تنظیم و بازنگری :دکتر مهران مرادی رزیدنت جراحی مغز و...
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تنظیم و بازنگری :دکتر مهران مرادی رزیدنت جراحی مغز و اعصاب. Anatomy of the Spinal Cord Structure of the spinal cord Tracts of the spinal cord Spinal cord syndromes. Won Taek Lee, M.D., Ph.D. Spinal Cord. - Comparable to Input-Output (IO) System of the Computer - PowerPoint PPT PresentationTRANSCRIPT
Anatomy of the Spinal Cord
Structure of the spinal cord
Tracts of the spinal cord
Spinal cord syndromes
Anatomy of the Spinal Cord
Structure of the spinal cord
Tracts of the spinal cord
Spinal cord syndromes
Won Taek Lee, M.D., Ph.D.
تنظیم و بازنگری :دکتر مهران مرادی رزیدنت جراحی مغز و اعصاب
- Comparable to Input-Output (IO) System of the Computer
- Spinal Nerve (C8, T12, L5, S5, Cx1)
- Segmental Structure of Neural Tube Origin
- Comparable to Input-Output (IO) System of the Computer
- Spinal Nerve (C8, T12, L5, S5, Cx1)
- Segmental Structure of Neural Tube Origin
Spinal CordSpinal Cord
Spinal segment
C8, T12, L5, S5, Cx1
Anterior (Ventral) RootPosterior (Dorsal) Root Dorsal Root (Spinal) Ganglion
Root - Rootlets
Conus Medullaris (L1-2)
Spinomedullary Junction - Foramen Magnum, Pyramidal decussation, C1 ventral root
Enlargements - cervical (C5-T1) & lumbosacral (L1-L4)
Longitudinal Fissures - anterior median fissure - anterolateral fissure - posterior median sulcus - posterolateral sulcus
Conus Medullaris (L1-2)
Spinomedullary Junction - Foramen Magnum, Pyramidal decussation, C1 ventral root
Enlargements - cervical (C5-T1) & lumbosacral (L1-L4)
Longitudinal Fissures - anterior median fissure - anterolateral fissure - posterior median sulcus - posterolateral sulcus
Spinal Cord External Figure Spinal Cord External Figure
Conus Medullaris (L1-2)
Cauda Equina
Anterior median fissureAnterolateral fissure
Posterior median sulcus
Posterolateral sulcus
Posterior intermediate sulcus
Fasciculus cuneatus
Fasciculus gracilis
Posterior surface of the spinal cord
Periosteum of Vertebra
- Epidural Space ----------------- epidural anesthesia
Dura Mater Spinalis
Arachnoid Membrane - Subarachnoid Space -------- Lumbar Puncture
Spinal Anesthesia
Pia Mater Spinalis - Denticulate Ligament --------- Cordotomy
- Filum Terminale
Periosteum of Vertebra
- Epidural Space ----------------- epidural anesthesia
Dura Mater Spinalis
Arachnoid Membrane - Subarachnoid Space -------- Lumbar Puncture
Spinal Anesthesia
Pia Mater Spinalis - Denticulate Ligament --------- Cordotomy
- Filum Terminale
Spinal Cord Meninges Spinal Cord Meninges
Meninges of the spinal cord
• Dura mater• Arachnoid membrane• Pia mater
Denticulate ligament
- specilization of the pia mater
- landmark for cordotomy
Meninges of the spinal cord
Meninges of the spinal cord
Lumbar Puncture – lumbar (terminal) cistern
Arterial Supply
- Spinal Arteries
Anterior (1) & Posterior (2) Spinal Artery
from Vertebral artery
- Radicular Arteries ----- Segmental arteries
from Vertebral, Ascending Cervical, Intercostal and
Lumbar Artery
Venous Drainage - Longitudinal & Radicular Veins
to Intervertebral veins ---- to Internal Vertebral Venous Plexus
to external vertebral venous plexus ---- to segmental veins
Arterial Supply
- Spinal Arteries
Anterior (1) & Posterior (2) Spinal Artery
from Vertebral artery
- Radicular Arteries ----- Segmental arteries
from Vertebral, Ascending Cervical, Intercostal and
Lumbar Artery
Venous Drainage - Longitudinal & Radicular Veins
to Intervertebral veins ---- to Internal Vertebral Venous Plexus
to external vertebral venous plexus ---- to segmental veins
Spinal Cord Vascular Supply Spinal Cord Vascular Supply
anterior spinal artery segmental arteries
5. Adamkiwicz artery