Tracts
The Basics
Gray or White Matter?!
MOI
Random
100
These tracts carry sensory information TO the cortex
DCML & Spinothalamic
100
Where does the spinal cord start?
Base of the medulla
100
This matter contains cell bodies
Gray Matter
100
This cervical MOI often results in a wedge fracture
Cervical flexion. Wedge fracture is collapse of anterior vertebrae. Typically does not cause neurological injury.
100
In Anterior cord syndrome, this tract is preserved:
DCML. Person has proprioceptive sense but no motor or light touch.
200
The spinothalamic tract carries WHAT type of information?
Pain, temperature, light touch
200
There are 2 of these spinal arteries.
Posterior spinal arteries
200
This matter contains axons
White
200
This cervical MOI often results in dislocation & locking of a facet joint.
Cervical flexion with rotation
200
Which artery is disrupted in central cord syndrome?
Central fugul artery.
300
The tract that carries information regarding proprioception and vibration crosses WHERE?
DCML crosses at the brainstem
300
What does the spinal cord run through?
Vertebral Foramen
300
This matter is organized into tracts (funiculi & columns)
White matter
300
Burst fractures are often associated with which type of MOI?
Vertical compression
300
This incomplete SCI/"syndrome" manifests as weakness more pronounced in UE than LE.
Central cord syndrome.
400
The spinothalamic tract crosses _______, therefore carries ________ information within the spinal cord. (Hint: ipsilateral or contralateral information!)
Crosses at the SC level. Carries contralateral information within the SC.
400
An injury to the anterior horn cell would be termed a ___ Lesion.
LMN lesion. Final common pathway is not in tact (anterior horn cell & out). This patient will not have spasticity.
400
Posterior/dorsal gray horns contain what type of nuclei?
Somatic & visceral sensory nuclei
400
Thoracic injuries are most commonly seen in this area:
T12-L1
400
What does the term allodynia mean?
Pain with non-painful stimulus
500
Brown-Sequard Syndrome will result in CONTRALATERAL damage to which sensations?
Pain, temperature, light touch (Spinothalamic tract)
500
The spinal cord ends here...
L1/L2 (conus medularis)
500
The lateral gray horns are found here:
From T1-L2. (Contain mixed nuclei)
500
This anatomic feature of the thoracic spine makes wedge fractures very common:
Kyphotic curve
500
Extreme pain to a mild stimulus is termed…
Hyperalgesia