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The Spinal Cord: An Introduction: |
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The
spinal cord is the made up of over one million neurons and acts
as the information superhighway for the body, carrying electrical
signals from all parts of the body to the brain and back again.
In an adult human the spinal cord is approximately 44cm long. It
is normally protected by the vertebrae - a series of ring like bones.
Due to the nature of these bones they can be crushed, severely damaging
the delicate cord beneath.
All
the messages needed to control movement in the body travel down
the spinal cord from the brain to the muscles. Everything that is
sensed - pressure, temperature, pain - is relayed to the appropriate
area of the brain to be dealt with in the correct manner. A special
fatty coating called myelin surrounds many of the neurons in the
spinal cord, drastically speeding up the relay of signals. In a
healthy person a nerve impulse travels at approximately 200 meters
per second.
Damaged
neurons are unable to relay the electrical impulses needed to carry
the important messages around the body. The messages from the brain
to initiate movement can no longer get to the parts of the body
affected by injury, and paralysis occurs. The sensory messages from
those areas are unable to reach the brain and so the injured person
will loose all sensations below the level of injury.
It
is not just the feeling and movement that is affected by spinal
cord injury though, there are many other effects associated including
loss of bladder and bowel control, loss of sexual function and the
inability to control body temperature. The affect on the control
of blood pressure in the body is so severe that in many cases it
can lead to the death of the sufferer. Even the emotions we feel
are affected by damage to the spinal cord.
The
degree of paralysis depends on the level of
the injury. The higher up the spine the injury occurs the greater
the impact it has. People who have suffered damage to the neck or
shoulder region of the spinal cord will not only lose feeling and
movement in both arms and legs, but may be unable to breathe without
a ventilator, as the messages are unable to reach the diaphragm.
This is known as tetraplegia or quadriplegia. Lower level injuries,
known as paraplegia, result in the loss of control and feeling in
the legs. The spinal cord does not need to be severed for paralysis
to occur, in fact in the majority of cases the spinal cord remains
intact but damaged.
Unlike
other areas of the body, the neurons in the spinal cord are incapable
of regeneration, meaning that damage to the spinal cord is permanent.
See
also:
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