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SPINAL CORD AND NERVES. Outline. Spinal cord - General considerations - Gray matter: arc reflex - White matter: Sensory and motor tracts Nerves - Cranial nerves - Spinal nerves. Outline. Spinal cord - General considerations - Gray matter: arc reflex
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Outline Spinal cord - General considerations - Gray matter: arc reflex - White matter: Sensory and motor tracts Nerves - Cranial nerves - Spinal nerves
Outline Spinal cord - General considerations - Gray matter: arc reflex - White matter: Sensory and motor tracts Nerves - Cranial nerves - Spinal nerves
Spinal cord • Continuation of medulla oblongata • From C1 to L1-l2 • Surrounded by meninges dura mater, arachnoid and pia mater) • Cerebrospinal fluid surrounding it • Epidural space: between vertebra and dura mater (fatty tissue + blood vessels) • Lumbar puncture between L2-L3 or L3-L4
Spinal cord • Internal gray matter: presence of neurons relaying and integrating motor/sensory impulses • Fiber tracts: sensory and motor
Outline Spinal cord - General considerations - Gray matter: arc reflex - White matter: Sensory and motor tracts Nerves - Cranial nerves - Spinal nerves
Arc reflex • Arc reflex (fast and involuntary)
Outline Spinal cord - General considerations - Gray matter: arc reflex - White matter: Sensory and motor tracts Nerves - Cranial nerves - Spinal nerves
Outline Spinal cord - General considerations - Gray matter: arc reflex - White matter: Sensory and motor tracts Nerves - Cranial nerves - Spinal nerves
Cranial nerves • I - Olfactory • II - Optic • III - Oculomotor • IV - Trochlear • V - Trigeminal • VI - Abducens • VII - Facial • VIII - Auditory • IX - Glossopharyngeal • X - Vagus • XI - Accessory • XII - Hypoglassal
Trigeminal nerve • Motor and sensory
Facial nerve • Motor and sensory
Sensory Motor 75% autonomic Vagus nerve
Outline Spinal cord - General considerations - Gray natter: arc reflex - White matter: Sensory and motor tracts Nerves - Cranial nerves - Spinal nerves
Spinal nerves • Originate at the root between each vertebra 31 pairs • Formed by the fusion of the sensory and motor roots • Organized into cervical, thoracic, lumbar, sacral and coccygeal nerves
Spastic paralysis • The upper motor neuron, located in the motor cortex has been destroyed (by a stroke, for example) the lower motor neuron can still be stimulated by reflex arc and trigger movements (which are involuntary and spastic)
Flaccid paralysis • The lower motor neuron located in the anterior horn of the spinal cord is damaged no impulse can reach the muscle fibers no contraction