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SPINAL CORD
SPINAL CORD
 Brain and spinal cord are parts of the central
Nervous system , except them everything else
comes under P.N.S.
It performs two main functions
 1 -conduction of impulses to and from the
brain
 2 -it processes sensory information in a limited
manner, making it possible for the cord to
initiate stereotyped reflex actions ( spinal
reflexes with out input from higher centers in
the brain).
SPINAL CORD
Spinal cord weighs about 30 grams
, comprises 2% of the adult brain
weight
1 cm In diameter
Average length
45 cm in male
42 cm in female
SPINAL CORD
 A. LOCATION
 B.ATTACHMENTS
 –denticulate ligaments Suspend and Anchor
the spinal cord within the DURAL SAC and
arises from the vascular pia matter
- filum terminale
-spinal nerve roots
GENERAL STRUCTURE OF SPINAL
CORD
GENERAL STRUCTURE OF
SPINAL CORD
GENERAL STRUCTURE OF
SPINAL CORD
Conus medullaris = Tip of spinal cord
filum terminale = a pial filament Extending from
C. medullaris to the end of dural sac. With
which it fuses.
Which extend up to the level of L1 and L2
31 pairs of mixed (motor and sensory ) spinal
nerves which passes through intervertebral
forminae except C1
GENERAL STRUCTURE OF
SPINAL CORD
Cervical nerves C1-C8
Thoracic nerves T1-T12
Lumbar nerves L1-L5
Sacral nerves S1-S5
Cocygeal nerve
GENERAL STRUCTURE OF
SPINAL CORD
Each portion of the cord that gives rise to a pair
of spinal nerves is called a spinal segment
At the end of spinal cord,the descending lumber
and sacral roots has the appearance of a
horse tail and therefore ---- cauda equina
Cervical enlargement ----- upper limb
(C5-T1)  Brachial plexus
Lumber enlargment ------ lower limb
(L1-S2)  Lumbo sacral plexus
SPECIAL CONSIDERATION
-The C1 and the cocceygeal nerves usually have
no dorsal (sensory) roots and no
corresponding dermatome
-C1 passes between the atlas and skull
-C2 between atlas and axis vertebrae
-All cervical spinal nerves passes above the
vertebrae
FUNCTIONAL COMPONENTS OF
SPINAL NERVE
COMPONENTS AND BRANCHES
OF SPINAL NERVE
COMPONENTS AND BRANCHES
OF SPINAL NERVE
COMPONENTS AND BRANCHES
OF SPINAL NERVE
D. White communicating ramus contains
myelinated Preganglionic sympathetic fibers
and myelinated GVA
-are found only in THORACOLUMBER
segments of the spinal cord T1-L3
MENINGES
 GREEK=membrane SINGULAR meninex
 PIA MATTER
, LATIN=faithful, gentle, pious
 ARACHNOID MATTER, GREEK=spider or
web
 DURA MATTER, LATIN=tough
MENINGES OF THE SPINAL
CORD
MENINGES OF THE SPINAL
CORD
ARACHNOID: mater forms a close lining of the dura
mater . The sub arachnoid space contains C.S.F.
It is largest in the region of the cauda equina.
PIA MATER contains a rich network of blood
vessels.
Spinal cord is held in a some what fixed position
with in the meninges by fibrous bridges that cross
the subarachnoid spaces joining pia mater
arachnoid and dura mater. The heaviest of the
bridges are the denticulate ligaments.
COMPOSITION OF SPINAL
CORD
 Like brain spinal cord consists of areas of
 white – myelinated processes of neurons
 and gray – nerves cell bodies and unmyelinated
inter neuronal nerve fiber.
Neuroglia the supportive cells are present in both
white and gray mater.
In contrast to cerebrum and cerebellum the gray
mater is centrally located and is surrounded by
white mater.
Gray mater
Letter H or butterfly shape
COMPOSITION OF SPINAL
CORD
Gray commisure
Central canal is in the gray commisure
Posterior (dorsal) horns
Anterior (ventral ) horns
In thoracic and lumber regions (T1_L3)
Gray mater also include lateral horns.
COMPOSITION OF SPINAL
CORD
 Alar plate consist of
 post horns composed of axons of sensory
neurons of spinal nerve and inter neurons that
transmit sensory information.
COMPOSITION OF SPINAL
CORD
COMPOSITION OF SPINAL
CORD
 BASAL PLATE consist of
 ANTERIOR HORN-somatic motor neurons.
Axon leaves the spinal cord and enter a spinal
nerve.
 LATERAL HORN – visceral motor neurons
COMPOSITION OF SPINAL
CORD
FUNCTIONAL COMPONENTS OF
A SPINAL NERVE
WHITE MATTER OF THE SPINAL CORD:
myelinated axons and travel in three direction
1- UP the spinal cord to higher level in the cord or
brain.
2-DOWN the spinal cord from the brain or higher
levels of the cord.
3-ACROSS the cord , transmitting impulses from
one side to the other.
white matter of each half of spinal cord is divided by
the gray matter into three areas
Post funiculus
Lateral funiculus
Ant funiculus
With in the funiculi there are small bundles of
nerve fibers called fasiculi = tracts.
A tract carry similar types of impulses to a
specific destination and are composed of the
conductive processes of neurons.
Ascending sensory = to brain
Descending motor = from brain down to the
motor neurons in the anterior or lateral gray
horns of spinal cord.
Most of the tracts have descriptive names that
indicate where they begin and where they
terminate.
Ascending spinal tract (sensory tracts)
These tracts of spinal cord carry afferent
(sensory)
Impulses from peripheral sensory receptors to
various centers in the brain.
These tracts generally contain three successive
neurons called
1st order (dorsal root ganglia)
2nd order (spinal cord or medulla)
3rd order (thalamus)
↓ ↓
cerebral cortex
Major sensory (Ascending)tracts are
1- fasciculus gracilis
2- fascilculus cuneatus
3- spinothalaamic tract
4- spino cereberullar tract
5 -spino reticular
6-spino mesencephalic
Fasciculus gracilis
} proprioception fine touch
Fascilis cuneatus
lateral spinothalamic } pain and temperature
Ant spinothalamic } touch and pressure
Four spino cerebellar tract
Anterior spino cerebellar tract
Posterior spino cerebellar tract
( unconscious proprioception )
Descending (motor ) spinal tracts
Brain  lower motor neurons
That regulate the activity of skeletal muscles i.e
voluntary skilled motor activity (limbs)
All of these tracts cross form one side of CNS to
the other and they all contain two or three
consecutive neurons .
Two types of descending spinal tracts
1-pyramidal tracts
2-extra pyramidal tracts
 THANK YOU
1-PYRAMIDAL TRACTS
Pyramidal tracts = corticospinal tract = uper motor
neurons
crossing at medulla to form lateral corticospinal
tract 80 % remaining 20 % form anterior
conticospinal tract which are uncrossed .
The remaining motor tracts are called extra
pyramidal tracts
They begin from various nuclei in the brain stem
and influence
Muscular action
Co-ordination
Balance
Visual and auditory stimuli and other functions
- Rubro spinal tract (crossed)
- Vestibulo spinal tract ( uncrossed)
- Tecto spinal tract (crossed)
- Olivo spinal tract
Over lapping of corticospinal ad extra pyramidal
tracts clean separation is not possible.
Pyramidal spinal tract = movement of the body
Extra pyramidal spinal tract = posture and
balance and to modify muscular contraction.

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Spinal cord=dr.khalid latifawan

  • 2.
  • 3. SPINAL CORD  Brain and spinal cord are parts of the central Nervous system , except them everything else comes under P.N.S. It performs two main functions  1 -conduction of impulses to and from the brain  2 -it processes sensory information in a limited manner, making it possible for the cord to initiate stereotyped reflex actions ( spinal reflexes with out input from higher centers in the brain).
  • 4. SPINAL CORD Spinal cord weighs about 30 grams , comprises 2% of the adult brain weight 1 cm In diameter Average length 45 cm in male 42 cm in female
  • 5. SPINAL CORD  A. LOCATION  B.ATTACHMENTS  –denticulate ligaments Suspend and Anchor the spinal cord within the DURAL SAC and arises from the vascular pia matter - filum terminale -spinal nerve roots
  • 6. GENERAL STRUCTURE OF SPINAL CORD
  • 8. GENERAL STRUCTURE OF SPINAL CORD Conus medullaris = Tip of spinal cord filum terminale = a pial filament Extending from C. medullaris to the end of dural sac. With which it fuses. Which extend up to the level of L1 and L2 31 pairs of mixed (motor and sensory ) spinal nerves which passes through intervertebral forminae except C1
  • 9. GENERAL STRUCTURE OF SPINAL CORD Cervical nerves C1-C8 Thoracic nerves T1-T12 Lumbar nerves L1-L5 Sacral nerves S1-S5 Cocygeal nerve
  • 10. GENERAL STRUCTURE OF SPINAL CORD Each portion of the cord that gives rise to a pair of spinal nerves is called a spinal segment At the end of spinal cord,the descending lumber and sacral roots has the appearance of a horse tail and therefore ---- cauda equina Cervical enlargement ----- upper limb (C5-T1)  Brachial plexus Lumber enlargment ------ lower limb (L1-S2)  Lumbo sacral plexus
  • 11. SPECIAL CONSIDERATION -The C1 and the cocceygeal nerves usually have no dorsal (sensory) roots and no corresponding dermatome -C1 passes between the atlas and skull -C2 between atlas and axis vertebrae -All cervical spinal nerves passes above the vertebrae
  • 15. COMPONENTS AND BRANCHES OF SPINAL NERVE D. White communicating ramus contains myelinated Preganglionic sympathetic fibers and myelinated GVA -are found only in THORACOLUMBER segments of the spinal cord T1-L3
  • 16.
  • 17.
  • 18. MENINGES  GREEK=membrane SINGULAR meninex  PIA MATTER , LATIN=faithful, gentle, pious  ARACHNOID MATTER, GREEK=spider or web  DURA MATTER, LATIN=tough
  • 19. MENINGES OF THE SPINAL CORD
  • 20.
  • 21. MENINGES OF THE SPINAL CORD ARACHNOID: mater forms a close lining of the dura mater . The sub arachnoid space contains C.S.F. It is largest in the region of the cauda equina. PIA MATER contains a rich network of blood vessels. Spinal cord is held in a some what fixed position with in the meninges by fibrous bridges that cross the subarachnoid spaces joining pia mater arachnoid and dura mater. The heaviest of the bridges are the denticulate ligaments.
  • 22. COMPOSITION OF SPINAL CORD  Like brain spinal cord consists of areas of  white – myelinated processes of neurons  and gray – nerves cell bodies and unmyelinated inter neuronal nerve fiber. Neuroglia the supportive cells are present in both white and gray mater. In contrast to cerebrum and cerebellum the gray mater is centrally located and is surrounded by white mater. Gray mater Letter H or butterfly shape
  • 23. COMPOSITION OF SPINAL CORD Gray commisure Central canal is in the gray commisure Posterior (dorsal) horns Anterior (ventral ) horns In thoracic and lumber regions (T1_L3) Gray mater also include lateral horns.
  • 24. COMPOSITION OF SPINAL CORD  Alar plate consist of  post horns composed of axons of sensory neurons of spinal nerve and inter neurons that transmit sensory information.
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  • 27. COMPOSITION OF SPINAL CORD  BASAL PLATE consist of  ANTERIOR HORN-somatic motor neurons. Axon leaves the spinal cord and enter a spinal nerve.  LATERAL HORN – visceral motor neurons
  • 29. FUNCTIONAL COMPONENTS OF A SPINAL NERVE WHITE MATTER OF THE SPINAL CORD: myelinated axons and travel in three direction 1- UP the spinal cord to higher level in the cord or brain. 2-DOWN the spinal cord from the brain or higher levels of the cord. 3-ACROSS the cord , transmitting impulses from one side to the other. white matter of each half of spinal cord is divided by the gray matter into three areas
  • 30. Post funiculus Lateral funiculus Ant funiculus With in the funiculi there are small bundles of nerve fibers called fasiculi = tracts. A tract carry similar types of impulses to a specific destination and are composed of the conductive processes of neurons.
  • 31. Ascending sensory = to brain Descending motor = from brain down to the motor neurons in the anterior or lateral gray horns of spinal cord. Most of the tracts have descriptive names that indicate where they begin and where they terminate. Ascending spinal tract (sensory tracts) These tracts of spinal cord carry afferent (sensory)
  • 32. Impulses from peripheral sensory receptors to various centers in the brain. These tracts generally contain three successive neurons called 1st order (dorsal root ganglia) 2nd order (spinal cord or medulla) 3rd order (thalamus) ↓ ↓ cerebral cortex
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  • 34. Major sensory (Ascending)tracts are 1- fasciculus gracilis 2- fascilculus cuneatus 3- spinothalaamic tract 4- spino cereberullar tract 5 -spino reticular 6-spino mesencephalic
  • 35. Fasciculus gracilis } proprioception fine touch Fascilis cuneatus lateral spinothalamic } pain and temperature Ant spinothalamic } touch and pressure
  • 36. Four spino cerebellar tract Anterior spino cerebellar tract Posterior spino cerebellar tract ( unconscious proprioception )
  • 37. Descending (motor ) spinal tracts Brain  lower motor neurons That regulate the activity of skeletal muscles i.e voluntary skilled motor activity (limbs) All of these tracts cross form one side of CNS to the other and they all contain two or three consecutive neurons .
  • 38. Two types of descending spinal tracts 1-pyramidal tracts 2-extra pyramidal tracts
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  • 60. 1-PYRAMIDAL TRACTS Pyramidal tracts = corticospinal tract = uper motor neurons crossing at medulla to form lateral corticospinal tract 80 % remaining 20 % form anterior conticospinal tract which are uncrossed .
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  • 62. The remaining motor tracts are called extra pyramidal tracts They begin from various nuclei in the brain stem and influence Muscular action Co-ordination Balance Visual and auditory stimuli and other functions
  • 63. - Rubro spinal tract (crossed) - Vestibulo spinal tract ( uncrossed) - Tecto spinal tract (crossed) - Olivo spinal tract
  • 64. Over lapping of corticospinal ad extra pyramidal tracts clean separation is not possible. Pyramidal spinal tract = movement of the body Extra pyramidal spinal tract = posture and balance and to modify muscular contraction.