diseases+of+the+spinal+cord.ppt

脊 髓 疾 病(Diseases of the spinal cord) Department of Neurology, The 2nd affiliated hospital, Harbin Medical University Diseases of the spinal cord Outline Acute myelitis Compressive myelopathy Syringomyelia Subacute combined degeneration of the spinal cord Motor neuron disease The anatomy of the spinal cord External components: The upper and lower boundary of the cord The capsule The spinal nerves The relation between the cord and spine The anatomy of the spinal cord1. External components: The upper and lower bourn of the cord Length: 42~45cm, It is the continuation of medulla(occipital foramen). The lower end forms terminal cone. It occupies 2/3 length of the spine. Lumbar enlargement: L1~S2, cervical enlargement: C5~T2 Terminal filament end on the periosteum of the 1st coccygeal vertebra The anatomy of the spinal cord1. External components: Spinal nerves: 31pairs of nerves were sent out: C8, T12, L5, S5 The segmental distribution of cutaneous sensory innervation 见图1 图2 The anatomic base of the spinal cord1. External components The capsule: 图例 Three layer capsule: spinal dura mater, arachnoid, tenuis mater Three spaces: epidural space: venous plexus and adipose subdural space subarachnoid space: CSF The anatomy of the spinal cord1. External components: The cord of C1~8 is one segment higher than the correspond spine respectively, T1~8 is two segment higher, T9~12 is three higher, the count-part of lumbar is the 10~12th thoracic vertebra , sacral cord lies in the 12th thoracic vertebra and the 1st lumbar. The anatomy of the spinal cord2. Internal components: Gray matter: shape like H. Anterior horn: motor neuron. The fibers are anterior root Posterior horn: Lateral horn in the myelon of C8~L2 and S2~4 White matter: anterior column, lateral column, posteri