Steven McLoon Department of Neuroscience University of...

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Spinal Cord Steven McLoon Department of Neuroscience University of Minnesota 1

Transcript of Steven McLoon Department of Neuroscience University of...

Page 1: Steven McLoon Department of Neuroscience University of ...mcloonlab.neuroscience.umn.edu/2100/lectures/N2100 lecture 09.pdfSpinal Cord Anatomy . 14 •In the adult, the spinal cord

Spinal Cord

Steven McLoon

Department of Neuroscience

University of Minnesota

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Page 2: Steven McLoon Department of Neuroscience University of ...mcloonlab.neuroscience.umn.edu/2100/lectures/N2100 lecture 09.pdfSpinal Cord Anatomy . 14 •In the adult, the spinal cord

Review sessions with Dr. Riedl

Tuesdays

4-5pm

in MCB 3-146

(the main lab room)

The first exam is coming soon!

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Course News

Page 3: Steven McLoon Department of Neuroscience University of ...mcloonlab.neuroscience.umn.edu/2100/lectures/N2100 lecture 09.pdfSpinal Cord Anatomy . 14 •In the adult, the spinal cord

Dr. McLoon’s office hours this week:

Wednesday (Sept 26) 2:30 – 4:30pm

In Jackson Hall 4-158

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Course News

Page 4: Steven McLoon Department of Neuroscience University of ...mcloonlab.neuroscience.umn.edu/2100/lectures/N2100 lecture 09.pdfSpinal Cord Anatomy . 14 •In the adult, the spinal cord

Midterm Exam Friday, Sept 28

The exam will cover lectures 2-9 and labs 1-2.

A – L last names in MoosT 2-620

M – Z in MoosT 2-650

PLEASE BRING #2 PENCILS!!!

Be sure to check out last year’s exam on the course website!!!

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Course News

Page 5: Steven McLoon Department of Neuroscience University of ...mcloonlab.neuroscience.umn.edu/2100/lectures/N2100 lecture 09.pdfSpinal Cord Anatomy . 14 •In the adult, the spinal cord

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The spine or backbone is composed of a stack of vertebrae.

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The spine or backbone is composed of a stack of vertebrae.

• Cervical vert. are in the neck.

• Thoracic vert. are in the thorax and

each has a pair of ribs.

• Lumbar vert. are in the lower back.

• Sacrum and coccyx are part of the

pelvis.

Page 7: Steven McLoon Department of Neuroscience University of ...mcloonlab.neuroscience.umn.edu/2100/lectures/N2100 lecture 09.pdfSpinal Cord Anatomy . 14 •In the adult, the spinal cord

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The spine or backbone is composed of a stack of vertebrae.

• Cervical vert. are in the neck.

• Thoracic vert. are in the thorax and

each has a pair of ribs.

• Lumbar vert. are in the lower back.

• Sacrum and coccyx are part of the

pelvis.

Page 8: Steven McLoon Department of Neuroscience University of ...mcloonlab.neuroscience.umn.edu/2100/lectures/N2100 lecture 09.pdfSpinal Cord Anatomy . 14 •In the adult, the spinal cord

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Each vertebrae has a spinal (vertebral) canal for the spinal cord.

Page 9: Steven McLoon Department of Neuroscience University of ...mcloonlab.neuroscience.umn.edu/2100/lectures/N2100 lecture 09.pdfSpinal Cord Anatomy . 14 •In the adult, the spinal cord

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A pair of spinal nerves pass between each adjacent vertebrae

in the intervertebral foramen.

Page 10: Steven McLoon Department of Neuroscience University of ...mcloonlab.neuroscience.umn.edu/2100/lectures/N2100 lecture 09.pdfSpinal Cord Anatomy . 14 •In the adult, the spinal cord

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A pair of spinal nerves pass between each adjacent vertebrae

in the intervertebral foramen.

• spinal nerve

• dorsal root ganglion

• dorsal root

• ventral root

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• spinal nerve

• dorsal root ganglion

• dorsal root

• ventral root

A pair of spinal nerves pass between each adjacent vertebrae

in the intervertebral foramen.

Page 12: Steven McLoon Department of Neuroscience University of ...mcloonlab.neuroscience.umn.edu/2100/lectures/N2100 lecture 09.pdfSpinal Cord Anatomy . 14 •In the adult, the spinal cord

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• Diseases, particularly those associated

with aging, can result in pressure on a

spinal nerve in a foramen and cause

pain and muscle weakness.

A pair of spinal nerves pass between each adjacent vertebrae

in the intervertebral foramen.

herniated (slipped) disk osteoporosis

arthritis

Page 13: Steven McLoon Department of Neuroscience University of ...mcloonlab.neuroscience.umn.edu/2100/lectures/N2100 lecture 09.pdfSpinal Cord Anatomy . 14 •In the adult, the spinal cord

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• At birth, the spinal cord goes the

entire length of the spine.

• The spinal cord stops growing

before the spine stops.

• In the adult, the spinal cord ends

between the first and second lumber

vertebrae.

Spinal Cord Anatomy

Page 14: Steven McLoon Department of Neuroscience University of ...mcloonlab.neuroscience.umn.edu/2100/lectures/N2100 lecture 09.pdfSpinal Cord Anatomy . 14 •In the adult, the spinal cord

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• In the adult, the spinal cord ends at

the conus medullaris between the

first and second lumber vertebrae.

Spinal Cord Anatomy

Page 15: Steven McLoon Department of Neuroscience University of ...mcloonlab.neuroscience.umn.edu/2100/lectures/N2100 lecture 09.pdfSpinal Cord Anatomy . 14 •In the adult, the spinal cord

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• The dorsal and ventral roots for the

vertebrae below the conus

medullaris form the cauda equina.

Spinal Cord Anatomy

Page 16: Steven McLoon Department of Neuroscience University of ...mcloonlab.neuroscience.umn.edu/2100/lectures/N2100 lecture 09.pdfSpinal Cord Anatomy . 14 •In the adult, the spinal cord

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Spinal Cord Anatomy

• grey matter

Page 17: Steven McLoon Department of Neuroscience University of ...mcloonlab.neuroscience.umn.edu/2100/lectures/N2100 lecture 09.pdfSpinal Cord Anatomy . 14 •In the adult, the spinal cord

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Spinal Cord Anatomy

• white matter

Page 18: Steven McLoon Department of Neuroscience University of ...mcloonlab.neuroscience.umn.edu/2100/lectures/N2100 lecture 09.pdfSpinal Cord Anatomy . 14 •In the adult, the spinal cord

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• More grey matter is in levels serving

the arms and legs, the cervical and

lumbosacral enlargements

respectively.

• The spinal cord has progressively

more white matter from caudal to

rostral.

Spinal Cord Anatomy

Page 19: Steven McLoon Department of Neuroscience University of ...mcloonlab.neuroscience.umn.edu/2100/lectures/N2100 lecture 09.pdfSpinal Cord Anatomy . 14 •In the adult, the spinal cord

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• More grey matter is in levels serving

the arms and legs, the cervical and

lumbosacral enlargements

respectively.

• The spinal cord has progressively

more white matter from caudal to

rostral.

Spinal Cord Anatomy

lower cervical

thoracic

lower lumbar

upper sacral

Page 20: Steven McLoon Department of Neuroscience University of ...mcloonlab.neuroscience.umn.edu/2100/lectures/N2100 lecture 09.pdfSpinal Cord Anatomy . 14 •In the adult, the spinal cord

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Systems

Sensory systems

o Somatosensory

o Visceral sensory

o Special sensory

Vision

Auditory

Vestibular

Gustatory (taste)

Olfactory (smell)

Motor systems

o Somatic motor

o Autonomic motor

Sympathetic

Parasympathetic

Special senses are carried by cranial nerves.

The other systems are carried by cranial and spinal nerves.

Page 21: Steven McLoon Department of Neuroscience University of ...mcloonlab.neuroscience.umn.edu/2100/lectures/N2100 lecture 09.pdfSpinal Cord Anatomy . 14 •In the adult, the spinal cord

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Somatosensory system detects multiple sensations.

• Mechanosensation

• Fine touch

• Pressure

• Vibration

• Movement against the skin

• Proprioception (limb & trunk position, movement & load)

• Thermoception (temperature)

• Heat

• Cold

• Nociception (pain – tissue damage)

Page 22: Steven McLoon Department of Neuroscience University of ...mcloonlab.neuroscience.umn.edu/2100/lectures/N2100 lecture 09.pdfSpinal Cord Anatomy . 14 •In the adult, the spinal cord

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• Sensory information enters the spinal cord via dorsal roots.

Somatosensory Pathways

Page 23: Steven McLoon Department of Neuroscience University of ...mcloonlab.neuroscience.umn.edu/2100/lectures/N2100 lecture 09.pdfSpinal Cord Anatomy . 14 •In the adult, the spinal cord

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Somatosensory information is processed via three main pathways:

• local spinal circuits for reflex responses

• to cerebellum and other brainstem centers for maintaining balance

and coordinating movements

• to cerebral cortex for conscious perception and other responses

Somatosensory Pathways

Page 24: Steven McLoon Department of Neuroscience University of ...mcloonlab.neuroscience.umn.edu/2100/lectures/N2100 lecture 09.pdfSpinal Cord Anatomy . 14 •In the adult, the spinal cord

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• Reflexes are rapid, preprogrammed, stereotypic responses to

specific stimuli.

• Reflexes are processed locally in the spinal cord or brainstem, but

can be modulated by input from higher brain centers.

• All somatosensory modalities are involved in reflexes.

Reflexes

Page 25: Steven McLoon Department of Neuroscience University of ...mcloonlab.neuroscience.umn.edu/2100/lectures/N2100 lecture 09.pdfSpinal Cord Anatomy . 14 •In the adult, the spinal cord

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The stretch reflex is monosynaptic:

• It is initiated by stretch of muscle spindles, which activates the sensory

axons to the spindles.

• It involves a monosynaptic circuit between the sensory neuron and

primary motor neuron, which initiates contraction of the stretched muscle.

Reflexes

Page 26: Steven McLoon Department of Neuroscience University of ...mcloonlab.neuroscience.umn.edu/2100/lectures/N2100 lecture 09.pdfSpinal Cord Anatomy . 14 •In the adult, the spinal cord

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• The stretch reflex also includes inhibition of antagonistic muscles via

activation of an inhibitory interneuron.

Reflexes

Page 27: Steven McLoon Department of Neuroscience University of ...mcloonlab.neuroscience.umn.edu/2100/lectures/N2100 lecture 09.pdfSpinal Cord Anatomy . 14 •In the adult, the spinal cord

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The withdrawal reflex activates motor

neurons at multiple spinal levels:

• It is initiated by activation of pain

receptors in a limb.

• The primary sensory neuron activates

interneurons in multiple spinal levels.

• The interneurons activate motor neurons

that in turn activate flexor muscles in the

affected limb.

• Contraction of flexor muscles withdraws

the limb.

Reflexes

Page 28: Steven McLoon Department of Neuroscience University of ...mcloonlab.neuroscience.umn.edu/2100/lectures/N2100 lecture 09.pdfSpinal Cord Anatomy . 14 •In the adult, the spinal cord

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• Primary afferents ascend and descend in Lissauer’s tract.

Reflexes

Page 29: Steven McLoon Department of Neuroscience University of ...mcloonlab.neuroscience.umn.edu/2100/lectures/N2100 lecture 09.pdfSpinal Cord Anatomy . 14 •In the adult, the spinal cord

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• Many reflexes involve activation or inhibition of motor neurons at multiple

spinal levels and on both sides of the cord.

• Input from the brain can override or modify a reflex.

Reflexes

Page 30: Steven McLoon Department of Neuroscience University of ...mcloonlab.neuroscience.umn.edu/2100/lectures/N2100 lecture 09.pdfSpinal Cord Anatomy . 14 •In the adult, the spinal cord

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Reflexes

Axon reflex involves bidirectional signaling:

• Tissue damage activates pain receptors.

• The axon potential will propagate down other peripheral branches of

the same neuron.

• This initiates release of

neuropeptides, which cause

vasodilatation.

• This leads to inflammation

(reddening of the skin,

edema).

Page 31: Steven McLoon Department of Neuroscience University of ...mcloonlab.neuroscience.umn.edu/2100/lectures/N2100 lecture 09.pdfSpinal Cord Anatomy . 14 •In the adult, the spinal cord

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• Primary sensory neurons carrying

proprioceptive information synapse

deep in the dorsal horn.

• Second order neurons ascend on

both sides of the spinal cord in the

spinocerebellar tracts.

• The cerebellum has important roles

in maintaining balance and

coordinating movements.

Spinocerebellar Pathway

Page 32: Steven McLoon Department of Neuroscience University of ...mcloonlab.neuroscience.umn.edu/2100/lectures/N2100 lecture 09.pdfSpinal Cord Anatomy . 14 •In the adult, the spinal cord

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• The spinocerebellar tracts are in the lateral funiculus of the spinal cord.

[Note how tracts are often labeled by their origin and target.]

Spinocerebellar Pathway

Page 33: Steven McLoon Department of Neuroscience University of ...mcloonlab.neuroscience.umn.edu/2100/lectures/N2100 lecture 09.pdfSpinal Cord Anatomy . 14 •In the adult, the spinal cord

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Somatosensory Projection to Cortex

Page 34: Steven McLoon Department of Neuroscience University of ...mcloonlab.neuroscience.umn.edu/2100/lectures/N2100 lecture 09.pdfSpinal Cord Anatomy . 14 •In the adult, the spinal cord

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Two somatosensory pathways to cortex:

• Proprioception and deep touch via the dorsal columns.

• Pain, temperature and light touch via the spinothalamic tracts.

Somatosensory Projection to Cortex

Page 35: Steven McLoon Department of Neuroscience University of ...mcloonlab.neuroscience.umn.edu/2100/lectures/N2100 lecture 09.pdfSpinal Cord Anatomy . 14 •In the adult, the spinal cord

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Dorsal column projection:

• Primary sensory axons for

proprioception and deep touch enter

the dorsal horn and ascend in the

dorsal columns.

• These axons synapse in nucleus

gracilis (from lower body) and

nucleus cuneatus (from upper body)

in the medulla.

• Axons from these nuclei cross the

medulla and ascend to thalamus.

• They synapse in the ventral

posterolateral nucleus (VPL) of the

thalamus.

• Axons from the VPL neurons project

to somatosensory cortex.

Somatosensory Projection to Cortex

Page 36: Steven McLoon Department of Neuroscience University of ...mcloonlab.neuroscience.umn.edu/2100/lectures/N2100 lecture 09.pdfSpinal Cord Anatomy . 14 •In the adult, the spinal cord

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Somatosensory Projection to Cortex

• The dorsal columns are in the dorsal funiculus of the spinal cord.

Page 37: Steven McLoon Department of Neuroscience University of ...mcloonlab.neuroscience.umn.edu/2100/lectures/N2100 lecture 09.pdfSpinal Cord Anatomy . 14 •In the adult, the spinal cord

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Spinothalamic projection:

• Primary sensory axons for pain,

temperature and light touch synapse

on neurons in the dorsal horn.

• Axons of these dorsal horn neurons

cross the spinal cord and ascend in

the spinothalamic tract.

• They synapse in the ventral

posterolateral nucleus (VPL) of the

thalamus.

• Axons from the VPL neurons project

to somatosensory cortex.

Somatosensory Projection to Cortex

Page 38: Steven McLoon Department of Neuroscience University of ...mcloonlab.neuroscience.umn.edu/2100/lectures/N2100 lecture 09.pdfSpinal Cord Anatomy . 14 •In the adult, the spinal cord

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Somatosensory Projection to Cortex

• The spinothalamic tracts are in the lateral funiculus of the spinal cord.

Page 39: Steven McLoon Department of Neuroscience University of ...mcloonlab.neuroscience.umn.edu/2100/lectures/N2100 lecture 09.pdfSpinal Cord Anatomy . 14 •In the adult, the spinal cord

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Motor System

Upper motor neuron in motor cortex

(axons cross to the opposite side of the body)

-synapses with-

(Lower) motor neuron in a cranial nerve nucleus in the brainstem or the ventral horn of the spinal cord

(axons exit CNS via a cranial nerves or ventral roots)

-synapses with-

Muscle fiber

(each muscle fiber has a single neuromuscular synapse; a single motor neuron can innervate multiple muscle fibers)

Page 40: Steven McLoon Department of Neuroscience University of ...mcloonlab.neuroscience.umn.edu/2100/lectures/N2100 lecture 09.pdfSpinal Cord Anatomy . 14 •In the adult, the spinal cord

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Motor System

• Upper motor neurons descend from cortex in the

lateral and anterior corticospinal tracts.