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The fourth lumbar spinal nerve (L4) [4] originates from the spinal column from below the lumbar vertebra 4 (L4). L4 supplies many muscles, either directly or through nerves originating from L4. They are not innervated with L4 as single origin, but partly by L4 and partly by other spinal nerves. The muscles are: quadratus lumborum; gluteus ...
Some referred pain due to visceral sensations refer to dermatomes that send fibers to the same level of spinal cord. A dermatome is an area of skin supplied by sensory neurons that arise from a spinal nerve ganglion. Symptoms that follow a dermatome (e.g. like pain or a rash) may indicate a pathology that involves the related nerve root ...
Spinal nerve Typical spinal nerve location. Each spinal nerve is a mixed nerve, formed from the combination of nerve root fibers from its dorsal and ventral roots. The dorsal root is the afferent sensory root and carries sensory information to the brain. The ventral root is the efferent motor root and carries motor information from the brain.
The lumbar plexus is a web of nerves (a nerve plexus) in the lumbar region of the body which forms part of the larger lumbosacral plexus. It is formed by the divisions of the first four lumbar nerves (L1-L4) and from contributions of the subcostal nerve (T12), which is the last thoracic nerve .
A peripheral nerve field can also be described as cutaneous nerve distribution. An area innervated by a single dorsal root is called a dermatome . Neurologists rely on maps of dermatomes and peripheral nerve fields to diagnose areas of nerve damage based on somasthetic or proprioceptive deficits in specific dermatomes and peripheral nerve fields.
A nerve root (Latin: radix nervi) is the initial segment of a nerve leaving the central nervous system.Nerve roots can be classified as: Cranial nerve roots: the initial or proximal segment of one of the twelve pairs of cranial nerves leaving the central nervous system from the brain stem or the highest levels of the spinal cord.
In humans myotome testing can be an integral part of neurological examination as each nerve root coming from the spinal cord supplies a specific group of muscles. Testing of myotomes, in the form of isometric resisted muscle testing, provides the clinician with information about the level in the spine where a lesion may be present. [ 7 ]
On nerve conduction studies, the pattern of diminished compound muscle action potential and normal sensory nerve action potential may be seen given that the lesion is proximal to the posterior root ganglion. Needle EMG is the more sensitive portion of the test, and may reveal active denervation in the distribution of the involved nerve root ...