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Medulla Spinalis: Bagian Anatomi Fkik-Uin Alauddin Makassar
Medulla Spinalis: Bagian Anatomi Fkik-Uin Alauddin Makassar
Saharuddin
Bagian Anatomi
FKIK-UIN ALAUDDIN MAKASSAR
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Medulla spinalis
Position
● Lies in vertebral canal
● Continuous above with medulla
oblongata at level of foramen
magnum
● Ends below at lower border of
L1 in adult; at birth at level of
L3
● Ascensus medulla
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External
●
features
A long cylindrical structure
and slightly flattened
anteroposteriorly,
● Conus medullaris
● Filum terminale
● Cauda equina
● Two enlargements
(intumescentia)
Cervical enlargement :
corresponds to the C4 to the
T1 segments
Lumbosacral
enlargement : corresponds
to the L2 to the S3 segments
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Fissure and sulci
● Fissura mediana anterior
● Sulcus mediana posterior
● Sulcus anterolateral-anterior (motor) roots emerge
serially
● Sulcus posterolateral-posterior (sensory) roots enter
spinal cord, each bear a spinal ganglion which constitutes
the first cell-station of the sensory nerves
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Relationship of segments
of spinal cord to vertebrae
● A portion of the cord that
gives rise to a pair of
spinal nerve constitutes a
segment.
● There are 31 segments
8 cervical
12 thoracic
5 lumbar
5 sacral
1 coccygeal
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Relationship of segments of spinal cord
to vertebrae
Spinal segments Vertebral levels (spines)
Upper cervical region (C1~C4) = C1 ~ C4
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Internal
● Central canal
structures
● Substansia grisea
◦ Cornu anterior (column)
◦ Cornu posterior (column)
◦ Intermediate zone
⚫ Cornu lateral(column)
◦ Commisura grisea anterior
◦ Commisura grisea posterior
● White matter
◦ Funiculus anterior
◦ Funiculus lateralis
◦ Funiculus posterior
◦ Commisura alba anterior
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Substantia albathree kinds of fibers:
White matter contains
ascending, descending, and fasciculus proprius
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Fasciculus cuneatus
Fasciculus gracilis
Posterior spinocerebellar tract
Spinothalamic tract
Ascending tracts
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Tract Site of origin Funiculus Termination Function
Ascending
Fasciculus
tracts
Spinal ganglia Posterior Gracile nucleus Convey
gracilis below segment proprioceptive
T5 and fine touch
Fasciculus Spinal ganglia Cuneate sensation of
cuneatus above segment nucleus trunk and limbs
T4
Posterior Homolateral Lateral Cerebellum Unconscious
spinocerebellar nucleus proprioception
thoracicus from lower limb
Anterior Contralateral and lower
spinocerebellar Laminae portion of trunk
Ⅴ~Ⅶ
Spinothalamic Laminae Ⅰ, Lateral Dorsal Pain,
Ⅳ~Ⅶ and thalamus temperature and
anterior simple touch
sensation of
trunk and limbs
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Lateral corticospinal tract
Rubrospinal tract
Reticulospinal tract
Vestibulospinal tract
(position, movement,
discrimination,vibration)
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Question ?
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