Lab Activity 15

1. Lab Activity 15 Spinal Cord Portland Community College BI 232

2. Definitions • Tracts: collections of axons in CNS • Nerves:collections of axons in PNS • Ganglia: collections of neuron cell bodies in PNS • Nucleus (nuclei) : collections of neuron cell bodies in CNS

3. Spinal Cord: Gray Matter Posterior Horn Central Canal Gray commissure Anterior Horn The central “butterfly” is gray matter: it contains cell bodies, dendrites and unmyelinated axons.

4. Gray Matter Horns • Posterior gray horn receives sensory fibers from spinal nerves • Anterior gray horn contain the cell bodies of lower motor neurons. • Lateral gray horns (only located in the thoracic and lumbar segments) contain autonomic motor neurons

5. Spinal Cord: White Matter Posterior White Column Lateral White Column Anterior Median Fissure The frame around the “butterfly” is white matter: it contains myelinated axons. Anterior White Column

6. White Matter Columns • Each column contains tracts (axons) • Ascending tracts carry sensory information from the body toward the brain • Descending tracts carry motor commands to the spinal cord

7. Posterior (Dorsal) Dorsal Root(Afferent=Sensory) Dorsal Root Ganglion (Cell bodies of sensory neurons) Anterior(Ventral) Spinal Nerve Mixed motor and sensory. Ventral Root (Efferent=Motor)

8. Peripheral Nerves • Epineurium- the layer of connective tissue that surrounds the entire nerve. • Nerve bundles(fascicles) are surrounded by the perineurium a connective tissue layer

9. Review slides • Spinal cord • Nerves (cs & ls)

10. Spinal Cord: Conus Medullaris Conus Medullaris Ends at the level of L1 or L2

11. Spinal Cord • The spinal cord is approximately 2cm in diameter. • This diameter is greater in the cervical and lumbar regions where spinal nerves to the upper and lower extremities originate

12. Meninges Pia Mater Arachnoid Mater Subarachnoid Space: contains the spinal fluid Dura Mater Subdural Space Epidural Space: out here between the dura mater and the bone

13. Spinal Cord

14. Spinal Cord: Cauda Equina Cauda Equina These are spinal nerves that extend down the vertebral canal past the level of the spinal cord.

15. Spinal Cord • The pia mater has two special features that serve to secure the spinal cord in its position. • Filum terminale- a thin strand of pia mater that extends to the coccyx • Denticulate ligaments connect spinal cord along its entire length

16. Spinal Cord Structures

17. Spinal Nerves: 31 Pair Cervical: 8 8 + 12 + 5 + 5 + 1 = 31 Thoracic: 12 C1-C7 Emerge above the vertebra for which they are named Lumbar: 5 C8 Emerges between C7 and T1 Thoracic, Lumbar, Sacral and Coccygeal spinal nerves emerge below the vertebra for which they are named Sacral: 5 Coccygeal: 1

19. Sympathetic Chain Ganglia • Next to the thoracic and lumbar regions • The ventral root gives rise to a myelinated preganglionic fiber (white rami) to the sympathetic chain ganglia • These fibers may synapse here or in collateral ganglia or in the adrenal medulla.

20. Spinal Nerves

21. Spinal NervesNerve Plexus • Dorsal and Ventral roots exit the spinal cord and join together to make a spinal nerve • The spinal nerve then splits into dorsal and ventral rami (ramus) • Some ventral rami give off branches to the sympathetic ganglion • The other ventral rami mix and match to make up nerve plexuses

22. Ventral Rami • The Dorsal Root only contains sensory neurons going toward the spinal cord • The Ventral Root only contains motor neurons going out of the spinal cord • Ventral Rami contain BOTH sensory and motor neurons • As the spinal nerves, rami and plexus are crisscrossing, everything gets mixed around.

23. Phrenic Nerve The cervical plexus is from C1 to C5 Phrenic Nerve: C3, C4 C5 Supplies the diaphragm Portions of skin and muscles of head, neck and shoulders

24. Brachial Plexus The brachial plexus is from C5 to T1 All structures of the upper extremities

25. Brachial Plexus

26. Brachial Plexus Nerves RadialNerve • Radial nerve (C5-T1) • Motor to muscles of the posterior arm and forearm • Sensory to the posterior-lateral side of the hand, but not the fingers (purple in picture)

27. Brachial Plexus Nerves • Median nerve (C6-T1): Travels through the carpal tunnel of the wrist • Motor to the flexor muscles on the radial side of the forearm • Sensory to the anterolateral surface (thenar side) of the hand, posterior fingers 1 &2, lateral-posterior finger 3 MedianNerve

28. Brachial Plexus Nerves • Ulnar nerve (C8-T1) • Motor to many flexor muscles of forearm and hand on ulnar side • Sensory to the medial surface of the hand. UlnarNerve

29. Brachial Plexus Nerves • Axillary nerve (C5-C6): • Motor to the deltoid and teres minor muscles • Sensory to the skin of the shoulder • Musculocutaneous nerve (C5-T1) • Motor to the flexor muscles of the arm • Sensory to the lateral surface of the forearm

30. Lumbar Plexus The Lumbar plexus is from T12 to L4 Anterolateral abdominal wall, external genitalia and part of lower extremity

31. Sacral Plexus The sacral plexus is from L4 to S4 Buttocks, perineum, and part of lower extremity

32. Spinal Cord Ventral Roots (Motor) Dorsal Roots (Sensory) Spinal Nerve(this is where sensory and motor mix) Dorsal Ramus(mixed) Ventral Ramus(mixed) Rami Communicantes(White ramus + Gray Ramus) Nerve Plexuses Sympathetic ganglia

33. Spinal Nerve Function • Primary sensory area in the postcentral gyrus (parietal lobe) receives general sensations via ascending pathways of the spinal cord • Primary motor area in the precentral gyrus (frontal lobe) is the origin of upper motor neurons that travel along descending pathways.

34. Primary Motor Area • Origin of upper motor neurons, whose nerve fibers travel along the descending pathways. • In the anterior horn these neurons synapse with lower motor neurons, whose nerve fibers travel along spinal nerves and synapse with skeletal muscle.

35. Dermatomes • The surface of the body can be divided into sensory cutaneous regions, each innervated by a single pair of spinal nerves. • Do activity 15.3

36. Lab Activity 16 Reflexes

37. Primary motor area • Motor neurons in the precentral gyrus of the frontal lob initiate all voluntary motor function. • Can be divided into body regions represented by a motor homunculus

38. Coordination and Balance • Descending motor pathways, which originate in the primary motor area, descend through the brainstem and spinal cord before distributing motor fibers to cranial and spinal nerves. • The cerebellum interacts with the motor areas by ensuring that all movements are smooth and well coordinated.

39. Reflexes • A reflex is a rapid, predictable motor response to a stimulus • Reflexes play a critical role in protecting the body by regulating homeostasis. • The neuronal pathway of a reflex is called a reflex arc

40. Reflex Arc • There are five components of a reflex arc • Receptor – site of stimulus • Sensory neuron – transmits the afferent impulse to the CNS • Integration center in the CNS where the sensory information is received and transferred to motor neurons. • Motor neuron – conducts efferent impulses from the integration center to an effector • Effector – muscle fiber or gland that responds to the efferent impulse

41. Reflex Arc

42. Reflexes • Visceral (Autonomic) reflexes regulate body functions • Digestion, blood pressure, sweating ect… • Somatic reflexes involve skeletal muscles • Function to maintain posture, balance and locomotion

43. Reflexes • Spinal reflexes: The important interconnections and processing events occur in the spinal cord. • Cranial reflexes: The integration center is in the brain

44. Types of Reflexes • Monosynaptic reflexes: The sensory neuron synapse directly on a motor neuron. • The delay between stimulus and the response is minimized. • The synapse is considered the integration center • Polysynaptic reflexes: There is at least one interneuron between the sensory and motor neuron • More complex responses

45. Definitions • Ipsilateral: A reflex response that effects the same side as the stimulus. • Contralateral: A reflex that affects the opposite side of the body from the stimulus • Consensual: Occurs on both sides of the body at the same time

46. Upper Motor Neurons • Upper motor neurons: Starts in the motor cortex of the brain and terminates within the medulla (another part of the brain) or within the spinal cord. • Damage to upper motor neurons can result in spasticity and exaggerated reflexes (because of the loss of inhibition) “Spastic Paralysis”

47. Lower Motor Neurons • Lower motor neurons go from the spinal cord to a muscle. • The cell body of a lower motor neuron is in the spinal cord and its termination is in a skeletal muscle. • The loss of lower motor neurons leads to weakness, twitching of muscle (fasciculation), and loss of muscle mass (muscle atrophy). “Flaccid Paralysis”

48. Reflexes • Intact reflexes require • Intact sensory afferent nerves (coming to the spinal cord) • Intact synapse within the spinal cord • Intact efferent motor nerves coming from the spinal column • Adequately functioning muscle.

49. Testing Reflexes • Reflexes can also be modified by conditions higher in the cord than the relevant synapse including the brain itself. • The purpose of testing reflexes is to check the integrity of the system as a whole. • An absent reflex indicates a problem somewhere in the reflex arc but it does not tell you where.

50. Stretch Reflexes • 1. Stretching of the muscle activates a muscle spindle • A muscle spindle is a bundle of specialized skeletal muscle fibers that act as sensory receptors • 2. An impulse is transmitted by afferent fibers to the spinal cord • 3. Motor neurons in the spinal cord cause the stretched muscle to contract • 4. The integration area in the spinal cord causes the antagonist muscle to relax (reciprocal inhibition)