SPINAL CORD & SPINAL NERVES MARTINI, ANATOMY & PHYSIOLOGY, 9TH EDITION, CHAPTER # 13 LAB MANUAL, Exercise # 19 Page # 235 3/15/2016 1 NOTE: THIS IS A STUDY GUIDE, NOT AN ALL INCLUSIVE REVIEW. THERE MIGHT BE THINGS NOT COVERED BY THIS STUDY GUIDE THAT MIGHT BE ASKED IN YOUR PRACTICUMS / QUIZZES. STUDENTS ARE RESPONSIBLE FOR READING THEIR TEXBOOK (S) AND FOR ALL THE MATERIAL COVERED DURING THE LABORATORY PERIOD, AS PER THE COURSE SYLLABUS 3/15/2016 2 Competency 6: The Nervous System Upon successful completion of this laboratory, the students will be able to demonstrate an understanding of the structural and functional features of the nervous system including the special sense organs by: Describing the structure and functions of the spinal cord and the spinal nerves and their plexuses. 3/15/2016 3 SPINAL MENINGES Surrounds the spinal cord for physical stability & Shock absorption Wall of vertebral canal (no part of meninges) Epidural space- contains fat and blood vessels imp for anesthetic injection Dura mater- outermost covering of spinal cord Subdural space Aracnoid mater Subarachnoid space- filled with CSF CSF- shock absorber diffusion medium for wastes, gases, nutrients & chemicals Pia mater -pia=delicate, mater=mother for nourishment 3/15/2016 4 3/15/2016 ALFONSO A. PINO. MD. 5 3/15/2016 ALFONSO A. PINO. MD. 6 SPINAL CORD Dendicular ligaments- prevent lateral movement of the spinal cord Conus medularis End part of the spinal cord, like a conus Cauda equina- nerve fibers extending after conus medularis, like a horse tail Filum terminale- to anchor spinal cord vertically by connecting it with coccyx F- to prevent up & down movement Gray matter- it has nuclei Posterior (dorsal) horns –somatic & visceral sensory nuclei Anterior (ventral) horns-somatic motor nuclei Lateral horns- autonomic (visceral) nuclei Grey commissure- to connect two sides of the grey mater Central canal (the hole in the middle) Conteins CSF(cephalo spinal fluid) White matter- it has tracs or fasciculus Posterior (dorsal) white column (funiculus) Carry sensory info Lateral white column (funiculus) Carry sensory & motor info Anterior (ventral) white column (funiculus) Carry sensory & motor info Anterior median fissure- deep groove Posterior median sulcus- shallow groove 3/15/2016 8 3/15/2016 ALFONSO A. PINO. MD. 9 3/15/2016 ALFONSO A. PINO. MD. 10 3/15/2016 ALFONSO A. PINO. MD. 11 3/15/2016 ALFONSO A. PINO. MD. 12 3/15/2016 ALFONSO A. PINO. MD. 13 3/15/2016 ALFONSO A. PINO. MD. 14 SPINAL NERVES Posterior root- carry sensory info Posterior root ganglia- conteins sensory neurons Anterior root- carries motor info Posterior ramus (smaller)- carries sensory & motor info Anterior ramus- (thicker)- carries sensory & motor info 3/15/2016 15 3/15/2016 ALFONSO A. PINO. MD. 16 PLEXUSES CERVICAL BRACHIAL LUMBAR SACRAL 3/15/2016 17 Peripheral Nerves and Plexuses 3/15/2016 ALFONSO A. PINO. MD. 18 CERVICAL PLEXUS Serves or innervates neck & shoulder Phrenic nerve- it extends below the shoulder to the diaphragm. It causes the diaphragm to contract important for breathing 3/15/2016 19 3/15/2016 ALFONSO A. PINO. MD. 20 Brachial plexus- serves or innervates upper limb and shoulder Axillary n- serves deltoid & teres minor And skin of the shoulder (From anterior to posterior)Radial nerve- serves posterior upper limb Musculocutaneous n-serves anterior arm, biceps brachii & brachialis Median n- serves anterior forearm Ulnar n- serves anterior hand 3/15/2016 21 Spinal Nerves and Plexuses The Brachial Plexus of the Ventral Rami Major nerves of brachial plexus Musculocutaneous nerve (lateral cord) Median nerve (lateral and medial cords) Ulnar nerve (medial cord) Axillary nerve (posterior cord) Radial nerve (posterior cord) 3/15/2016 ALFONSO A. PINO. MD. 23 3/15/2016 ALFONSO A. PINO. MD. 24 LUMBAR PLEXUS It serves or innervates skin & some muscles of anterior abdomen, buttocks, genitalia, anterior lateral & posteromedial thigh & medial surface of leg and foot Femoral nerve: anterior muscles of the thigh, flexors & adductors of the hip, skin of the thigh(antero medial surface) & skin over the medial surface of leg and foot RECTUS FEMORIS VASTUS MEDIALIS VASTUS LATERALIS VASTUS INTERMEDIUS 3/15/2016 25 LUMBAR PLEXUS & SACRAL PLEXUS 3/15/2016 ALFONSO A. PINO. MD. 26 SACRAL PLEXUS It serves or innervates: buttock (gluteus) & posterior lower limb, anterior leg & foot lateral leg, some muscles of genitalia including external anal and urethral sphincters Sciatic n (thiker)- serves posterior thigh Common peroneal n (goes anteriorly)- serves anterior leg & foot Tibial n (goes posteriorly)- serves posterior leg and foot 3/15/2016 27 3/15/2016 ALFONSO A. PINO. MD. 28 3/15/2016 ALFONSO A. PINO. MD. 29 3/15/2016 ALFONSO A. PINO. MD. 30 Components of a Reflex Arch 3/15/2016 ALFONSO A. PINO. MD. 31 The Patellar Reflex 3/15/2016 ALFONSO A. PINO. MD. 32 REMEMBER! GO TO THE TUTORING ROOM AND PRACTICE WITH MODELS. ROOM 3326. 3/15/2016 33