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Brain and Spinal Cord


Your Brain

Weighing only about three pounds, your brain acts like a computer that coordinates all your body functions. Your brain also controls your emotions and memory, and your thinking and reasoning skills. Completely enclosed by your skull, your brain floats in cerebrospinal fluid. Only the lower end of your brain, called the brain stem, is not free to move.

Brain Anatomy

Central Nervous System (CNS): Your CNS consists of the brain and spinal cord.

Brain Stem: Connects your brain with your spinal cord and controls your breathing and heart rate.

Cerebral Cortex: Involved in your thinking, learning and speaking activities.

Cerebellum: Like a mini-brain within your brain, your cerebellum allows you to carry out skilled, complicated movements.

Cerebrospinal fluid: Protects your brain and spinal cord by acting as a shock absorber.

Cerebrum: The largest and uppermost portion of your brain. It consists of the right and left hemispheres, which control thoughts and conscious action.

Corpus Callosum: Connects the two hemispheres of your brain and allows both sides to communicate. For example, when your right hand holds an object, your left hand knows it.

Midbrain: The middle and smallest subdivision of your brain where hearing and vision messages are relayed.

Thalamus: Egg-shaped area that helps you process and recognize information about touch, pain, temperature and pressure on your skin.

Limbic system: Emotional part of your brain that is involved in anger, fear, pleasure and sorrow.

Hippocampus: Part of your brain that helps with memory.

After an Injury


After a brain injury, people can experience the following:
  • Memory problems
  • Thinking, reasoning and concentration difficulties
  • Impaired vision and hearing
  • Speech problems
  • Motor problems (such as difficulty walking or the loss of hand, arm or leg function)
  • Fine motor problems (such as difficulty moving fingers when holding a pencil)
  • Behavior problems (such as impulsiveness or depression)
  • Paralysis of body parts
  • Seizures
Source: Big Head, by Dr. Pete Rowan. New York: Knopf, 1998.

Your Spinal Cord

About as thick as a thumb and 17 inches long, your spinal cord is actually an extension of your brain. Through your spinal cord, your brain can keep in constant contact with your whole body.

Spinal Cord Anatomy

Spinal Column: Also called your backbone, your spinal column is made up of 33 small bones called vertebrae that fit together and form a protective tunnel for your spinal cord.

Spinal Cord: Your spinal cord is really a large nerve that extends from your brain stem to just below your ribs. Its millions of nerve fibers carry signals to and from your brain to other parts of your body.

Discs: Between your vertebrae are discs made of a tough, crabmeat-like substance. These discs act as shock absorbers for your back and also help protect your spinal cord.

Spinal nerves: Thirty-one pairs of nerves coming off your spinal cord that transmit messages to and from your body.

Motor nerves: Nerves that carry impulses from your brain and spinal cord to your muscles, glands and other organs.

Sensory nerves: Nerves located in the skin and other sensory organs. These nerves receive stimuli and send impulses to your spinal cord and brain.

Vertebrae: Small bones with spiny projections that compose the backbone or spinal column.


After an Injury


A spinal cord injury can cause permanent paralysis, which is an inability to move a part of your body because of nerve or muscle damage. People can lose some or all body function below the point of injury as described in the following forms of paralysis:

Quadriplegia ("Quad" means four and "plegia" means paralysis): If your spinal cord is injured near your neck, messages from your brain won't be able to go past that point. Paralyzed from the neck down, quadriplegics lose some or all function of their arms or legs.

Paraplegia ("Para" means two and "plegia" means paralysis): Injury that occurs farther down the spinal cord causes paralysis from that location and below. Paraplegics suffer permanent loss of leg movement and lower-body function.


It's a fact. Once your spinal cord is damaged, it can never be fixed. And once your brain is injured and your brain cells are damaged, they can't be fixed either.

It's not like breaking an arm or a leg. Those body parts can heal. But a serious brain injury will rarely heal, and a spinal cord injury will never completely heal. Brain and spinal cord injuries can only be prevented.