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Neurological Assessment and Monitoring 429

                                  White matter                                   Grey matter


                                   Ventral root                                  Spinal nerve




                                   Dorsal root                                    Dorsal root
                                                                                   ganglion


                                   Arachnoid                                      Pia mater












                                                                       Dura mater




                                     A                   Posterior view



                                                                     Dura mater
                                   Vertebral    Pia mater                              Subarachnoid
                                     body                   Anterior       Arachnoid      space
                                Rami                                                     Autonomic
                            communicantes                                               (sympathetic)
                                                                                          ganglion

                                                                                          Ventral root
                                                                                            of spinal
                                                                                             nerve

                                                                                              Ventral
                                                                                               ramus

                                                                                            Dorsal
                                      Spinal cord                                           ramus
                                                                                Dorsal root
                                            Adipose tissue                       ganglion
                                           in epidural space         Denticulate
                                                                      ligament
                                                           Posterior
                                     B                  Sectional view
             FIGURE 16.10  The spinal cord and spinal meninges; (A) posterior view of the spinal cord, showing the meningeal layers, superficial landmarks, and dis-
             tribution of grey matter and white matter; (B) sectional view through the spinal cord and meninges, showing the peripheral distribution of spinal nerves.   1


             regulate spinal reflexes. Receipt of sensory impulses may   activity,  smooth  muscle  activity  and  secretion  by  both
             cause a reaction anywhere in the body; alternatively, the   endocrine and exocrine glands.
             signal  might  be  stored  in  the  memory  to  be  used  at
             some stage in the future. Within the motor division of   Sensory neurons from all over the skin, except for the skin
             the  nervous  system  the  spinal  cord  helps  to  control     of  the  face  and  scalp,  feed  information  into  the  spinal
             the  various  bodily  activities,  including  skeletal  muscle    cord  through  the  spinal  nerves.  The  skin  surface  can
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