Материал: Атлас Ханц фениш

Внимание! Если размещение файла нарушает Ваши авторские права, то обязательно сообщите нам

 

272

Spinal cord

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

Cranial pia mater. Pia mater cranialis (en-

14

Cervical enlargement. Intumescentia cervi-

1

 

 

cephali). Delicate meninx bearing blood vessels

 

calis. Enlargement of the spinal cord from C3 to

 

 

 

and covering the surface of the brain as well as

 

T2 owing to the larger supply region for the

2

 

 

extending into its sulci.

 

 

 

 

arms. D

 

 

 

 

 

 

 

2

Tela choroidea of fourth ventricle. Tela 15

Lumbosacral

enlargement.

Intumescentia

 

 

 

 

choroidea ventriculi quarti. Thin membrane of

 

lumbosacralis. Expansion of the spinal cord

3

 

 

 

 

 

pia mater and ependyma in lower part of roof

 

from T9−10 to L1−2 caused by the greater

 

 

 

of fourth ventricle. It is attached laterally to the

 

supply region for the lower limbs. D

 

 

4

 

 

tenia and exhibits lateral and median aper-

16

Conus medullaris. Tapered termination of the

 

 

 

tures. B

 

 

 

 

 

 

 

spinal cord at the level of L1−2 where it be-

 

 

 

 

 

 

 

 

 

 

5

3

Choroid

plexus

of

fourth

ventricle. Plexus

 

comes continuous with the filum terminale. D

 

 

choroideus ventriculi quarti. Paired garland-

17

Filum terminale (spinale). Thin terminal pro-

 

 

 

 

 

 

like, ependyma-covered villous projections

 

longation of spinal cord attached inferiorly to

6

 

 

which extend into both lateral apertures. B

 

the posterior surface of the coccyx. D E

 

 

 

4 Tela choroidea

of

third

ventricle.

Tela

18

Terminal ventricle. Ventriculus terminalis. En-

 

 

7

 

 

choroidea ventriculi

tertii. Thin,

ependyma-

 

largement of the central canal at the end of the

 

 

covered membrane of pia mater between right

 

conus medullaris. E

 

 

 

 

 

 

 

 

 

 

 

 

 

and left teniae of thalamus. C

 

 

19

Anterior median fissure. Fissura mediana

8

 

 

 

 

5

Choroid plexus of third ventricle. Plexus

 

anterior. Deep longitudinal fissure along the

 

 

 

choroideus ventricul tertii. Paired, highly

 

anterior aspect of the spinal cord. F

 

 

 

 

 

 

 

 

9

 

 

vascularized villous formations projecting from

20

Posterior

median

sulcus. Sulcus

medianus

 

 

the thin roof into the third ventricle and con-

 

 

 

 

posterior. Median longitudinal groove between

 

 

 

tinuing anteriorly through the interventricular

 

the right and left posterior funiculi. F

 

 

 

 

 

 

10

 

 

foramina into the choroid plexuses of the

 

 

 

 

21

Posterior

median

septum.

Septum

medi-

 

6

lateral ventricles. C

 

ventricle. Plexus

 

anum posterius.

Thickening

of

the

sub-

 

 

 

11

Choroid

plexus

of

lateral

 

arachnoid connective tissue within the poste-

 

 

choroideus ventriculi lateralis. Villous, highly

 

 

 

 

 

rior median sulcus, less in the cervical region,

 

 

 

vascularized garland invaginated into

the

 

 

 

 

 

more in the thoracic segment. F

 

 

12

 

 

 

 

 

 

 

lateral ventricle through the choroid fissure. It

 

 

 

 

 

22

Anterolateral

sulcus. Sulcus

anterolateralis.

 

 

 

extends from the interventricular foramen to

 

 

 

 

Shallow furrow occasionally present at the exit

 

 

 

the inferior horn. C

 

 

 

 

 

13

 

 

 

 

 

 

 

of the ventral root fibers. F

 

 

 

7

Choroid

glomus.

Glomus

choroideum.

 

 

 

 

 

23 Posterolateral sulcus. Sulcus posterolateralis.

 

 

 

Enlargement of the choroid plexus in the region

14

 

 

 

Longitudinal groove external to the boundary

 

 

of the collateral trigone at the root of the infe-

 

 

 

 

between the lateral and posterior funiculi. It

 

 

 

rior horn. C

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

marks the

site

of

entry of the dorsal spinal

15

 

8 Spinal pia mater. Pia mater spinalis. Vascu-

 

nerve roots. F

 

 

 

 

 

 

 

larized

connective tissue membrane firmly

 

 

 

 

 

 

 

 

 

24 Posterior intermediate sulcus. Sulcus inter-

 

 

 

united to the surface of the spinal cord. A

 

16

 

 

 

 

medius posterior. Shallow longitudinal fissure

9

Denticulate ligament. Lig. denticulatum. Fron-

 

 

on both sides of the median sulcus. Externally it

 

 

 

tally situated connective tissue membrane con-

 

marks the boundary between the funiculi

17

 

 

necting the spinal cord with the spinal dura

 

gracilis and cuneatus. F

 

 

 

 

 

 

mater. It has bow shaped recesses at the level of

 

 

 

 

 

 

 

 

 

 

 

the spinal nerve roots. A

 

 

 

 

 

 

 

 

 

 

 

1810 Intermediate cervical septum. Septum cervicale intermedium. Connective tissue partition

19in the cervical segment of the spinal cord between the gracilis and cuneatus fasciculi extending from the pia mater to the depths of the

20posterior funiculus. A F

11 Internal filum terminale. Filum terminale in-

21ternum (piale). Filamentous, caudal extension of the spinal cord and pia mater contained in the external terminal ligament. D E

2212 CENTRAL NERVOUS SYSTEM. Systema nervosum centrale. It comprises the brain and spinal

23cord.

13SPINAL CORD. Medulla spinalis. Consists of the myelin-rich white matter and the myelin-poor

24gray matter. It extends from the caudal end of the medulla oblongata, near the exit of the first

25spinal nerves, to the beginning of the filum terminale at L1−2. A D

Spinal cord 273

8

10 9

A Spinal meninges

14

 

 

 

 

 

 

 

2

 

 

 

 

 

 

 

 

 

 

 

 

 

3

2

2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4

6

 

 

 

 

 

 

 

 

 

 

5

 

 

7

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CChoroidal plexus of lateral ventricles

15

16

18

11;17

11;17

BRoof of thomboid fossa (fourth ventricle)

23 24 20

10

21

19

22

D

Spinal cord

E

Lower termination

F

Cross section of spinal cord

 

 

 

of spinal cord

 

 

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

 

274

Spinal cord

 

 

 

 

 

 

 

Funiculi of spinal cord. Funiculi medullae spi-

14

White matter. Substantia alba. Consists of my-

1

 

1

 

 

 

nalis. Three columns of white matter seg-

 

elinated nerves and is organized into three

 

 

 

 

mented by the posterior and anterior horns and

 

cords (funiculi) which contain the nerve path-

2

 

 

 

their root fibers.

 

 

ways. A

 

 

 

2

Anterior funiculus. Funiculus anterior. Con-

15

Substantia gelatinosa centralis. A narrow zone

3

 

 

 

duction bundle located between the anterior

 

around the central canal with processes from

 

 

 

median fissure and the anterior horn with its

 

ependymal cells.

 

 

 

 

 

4

 

 

 

root fibers. A

 

16

GRAY COLUMNS. Columnae griseae. Three

 

 

 

 

 

 

3

Lateral funiculus. Funiculus lateralis. Conduc-

 

ridge-like columns of gray matter. B

 

 

 

 

tion bundle located lateral to the gray matter

17

Anterior column. Columna anterior. It is com-

5

 

 

 

and between the posterior and anterior spinal

 

prised predominantly of motor neurons (ante-

 

 

 

 

nerve roots. A

 

 

rior horn cells). B

6

 

4

Posterior funiculus. Funiculus posterior. Post-

18

Anterior horn. Cornu anterius. Hook-shaped

 

 

 

erior column situated between the posterior

 

structure seen in transverse section of the spi-

 

 

 

 

 

 

 

 

 

horn with its root fibers and the posterior me-

 

nal cord. D

 

7

 

 

 

dian septum. A

 

19

Anterolateral nucleus. Nucleus anterolater-

 

 

 

5 Segments of spinal cord. Segmenta medullae

 

alis. Situated anterolaterally in the anterior

8

 

 

 

spinalis. Here, the spinal cord segments are de-

 

horn, it is localized in segments C4−8 and L2−

 

 

 

 

fined as regions where root fibers pass through

 

S1 and innervates the muscles of the limbs. D

9

 

 

 

a specific intervertebral foramen. The boundar-

20

Anteromedial

nucleus. Nucleus anterome-

 

 

 

ies are not determinable in the isolated spinal

 

 

 

 

dialis. From its anteromedial position in the

 

 

 

 

cord.

 

 

 

 

 

 

 

 

anterior horn, it extends the entire length of the

10

 

6

Cervical segment. Segmenta cervicalia [1−8] =

 

 

 

spinal cord. D

 

 

 

 

 

pars cervicalis. Eight cervical segments repre-

21

Posterolateral nucleus. Nucleus posterolater-

 

 

 

 

sent the seven cervical vertebrae because the

11

 

 

 

 

alis. It lies posterior to the anterolateral nucleus

 

 

 

root fibers of segments 1−7 exit above the

 

 

 

 

 

in segments C5−T1 and L2−S2 and innervates

 

 

 

 

vertebrae of the same number. Root fibers of

 

 

 

 

 

 

the muscles of the limbs. D

12

 

 

 

the 8th cervical segment, on the other hand, exit

 

 

 

 

22

Retroposterolateral nucleus. Nucleus retro-

 

 

 

below C7. The cervical portion of the spinal

 

 

 

 

 

posterolateralis. It lies posterior to the post-

 

 

 

 

cord extends from the atlas to the middle of C7.

 

13

 

 

 

 

erolateral nucleus in segments C8−T1 and S1−3.

 

 

 

C

 

 

 

 

7

Thoracic segment. Segmenta thoracica [1−12]

 

D

 

14

 

23

Posteromedial

nucleus. Nucleus posterome-

 

 

 

= pars thoracica. The 12 segments comprising

 

dialis. From the vicinity of the white matter, it

 

 

 

 

this group extend from the middle of C7 to the

 

 

 

 

 

 

extends over segments T1−L3 and probably in-

15

 

 

 

middle of T11. C

 

 

 

 

 

 

 

nervates the trunk musculature. D

 

8

Lumbar segment. Segmental lumbaria [1−5] =

 

 

 

24

Central nucleus. Nucleus centralis. A less

 

 

 

 

pars lumbaris. Comprised of five segments; it

 

 

 

 

16

 

 

 

 

prominent group in several cervical and lumbar

 

 

 

extends from the middle of the body of T11 to

 

 

 

 

 

the upper border of the body of L1. C

 

 

segments. D

 

 

 

 

 

 

25 Nucleus of accessory nerve. Nucleus nervi ac-

17

9

Sacral segment. Segmenta sacralia [1−5]

=

 

cessorii (nuc. accessorius). It lies in segments

 

 

 

 

pars sacralis. These five sacral segments

lie

 

 

 

 

 

 

C1−6 in the area of the anterolateral nucleus

 

 

 

 

posterior to the body of L1. C

 

 

18

 

 

 

 

 

and provides the root fibers of the spinal por-

10

Coccygeal segment. Segmenta coccygea [1−3]

 

 

tion of the accessory nerve. D

 

 

 

 

= pars coccygea. Three quite small segments. C

26

Nucleus of phrenic nerve. Nucleus nervi

19

 

 

 

11

SPINAL CORD SECTIONS. Sectiones medullae

 

phrenici (nuc. phrenicus). It lies in the middle

20

 

 

 

spinalis. These serve mostly as a foundation for

 

of the anterior horn and extends from seg-

 

 

 

description of the following parts.

 

 

ments C4−C7. D

 

12 Central canal. Canalis centralis. Obliterated re-

21mains of the embryonic neural tube lumen. It is usually located in the central intermediate substance (gray matter). A D

2213 Gray matter. Substantia grisea. In transverse section, it is seen as an H-shaped column

23(columna grisea = gray column) consisting primarily of multipolar ganglion cells and enclosed by white matter. Sections of the spinal

24cord reveal that the ”horns” (cornua) which correspond to the gray column S are charac-

25teristically different in the individual segments. A

Spinal cord 275

 

 

4

 

1

 

 

 

 

 

 

 

 

 

 

 

 

2

 

 

12

 

 

 

 

 

 

3

 

3

13

 

 

 

14

 

 

 

 

 

 

 

4

 

 

 

 

 

 

13

 

 

 

 

 

 

 

 

 

5

 

 

2

 

 

 

 

 

 

 

 

 

 

 

 

 

6

 

 

 

 

 

 

 

 

 

 

 

 

 

7

 

 

 

 

 

 

 

 

 

6

 

 

 

8

 

 

 

 

 

 

Spinal cord, schematic

 

9

 

A

 

 

 

 

 

 

 

 

10

 

 

 

 

 

 

 

 

 

 

 

 

 

11

 

 

 

 

 

 

 

 

 

7

 

 

 

12

 

 

 

 

 

 

 

13

 

16

17

 

 

14

B

Gray matter of spinal cord,

15

 

 

three-dimensional

 

8

 

 

 

 

 

 

 

 

 

 

 

 

16

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9

 

 

 

 

 

 

 

 

 

 

 

 

17

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10

 

 

 

 

 

 

 

 

 

 

 

 

18

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

19

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

20

 

26 (24)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

12

 

 

21

 

 

 

 

 

 

 

 

 

 

22

 

 

 

 

 

 

18

 

 

 

 

 

 

 

 

 

 

22

 

 

 

 

 

 

 

 

21

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

23

 

 

 

 

 

 

 

 

 

 

 

 

 

 

23

 

 

 

 

 

 

 

 

 

 

 

 

 

 

19

20

25

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

24

C Segments of spinal cord

D Nuclei of spinal cord in anterior horn

 

 

25

 

 

276

Spinal cord

 

 

 

 

 

 

 

 

 

 

 

Posterior column. Columna posterior. It is

 

18 Anterior white commissure. Commissura alba

1

 

 

1

 

 

 

 

 

composed primarily of sensory neurons. B

 

 

anterior. White matter with fibers crossing be-

 

 

 

2 Posterior horn. Cornu posterius. Hook-shaped

 

 

tween the central intermediate gray matter and

2

 

 

 

 

the anterior median commissure. C

 

 

 

structure seen in transverse section of the spi-

 

 

 

 

 

 

nal cord. A

 

 

 

 

18 a Posterior

white

commissure.

Commissura

3

 

 

3

Apex. Apical cap of posterior horn consisting of

 

 

alba posterior. Individual fibers crossing into

 

 

 

large nerve cells ventral to the substantia gelat-

 

 

the posterior gray commissure.

 

4

 

 

 

inosa. A C

 

 

 

 

19 Anterior funiculus. Funiculus anterior. Mass of

 

 

4

Head. Caput. Thickened middle part of poste-

 

 

white matter between anterior root fibers,

 

 

 

 

rior horn in the lower cervical and thoracic spi-

 

 

anterior horn and anterior median fissure. A C

 

 

 

 

 

20

Anterior

fasciculi

proprii. Fasciculi proprii

5

 

 

 

nal cord. A

 

 

 

 

 

 

5 Cervix. Thinner segment of posterior horn be-

 

 

anteriores. Lying directly on the gray matter,

 

 

 

 

 

 

 

 

 

 

these bundles comprise longer

and shorter

6

 

 

 

tween the head and base. A

 

 

 

 

 

 

 

 

 

fibers involved in connecting individual sem-

 

 

6

Base. Basis. Broadened attachment of the post-

 

 

 

 

 

 

 

gents of the spinal cord with one another. Re-

 

 

 

 

erior horn to the middle part of the gray matter.

 

 

7

 

 

 

 

 

flex apparatus. C

 

 

 

 

 

A

 

 

 

 

 

 

 

 

 

 

 

 

 

 

21

Sulcomarginal fasciculus. Fasciculus sulcom-

 

 

 

7 Substantia gelatinosa. Mobile, slightly glassy

 

 

 

 

 

 

arginalis. Fibers of the reflex apparatus located

8

 

 

 

substance above the apex of the posterior horn.

 

 

 

 

 

 

 

at the anterior median fissure.

 

 

 

 

 

It consists primarily of glia and small ganglion

 

22 Anterior corticospinal (pyramidal) tract. Trac-

 

 

 

 

cells. A C

 

 

 

 

9

 

 

 

 

 

 

 

 

tus corticospinalis (pyramidalis) anterior. Un-

 

 

8 Secondary

visceral

substance.

Substantia

 

 

 

 

 

 

 

crossed portion of pyramidal tract lateral to the

 

 

 

 

visceralis secundaria. Small field of autonomic

 

 

anterior median fissure. C

 

10

 

 

 

ganglion cells anterior to the central interme-

 

23

Vestibulospinal tract. Tractus

vestibulospi-

 

 

 

 

diate substance. A

 

 

 

 

nalis. Fibers in the anterior funiculus for im-

 

 

 

9 Lateral column. Columna lateralis. Gray matter

 

 

11

 

 

 

 

pulses from the vestibular organ. C

 

 

 

between the anterior and posterior horns. B

 

 

 

 

 

 

 

24

Reticulospinal tract. Tractus reticulospinalis.

 

 

 

10 Lateral horn. Cornu laterale. Lateral promi-

 

12

 

 

 

 

Arising from the reticular formation of the

 

 

 

nence of gray matter. A

 

 

 

brain stem, it forms a nondefinable tract in the

 

 

 

11

Interomediolateral

(autonomic)

column.

 

 

middle of the anterior funiculus and ends in the

13

 

 

 

Columna

intermediolateralis (autonomica).

 

 

anterior horn. C

 

 

 

 

 

 

Structure seen as the lateral horn in transverse

 

25

Anterior spinothalamic tract. Tractus sphino-

14

 

 

 

section. It

contains

cells of the sympathetic

 

 

thalamicus anterior. Fibers ascending to the

 

 

 

nervous system and extends from T1−L2. A B

 

 

thalamus for pressure and tactile sensation. C

 

 

 

 

 

 

15

 

 

12 Central intermediate gray matter. Substantia

 

26

Lateral funiculus. Funiculus lateralis. It lies be-

 

 

 

[grisea] intermedia centralis. Ganglion cells at

 

 

tween the anterior and posterior horns together

 

 

 

 

the central canal. A C

 

 

 

with their root fibers. A C

 

 

 

 

 

 

 

 

 

16

13

Lateral intermediate gray matter. Substantia

 

27

Lateral fasciculi proprii. Fasciculi proprii later-

 

 

 

 

[grisea] intermedia lateralis. Part of the sympa-

 

 

ales. Shorter fibers on the gray matter for con-

 

 

 

 

thetic nervous system in the lateral horn. It ex-

 

 

nection with individual spinal cord segments. C

17

 

 

 

 

 

 

 

 

tends from T1−L2. A C

 

 

28

Lateral corticospinal (pyramidal) tract. Trac-

 

 

14

Thoracic column. Columna thoracica (nuc.

 

 

tus corticospinalis [pyramidalis] lateralis. Sit-

18

 

 

 

thoracicus) [[Stilling-Clarke]]. It lies at the base

 

 

uated in front of the posterior horn. It transmits

 

 

 

 

of the posterior horn and usually extends from

 

 

conscious motor impulses. C

 

19

 

 

 

C8−L2. It belongs partly to the posterior

 

29

Rubrospinal tract. Tractus

rubrospinalis

 

 

 

spinocerebellar tract. A C

 

 

 

[[Monakow]]. It passes from the red nucleus to

 

 

 

15 Sacral parasympathetic nuclei. Nuclei para-

 

 

the anterior horn cells and lies in front of the

20

 

 

 

sympathici sacrales. Cells of the sacral para-

 

 

lateral corticospinal tract. C

 

 

 

 

 

symphathetic nervous system in segments S2−

 

30

Bulboreticulospinal tract. Tractus bulboreticu-

21

 

 

 

4 situated between the anterior and posterior

 

 

lospinalis. A tract the existence of which is con-

 

 

 

horns.

 

 

 

 

 

troversial in man.

 

 

 

 

 

 

 

 

 

 

 

 

 

22

 

 

16 Reticular formation. Formatio reticularis. Net-

 

31

Pontoreticulospinal tract. Tractus pontoreticu-

 

 

 

like mixture of gray and white matter in the

 

 

lospinalis. Likewise, a controversial tract in man.

 

 

 

 

angle between the lateral and posterior horns.

 

32 Tectospinal tract. Tractus tectospinalis. Fibers

 

 

 

 

A C

 

 

 

 

23

 

 

 

 

 

 

 

 

in the anterolateral region of the anterior

 

 

16 a

Anterior/posterior gray commissure. Com-

 

 

 

 

 

 

funiculus from the tectal lamina. They cross

24

 

 

 

missura grisea anterior/posterior. Gray matter

 

 

into the brain stem and terminate in the ante-

 

 

 

situated in front of and behind the central

 

 

rior horns. C

 

 

 

 

 

 

canal. C

 

 

 

 

33 Olivospinal tract. Tractus olivospinalis. Present

25

 

17

WHITE MATTER. Substantia alba. It consists pri-

 

 

only in the cervical cord, its fibers pass from the

 

 

 

 

marily of myelinated nerve fibers.

 

 

 

olive region to the anterior root fibers. C