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14 SpinalCordTractsReflexes Fall2023
14 SpinalCordTractsReflexes Fall2023
14 SpinalCordTractsReflexes Fall2023
Nervous System
Chapter 13
• Discuss the anatomy of key functional brain systems
• Limbic system
• Reticular formation
Functional brain
systems
Structures on medial aspects of cerebral hemispheres and diencephalon
Fornix: fiber tract that links limbic system regions
Includes parts of diencephalon and some cerebral structures that encircle brain stem
Large part of emotional or affective brain
Amygdaloid body: recognizes angry or fearful facial expressions, assesses danger, and
elicits fear response
Cingulate gyrus: plays role in expressing emotions via gestures and resolves mental
conflict
Limbic system
Limbic system puts emotional responses to odors
Example: skunks smell bad
Reticular
formation
Extends through central core of brain stem
Three broad columns run length of brain stem
Raphe nuclei
Medial (large cell) group of nuclei
Lateral (small cell) group of nuclei
Reticular
formation
Reticular activating system
(RAS)
Sends impulses to cerebral
cortex to keep it conscious and
alert
Filters out repetitive, familiar,
Reticular or weak stimuli (~99% of all
formation stimuli is not relayed to
consciousness)
Inhibited by sleep centers,
alcohol, drugs
Severe injury can result in
permanent unconsciousness
(coma)
Motor function of reticular
formation helps control coarse
limb movements via
reticulospinal tracts
Reticular Reticular autonomic centers
formation regulate visceral motor
functions
Vasomotor centers
Cardiac center
Respiratory centers
Limbic system dysfunction can lead to:
Anxiety
Depression
Clinical Mood swings/emotional dysregulation
Autism
connection:
limbic & Reticular system dysfunction can lead to:
reticular systems
Narcolepsy
REM sleep disorders & Parkinson’s
Sleep apnea
Coma
Brain review!
Brain review!
Brain review!
• Discuss the anatomy of key functional brain systems
• Limbic system
• Reticular formation
Dura mater
Dura mater extends inward in several areas to form flat partitions that divide cranial
cavity
Partitions referred to as dural septa
Act to limit excessive movement of brain
Three main septa:
Falx cerebri: in longitudinal fissure; attached to crista galli
Falx cerebelli: along vermis of cerebellum
Tentorium cerebelli: horizontal dural fold over cerebellum and in transverse fissure
Pia mater
Delicate connective tissue that clings tightly to brain, following every convolution
Brain meninges: Contains many tiny blood vessels that feed brain
Dura
Arachnoid
Pia
Cerebrospinal fluid (CSF) forms a liquid
cushion of constant volume around brain
Functions
Gives buoyancy to CNS structures
Cerebrospinal Reduces weight of brain by 97% by floating it
so it is not crushed under its own weight
Fluid (CSF) Protects CNS from blows and other trauma
Nourishes brain and carries chemical signals
Blood brain
barrier (BBB)
• Discuss the anatomy of key functional brain systems
• Limbic system
• Reticular formation
Functions
Spinal cord Provides two-way communication to and from brain and
body
Major reflex center: reflexes are initiated and completed at
spinal cord
Protected by bone, meninges, and CSF
Spinal dura mater is one layer thick
Does not attach to vertebrae
Epidural space
Spinal cord Cushion of fat and network of veins in space
between vertebrae and spinal dura mater
anatomy CSF fills subarachnoid space between arachnoid
and pia maters
Dural and arachnoid membranes extend to
sacrum, beyond end of cord at L1 or L2
Site of lumbar puncture or tap
Spinal cord terminates in cone-shaped structure called
conus medullaris
Filum terminale extends to coccyx
Spinal cord Fibrous extension of conus covered with pia mater
Anchors spinal cord
anatomy Denticulate ligaments
Extensions of pia mater that secure cord to dura mater
Cervical and lumbar enlargements: areas where nerves
servicing upper and lower limbs arise from spinal cord
Spinal cord terminates in cone-shaped
structure called conus medullaris
Filum terminale extends to coccyx
Fibrous extension of conus covered
with pia mater
Spinal cord Anchors spinal cord
Spinal cord
anatomy
Gray matter and spinal roots
Cross section of cord resembles butterfly or letter “H”
Three areas of gray matter are found on each side of center and are mirror images:
Dorsal horns: interneurons that receive somatic and visceral sensory input
Ventral horns: some interneurons; somatic motor neurons
Lateral horns (only in thoracic and superior lumbar regions): sympathetic neurons
Spinal cord
anatomy
Gray matter and spinal roots (cont.)
Gray commissure: bridge of gray matter that connects masses of gray matter on either side
Encloses central canal
Ventral roots: bundle of motor neuron axons that exit the spinal cord
Dorsal roots: sensory input to cord
Dorsal root (spinal) ganglia: cell bodies of sensory neurons
Spinal nerves: formed by fusion of dorsal and ventral roots
Spinal cord
anatomy
Gray matter divided into four groups based on of somatic or visceral innervation
Somatic sensory (SS), visceral sensory (VS), visceral (autonomic) motor (VM) and
somatic motor (SM)
Spinal cord
anatomy
White matter
Myelinated and nonmyelinated nerve fibers allow communication between parts of spinal
cord, and spinal cord and brain
Run in three directions
Ascending: up to higher centers (sensory inputs)
Descending: from brain to cord or lower cord levels (motor outputs)
Transverse: from one side to other (commissural fibers)
Spinal cord
anatomy
White matter is divided into three white columns (funiculi) on each side
Dorsal (posterior)
Lateral
Ventral (anterior)
Each spinal tract is composed of axons with similar destinations and functions
Spinal cord
anatomy
White matter is divided into three white columns (funiculi) on each side
Dorsal (posterior)
Lateral
Ventral (anterior)
Each spinal tract is composed of axons with similar destinations and functions
Spinal cord
anatomy
Spinal cord trauma can lead to:
Paresthesias: caused by damage to dorsal
roots or sensory tracts
Leads to sensory function loss
Paralysis: caused by damage to ventral roots
or ventral horn cells
Clinical Leads to motor function loss
Major tracts of Four key points about spinal tracts and pathways:
Decussation: Most pathways cross from one side of CNS to other at some point
the nervous Relay: Consist of chain of two or three neurons
Dorsal horn,
Somatosensory
Pain & temperature Sensory neurons in thalamus,
Spinothalamic cortex (postcentral Spinal cord
sensation skin somatosensory
gyrus)
cortex
Tracts to focus
your studying on: Dorsal column Proprioception & Sensory neurons in
Somatosensory
cortex (postcentral
Medulla, thalamus,
somatosensory Lower medulla
medial lemniscus soft/fine touch skin & joints
gyrus) cortex
Motor &
Voluntary motor Motor Ventral horn, Pyramids/medulla
Corticospinal somatosensory
control neurons/muscles muscles oblongata
cortex
• Discuss the anatomy of key functional brain systems
• Limbic system
• Reticular formation
Distinction
between muscle
spindles & Golgi
tendon organs
Maintaining balance Regulating muscle tension Avoiding painful stimuli
when standing & walking to not damage muscles or insertion points such as stepping on a nail
(muscle spindles) (golgi tendon organs) (cutaneous & nocioceptive receptors)
Functions of
spinal reflexes
Composed of a few intrafusal muscle
fibers that lack actin & myosin in their
central regions, making them non-
contractile. Instead, they are receptive
surfaces.
Anatomy of the Wrapped by two types of afferent
muscle spindle endings: type Ia fibers (primary
sensory endings) and type II fibers
(secondary sensory endings)
These regions are innervated by
gamma (γ) motor fibers.
Let’s look at the
muscle spindle in
a little more
detail & see how
the components
work together.
Stretching the muscle
Let’s look at the activates the muscle
spindle, causing an
muscle spindle in increased rate of
action potentials on Ia
a little more fibers.
detail & see how Contracting the
the components muscle reduces tension
on the muscle spindle,
work together. causing a decreased
rate of action
potentials on Ia fibers
Muscle spindle
histology in
rabbit
Made up of strands of collagen that are
connected at one end to the muscle
fibers, and merge onto the actual tendon
on the other end.
Anatomy of the Each tendon organ is innervated by a
Golgi tendon single afferent type Ib sensory nerve
fiber (Aɑ fiber) that branches and
organ terminates as spiral endings around the
collagen strands.
The Ib afferent axon is a large
diameter, myelinated axon.
Let’s look at the
Golgi tendon
organ in a little
more detail & see
how the
components
work together.
Golgi tendon
organ histology
in rabbit
Flexor
Muscle that decreases angle of joint when contracted
Extensor
Muscle that increases angle of joint when contracted
Agonist
Physiology Muscle that produces the primary/major force to complete a
movement (bicep in a bicep curl)
vocab review
Antagonist
Muscle that produces the opposite motion of the agonist
Synergist
Muscle that stabilizes a joint during movement, helping the agonist
Also known as the knee-jerk, or myotatic reflex.
It is usually monosynaptic.
Modification of
reflex responses
Depending on the context,
Modification of the same reflex pathway
reflex responses can execute a different
behavioral response.
Suprasinal inputs can help “reverse” the Golgi
tendon reflex
Descending pathways converge onto the Ib inhibitory
interneurons along with input from the Ib afferents,
and are able to influence the Golgi tendon reflex
This can cause the reflex to have a net excitatory
Modification of effect on the signaling muscle!
reflex responses
Alpha-Gamma coactivation helps
keep muscle spindles activatable
When a muscle is fully
contracted, the spindle is
completely lax and unable to
sense any changes to muscle
Modification of length.
Gamma motor neurons help
reflex responses overcome this by shortening the
muscle spindle, even when the
muscle is contracted.
Cortical motor commands help
achieve this co-activation!
Tonic excitatory activity can modify spinal reflex strength
Modification of
reflex responses
Increased gain brings the motor neuron closer to threshold for firing an action
potential.
Modification of Cortical / Tonic Alpha-
Supraspinal Excitatory Gamma
reflex responses Inputs Activity Coactivation
Stimulus
Sensory Effect on
Reflex (Clinical Response
Receptor
Synapses
Muscle
Other Effects Function
Test)
Golgi Tendon
spinal reflexes (Autogenic
Inhibition,
Large force on
tendon (such
Muscle tension
decreases (e.g. Golgi tendon Polysynaptic (via
Inhibits Also inhibits
Protective,
prevents
as pulling on homonymous synergist & excites
Inverse drop a stack of organ (Ib) interneuron) tendon
muscle when (same muscle) antagonist muscles
Myotatic) books) damage
resisted)
Reflex
Protective,
Sharp, painful Also inhibits
Flexor Limb is rapidly Cutaneous withdrawal
stimulus (such Polysynaptic (via Excites flexor extensor muscle of
(Withdrawal) withdrawn (skin) & pain from
as stepping on interneuron) muscle same limb & excites
Reflex from stimulus receptors painful
a nail) on opposite limb
stimuli
• Discuss the anatomy of key functional brain systems
• Limbic system
• Reticular formation
Cranial nerves
Memorize them!!! Find a mnemonic that works for you, there are lots
You must memorize the order and function of each and be able to identify them on a
ventral view of the brain, but you don’t need to know the details about their
pathways in the brain
Cranial nerves
Cranial nerves
Olfactory nerve
(I, 1)
Optic nerve
(II, 2)
Oculomotor
nerves
(III, 3)
Trochlear nerves
(IV, 4)
Trigeminal
nerves
(V, 5)
Abducens nerves
(VI, 6)
Facial nerves
(VII, 7)
Facial nerves
(VII, 7)
Vestibulocochlear
nerves
(VIII, 8)
Glossopharyngeal
nerves
(IX, 9)
Vagus nerve
(X, 10)
Accessory nerves
(XI, 11)
Hypoglossal
nerves
(XII, 12)
Once again –
memorize the
cranial nerves!
Break before lab