Biology 220 Anatomy & Physiology I Unit VII SPINAL CORD AND TRACTS Chapter 12, pp. 461-467 Chapter 15, pp. 538-546 E. Gorski/ E. Lathrop-Davis/ S. Kabrhel Spinal Cord Functions • communications link between brain and body ° carries ascending, sensory impulses toward brain ° carries descending, motor impulses to synapse with motor neurons that will serve effectors • reflex centers -- allow faster response without direct brain input ° somatic reflexes (skeletal muscles and skin) ° stretch reflex deep tendon reflex flexor reflex crossed extensor reflex visceral reflexes (glands & smooth muscle) Spinal Cord Structure Spinal cord enlargements: • cervical -- origin of nerves to upper limb • lumbar -- origin of nerves to lower limb Fig. 12.24, p. 462 Spinal Coverings: Meninges • Dura mater -- tough, outer covering ° epidural space - between dura and vertebra; contains fat and blood vessels - epidural anesthetic • Arachnoid mater -- middle layer ° subarachnoid space -- between arachnoid mater and pia mater - contains cerebrospinal fluid - lumbar puncture (inferior to L1, safe at L3) - in lower lumbar region, CSF may be removed for testing with less risk to nerves/spinal cord • Pia mater - delicate inner layer White Matter • myelinated (and unmyelinated) fibers carrying information (impulses) between brain and spinal cord and from one level to another within spinal cord • organized as white columns = funiculi ° dorsal (posterior) funiculus ° ventral (anterior) funiculus ° lateral funiculus • columns (funiculi) may contain both ascending and descending tracts Nerve Roots: Dorsal Root Dorsal root contains afferent fibers for both somatic and visceral sensory neurons • dorsal root ganglion (DRG) contains cell bodies of afferent neurons (these are unipolar neurons) Dorsal Root DRG Fig. 12.29, p. 466 Nerve Roots: Ventral Root Ventral root contains efferent (motor) fibers to effectors • largest in the in cervical and lumbar regions where somatic motor neurons arise for nerve plexuses to limbs • autonomic motor neurons also leave via ventral root Ventral Root Fig. 12.29, p. 466 Spinal Cord Pathways and Tracts most pathways cross over (decussate) – so they are contralateral • most pathways consist of a chain of 2-3 neurons • pathways exist as right/left pairs • Fig. 12.29, p. 466 Ascending (Sensory) Tracts • conduct sensory impulses from general sensory receptors toward brain ° from skin - touch [Meissner’s corpuscles], pressure [Pacinian corpuscles], temperature, pain ° from proprioceptors in joints, tendons, muscles - stretch of muscles, tendons, joints • sensory pathways contain 2 or 3 neurons ° first order: from receptor to spinal cord ° second order: spinal cord to thalamus or cerebellum ° third order: thalamus to cerebral cortex Ascending (Sensory) Tracts 3 main ascending pathways on each side: • dorsal column pathways/lemniscal (specific) • spinothalamic pathways/anterolateral (nonspecific) • spinocerebellar pathways (to cerebellum) Specific Pathway: Dorsal Column Tracts • axons involved with highly localized (fine) touch, pressure, vibration, conscious proprioception to opposite side of brain (i.e., these are contralateral) • allows fine localization of sensation by cerebral cortex ° fasciculus cuneatus -- consists of neurons with impulses arising from upper half of trunk, upper limbs and neck ° fasciculus gracialis -- consists of neurons with impulses arising from lower trunk and lower limbs *first-order sensory neurons are part of PNS *second- and third-order neurons are part of CNS Specific Pathway: Dorsal Column Tracts • • • first-order neuron enters via dorsal root and ascends dorsal column without synapsing ° first-order neuron synapses with second-order neuron in medulla oblongata (in either nucleus cuneatus or nucleus gracilis) second-order neuron crosses to other side in medulla (medial lemniscal tract) ° second-order neuron synapses with third-order neuron in thalamus third-order neuron carries impulse from thalamus to primary somatosensory area of cerebral cortex Fig. 15.2, p. 538 Nonspecific Pathway: Spinothalamic Tracts • • also called anterolateral tracts carry sensory information regarding crude touch sensation, pressure, temperature and pain • impulses may arise from several different receptors or even different types of receptors • contralateral *first-order sensory neurons are part of PNS *second- and third-order neurons are part of CNS Nonspecific Pathway: Spinothalamic Tracts • first-order neuron enters dorsal root ° first order neuron synapses with second-order neuron in posterior gray horn • second-order neuron crosses over to other side in spinal cord before ascending to thalamus ° second-order neuron synapses with third-order neuron in thalamus • third-order neuron carries impulse from thalamus to primary somatosensory area of postcentral gyrus Fig. 15.2, p. 538 Spinocerebellar Pathway Tracts • • • carry subconscious proprioception information to cerebellum (aid balance) posterior spinocerebellar tract and anterior spinocerebellar tract carry impulses from lower limbs and trunk (tracts from upper trunk and limb are more complicated) carry impulses related to position, stretch, and tension in skeletal muscle, joints, tendons *first-order sensory neurons are part of PNS *second-order neurons are part of CNS Spinocerebellar Pathway Tracts • first-order neuron enters spinal cord via dorsal root ° first-order neuron synapses with secondorder neuron in dorsal gray horn • second-order neuron enters cerebellum via cerebellar peduncles ° second-order neuron ends up on same side of body (ipsilateral) Fig. 15.2, p. 538 Descending (Motor) Tracts • Two groups of tracts: ° direct (pyramidal) tracts ° indirect (extrapyramidal) tracts • Two neurons in pathway ° upper motor neurons ° lower motor neurons Descending (Motor) Tracts • upper motor neurons originate in gray matter of cerebral cortex or other gray matter ° upper motor neurons run through spinal cord to level at which the spinal nerve to their effector originates ° upper motor neurons synapse with the lower motor neuron in the anterior gray horn of the spinal segment • lower motor neurons exit via ventral root and carry impulses to effectors *Upper motor neuron is within CNS *Lower motor neuron is part of PNS Direct (Pyramidal) Tracts • • • precise activation of contralateral skeletal muscles carry impulses for voluntary movement upper motor neuron ° extends from pyramidal cells of primary motor cortex through brain stem ° synapses with lower motor neuron in anterior gray horn of spinal cord at appropriate level • lower motor neuron extends from spinal cord to effector • lateral and anterior tracts differ in where they decussate *Upper motor neuron is within CNS *Lower motor neuron is part of PNS Indirect (Extrapyramidal) Tracts • • • Formed from neurons originating in areas other than primary motor cortex Subconscious (involuntary) movements Involved in regulating: ° axial muscles that maintain balance and posture ° muscles controlling gross movements of proximal parts of limbs ° head, neck and eye movements to follow objects Indirect (Extrapyramidal) Tracts • rubrospinal tract - questionable function in humans (affects distal limb flexors in other animals) • vestibulospinal tract - posture and balance during standing and movement (extensor muscles) • reticulospinal tract - involved with visceral motor functions; skeletal muscle tone; breathing; unskilled movements • tectospinal tract - control reflexive movements of eye, head, neck, arm in response to visual stimuli Descending Tracts Fig. 15.4, p. 545 Spinal Cord Trauma • Paralysis - loss of motor function due to damage of motor neurons or anterior horn ° flaccid paralysis - caused by damage to ventral (anterior) root or anterior horn (LMN are damaged) - no stimulation to muscle, which atrophies from disuse ° spastic paralysis - caused by damage to UMN (brain damage or spinal cord damage) - muscles stimulated in response to somatic reflexes (loss of muscle tone without atrophy) Spinal Cord Trauma Paresthesia - abnormal sensory input (e.g., “pins and needles”) as from damage to sensory neuron • Transection of cord - spinal cord itself is damaged (“cut”) results in paralysis and sensory loss below (inferior to) level of injury ° quadriplegia -- results when damage is done in cervical region; all limbs are affected ° paraplegia -- results when damage is done in thoracic region (between T1 and L1); only lower limbs are affected • Spinal Cord Trauma • Spinal shock - transient period of functional loss ° depression of somatic (e.g., stretch, withdrawal) and visceral reflexes (e.g., bowel, bladder, BP) ° lasts few to 48 hours (if longer, get permanent paralysis) • Hemiplagia - paralysis on one side; reflects brain damage (e.g., stroke)