root distalto the

    ganglionto form the.

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    4otor Neurons

    Spinal Nerve

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    The arespeciali5ed membranes thatprovide protection, physical

    stability and shoc* absorptionwithin the bony vertebral canal

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    Spinal menines

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    The outer layer consists of

    dense irreular connectivetissue.

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    0ura 4ater

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    6etween the dura materand the inner wall othe vertebral canalthere is an

    containin areolarconnective tissue, adipose tissueand bloovessels.

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    %pidural Space

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    The dura mater is attachedcranially to the athe marin of the

    and tapers

    distally to form thethat

    attaches to the periosteumof

    he sacrumand coccyx.

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    !eriosteum

    -oramen 4anum

    Coccyeal )iament

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    The is themiddlemenineal layer andconsists of a simple squamous

    epitheliumthat attachesdirectly to the inside of thedura mater.

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    Arachnoid 4ater

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    t is separated by thethat

    contains cerebrospinal fluid

    (CSF)fromthe .

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    Subarachnoid Space

    !ia 4ater

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    The space between the arachnoand pia mater is also spanned bycollaen and elastic fibers that

    orm bundles of fibers called.

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    Arachnoid Trabeculae

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    The innermost menineal layeconsists of collaen and elasticfibers that adhere closely to the

    contours of the nervous tissue.

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    !ia mater

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    Lateral extensionsof the pia

    materand arachnoid materbetween the dorsal and ventrarootsattach to the dura materand are called

    .

    The preven

    side to side and inferiormovement of the spinal cord.

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    0enticulate )iaments

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    Sectional Anatomy of the SpinaCord

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    A narrowruns throuh the center of the

    spinal cord.

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    Central Canal

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    is deepwithin the cord in the shape ofan 7H8 with the cross bar of the

    Hlyin over the central canal.

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    3rey 4atter

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    # $of ray matter that contain

    somatic and visceral sensorynuclei.

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    posterior #dorsal$ pro9ections

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    # $of ray matter that contain the

    cell bodies of somatic motorneurons.

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    anterior #ventral$ pro9ections

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    of ray matter in spinal

    segments ! to L"that containvisceral motor neurons.

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    )ateral ray horns

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    forms the cross bar of the and

    contains axons crossin overfrom one side to the other.

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    3rey Commissures

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    is superficialwith respect to ray matter andis divided into reions by the

    posterior and anterior rayhorns.

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    ;hite 4atter

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    The ma9or reions are:

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    "between the posterior mediansulcus and posterior ray horns.

    "between the anterior medianfissure and the anterior rayhorns.

    "between the anterior and

    posterior ray horns.

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    !osterior white columns

    Anterior white columns

    )ateral white columns

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    ;ithin the columns, collectionsof axons performin a similar

    function forms a .

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    Tract

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    Tracts that carry sensoryinformation to the brain are

    .

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    Ascendin Tracts

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    Tracts that carry motornformation to the spinal cord are

    .

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    0escendin Tracts

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    Spinal Nerves

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    !eripheral nerves have threelayers of connective tissue:

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    is the outermoslayer of connective tissue that iscontinuous with the dura mater.2t also includes the connective

    tissue in between any fascicles#bundles$ within the nerve.

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    %pineurium

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    s the connective tissue sheathhat surrounds a fascicle of

    axons.

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    !erineurium

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    is the delicateconnective tissue fibers that

    surround individual axons.

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    %ndoneurium

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    !eripheral 0istribution of SpinaNerves

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    After the dorsal and ventralrootsof the spinal sementfusesthe spinal nervedivides

    into several branches:

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    " is thebranch that innervates the s#in

    and muscles of the nec# andbac#.

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    0orsal ramus

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    ' is thelarer branch that innervates

    the ventrolateral body surfaceand the limbs

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    Ventral ramus

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    the and firsthave

    rami communicantesassociated with thenervous system

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    thoracic and first two lumbarspinal nerves

    autonomic

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    The sensory fibers of eachspinal sement collectnformation about a specific

    reion of the body surface calleda .

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    #sin.ramus communicans$ ' thethoracic and first two lumbarspinal nerves have rami

    communicantes #communicatinbranches$ associated with theautonomic nervous system.

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    1ami communicantes

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    )oss of sensation in acan be used to dianose

    nerve or spinal cord damae.

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    dermatome

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    Nerve !lexuses

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    2n the spinal sementscontrollin the skeletal muscle othe neck and the limbs, the

    do notremain separate.

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    Ventral 1ami

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    2nstead, the fibers ofneihborin ventral ramifuseand divide to form interwoven

    networ*s of nerves called.

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    Nerve !lexuses

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    There are

    four nerveplexuses:

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    forms

    rom the ventral ramiof spinalnerves C! $ C%and someibersfrom C&.

    Thennervates the diaphram andarises from this plexus.

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    Cervical plexus

    !hrenic Nerve

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    is a

    are and complex plexus thatnnervates the pectoral girdleand upper limbwithcontributions from the ventral

    rami of C& to !.

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    6rachial !lexus

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    The nerves that arise from thebrachial plexus include the

    , ,

    and nerves

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    axillary, musculocutaneous,median, ulnar and radial nerve

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    isformed by the ventral rami of

    T(+ " )

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    )umbar !lexus

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    The is ama9or nerve that arises from the

    umbar plexus.

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    -emoral nerve

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    contains fibers from the

    ventral rami of L% $ S%.

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    Sacral !lexus

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    The is ama9or nerve of the sacral

    plexus.

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    Sciatic Nerve

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    A is an immediatenvoluntary response to a

    stimulus that never varies.

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    1eflex

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    The pathway that impulsesfollow to produce the response

    s called the .

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    1eflex Arc

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    The reflex arc can be divided into thefollowin steps:

    Step ( " Activation of a by astimulus.

    Step + " 2nformation is carried to the CN

    n the form of an impulse that travels aloa # $

    Step . The information is processed

    within the CNS by .

    Step

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    1eceptor

    Sensory #afferent$ fiber

    2nterneurons

    %fferent

    %ffector oran

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    4onosynaptic reflexes

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    The simplest reflex arc involvesonly , a sensorand motor neuron with a

    betweenthem.

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    Two neurons

    Sinle synapse

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    The is asimple monosynaptic reflexwhich enables a muscle to

    automatically ad9ust tone inresponse to stretching.

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    Stretch 1eflex

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    The most familiar stretch reflex the # '

    .

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    A sharp tap on the patellar

    liament activates stretchreceptors in themuscle.

    Theuic*ly produces a contraction

    in the same muscle that results

    in a noticeable *ic*.

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    =uadriceps -emoris 4uscle

    4onosynaptic reflex arc

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    These reflexes involveinterneurons and can be verycomplicated dependin on the

    number of interneurons.

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    !olysynaptic reflexes

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    The withdrawal reflexfrom apainful stimulus is an example

    of a .

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    !olysynaptic 1eflex

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    The coordinates vitalfunctions associated withcardiovascular, respiratory,

    diestive, excretory andreproductive functions that areout of our voluntary control.

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    Autonomic Nervous System

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    Two neurons, connected inseries, sends out the motorcommand.

    The first neuron isand has its cell body within the

    central nervous system.

    The second neuron in the chains and has its cell

    bodies outside of the centralnervous system in a ganglion

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    !reanlionic

    anlionic

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    Subdivisions of the ANS

    There are two ma9or subdivisionof the ANS

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    This division is called the 7fihtor fliht8 division and preparesthe body for exertion, or stress

    by increasin tissue metabolism

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    Sympathetic 0ivision

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    This division is called the 7restand repose8 system andpromotes activities that

    conserves or increases enerysuch as diestion.

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    !arasympathetic0ivision

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    The sympathetic division is alsocalled thebecause it preanlionic neuronare located in the spinal cord

    segments ! to L" in the.

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    Thoracolumbar division

    )ateral ray horns

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    The preganglionic neuronssynapse with ganglionicneurons in ganglianear the

    .

    These include:

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    Vertebral Column

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    theseanlia lie anterior to thevertebral column and innervate

    effectors in the abdominal pelvcavity.

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    Collateral anlia

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    the corof the adrenal glandrepresents

    a modified sympathetic anlion

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    Adrenal 4edulla

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    This division is also called thecraniosacral division becauspreanlionic neurons are

    ocated in the brainstem and inthe spinal cord sements S+ "S

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    !arasympathetic 0ivision

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    The preanlionic neurons of thare associated wit

    cranial nerves , ,and .

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    6rainstem

    222, V22, 2> and >.

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