No 22 - 辽宁医学院.pptVIP

No. 22 Spinal cord (2) Brain stem (1) Ⅱ. Internal Structure In transverse section, the spinal cord is seen to consist of the gray matter and the white matter. The gray matter of the spinal cord is centrally located and is surrounded by the white matter. Ⅰ) Gray Matter The gray matter forms a butterfly-shaped core of the spinal cord, roughly in the form of a letter H. The transverse bar of gray matter that connects the two lateral gray areas is the gray commissure. Within the gray commissure is the narrow, fluid-filled central canal, which is continuous with the fourth ventricle. The anterior and posterior to the gray matter are respectively anterior gray commissure and posterior gray commissure. The anterior and posterior gray commissures are also called central gray. The vertical bars of the gray H, on either side of the gray commissure, are separated into: a pair of posterior horns (columns), a pair of anterior horns (columns). In the thoracic and upper lumbar (L1-3) regions, the spinal cord also has a pair of lateral horns (columns). The area located between the anterior and posterior horns is the intermediate zone. The gray matter of the spinal cord contains an enormous number of neurons of varying size and shape. Rexed lamina structure of gray matter of spinal cord. 1. Lamina Ⅰ It is also called marginal layer or Walderyer layer. The nucleus posteromarginalis is in this lamina, forming a thin layer of cells covering the tip of the posterior horn. 2. Lamina Ⅱ It is also named the substantia gelatinosa anterior to marginal area and is the correlation between the spinal segments. 3. Lamina Ⅲ 4. Lamina Ⅳ In lamina Ⅲ and Ⅳ, there are larger cell groups—nucleus proprius. They receive the numerous afferent fibers from posterior root. Fibers from the nucleus proprius, crosses in the anterior white commisure and contribute to the spinothalamic tract. 5. Lamina Ⅴ It is equivalent to the neck of posterior horn. It has reticular nucleus. 6. Lamina Ⅵ It l