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Ch 13: Central Nervous
System: Part 2

1. Meninges

2. CSF

3. Spinal Cord and Spinal Nerves

Explain spinal cord anatomy, including gray and white
matter and meninges (give the general functions of this
organ).

Discuss the structure and functions of the spinal nerves
and plexuses.

Describe the structural components of reflexes.

                                             Developed by
                                  John Gallagher, MS, DVM
1. Cranial Meninges
 Three layers:

1. Dura mater - strong, "tough mother"   2. Arachnoid - spidery, holds
    a. falx cerebri                      blood vessels
    b. falx cerebelli
                                         3. Pia mater - "delicate mother"
   c. tentorium cerebelli




                                                Note: Subdural hematoma
The meninges
2. CSF: Cerebrospinal Fluid
  Formation in ventricles by specialized ependymal
  cells of choroid plexus (~500 mL/day; total volume ~ 150
  mL)

  Functions
       transport medium (nutrients, waste)
       shock absorption
       buoyancy (floats the brain)

  CSF circulation: Ventricles → central canal →
  subarachnoid space

  An important diagnostic tool.
Hydrocephalus?
Longitudinal
fissure




 Arachnoid granulations: This is where the CSF produced in the
 choroid plexuses of the ventricles and which has circulated into the
 subarachnoid space is reabsorbed.
Meningitis: inflammation of
meninges/CSF
 Bacterial
     Relatively rare
     Life threatening
     Antibiotics
 Fungal
 Viral—most common
     Younger
     Self-resolving
Blood Brain Barrier (BBB)
      Tight Junctions in capillary endothelium prevent
      passive diffusion into the brain. Lots of Active
      Transport, especially of H2O soluble compounds
      (think glucose).
      Fat soluble compounds readily pass the BBB
        E.g. steroid hormones, ADEK
      Major role of astrocytes

      3 areas in brain don’t have BBB
        portion of hypothalamus
        pineal gland (in diencephalon)
        choroid plexus
3. Spinal cord:
•   Resides inside vertebral canal

     •   Extends to L1/ L2

•   31 segments, each associated
    with a pair of dorsal root
    ganglia

•   Two enlargements
     •   Cervical and Lumbar

•   Conus medullaris

•   Cauda Equina

•   Filum Terminale
     •   Continuation of pia mater beyond
         the end of the spinal cord
                                            Fig. 13-29
Cervical Enlargement




Gray matter expanded to incorporate more sensory
input from limbs and more cell bodies for motor
control of limbs
Lumbar Enlargement




                     See fig 14-1
Spinal Meninges
Three membranes
surround all of CNS
                            2a) Subarachnoid

1) Dura mater - "tough
                            Space                  3) Pia mater
mother", strong. Note the
Epidural Space.              2) Arachnoid

2) Arachnoid - spidery
looking, carries blood
vessels, etc. Note the
Subarachnoid space
which contains CSF                             1) Dura mater
3) Pia mater - "delicate
mother", adheres tightly
to surface of spinal cord
Transverse Section




Fig 13.30    Compare the spinal roots with the model of the
             vertebral column in the lab. Note that the dura
             covers both the dorsal and ventral roots.
Lumbar Puncture vs. Epidural
                             Usually at L4-L5

•Lumbar puncture:
  •   Penetrates the dura,
      into the subarachoid
      space
  •   Sample CSF
  •   Spinal anesthetic
•Epidural
  •   ―Upon the dura‖
  •   Anesthesia
Organization of Spinal Cord
Gray matter - interior horns
  posterior - somatic and visceral sensory nuclei
  anterior (and lateral) gray horns – somatic and visceral motor control
  gray commissures - axons carrying information from side to side

White matter - tracts or columns
  posterior white column -
  anterior white column
  lateral white column
  anterior white commissure

  functions
  ascending tracts - sensory toward brain
  descending tracts - motor from brain
Sectional anatomy of spinal cord
Outer white part; inner gray butterfly
Organization of Spinal Nerves
1. Root – inside vertebral canal
   a. dorsal sensory root with a ganglion
   b. ventral motor root

2. Mixed   spinal nerve

3. Rami
   a. dorsal - mixed to skin and muscles of back
   b. ventral - mixed “spinal nerve” to ventrolateral body surfaces and
   limbs
   c. white ramus communicans motor ANS
   d. gray ramus communicans motor ANS
Reflexes
Fast, preprogrammed, inborn,
  automatic responses
Occur in the CNS at the spinal
  cord or brainstem levels
  (cranial nerves)
May be either monosynaptic or
  polysynaptic
All require
   a. stimulus at receptor
   b. sensory information relay
   c. processing at CNS level
   d. activation of motor
   response
   e. response of peripheral
   effector
Ascending and Descending Tracts
Dermatomes

Sensory innervations by
specific spinal nerves 
Each pair of spinal
nerves monitors specific
region of body surface.
Chapter13 cns part2marieb

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Chapter13 cns part2marieb

  • 1. Ch 13: Central Nervous System: Part 2 1. Meninges 2. CSF 3. Spinal Cord and Spinal Nerves Explain spinal cord anatomy, including gray and white matter and meninges (give the general functions of this organ). Discuss the structure and functions of the spinal nerves and plexuses. Describe the structural components of reflexes. Developed by John Gallagher, MS, DVM
  • 2. 1. Cranial Meninges Three layers: 1. Dura mater - strong, "tough mother" 2. Arachnoid - spidery, holds a. falx cerebri blood vessels b. falx cerebelli 3. Pia mater - "delicate mother" c. tentorium cerebelli Note: Subdural hematoma
  • 4. 2. CSF: Cerebrospinal Fluid Formation in ventricles by specialized ependymal cells of choroid plexus (~500 mL/day; total volume ~ 150 mL) Functions  transport medium (nutrients, waste)  shock absorption  buoyancy (floats the brain) CSF circulation: Ventricles → central canal → subarachnoid space An important diagnostic tool.
  • 6. Longitudinal fissure Arachnoid granulations: This is where the CSF produced in the choroid plexuses of the ventricles and which has circulated into the subarachnoid space is reabsorbed.
  • 7. Meningitis: inflammation of meninges/CSF Bacterial  Relatively rare  Life threatening  Antibiotics Fungal Viral—most common  Younger  Self-resolving
  • 8. Blood Brain Barrier (BBB) Tight Junctions in capillary endothelium prevent passive diffusion into the brain. Lots of Active Transport, especially of H2O soluble compounds (think glucose). Fat soluble compounds readily pass the BBB  E.g. steroid hormones, ADEK Major role of astrocytes 3 areas in brain don’t have BBB  portion of hypothalamus  pineal gland (in diencephalon)  choroid plexus
  • 9. 3. Spinal cord: • Resides inside vertebral canal • Extends to L1/ L2 • 31 segments, each associated with a pair of dorsal root ganglia • Two enlargements • Cervical and Lumbar • Conus medullaris • Cauda Equina • Filum Terminale • Continuation of pia mater beyond the end of the spinal cord Fig. 13-29
  • 10. Cervical Enlargement Gray matter expanded to incorporate more sensory input from limbs and more cell bodies for motor control of limbs
  • 11. Lumbar Enlargement See fig 14-1
  • 12. Spinal Meninges Three membranes surround all of CNS 2a) Subarachnoid 1) Dura mater - "tough Space 3) Pia mater mother", strong. Note the Epidural Space. 2) Arachnoid 2) Arachnoid - spidery looking, carries blood vessels, etc. Note the Subarachnoid space which contains CSF 1) Dura mater 3) Pia mater - "delicate mother", adheres tightly to surface of spinal cord
  • 13. Transverse Section Fig 13.30 Compare the spinal roots with the model of the vertebral column in the lab. Note that the dura covers both the dorsal and ventral roots.
  • 14. Lumbar Puncture vs. Epidural Usually at L4-L5 •Lumbar puncture: • Penetrates the dura, into the subarachoid space • Sample CSF • Spinal anesthetic •Epidural • ―Upon the dura‖ • Anesthesia
  • 15. Organization of Spinal Cord Gray matter - interior horns posterior - somatic and visceral sensory nuclei anterior (and lateral) gray horns – somatic and visceral motor control gray commissures - axons carrying information from side to side White matter - tracts or columns posterior white column - anterior white column lateral white column anterior white commissure functions ascending tracts - sensory toward brain descending tracts - motor from brain
  • 16. Sectional anatomy of spinal cord Outer white part; inner gray butterfly
  • 17. Organization of Spinal Nerves 1. Root – inside vertebral canal a. dorsal sensory root with a ganglion b. ventral motor root 2. Mixed spinal nerve 3. Rami a. dorsal - mixed to skin and muscles of back b. ventral - mixed “spinal nerve” to ventrolateral body surfaces and limbs c. white ramus communicans motor ANS d. gray ramus communicans motor ANS
  • 18. Reflexes Fast, preprogrammed, inborn, automatic responses Occur in the CNS at the spinal cord or brainstem levels (cranial nerves) May be either monosynaptic or polysynaptic All require a. stimulus at receptor b. sensory information relay c. processing at CNS level d. activation of motor response e. response of peripheral effector
  • 19.
  • 20.
  • 22. Dermatomes Sensory innervations by specific spinal nerves  Each pair of spinal nerves monitors specific region of body surface.