Anatomy (ANS - 11/3) Flashcards
ANS (Visceral motor system) innervates __________
Smooth muscle, cardiac muscle, glands
How many neurons in ANS system
2 (preganglionic cell body in CNS and postganglionic cell body in peripheral ganglion - motor)
Preganglionic cell bodies
CNS - multipolar
Sympathetic in Lateral Horn (T1-L2/3)
Parasympathetic in Brain stem (CN III, VII, IX, X) or sacral region S2-S4
Postganglionic cell bodies
Autonomic ganglion (depending on para/sympathetic) - multipolar
Sympathetic originates from preganglionic cell neurons having cell bodies in _____
Lateral gray horn (intermediolateral cell column) of spinal cord levels T1 to L2/3
Parasympathetic have cell bodies in ____
Cranial nerve nuclei III, VII, IX, X and spinal cord segments
S2,3,4
Where do preganglionic sympathetic neurons exit from lateral horn?
Ventral root (motor) to join spinal nerve
Sympathetic preganglionic neuron pathway
Lateral horn –> ventral root –> spinal cord –> communicating white ramus –> sympathetic chain to synapse with postganglionic OR travel to prevertebral ganglion
Lateral Horn
T1-L2/3
Sympathetic preganglionic cell bodies
Intermediolateral cell column
White communicating ramus
Spinal nerve to sympathetic chain ganglia (preganglionic sympathetic fibers - axons)
Myelinated axons
14 pairs (28 total) from T1-L2
Also contain visceral sensory nerves
4 Options for Preganglionic Sympathetic neurons
- Terminate with postsynaptic neuron of paravertebral ganglion at that spinal cord level
- Ascend to terminated at higher paravertebral level
- Descend to terminate at lower paravertebral leve
- Traverse sympathetic trunk w/o terminating –> splanchnic (visceral) nerves –> prevertebral ganglia (pre-aortic) or adrenal gland
Postganglionic sympathetic cell bodies
Paravertebral (sympathetic chain) ganglia OR prevertebral (preaortic) ganglia
Cells of adrenal medulla homologous to postganglionic neurons
Cervical paravertebral ganglia
3 ganglia (per side) --> 8 cervical spinal nerves Superior cervical ganglion (largest) --> supply head also, Middle, Inferior
How do postganglionic axons leave paravertebral ganglia?
Gray rami communicans
How many pairs of gray rami?
31 pairs - communicate with 31 pairs of spinal nerves (cervical, thoracic, lumbar, sacral and coccygeal)
Gray rami communicans
31 pairs
Unmyelinated axons from postganglionic sympathetic axons –> spinal nerves
Cardiopulmonary sympathetic nerves
From paravertebral ganglia to supply postG sym fibers to heart and lungs (cardiac, pulmonary, aortic plexuses)
From middle/inferior cervical paravertebral panglia or in upper 5 thoracic paravertebral ganglia