Nerve Root Dermatomes

Nerve Root DermatomesThe term “dermatome” is a mix of 2 Ancient Greek words; “derma” suggesting “skin”, and “tome”, implying “cutting” or “thin sector”. It is an area of skin which is innervated by the posterior (dorsal) root of a single spinal nerve. As posterior roots are arranged in sectors, dermatomes are also. This is why the term “dermatome” refers to the segmental innervation of the skin.

Nerve Root Dermatomes

Dermatomes Diagram Spinal Nerves And Locations – Dermatomes Diagram Spinal Nerves And Locations

Neighboring dermatomes typically, if not constantly overlap to some degree with each other, as the sensory peripheral branches representing one posterior root generally surpass the limit of their dermatome. As such, the thin lines seen in the dermatome maps are more of a medical guide than a real border. Nerve Root Dermatomes

This implies that if a single back nerve is impacted, there is most likely still some degree of innervation to that sector of skin coming from above and below. For a dermatome to be totally numb, normally 2 or 3 surrounding posterior roots require to be affected. In addition, it’s essential to note that dermatomes are subject to a big degree of interindividual variation. A graphical representation of all the dermatomes on a body surface area chart is described as a dermatome map. Nerve Root Dermatomes

Dermatome maps

Dermatome maps illustrate the sensory distribution of each dermatome throughout the body. Clinicians can assess cutaneous feeling with a dermatome map as a method to localize lesions within main worried tissue, injury to specific back nerves, and to figure out the extent of the injury. Numerous dermatome maps have actually been established over the years but are typically conflicting.

The most frequently used dermatome maps in major books are the Keegan and Garrett map (1948) which leans towards a developmental analysis of this idea, and the Foerster map (1933) which associates better with medical practice. This article will examine the dermatomes utilizing both maps, determining and comparing the significant differences between them.

Why Are Dermatomes Important?

To understand dermatomes, it is necessary to understand the anatomy of the spine. The spine is divided into 31 sectors, each with a pair (right and left) of anterior and posterior nerve roots. The types of nerves in the anterior and posterior roots are various.

Anterior nerve roots are accountable for motor signals to the body, and posterior nerve roots get sensory signals like pain or other sensory symptoms. The anterior and posterior nerve roots combine on each side to form the back nerves as they leave the vertebral canal (the bones of the spine, or backbone).