Anatomy of the PNS Flashcards
What are neurones?
The basic unit of the nervous system
Nucleus?
Collection of nerve cell bodies in the CNS
Ganglion?
Collection of nerve cell bodies in the PNS
What part of a neurone connects with other neurones?
Dendrites
Schwann cells produce myelin in the …?
PNS
Oligodendrocytes produce myelin in the …?
CNS
What are the 2 main types of neurones?
Multipolar
Unipolar
Which type of neurone is more common?
Multipolar
Nerves vs Neurones
Nerves in CNS
Neurones in PNS
Multipolar neurones have how many dendrites?
2 or more
All of what are multipolar neurones?
the MOTOR neurones of SKELETAL MUSCLE + ANS
Where are the cell bodies of multipolar neurones?
CNS
Unipolar neurones have….
Double processes
What are unipolar neurones also known as?
Pseudounipolar
Sensory
The cell bodies of unipolar neurones are in the CNS
FALSE
PNS
Multipolar
MOTOR
Unipolar
SENSORY
Efferent neurones direction?
Towards the body wall, cavity or organ
Away from the brain
Efferent?
Affrent?
Motor
Sensory
Afferent neurone direction?
Towards the brain
What is a ‘tract’ in the CNS?
Collections of axons surrounded by connective tissue and blood vessels
Nerves can be either …… or ….. modality?
Single or mixed
Single modality nerves are either?
Somatic motor Somatic sensory Special sensory Sympathetic Parasympathetic Visceral afferent
Tracts are usually a …… modality?
Single
What is mixed modality?
Somatic motor, somatic sensory and sympathetic all together in one nerve
What does CNV supply i) sensory ii) motor supply to?
i) face
ii) muscles of mastication
Where does CNV arise?
Pons
CN VII supplies i) motor ii) special sensory to what?
i) muscles of facial expression
ii) special sensory to anterior 2/3rds of tongue
What muscles does CN XI innervate?
Sternocleidomastoid and trapezius
Cranial nerves are named from ANTERIOR TO POSTERIOR, then from MEDIAL TO LATERAL, what is the exception?
CNXII is the exception – it jumps back to the medial part of the medulla oblongata
How many pairs of spinal nerves are there?
31
How many pairs of each?
8 cervical 12 thoracic 5 lumbar 5 sacral 1 coccygeal
Where are spinal nerves found?
ONLY in the intervertebral foramina
What do spinal nerves connect with?
Structures of the body wall via rami
Spinal cord segment of the same number via roots
Posterior rami of the spinal cord are smaller than anterior rami
TRUE
Where do anterior rami provide innervation to?
Anterior body wall
Lateral body wall
Where do posterior rami provide innervation to?
Posterior body wall
What is the location of cell bodies of primary afferent neurones?
Dorsal root ganglion
Dorsal
Posterior
Ventral
Anterior
SPINAL NERVES ARE ALL…..
MIXED
Describe where all sensory axons pass from and to.
ALL sensory axons pass from the spinal nerve into the posterior root, then into the posterior rootlets, then into the posterior horn of the spinal cord
Describe where all motor axons pass from and to.
ALL motor axons pass from the anterior horn of the spinal cord into the anterior rootlets then into the anterior root then into the spinal nerve
T4
Male nipple
T10
Umbilicus
What does each spinal nerve supply a body segment with?
General sensory
Somatic motor
Sympathetics to skin, and smooth muscle of arterioles
An area of skin supplied with sensory innervation from single spinal nerve is a?
Dermatome
What is a myotome?
The skeletal muscles supplied by motor innervation by a single spinal nerve
What does the innervation of skin by adjacent spinal nerves show?
OVERLAP
What spinal nerves supply the dermatomes of the lower limb, gluteal region and perineum?
L2-CO1
What dermatomes are in the upper limb?
C5-T1
What dermatomes are at the posterior scalp, neck and shoulder?
C2-C4
What are nerve plexuses?
Intermingled ANTERIOR RAMI from a number of adjacent spinal nerves
Cervical plexus
C1-C4
Brachial plexus
C5-T1
Lumbar plexus
L1-L4
Sacral plexus
L5-S4
Where do sympathetics exit the spinal cord?
T1-L2
thoracolumbar outflow
What do only T1 to L2 segments of the spinal cord have? Why?
Lateral horns
For cell bodies of the next sympathetic neurones in the chain
Where does sympathetic outflow originate from? Then what is their rout?
Brain
Spinal cord
Exit via T1-L2
Where does sympathetic outflow originate from? Then what is their route?
Brain
Spinal cord
Exit via T1-L2
Sympathetic outflow is present in all what?
Spinal nerves
Where do ‘presynaptic’ sympathetic axons pass?
These supply ‘motor’ innervation, so pass through anterior rootlets/root
What do presynaptic parasympathetic axons leave the CNS via?
Cranial nerves III, VII, IX, X
Sacral spinal nerves
Where does the ciliary ganglion travel to?
Eye
Where does the vagus nerve travel to?
Organs of the neck, chest and abdomen, as far as the midgut
Where do sacral spinal nerves travel?
Hindgut, pelvis and perineum
Outline the symptoms of Horner’s.
Miosis
Ptosis
Anhydrosis
Increased warmth and redness
What causes the symptoms of Horner’s?
Impaired sympathetic innervation to the head and neck
Suggest causes of compression of the cervical parts of the sympathetic trunk.
- Root of neck trauma.
- Carotid dissection.
- Internal jugular vein engorgement.
- Deep cervical node mets.
- Pancoast tumour (lung apex).