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NETTER - Neuroscience Flash Cards

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S3 Spinal Cord Cross Section

1. Fasciculus gracilis

2. Lateral corticospinal tract

3. Rubrospinal tract

4. Anterolateral system

5. Marginal zone

6. Substantia gelatinosa

7. Nucleus proprius

8. Sacral parasympathetic nucleus (intermediomedial cell column)

9. Lower motor neurons in anterior horn

10. Anterior white commissure

Comment: In an adult, the sacral segments of the spinal cord

are located at the level of the T1 vertebral body. Trauma or a

tumor at this level can cause conus medullaris syndrome, which

involves (1) flaccid paralysis of the muscles of the pelvic floor

(lower motor neuron damage); (2) a flaccid bladder with overflow

incontinence (loss of parasympathetic preganglionic neurons); (3)

constipation and diminished bowel function (loss of parasympathetic

preganglionic neurons); (4) loss of erectile function in males (loss

of parasympathetic preganglionic neurons); (5) “saddle” anesthesia

(loss of sensory processing); and (6) a possible sensation of pain

experienced in the gluteal or perineal region.

Regional Neuroscience See book 10.5

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