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Back Spinal Cord | Up Hospital Corpsman 3 & 2 - Intro Navy Nursing manual for hospital training purposes | Next Spinal Nerves |
A cross section of the spinal cord shows white
and gray matter (fig. 3-43). The outer white mat-
ter is composed of bundles of myelinated nerve
fibers arranged in functionally specialized tracts.
It establishes motor communication between the
brain and the body parts, The inner gray un-
myelinated matter is shaped roughly like the letter
H. It establishes sensory communication between
the brain and the spinal nerves, conducting sen-
sory impulses from the body parts. It also plays
an integral role in the autonomic nervous system
and in the reflex arc, both of which will be dis-
cussed later.
The spinal cord may be thought of as an elec-
tric cable containing many wires (nerves) that con-
nect parts of the body with each other and with
the brain. Sensations received by a sensory nerve
are brought to the spinal cord, and the impulse
is transferred either to the brain or to a motor
nerve. The majority of impulses go to the brain
Figure 3-43.Cross section of the spinal cord and reflex arc.
for action. However, a system exists for quickly
handling emergency situation. It is called the
reflex arc.
If you touch a hot stove, you must remove the
hand from the heat source immediately or the skin
will burn very quickly. But the passage of a sense
impulse to the brain and back again to a motor
nerve takes time, The reflex arc is set up to re-
spond instantaneously to emergency situations like
the one just described. The sensation of hot travels
to the spinal cord on a sensory nerve, where it is
picked up by an interneuron in the gray matter,
which triggers the appropriate nerve to stimulate
a muscle reflex drawing the hand away. Another
example of the reflex arc is shown in figure 3-43.
The reflex arc works well in simple situations
requiring no action of the brain. Consider,
however, what action is involved if the individual
touching the stove pulls back and, in so doing,
loses his or her balance and has to grab a chair
to regain stability. Then the entire spinal cord is
involved. Additional impulses must travel to the
brain, then down to the muscles of the legs and
arms to enable him or her to maintain balance
and to hold on to a steadying object. While all
this is going on, the stimulus is relayed through
the sympathetic autonomic nerve fibers to the
adrenal glands, causing adrenalin to flow, which
stimulates heart action, and to the brain, making
the individual conscious of pain. In this example
the spinal cord has functioned not only as a center
for spinal relaxes, but also as a conduction
pathway for other areas of the spinal cord to the
autonomic nervous system and to the brain.
PERIPHERAL NERVOUS SYSTEM
The peripheral nervous system is made up of
12 pairs of cranial nerves and 31 pairs of spinal
nerves arising from the brain and spinal cord,
respectively. These nerves carry both voluntary
and involuntary impulses (fig. 3-44).
Cranial Nerves
The 12 pairs of cranial nerves are sensory,
motor, or mixed (sensory and motor).
The OLFACTORY nerve (sensory) con-
veys the sense of smell from the mucous
membrane in the upper nose to the olfac-
tory center of the brain.
The OPTIC nerve (sensory) conveys the
sensation of sight from the retinal cells of
the eye to the visual area of the brain.
3-32
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