Week 3

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1
The term plexus refers to?
A branching network of vessels or nerves on the spinal cord
2
What is the Cauda Equina?
It is the end of the spinal cord
3
What is the Conus medullaris?
It is a thread like structure that the spinal nerves emerge from the spinal cord and exit the vertebral column
4
What is the function of the Filum terminale, and where is it located?
The Filum terminale is a thread-like structure made of fibrous tissue that extends from the tip of the conus medullaris to the tailbone. Its function is to provide longitudinal support and stabilization to the spinal cord.
5
What are the difference region of the spinal cords?
They are cervical, thoracic, lumbar, sacral and coccyx
6
What's cervical number are especially important in the spinal cord?
Cervical 3-5
7
Where do the first 7 cervical spinal nerves lie in relation to the corresponding vertebrae in the spinal cord?
The first 7 cervical spinal nerves lie above the corresponding vertebrae
8
Where do all other spinal nerves lie in relation to the corresponding vertebrae in the spinal cord?
All other spinal nerves lie below the corresponding vertebrae
9
What is grey matter composed of?
They are composed of cell bodies
10
What is the function of dorsal horn?
It processess sensory information
11
What is the function of ventral horn?
It processes motor information
12
What is the function of lateral horn?
It processes autonomic information
13
What is white matter composed of?The dorsal (afferent) root contains sensory axons responsible for bringing information into the spinal cord.
It is made up of travelling axons
14
Which cranial nerves are part of the PNS?
The cranial nerves 3 to 12
15
How do cranial nerves enter/exit the central nervous system (CNS) and what is their total number?
Cranial nerves (10 pairs) enter/exit the CNS via the brainstem
16
What is the structure of spinal nerves and how do they connect to the CNS?
Spinal nerves (31) contain sensory and motor axons from a single spinal segment and enter/exit the CNS via the spinal cord
17
What is the role of the dorsal (afferent) root in the spinal cord?
The dorsal (afferent) root contains sensory axons responsible for bringing information into the spinal cord
18
What is the function of the ventral (efferent) root in the spinal cord?
he ventral (efferent) root contains motor axons (efferent) that carry information from the spinal cord to the body segments, enabling motor functions
19
What type of axon is dorsal root?
It is a afferent axon
20
What type of axon is ventral root?
It is a efferent axon
21
What type of neuron are dorsal root and ganglion?
They are sensory axons
22
What type of neuron are ventral root?
They are motor neuron
23
What type of neuron are spinal nerve?
They are mixed being both motor and sensory neurons
24
What does the dorsal ramus supply, and which areas of the body does it serve?
The dorsal ramus supplies muscles of the back and the overlying skin
25
What structures does the ventral ramus supply, and what is its function?
The ventral ramus supplies muscles of the trunk and limbs, as well as the overlying skin
26
What is the dermatomes?
They are the area of skin innvervated by a single spinal nerve
27
What is the myotome?
They are the group of muscles innervated by a single spinal nerve
28
What is paraplegia and what area of the spinal cord is typically affected in this condition?
Paraplegia refers to paralysis of the lower limbs resulting from an injury to the thoracic and lumbar cord
29
What is the most common level of injury associated with paraplegia?
The most common level of injury associated with paraplegia is T12/L1
30
What is quadriplegia (tetraplegia) and what part of the spinal cord is affected in this condition?
Quadriplegia, or tetraplegia, is characterized by paralysis of both the upper and lower limbs due to an injury to the cervical cord
31
What is the most common level of injury associated with quadriplegia (tetraplegia)?
The most common level of injury associated with quadriplegia (tetraplegia) is C4-5
32
Define paresis and what type of sensation is typically affected by it?
Paresis refers to partial loss of voluntary movement and can result in partial loss of all forms of sensation
33
What is analgesia and how does it affect an individual's perception of pain?
Analgesia refers to the inability to feel pain or reduced pain sensitivity
34
Describe paralysis and what it entails in terms of muscle control?
Paralysis is the loss of ability to move voluntarily due to the inability to contract muscles
35
What distinguishes paresis from paralysis?
Paresis involves partial loss of voluntary movement, whereas paralysis entails complete loss of voluntary muscle control
36
What is a segmental lesion, and how does it affect neural function?
A segmental lesion affects the function of a specific spinal cord segment. These lesions interfere with neural function only at the level of the lesion
37
What characterizes a vertical tract lesion, and what consequence does it have on neural communication?
A vertical tract lesion involves the interruption of ascending and descending information pathways in the spinal cord. Such lesions result in a loss of function below the level of the lesion
38
What are the consequences of a segmental nerve lesion at the horn, root, or spinal nerve level?
A segmental nerve lesion at the horn, root, or spinal nerve level can result in altered or lost sensation in a dermatome at that level, decreased or lost muscle power in a myotome at that level, and decreased or lost stretch reflex
39
What are the effects of a vertical tract lesion?
A vertical tract lesion can lead to altered or lost sensation below the level of the lesion, motor tract signs including decreased or loss of muscle power, spasticity, and muscle hypertonia, as well as altered or lost control of blood pressure, bladder and bowel control, and thermoregulation
40
What happens when there are vertical tract lesions to the spinal cord?
Vertical tract lesions to the spinal cord affect the motor pathways of the spinal cord, which include both sensory and motor functions
41
How do segmental lesions to the spinal cord impact the body?
Segmental lesions to the spinal cord affect the corresponding dermatome and myotome levels of the body
42
What are the two classification of spinal cord injuries?
They are either complete injury or incomplete injury
43
How is an incomplete injury defined in relation to spinal cord damage?
An incomplete injury exhibits variable levels of sensation and/or movement in one limb compared to the other
44
What characterizes a complete injury in terms of spinal cord damage?
A complete injury entails no sensation and no voluntary movement below the spinal cord lesion
45
What is the meninges?
They are three protective connective tissue lauyers that surround the brain, brainstem and spinal cord
46
What are the 4 function of the meninges?
Cover and protect the CNS, protect blood vessels on the surface of the CNS, form dural venous sinuses and cerebrospinal fluid is located in the subarachnoid space
47
What are the three layers of meninges (in order)?
DAP -> Dura mater, arachnoid mater and pia mater
48
What are the characteristics of the dura mater?
The dura mater is a two-layered sheet of fibrous connective tissue
49
What structures does the dura mater form within the skull?
The dura mater forms dural venous sinuses
50
In addition to its other functions, what else does the dura mater form?
The dura mater forms septa within the skull
51
What is the arachnoid mater?
The arachnoid mater is a layer of the meninges that serves as a loose weblike covering of the brain
52
What are arachnoid granulations, and what is their function?
Arachnoid granulations are small projections found in the arachnoid mater. They allow cerebrospinal fluid (CSF) to re-enter the circulation via dural venous sinuses
53
Where is the arachnoid mater located in relation to the subarachnoid space?
The arachnoid mater is superficial to the subarachnoid space
54
What are the characteristics of the pia mater?
he pia mater is a delicate layer that clings closely to brain tissue and provides a dense, rich blood supply to the underlying neural tissue
55
Where is the lateral ventricle located?
It is found in the cerebral hemispheres
56
Where is the third ventricle located?
It is found in the between the rights and left thalamus
57
Where is the fourth ventricle located?
It is found in the posterior to pons and medulla
58
What is the role of the vertebral artery in the brain?
The vertebral artery leads blood to a specific part of the brain
59
How do the basilar artery and internal carotid arteries contribute to the circulation of the brain?
The basilar artery and internal carotid arteries link up on the inferior surface of the brain to form the Circle of Willis
60
What is the circle of willis?
A ring of vessels connecting the anterior and posterior circulations of the brain
61
What are the 3 major paired cerebral arteries arise from the circle of willis?
They are the anterior cerebral, middle cerebral, posterior cerebral
62
What are the three vascular territories?
Anterior cerebral artery, middle cerebral artery and posterior cerebral artery
63
Draw the three vascular territories?
Should have anterior, middle and posterior cerebral artery
64
What areas does the anterior cerebral artery supply?
The anterior cerebral artery supplies the medial cortical surfaces of the frontal and parietal lobes, particularly the prefrontal cortex, and the lower limb region
65
What are the signs of involvement associated with the anterior cerebral artery?
Signs of involvement with the anterior cerebral artery include paralysis of the contralateral lower limb, sensory loss in the contralateral lower limb, mental impairments, and urinary incontinence
66
What regions does the middle cerebral artery supply?
The middle cerebral artery supplies the entire lateral cortical surface of the frontal, parietal, and temporal lobes
67
Which areas of the body are supplied by the middle cerebral artery?
The middle cerebral artery supplies the head, upper limb, and thoracic area
68
What specific functions or areas does the middle cerebral artery support?
The middle cerebral artery supports hearing and language areas, as well as the frontal cortex, basal ganglia, and internal capsule
69
What regions does the posterior cerebral artery supply?
he posterior cerebral artery supplies the occipital lobe and the inferior cortical surfaces of the temporal and parietal lobes
70
Where do the terminal branches of the posterior cerebral artery anastomose, creating a watershed area?
The terminal branches of the posterior cerebral artery anastomose with branches of the middle cerebral artery (MCA) at the inferior margin of the occipital, temporal, and parietal lobes
71
What are the primary areas of function supplied by the posterior cerebral artery?
The posterior cerebral artery primarily supplies the visual area and the subthalamic nuclei
72
What are the signs of involvement associated with the posterior cerebral artery?
Signs of involvement with the posterior cerebral artery include contralateral homonymous hemianopia, where injury to one side of the brain affects the contralateral visual field in each eye
73
What is the function of the venous system in relation to the CNS and circulation?
The venous system exists to drain blood away from the CNS, returning it to the heart and pulmonary area for circulation
74
Why does the venous system exist within the CNS?
The venous system exists to drain blood away from the CNS and return it to the heart and pulmonary area
75
What are the major pathways for blood drainage within the CNS?
The inferior and superior sagittal sinuses serve as major pathways for blood to drain into and away from the CNS. This occurs through the confluence, followed by the transverse sinus and jugular vein
76
What is a stroke?
A stroke is sudden and unexpected damage to brain cells, leading to symptoms lasting more than 24 hours in the parts of the body controlled by those affected cell
77
What causes a stroke to occur?
Stroke occurs when the blood supply to part of the brain is suddenly disrupted, either due to blockage of an artery or bleeding within the brain
78
What happens if there is no blood flow to the brain during a stroke?
Without blood flow, there is no oxygen supplied to brain cells, resulting in the death of neural tissue
79
How do the symptoms of a stroke manifest?
Symptoms of a stroke vary depending on which area of the brain is affected
80
What are the two major types of strokes?
The two major types of strokes are ischemic stroke, caused by blockage of an artery, and hemorrhagic stroke, caused by bleeding within the brain
81
What is the most common cause of stroke?
Ischemic stroke is the most common cause of stroke
82
What occurs in an ischemic stroke?
In an ischemic stroke, the artery supplying vital nutrients to the brain becomes blocked
83
What characterizes a hemorrhagic stroke?
A hemorrhagic stroke involves a brain hemorrhage, which happens when an artery bursts inside the brain
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