Structure and Functions of the Body: A Hand-Book of Anatomy and Physiology for Nurses and Others Desiring a Practical Knowledge of the SubjectFiske, Annette
Science
Structure and Functions of the Body: A Hand-Book of Anatomy and Physiology for Nurses and Others Desiring a Practical Knowledge of the Subject
Fiske, Annette
Human anatomy; Physiology
In the =medulla oblongata=, which is about 1 inch long and extends from
the pons Varolii to the upper border of the atlas or first cervical
vertebra, the gray matter is not necessarily external to the white but
is found in patches in the white. The gray matter here corresponds more
or less to that of the spinal cord and the white matter is continuous
with that of the cord. From the medulla arise the fifth to twelfth
cranial nerves and the vasomotor nerves. The cardiac nerve has its
center here and here too are the centers of respiration, phonation,
deglutition, mastication, and expression. In the medulla the nerves
that arise in the cerebrum cross over from one side of the body to
the other on the crossed pyramidal tracts. The importance of this
crossing of the nerve fibers is seen in apoplexy, when a blood-vessel
is ruptured in the brain and hemorrhage causes pressure, generally on
the motor tract. Paralysis of the nerves and of the muscles to which
they go results. The paralysis is generally of one side of the body,
the opposite side from that on which the injury occurred. The seat
of injury in the brain or cord can frequently be determined by the
situation and extent of the paralysis.
=Spinal Cord.=--Extending down from the medulla through the spinal
column is the cord. Its length from the foramen magnum, where it
begins, down through the vertebræ to the lower border of the first
lumbar vertebra, where it ends in a very fine thread-like process with
no special function, called the _filum terminale_, is 17 to 18 inches.
Just before it ends a number of nerves are given off in a tail-like
expansion known as the _cauda equina_ or horse’s tail. It is not
uniform throughout its length but presents two enlargements, a cervical
enlargement in the lower cervical region, and a lumbar enlargement in
the lower dorsal region, where the nerves are given off to the arms and
legs respectively. The membranes are the same as those of the brain
and are continuous with them, but here the dura mater is not attached
to the bony walls enclosing it. For the cord does not fit closely
into the canal but is as it were suspended in it. The _subarachnoid
space_ communicates with the ventricles of the brain by the _foramen of
Majendie_ and is filled with _cerebro-spinal fluid_ for the protection
of the cord. In cerebro-spinal meningitis or spotted fever this fluid
is infected and for diagnosis lumbar puncture is performed.
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