Redalyc.Topographic Anatomy of the Spinal Cord and Vertebromedullary
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Anatomical Study of the Superior Cluneal Nerve and Its Estimation of Prevalence As a Cause of Lower Back Pain in a South African Population
Anatomical study of the superior cluneal nerve and its estimation of prevalence as a cause of lower back pain in a South African population by Leigh-Anne Loubser (10150804) Dissertation to be submitted in full fulfilment of the requirements for the degree Master of Science in Anatomy In the Faculty of Health Science University of Pretoria Supervisor: Prof AN Van Schoor1 Co-supervisor: Dr RP Raath2 1 Department of Anatomy, University of Pretoria 2 Netcare Jakaranda Hospital, Pretoria 2017 DECLARATION OF ORIGINALITY UNIVERSITY OF PRETORIA The Department of Anatomy places great emphasis upon integrity and ethical conduct in the preparation of all written work submitted for academic evaluation. While academic staff teach you about referencing techniques and how to avoid plagiarism, you too have a responsibility in this regard. If you are at any stage uncertain as to what is required, you should speak to your lecturer before any written work is submitted. You are guilty of plagiarism if you copy something from another author’s work (e.g. a book, an article, or a website) without acknowledging the source and pass it off as your own. In effect, you are stealing something that belongs to someone else. This is not only the case when you copy work word-for-word (verbatim), but also when you submit someone else’s work in a slightly altered form (paraphrase) or use a line of argument without acknowledging it. You are not allowed to use work previously produced by another student. You are also not allowed to let anybody copy your work with the intention of passing if off as his/her work. -
Curative Efficacy of Low Frequency Electrical Stimulation in Preventing
Li et al. World Journal of Surgical Oncology (2019) 17:141 https://doi.org/10.1186/s12957-019-1689-2 RESEARCH Open Access Curative efficacy of low frequency electrical stimulation in preventing urinary retention after cervical cancer operation Huan Li1,2†, Can-Kun Zhou4†, Jing Song1,2, Wei-Ying Zhang1,2, Su-Mei Wang1,2, Yi-Ling Gu1,2, Kang Wang1,2, Zhe Ma1,2, Yan Hu1,2, Ai-Min Xiao1,2, Jian-Liu Wang3 and Rui-Fang Wu1,2* Abstract Background: To evaluate the clinical significance of low-frequency electrical stimulation in preventing urinary retention after radical hysterectomy. Methods: A total of 91 women with stage IA2–IB2 cervical cancer, who were treated with radical hysterectomy and lymphadenectomy from January 2009 to December 2012, were enrolled into this study and were randomly divided into two groups: trail group (48 cases) and control group (43 cases). Traditional bladder function training and low- frequency electrical stimulation were conducted in the trail group, while patients in the control group were only treated by traditional bladder training. The general condition, rate of urinary retention, and muscle strength grades of pelvic floor muscle in the perioperative period were compared between these two groups. Results: The incidence of postoperative urinary retention in the electrical stimulation group was 10.41%, significantly lower than that in the control group (44.18%), and the difference was statistically significant (P < 0.01). The duration of postoperative fever and use of antibiotics were almost the same between these two groups. Eleven days after surgery, the difference in grades of the pelvic floor muscle between these two groups was not statistically significant. -
Overview of Spinal Nerves
Spinal Nerves Boundless Overview of Spinal Nerves Spinal nerves, a part of the PNS, generally refers to mixed nerves, with motor, sensory, and autonomic signals between the CNS and the body. 1. fig. 1 shows a spinal nerve Spinal nerves arise from a combination of nerve fibers: the dorsal and ventral roots of the spinal cord. Afferent sensory axons, bringing sensory information from the body to the spinal cord and brain, travel through the dorsal roots of the spinal cord, and efferent motor axons, bringing motor information from the brain to the body, travel through the ventral roots of the spinal cord. All spinal nerves except the first pair emerge from the spinal column through an opening between vertebrae, called an intervertebral foramen. The spinal nerves are typically labeled by their location in the body: thoracic, lumbar, or sacral. Dorsal Root: Also known as the posterior root, the afferent sensory root of a spinal nerve. Autonomic: Acting or occurring involuntarily, without conscious control. Intervertebral Foramen: The foramen allows for the passage of the spinal nerve root, dorsal root ganglion, the spinal artery of the segmental artery, communicating veins between the internal and external plexuses, recurrent meningeal (sinu- vertebral) nerves, and transforaminal ligaments. 2. Source URL: https://www.boundless.com/physiology/peripheral-nervous-system-pns/spinal-nerves/ Saylor URL: http://www.saylor.org/courses/psych402/ Attributed to: [Boundless] www.saylor.org Page 1 of 12 fig. 2 shows intervertebral foramina Intervertebral foramina are indicated by arrows. Spinal Nerves The term spinal nerve generally refers to a mixed spinal nerve, which carries motor, sensory, and autonomic signals between the spinal cord and the body. -
The Spinal Cord and Spinal Nerves
14 The Nervous System: The Spinal Cord and Spinal Nerves PowerPoint® Lecture Presentations prepared by Steven Bassett Southeast Community College Lincoln, Nebraska © 2012 Pearson Education, Inc. Introduction • The Central Nervous System (CNS) consists of: • The spinal cord • Integrates and processes information • Can function with the brain • Can function independently of the brain • The brain • Integrates and processes information • Can function with the spinal cord • Can function independently of the spinal cord © 2012 Pearson Education, Inc. Gross Anatomy of the Spinal Cord • Features of the Spinal Cord • 45 cm in length • Passes through the foramen magnum • Extends from the brain to L1 • Consists of: • Cervical region • Thoracic region • Lumbar region • Sacral region • Coccygeal region © 2012 Pearson Education, Inc. Gross Anatomy of the Spinal Cord • Features of the Spinal Cord • Consists of (continued): • Cervical enlargement • Lumbosacral enlargement • Conus medullaris • Cauda equina • Filum terminale: becomes a component of the coccygeal ligament • Posterior and anterior median sulci © 2012 Pearson Education, Inc. Figure 14.1a Gross Anatomy of the Spinal Cord C1 C2 Cervical spinal C3 nerves C4 C5 C 6 Cervical C 7 enlargement C8 T1 T2 T3 T4 T5 T6 T7 Thoracic T8 spinal Posterior nerves T9 median sulcus T10 Lumbosacral T11 enlargement T12 L Conus 1 medullaris L2 Lumbar L3 Inferior spinal tip of nerves spinal cord L4 Cauda equina L5 S1 Sacral spinal S nerves 2 S3 S4 S5 Coccygeal Filum terminale nerve (Co1) (in coccygeal ligament) Superficial anatomy and orientation of the adult spinal cord. The numbers to the left identify the spinal nerves and indicate where the nerve roots leave the vertebral canal. -
An Up-To-Date Overview of Evaluation and Management
Translational Research in Anatomy 11 (2018) 5–9 Contents lists available at ScienceDirect Translational Research in Anatomy journal homepage: www.elsevier.com/locate/tria Ureterosciatic hernia: An up-to-date overview of evaluation and T management ∗ Jason Gandhia,b,c, Min Yea Leea, Gunjan Joshid, Noel L. Smithe, Sardar Ali Khana,f, a Department of Physiology and Biophysics, Stony Brook University School of Medicine, Stony Brook, NY, USA b Medical Student Research Institute, St. George's University School of Medicine, West Indies, Grenada c Department of Anatomical Sciences, St. George's University School of Medicine, West Indies, Grenada d Department of Internal Medicine, Stony Brook Southampton Hospital, Southampton, NY, USA e Foley Plaza Medical, New York, NY, USA f Department of Urology, Stony Brook University School of Medicine, Stony Brook, NY, USA ARTICLE INFO ABSTRACT Keywords: Ureterosciatic hernia, defined as a suprapiriform or infrapiriform herniation of the pelvic ureter, is the sliding of Ureter the ureters into the pelvic fossa, fovea, or greater or lesser sciatic foramen. This type of hernia is the rarest form Sciatic hernia of pelvic sciatic hernias. It may cause a wide range of cryptic clinical symptoms of pain, obstructive uropathy, Ureteral obstruction sepsis, or renal failure. This condition has been described in terms of involvement in inguinal, femoral, sciatic, Sepsis obturator, and thoracic regions. A high index of clinical suspicion is essential for diagnosis because the hernia Hydronephrosis develops in the pelvic cavity and becomes overlayed by the large gluteal muscle. Since ureterosciatic hernias Renal failure have not been adequately reviewed in the literature due to the limited number of case reports, we aim to aid the clinician's knowledge by discussing the relevant anatomy, classification, clinical symptoms, optional radiology, optional diagnostic instrumentation, and management. -
Clinical Policy: Injections and Radiofrequency Neurotomy for Pain Management Reference Number: CP.MP.118 Coding Implications Last Review Date: 04/18 Revision Log
Clinical Policy: Injections and Radiofrequency Neurotomy for Pain Management Reference Number: CP.MP.118 Coding Implications Last Review Date: 04/18 Revision Log See Important Reminder at the end of this policy for important regulatory and legal information. Description Invasive pain management procedures considered in this policy include epidural steroid injections/selective nerve root blocks, facet joint diagnostic and therapeutic blocks and radiofrequency ablation, sacroiliac joint injections and radiofrequency ablation, intradiscal steroid injections, trigger point injections, occipital nerve blocks, peripheral nerve blocks and sympathetic blocks. Policy/Criteria It is the policy of health plans affiliated with Centene Corporation® that invasive pain management procedures performed by a physician are medically necessary when the relevant criteria are met and the patient receives only one procedure per visit, with or without radiographic guidance. I. Caudal or Interlaminar Epidural Steroid Injections .............................................................1 II. Selective Nerve Root Blocks ...............................................................................................2 III. Transforaminal Epidural Steroid Injections .........................................................................3 IV. SNRB/TFESI for Acute Pain Management .........................................................................4 V. Facet Joint Interventions ......................................................................................................4 -
The Spinal Cord and Spinal Reflexes
THE SPINAL CORD AND SPINAL REFLEXES Cross section of the embryonic spinal cord and dorsal root to show the neurogenesis in the ventral horn and dorsal root ganglia THE SYMPATHETIC AND PARASYMPATHETIC NERVOUS SYSTEM INNERVATION OF THE SOMITES, SOMATIC NERVE PLEXUS, DERMATOMES Nerve roots in plexus divide into peripheral nerves having segmental arrangement in the skin (dermatomes). The segments overlap. Transformation of dermatomes during the outgrowth of the limb buds. C- cervical; T-thoracal; L-lumbar; S- sacral. Diagrammatic representation of plexus formation by spinal nerves. (A) Each myotome receives one spinal nerve, but the myotome may split to contribute to a composite muscle. (B) The axons that innervate a composite muscle still reach their original myotome but first run through a plexus to form a common nerve. The segmental innervation of the skin (Duus) Pattern of innervation of skin by peripheral nerves (Duus) Gross components of a prototypical peripheral nerve (thoracic level). Dorsal view of the spinal cord and dorsal nerve roots in situ, after removal of the neural arches of the vertebrae. CSF is obtained by inserting a Needle into the lumbar cistern between the 3rd and 4th or 4th and 5th lumbar spinal processes. Schematic drawings showing the relationship between adult the spinal cord and the vertebral column at various stages of development. The cross-sections of the spinal cord are wider at the level of the cervical and lumbar enlargements than elsewhere. Note that relative amount of gray and white matter is also different at different levels. The amount of white matter decreases gradually in caudal direction, since the long ascending and descending fiber tracts contain fewer axons at successively more caudal levels of the spinal cord. -
In Shortly About Cauda Equina Syndrome Siniša Franjić*
Archives of Neurology and Neuro Disorders ISSN: 2638-504X Volume 3, Issue 1, 2020, PP: 21-26 In Shortly about Cauda Equina Syndrome Siniša Franjić* [email protected] Faculty of Law, International University of Brcko District, Brcko, Bosnia and Herzegovina. *Corresponding Author: Siniša Franjić, Faculty of Law, International University of Brcko District, Brcko, Bosnia and Herzegovina. Abstract Cauda equina syndrome affects a group of nerve roots called Cauda equina (in latin “horse tail“). These nerves are located at the lower end of the spine in the lumbosacral part. They send and receive messages for the legs, feet and pelvis. Trauma, overexertion, violent injuries, and some diseases and conditions result in compression of the roots of these nerves. There is severe lower back pain, loss or change of sensation in the legs, buttocks, difficulty in urinating. Surgical treatment must be performed quickly to prevent permanent damage, such as leg paralysis, bladder and bowel dysfunction, sexual function, or other problems. Keywords: Cauda equina, Spinal cord, Pathology, Treatment Introduction CES is a neurosurgical emergency. The goal is to prevent irreversible loss of bowel and bladder function Cauda equina syndrome (CES). The signs and and motor function of the lower extremities. While symptoms of lower extremity weakness and pain developing acutely after heavy lifting should raise CES is primarily a clinical diagnosis, further imaging suspicion for a herniated intervertebral disc, which will be required to aid decision-making and operative is the commonest cause of CES [1]. Depending on the planning. Ultimately, an MRI of the lumbar spine will location and degree of the herniation, a combination help guide the neurosurgeon. -
ESMO–Paedcan–EURACAN Clinical Practice Guidelines for Diagnosis, Treatment and Follow-Up†
Annals of Oncology 29 (Supplement 4): iv79–iv95, 2018 doi:10.1093/annonc/mdy310 CLINICAL PRACTICE GUIDELINES Downloaded from https://academic.oup.com/annonc/article-abstract/29/Supplement_4/iv79/5115250 by Università degli Studi di Milano user on 29 May 2019 Bone sarcomas: ESMO–PaedCan–EURACAN Clinical Practice Guidelines for diagnosis, treatment and follow-up† P. G. Casali‡1, S. Bielack‡2, N. Abecassis3, H.T. Aro4, S. Bauer5, R. Biagini6, S. Bonvalot7, I. Boukovinas8, J. V. M. G. Bovee9, B. Brennan10, T. Brodowicz11, J. M. Broto12, L. Brugie`res13, A. Buonadonna14, E. De A´ lava15, A. P. Dei Tos16, X. G. Del Muro17, P. Dileo18, C. Dhooge19, M. Eriksson20, F. Fagioli21, A. Fedenko22, V. Ferraresi6, A. Ferrari23, S. Ferrari24, A. M. Frezza25, N. Gaspar13, S. Gasperoni26, H. Gelderblom27, T. Gil28, G. Grignani29, A. Gronchi1, R. L. Haas30, B. Hassan31, S. Hecker-Nolting2, P. Hohenberger32, R. Issels33, H. Joensuu34, R. L. Jones35, I. Judson36, P. Jutte37, S. Kaal38, L. Kager39, B. Kasper32, K. Kopeckova40, D. A. Kra´korova´41, R. Ladenstein39, A. Le Cesne13, I. Lugowska42, O. Merimsky43, M. Montemurro44, B. Morland45, M. A. Pantaleo46, R. Piana21, P. Picci24, S. Piperno-Neumann7, A. L. Pousa47, P. Reichardt48, M. H. Robinson49, P. Rutkowski42, A. A. Safwat50, P. Scho¨ffski51, S. Sleijfer52, S. Stacchiotti25, S. J. Strauss18, K. Sundby Hall53, M. Unk54, F. Van Coevorden55, W.T.A. van der Graaf35,38,55, J. Whelan18, E. Wardelmann56, O. Zaikova57 & J. Y. Blay58, on behalf of the ESMO Guidelines Committee, PaedCan and ERN EURACAN* 1Fondazione -
Neurological Examination in Spinal Cord Injury Author: Ricardo Botelho, MD Editor in Chief: Dr Néstor Fiore Senior Editor: José A
CONTINUOUS LEARNING LIBRARY Trauma Pathology Neurological Examination in Spinal Cord Injury Author: Ricardo Botelho, MD Editor In Chief: Dr Néstor Fiore Senior Editor: José A. C. Guimarães Consciência OBJECTIVES CONTINUOUS LEARNING LIBRARY Trauma Pathology Neurological examination in spinal cord injury ■■ To describe a normal neurological examination, as well as the possible abnormalities. ■■ To identify the dermatome and myotome distribution patterns. ■■ To highlight the difficulties of the neurological evaluation in unconscious patients. ■■ To recognize the international scales applied for neurological evaluations. Neurological Examination in Spinal Cord Injury. Author: Ricardo Botelho, MD 2 CONTENTS 1. Introduction Overview ........................................................................................................................................04 2. Classification .......................................................................................................06 3. Standardized neurological clinical examination (ASIA) Sensory evaluation (ASIA) ....................................................................................................... 07 Motor evaluation (ASIA)............................................................................................................10 Neurological examination (ASIA) .......................................................................................... 14 4. Examining an unconscious patient ................................ 16 References .......................................................................................................................17 -
International Standards for Neurological and Functional Classi®Cation of Spinal Cord Injury
Spinal Cord (1997) 35, 266 ± 274 1997 International Medical Society of Paraplegia All rights reserved 1362 ± 4393/97 $12.00 International Standards for Neurological and Functional Classi®cation of Spinal Cord Injury Frederick M Maynard, Jr, Michael B Bracken, Graham Creasey, John F Ditunno, Jr, William H Donovan, Thomas B Ducker, Susan L Garber, Ralph J Marino, Samuel L Stover, Charles H Tator, Robert L Waters, Jack E Wilberger and Wise Young American Spinal Injury Association, 2020 Peachtree Road, NW Atlanta Georgia 30309, USA The ®rst edition of the International Standards for ASIA Board has established a standing committee Neurological and Functional Classi®cation of Spinal to reevaluate regularly the need for further Cord Injury, ie neural disturbances (`Spinal Cord modi®cations in the Standards booklet and in the Injury') whether from trauma or disease, was Training Package, as well as to respond to published in 19826 by the American Spinal Injury questions and criticisms of the Standards from Association (ASIA). Reference was made to the 1992 the many users. This committee welcomes corre- Revision of the International Standards and published spondence that raises questions, oers constructive in Paraplegia (the former title of Spinal Cord) in 1994, criticism or provides new empirical data that is Volume 32, pages 70 ± 80 by JF Ditunno Jr, W Young, relevant for further re®nements and improvements WH Donovan and G Creasey7. Since then there have in the reliability and validity of the ISCSCI. been three revisions, the most recent being -
Latin Term Latin Synonym UK English Term American English Term English
General Anatomy Latin term Latin synonym UK English term American English term English synonyms and eponyms Notes Termini generales General terms General terms Verticalis Vertical Vertical Horizontalis Horizontal Horizontal Medianus Median Median Coronalis Coronal Coronal Sagittalis Sagittal Sagittal Dexter Right Right Sinister Left Left Intermedius Intermediate Intermediate Medialis Medial Medial Lateralis Lateral Lateral Anterior Anterior Anterior Posterior Posterior Posterior Ventralis Ventral Ventral Dorsalis Dorsal Dorsal Frontalis Frontal Frontal Occipitalis Occipital Occipital Superior Superior Superior Inferior Inferior Inferior Cranialis Cranial Cranial Caudalis Caudal Caudal Rostralis Rostral Rostral Apicalis Apical Apical Basalis Basal Basal Basilaris Basilar Basilar Medius Middle Middle Transversus Transverse Transverse Longitudinalis Longitudinal Longitudinal Axialis Axial Axial Externus External External Internus Internal Internal Luminalis Luminal Luminal Superficialis Superficial Superficial Profundus Deep Deep Proximalis Proximal Proximal Distalis Distal Distal Centralis Central Central Periphericus Peripheral Peripheral One of the original rules of BNA was that each entity should have one and only one name. As part of the effort to reduce the number of recognized synonyms, the Latin synonym peripheralis was removed. The older, more commonly used of the two neo-Latin words was retained. Radialis Radial Radial Ulnaris Ulnar Ulnar Fibularis Peroneus Fibular Fibular Peroneal As part of the effort to reduce the number of synonyms, peronealis and peroneal were removed. Because perone is not a recognized synonym of fibula, peronealis is not a good term to use for position or direction in the lower limb. Tibialis Tibial Tibial Palmaris Volaris Palmar Palmar Volar Volar is an older term that is not used for other references such as palmar arterial arches, palmaris longus and brevis, etc.