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Spinal Cord Gray Matter

Substantia grisea

For medical students2 min readUpdated 2026-10-10

Spinal cord gray matter is the centrally located region consisting primarily of multipolar neuron cell bodies, unmyelinated axons, and astrocytes. On cross-section, it exhibits a characteristic butterfly or 'H' shape and serves as a vital reflex and integrative center.

Main FeatureContains neuronal cell bodies grouped into functional nuclei
ArchitectonicsDivided into 10 vertical Rexed laminae
ShapeResembles a butterfly or the letter 'H'
NeurogliaPredominantly astrocytes forming the blood-brain barrier components

Macrostructure and Horn Shape

Gray matter occupies an internal position relative to white matter. Its structure is represented by paired projections called horns, connected by the intermediate zone. Running through the very center of the spinal cord is the central canal, lined by ependymal cells.

Histological Composition and Rexed Laminae

The main morphological difference between gray and white matter is the presence of neuronal cell bodies. All neurons here are multipolar in structure and form clusters called nuclei.

The glial framework is represented mainly by astrocytes (both protoplasmic and fibrous). Their functions are critical:

  1. Formation of the blood-brain barrier (astroglial end-feet form glial limiting membranes on capillary surfaces).
  2. Formation of septa (fibrous astrocyte processes penetrate white matter and, together with connective tissue, form its structural framework).

In addition to the classical division into nuclei, there is a cytoarchitectonic classification. Gray matter is divided into 10 vertical Rexed laminae (laminae) based on cell density and morphology:

Posterior Horn Nuclei and Ascending Pathways

Posterior horns participate in closing somatic reflex arcs. Neurons here are divided into groups:

Inhibitory System (Substantia Gelatinosa) Located at the apex of the posterior horns. Small cells form inhibitory synapses on other neurons, providing 'gate control' of sensory information. By releasing GABA and opioid neuropeptides (enkephalins/endorphins), they dampen excessive impulse flow, particularly pain.

Spinocerebellar Pathway Neurons (Proprioception)

Intermediate Zone and Lateral Horns

The intermediate zone and lateral horns house key autonomic and association centers:

Mnemonic

To distinguish the anterior part of the spinal cord from the posterior on a slide: ANterior horns are WIde (like W) and feature a deep median fissure with pia mater. POsterior horns are Narrow, with no anterior fissure—only a posterior septum.

Frequently asked questions

What is the main difference between gray and white matter?

Gray matter contains neuronal cell bodies (multipolar neurons), whereas spinal cord white matter consists of myelinated and unmyelinated nerve fibers (axons).

What is the function of the substantia gelatinosa?

The substantia gelatinosa is located at the apex of the posterior horns and acts as an inhibitory system. Using GABA and opioids, it dampens excessive pain impulses.

Where are the sympathetic nervous system centers located?

They are located in the lateral intermediate nucleus of the lateral horns, which are found exclusively at thoracic and upper lumbar spinal segments.

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