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Spinal cord

The spinal cord is a long, thin, tubular structure made up of nervous tissue, which extends from the medulla oblongata in the brainstem to the lumbar region of the vertebral column. It encloses the central canal of the spinal cord, which contains cerebrospinal fluid. The brain and spinal cord together make up the central nervous system (CNS). In humans, the spinal cord begins at the occipital bone, passing through the foramen magnum and entering the spinal canal at the beginning of the cervical vertebrae. The spinal cord extends down to between the first and second lumbar vertebrae, where it ends. The enclosing bony vertebral column protects the relatively shorter spinal cord. It is around 45 cm (18 in) in men and around 43 cm (17 in) long in women. The diameter of the spinal cord ranges from 13 mm (1⁄2 in) in the cervical and lumbar regions to 6.4 mm (1⁄4 in) in the thoracic area.Spinal Cord Sectional Anatomy. Animation in the reference.Diagrams of the spinal cord.Cross-section through the spinal cord at the mid-thoracic level.Cross-sections of the spinal cord at varying levels.Cervical vertebraA portion of the spinal cord, showing its right lateral surface. The dura is opened and arranged to show the nerve roots.The spinal cord with dura cut open, showing the exits of the spinal nerves.The spinal cord showing how the anterior and posterior roots join in the spinal nerves.The spinal cord showing how the anterior and posterior roots join in the spinal nerves.A longer view of the spinal cord.Projections of the spinal cord into the nerves (red motor, blue sensory).Projections of the spinal cord into the nerves (red motor, blue sensory).Cross-section of rabbit spinal cord.Cross-section of adult mouse spinal cord: astrocytes (red) and neurons (green)Cross section of adult rat spinal cord stained using Cajal method.An overview of the spinal cord.Sagittal section of pig vertebrae showing a section of the spinal cord.The base of the brain and the top of the spinal cordSpinal cord. Spinal membranes and nerve roots.Deep dissection. Posterior view.Spinal cord. Spinal membranes and nerve roots.Deep dissection. Posterior view.Spinal cord. Spinal membranes and nerve roots.Deep dissection. Posterior view.Spinal cord. Spinal membranes and nerve roots.Deep dissection. Posterior view.Spinal cord. Spinal membranes and nerve roots.Deep dissection. Posterior view.Spinal cord. Spinal membranes and nerve roots.Deep dissection. Posterior view.Spinal cord. Spinal membranes and nerve roots.Deep dissection. Posterior view.Cerebrum.Inferior view.Deep dissectionCerebrum.Inferior view.Deep dissectionSpinal cord. Brachial plexus. Cerebrum.Inferior view.Deep dissection.Spinal cord. Brachial plexus. Cerebrum.Inferior view.Deep dissection.Spinal cordMedulla spinalis of 8-week-old human embryo The spinal cord is a long, thin, tubular structure made up of nervous tissue, which extends from the medulla oblongata in the brainstem to the lumbar region of the vertebral column. It encloses the central canal of the spinal cord, which contains cerebrospinal fluid. The brain and spinal cord together make up the central nervous system (CNS). In humans, the spinal cord begins at the occipital bone, passing through the foramen magnum and entering the spinal canal at the beginning of the cervical vertebrae. The spinal cord extends down to between the first and second lumbar vertebrae, where it ends. The enclosing bony vertebral column protects the relatively shorter spinal cord. It is around 45 cm (18 in) in men and around 43 cm (17 in) long in women. The diameter of the spinal cord ranges from 13 mm (1⁄2 in) in the cervical and lumbar regions to 6.4 mm (1⁄4 in) in the thoracic area. The spinal cord functions primarily in the transmission of nerve signals from the motor cortex to the body, and from the afferent fibers of the sensory neurons to the sensory cortex. It is also a center for coordinating many reflexes and contains reflex arcs that can independently control reflexes. It is also the location of groups of spinal interneurons that make up the neural circuits known as central pattern generators. These circuits are responsible for controlling motor instructions for rhythmic movements such as walking. The spinal cord is the main pathway for information connecting the brain and peripheral nervous system. Much shorter than its protecting spinal column, the human spinal cord originates in the brainstem, passes through the foramen magnum, and continues through to the conus medullaris near the second lumbar vertebra before terminating in a fibrous extension known as the filum terminale. It is about 45 cm (18 in) long in men and around 43 cm (17 in) in women, ovoid-shaped, and is enlarged in the cervical and lumbar regions. The cervical enlargement, stretching from the C5 to T1 vertebrae, is where sensory input comes from and motor output goes to the arms and trunk. The lumbar enlargement, located between L1 and S3, handles sensory input and motor output coming from and going to the legs. The spinal cord is continuous with the caudal portion of the medulla, running from the base of the skull to the body of the first lumbar vertebra. It does not run the full length of the vertebral column in adults. It is made of 31 segments from which branch one pair of sensory nerve roots and one pair of motor nerve roots. The nerve roots then merge into bilaterally symmetrical pairs of spinal nerves. The peripheral nervous system is made up of these spinal roots, nerves, and ganglia. The dorsal roots are afferent fascicles, receiving sensory information from the skin, muscles, and visceral organs to be relayed to the brain. The roots terminate in dorsal root ganglia, which are composed of the cell bodies of the corresponding neurons. Ventral roots consist of efferent fibers that arise from motor neurons whose cell bodies are found in the ventral (or anterior) gray horns of the spinal cord. The spinal cord (and brain) are protected by three layers of tissue or membranes called meninges, that surround the canal . The dura mater is the outermost layer, and it forms a tough protective coating. Between the dura mater and the surrounding bone of the vertebrae is a space called the epidural space. The epidural space is filled with adipose tissue, and it contains a network of blood vessels. The arachnoid mater, the middle protective layer, is named for its open, spiderweb-like appearance. The space between the arachnoid and the underlying pia mater is called the subarachnoid space. The subarachnoid space contains cerebrospinal fluid (CSF), which can be sampled with a lumbar puncture, or 'spinal tap' procedure. The delicate pia mater, the innermost protective layer, is tightly associated with the surface of the spinal cord. The cord is stabilized within the dura mater by the connecting denticulate ligaments, which extend from the enveloping pia mater laterally between the dorsal and ventral roots. The dural sac ends at the vertebral level of the second sacral vertebra. In cross-section, the peripheral region of the cord contains neuronal white matter tracts containing sensory and motor axons. Internal to this peripheral region is the grey matter, which contains the nerve cell bodies arranged in the three grey columns that give the region its butterfly-shape. This central region surrounds the central canal, which is an extension of the fourth ventricle and contains cerebrospinal fluid. The spinal cord is elliptical in cross section, being compressed dorsolaterally. Two prominent grooves, or sulci, run along its length. The posterior median sulcus is the groove in the dorsal side, and the anterior median fissure is the groove in the ventral side.

[ "Anesthesia", "Anatomy", "Surgery", "Neuroscience", "Psychiatry", "Grey substance", "Rhizotomy", "Left lateral funiculus", "Spinal cord infection", "motor tract" ]
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