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Medulla Spinalis

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

Lower cervical and upper thoracic — 1 = C4 ~ T3


region (C5~T4)
Middle thoracic region (T5~T8) — 2 = T3 ~ T6

Lower thoracic region (T9~T12) — 3 = T6 ~ T9

Lumber segments = T10 ~ T12


Sacral and coccygeal segments = L1

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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

Anterior 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

Tectospinal tract Medial longitudinal fasciculus


Descending Anterior
tracts corticospinal tract
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Descending tracts
Tract Site of origin Funiculus Termination Function
Lateral Cerebral cortex Lateral Laminae Voluntary movement
corticospinal Ⅳ~Ⅸ
Anterior Cerebral cortex Anterior anterior
corticospinal horn

Rubrospinal Red nucleus Lateral Laminae Excitatory of flexors


Ⅶ~Ⅶ
Vestibulospinal Homolateral Anterior Laminae Excitatory of extensors
vestibular nuclei Ⅶ~Ⅷ

Reticulospinal Reticular Anterior Laminae Voluntary movement


formation and lateral Ⅶ~Ⅷ

Medial Vestibular Anterior Laminae Coordinate neck with eye


longitudinal nuclei Ⅶ~Ⅷ movement
fasciculus
Tectospinal Superior Anterior Laminae
colliculus Ⅵ~Ⅷ
Fasciculus Spinal cord Anterior, Spinal cord Intrinsic reflex
proprius lateral and mechanism of spinal cord
posterior 23
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❑ TRACTUS/FASCICULUS
1. Tractus Spinothalamicus Anterior (touch +
press)
2. Tractus Spinothalamicus Lateralis (pain +
thermal)
3. Tractus Spinocerebellaris Ant/Ventral (muscle
tones+ tendo)
4. Tractus Spinocerebellaris Post/Dorsal (muscle
tones+ tendo)
5. Tractus Corticospinalis Ant/Lat (motoric)
6. Fasciculus Cuneatus
7. Fasciculus Gracilis

(position, movement,
discrimination,vibration)

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Question ?

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