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Spinal Cord Basics

Spinal Cord Basics

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Published by: cpradheep on Feb 06, 2010
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Spinal Cord Basics

Tanya Warwick, M.D.

1. Fasciculus gracilis - LE 2. Fasciculus cuneatus - UE 3. Tractus spinocerebellaris dorsalis 4. Tractus corticospinalis lateralis 5. Tractus spinothalamicus lateralis 6. Tractus spinocerebellaris ventralis 7. Tractus rubrospinalis 8. Tractus spinotectalis 9. Tractus corticospinalis anterior 10. Tractus olivospinalis 11. Tractus spinoolivaris 12. Tractus tectospinalis 13. Tractus reticulospinalis 14. Tractus vestibulospinalis 15. Tractus spinothalamicus anterior

Ascending: Dorsal Column – light touch, vibration, proprioception, tactile discrimination Crosses medulla (internal arcuate fibers) to medial lemniscus and VPL Receives fibers from pacinian corpuscles, Meissner’s, joint receptors, muscle spindles, and golgi tendon organs. Spinothalamic Tract – pain and temperature (from free nerve endings, Adelta and C fibers) Descending: Corticospinal Tract – 80% lateral 20% ventral / medial

Blood Supply to Spinal Cord Anterior Posterior Disc Disease 90% L4 -5 or L5 – S1 10% C5 – 6 or C6 – 7 Spinal Cord Syndromes 2/3 1/3

SMA and Polio Anterior Cord Syndrome – (b) corticospinal and (b) spinothalamic. If S2-4 – lose BB control. If > T2, (b) Horners.

Brown Sequard Syndrome – Ipsi weakness, decrease light touch, propropioception, vibration, contralateral loss pain and temperature. If > T1 – Horner’s secondary to hypothalamospinal tract.

Central Cord Syndrome – cape anesthesia, UE weakness > LE, urinary retention. Posterior Spinal artery Familial Spastic Paraparesis


Tabes Dorsalis

Spinocerebellar Degeneration


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