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For epidural anesthesia an anesthetic agent is injected into the space just outside the thecal sac and diffuses through the dura to the nerve roots where they exit the thecal sac. [ 4 ] [ 5 ] For spinal anaesthesia in general, an injection can be given intrathecally into the subarachnoid space, or into the spinal canal .
Sectional organization of spinal cord. The spinal cord is the main pathway for information connecting the brain and peripheral nervous system. [3] [4] 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 ...
Cross section of central canal. The central canal below at the ventricular system of the brain, beginning at a region called the obex where the fourth ventricle, a cavity present in the brainstem, narrows. The central canal is located in the anterior third of the spinal cord in the cervical and thoracic regions.
Spinal nerve Typical spinal nerve location. Each spinal nerve is a mixed nerve, formed from the combination of nerve root fibers from its dorsal and ventral roots. The dorsal root is the afferent sensory root and carries sensory information to the brain. The ventral root is the efferent motor root and carries motor information from the brain.
Spinal nerve forming from grey column. The posterior grey column, also known as the posterior (or dorsal) horn of spinal cord, is subdivided into six layers known as Rexed laminae, based on the type of sensory information sent to each section. [8] Marginal nucleus of spinal cord (lamina I) Substantia gelatinosa of Rolando (lamina II)
The ventral spinocerebellar tract will cross to the opposite side of the body first in the spinal cord as part of the anterior white commissure and then cross again to end in the cerebellum (referred to as a "double cross"), as compared to the dorsal spinocerebellar tract, which does not decussate, or cross sides, at all through its path.
Two of the five sensory modalities, pain and temperature, cross sides at the anterior white commissure, reaching the contralateral side about two vertebral levels rostral to their origin. The spinothalamic tract thus decussates very soon after entering the spinal cord, ascending in the spinal cord, contralateral to the side from where it ...
The grey rami communicantes exist at every level of the spinal cord and are responsible for carrying postganglionic nerve fibres from the paravertebral ganglia to their destination, and for carrying those preganglionic nerve fibres which enter the paravertebral ganglia but do not synapse. [citation needed] [1]