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SPINAL CORD STUDY NOTES, Study notes of Nursing

SPINAL CORD STUDY NOTES WITH MAIN TOPICS

Typology: Study notes

2022/2023

Available from 08/09/2023

WhitneyDarren
WhitneyDarren šŸ‡ŗšŸ‡ø

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Spinal
Cord
Introduction
:
•
Spinal
cord
lie
loosely
in
the
vertebral
canal
.
•
It
extends
from
foramen
magnum
where
it
in
continuous
with
medulla
oblongata
-
-
Dura
mater
.
Covered
by
sheaths
called
meninges
-1
Pia
mate
.
1-
Arachnoid
mater
.
.
Cylindrical
in
shape
.
length
-
-
45cm
em
ales
,
43
un
(
females
)
°
Two
spindle
-
shaped
swellings
,
namely
cervical
&
Lumbar
enlarge
-
merits
.
.
Come
-
shaped
termination
called
Conus
medullar
is
.
.
Non
-
nervous
filament
called
filum
terminal
e
extends
from
conns
medulla
mis
downward
to
the
fundus
g
dural
sac
at
level
g
second
sacral
vertebra
.
ca
,
cervical
-
8
g
segments
(
bi
Thoracic
=
12
correspond
to
•
Spinal
cord
=
31
segments
(
c
,
Lumbar
=
5
31
pains
g
spinal
(
nerve
-
ed
,
sacral
=
5
nerves
in
a
symmetrical
(
pair
)
ie
,
coccygeal
-
-
t
m
an
heir
.
.
•
Each
spinal
nerve
is
formed
by
an
anterior
(
ventral
)
root
and
a
posterior
(
dorsal
)
root
-
°
Both
the
roots
on
either
side
leave
the
spinal
cord
and
pass
through
the
corresponding
intervertebral
foramina
.
•
The
first
cervical
spinal
nerves
pass
through
a
foramen
between
occipital
bone
&
Atlas
.
.
Bundle
g
descending
roots
surrounding
the
filum
terminate
resembles
the
tail
g
horse
thus
called
cauda
equina
.
•
Anterior
surface
g
spinal
cord
,
deep
furrow
=
Ant
-
median
fissure
Depth
g
this
fissure
in
about
3mm
.
pf3
pf4
pf5

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Spinal Cord

Introduction :

Spinal

cord lie

loosely

in the vertebral^ canal.

  • (^) It extends

from foramen^ magnum

where it in continuous with

medulla

oblongata

    • (^) Duramater . Covered

by

sheaths (^) called

meninges

Piamate^.

Arachnoid mater^.

.

Cylindrical in^ shape.

length

    • 45cm emales,

43 un (

females )

° Two

spindle

shaped swellings , namely

cervical &^ Lumbar^

- enlargemerits

.

. Come^ -

shaped

termination (^) called Conus medullaris.

. Non^ -^ nervous filament called^ filum terminal^ e extends^ from conns

medullamis (^) downward (^) to the

fundus g^

dural sac at level

g second sacral vertebra^. ca , cervical^ -^8

g

segments

( bi^ Thoracic^ =^12

correspond

  • to

Spinal

cord =^31

segments ( c , Lumbar^ =^5

31

( nerve^ - pains g spinal

ed, sacral =^5 nerves in^ a

symmetrical

pair) ie ,

coccygeal

    • (^) t (^) m an he
  • (^) Each

spinal

nerve is^ formed

by

an anterior^ ( ventral^ ) root^ and a

posterior (

dorsal ) root^ -

° Both the roots (^) on either side (^) leave the

spinal

cord and^

pass through

the

corresponding

intervertebral

foramina

.

  • (^) The

first cervical^ spinal

nerves

pass through^

a foramen between

occipital

bone (^) & (^) Atlas.

. Bundle^ g

descending

roots

surrounding

the filum terminate resembles

the tail (^) g horse^ thus called cauda

equina

.

  • (^) Anterior

surface g^ spinal

cord ,

deep furrow

= Ant-^ median fissure

Depth g^

this fissure in^ about^ 3mm.

  • (^) lateral (^) to anterior median fissure , slight depression = Anterolateral sulcus.
  • (^) Gt (^) denotes (^) the exit g anterior (^) nerve root.
  • On (^) posterior (^) aspect.^ there^ is^ a depression = (^) Posterior median sulcus Test (^) extends inside the spinal cord for 5mm^ . . lateral^ to^ the posterior intermediate sulcus , in the^ posterolateral This denotes^ the entry g^ posterior^ nerve root^. sum. Internal (^) structure g (^) Spinal cord (^). . Neural substance g (^) spinal cord in divided into gray

matter and

outer white matter.

. Gray matter og (^) spinal cord is (^) the collection g nerve cell bodies^ ,

dendrites and

parts g^ axons. Gt in^ placed (^) centrally in the^ form 7 wing g^ butterfly .

  • Gray

matter contains two^

types g^ multipolar neurons^ : lls Golgi (^) type I (^) neurons : Have long axons and are usually found in (^) anterior horn.

Diseases

g (^) Spinal Cord it ' syringomyelia

: gt in^ a

spinal cord disorder (^) characterised by

the

presence og^ fluid^

  • filled cavities (^) in (^) the spinal cord. . (^) It (^) occurs due to the overgrowth g^ neuroglia

cells in

spinal cord accompanied (^) by cavity formation^

and accumulation

of (^) fluid .

  • (^) Characters tic features g this disease^ are the^ loss og (^) pain and temperature sensations and muscular weakness . (2) Tabes^ on^ sale's^ :^9 t^ in^ ano^ the^ disease^ og spinal cord^.^ Gt^ in slowly (^) progressive nervous disorder^ affecting both

the motor^ &

sensory functions^ g^ spinal^ cord. o g t occurs due to degeneration g posterior^ (sensory )^

nerve roots^.

It

usually occurs in^ syphilis.

. (^) Both sensory and motor^ functions are affected .

  • There^ in^ a loss^ g movement (^) ( Ataxia)
  • (^) Micturition reflexes

are lost^.

  • Urinary bladder becomes (^) Atomic bladder^. (^131) Multiple Selene

sis : Gt in a chronic and^

progressive (^) inflammatory disease characterised^ by demy^ himation in brain & spinal cord (^).

  • Cause in^ Unknown. Can be due (^) to combination (^) and interaction g environment^ factors and genetic factors^ resulting^ in

abnormal reactions 7 Immune

system .

  • Symptoms :^ ca^ ,^ Mild (^) disturbance (^) in sensations ( b, late^ a (^) Kness ( Ci^ Parle^ al^ blindness