Conus medullaris

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Conus medullaris
Gray662.png
Cauda equina and filum terminale seen from behind. The dura mater has been opened and spread out, and the arachnoid mater has been removed.
Gray's subject #185 749

The conus medullaris ("medullary cone") is the terminal end of the spinal cord. It occurs near lumbar vertebral levels 1 (L1) and 2 (L2). After the spinal cord tapers out, the spinal nerves continue as dangling nerve roots called cauda equina. This terminal nerve root tail is referred to as the filum terminale. The upper end of the conus medullaris is usually not well defined.

Contents

[edit] Blood supply

The blood supply consists of three spinal arterial vessels -- the anterior median longitudinal arterial trunk and two posterolateral trunks. Other less prominent sources of blood supply include radicular arterial branches from the aorta, lateral sacral arteries, and the fifth lumbar, iliolumbar, and middle sacral arteries. The latter contribute more to the vascular supply of the cauda equina.

[edit] Pathology

Conus medullaris syndrome is a collection of signs and symptoms associated with injury to the conus medullaris.[1]

[edit] References

  1. ^ [http://www.medcyclopaedia.com/library/topics/volume_iii_1/c/conus_medullaris_syndrome.aspx "Medcyclopaedia - Conus medullaris syndrome C/f : bilateral saddle anaesthesia, bladder and bowel involvement, impotence, loss of superficial reflexes like bulbocavernosus and anal reflex, preservation of muscle( loss of muscle strength is seen in Cauda equina syndrome.essdate=2007-11-22"]. http://www.medcyclopaedia.com/library/topics/volume_iii_1/c/conus_medullaris_syndrome.aspx. 

[edit] External links

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