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Spinal Cord Basics

Tanya Warwick, M.D.

Spinal Cord Basics Tanya Warwick, M.D. Ascending: 1. Fasciculus gracilis - LE 2. Fasciculus cuneatus -
Spinal Cord Basics Tanya Warwick, M.D. Ascending: 1. Fasciculus gracilis - LE 2. Fasciculus cuneatus -

Ascending:

  • 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

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

2/3

Posterior

1/3

Disc Disease

90% L4 -5 or L5 – S1 10% C5 – 6 or C6 – 7

Spinal Cord Syndromes

Anterior Cord Syndrome – (b) corticospinal and (b) spinothalamic. If S2-4 – lose BB control. If

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

Familial Spastic Paraparesis

Familial Spastic

Paraparesis

Tabes Dorsalis

Tabes Dorsalis

SMA and Polio

SMA and Polio

Central Cord Syndrome – cape anesthesia, UE weakness > LE, urinary retention.

Central Cord Syndrome – cape anesthesia, UE weakness > LE, urinary retention.

ALS

ALS

SCD

SCD

Brown Sequard Syndrome – Ipsi weakness, decrease light touch, propropioception, vibration, contralate ral loss pain and

Brown Sequard Syndrome – Ipsi weakness,

decrease light touch, propropioception,

vibration, contralateral loss pain and temperature. If > T1 – Horner’s secondary to hypothalamospinal tract.

Posterior Spinal artery

Posterior Spinal artery

Spinocerebellar Degeneration

Spinocerebellar

Degeneration