Autonomic Nervous System Flashcards

1
Q

The ANS (Autonomic Nervous System) is
a visceral motor neuron system
that innervates

A

-Smooth muscle in organs and blood vessels
•  Cardiac muscle
•  Glands

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2
Q

Autonomic Motor Systems with
chain of two motor neurons
compared to single somatic motor axon

A

Autonomic motor system
•  Preganglionic neuron: thinly myelinated
•  Post-ganglionic neuron: unmyelinated
•  Preganglionic and postganglionic neurons
synapse in a ganglion
Somatic motor system
•  Axons are well myelinated and conduct
impulses more rapidly
•  Have one axon that extends from CNS to the
muscle

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3
Q

Sympathetic and

parasympathetic divisions

A
  •   Innervate mostly the same structures

*   Cause opposite effects

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4
Q

Sympathetic Nervous System

A

•  Fight, flight, or fright response
•  Increase heart rate and breathing rate
•  Increases blood and oxygen to skeletal muscles
•  Dilates pupils and airways
•  Inhibits motility of the digestive tract and urinary
tracts
•  Stimulates sweat glands
•  Stimulates arrector pili muscles which causes
hairs to stand up vertically

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5
Q

Parasympathetic Nervous
System is active when person
is relaxed and body is at rest

A
-Conserves energy 
•  Heart rate and breathing are at normal 
levels 
•  Gastrointestinal tract digests food 
•  Pupils are constricted
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6
Q

Anatomical Differences in Sympathetic and

Parasympathetic Divisions

A
Issue from different 
regions of the CNS 
– Sympathetic—also 
called the 
thoracolumbar 
division 
– Parasympathetic—
also called the 
craniosacral 
division
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7
Q

Anatomical Differences in Sympathetic

and Parasympathetic Divisions

A
•  Length of postganglionic axon fibers 
– Sympathetic—long because ganglia are 
typically close to CNS 
– Parasympathetic—short because ganglia are 
close to viscera 
•  Branching of postganglionic axons 
– Sympathetic axons—may be highly branched 
– Parasympathetic axons—few branches
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8
Q

Anatomical Differences in Sympathetic
and Parasympathetic Divisions:
Neurotransmitter released by
postganglionic axons

A

Sympathetic: release norepinephrine
(adrenergic)
•  Parasympathetic: release acetylcholine
(cholinergic)

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9
Q

The Parasympathetic Division

A

Cranial outflow
– Comes from cranial nerves in brainstem
– Innervates: organs of the head, neck,
thorax, and most of abdomen
•  Sacral outflow
– Comes from visceral motor region of ventral
gray matter in spine
– Innervates: distal half of large intestine,
reproductive organs and erectile tissue in
external genitalia

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10
Q

Cranial Outflow (Parasympathetic)

A
•  Preganglionic fibers run via 
– Oculomotor nerve (III) 
– Facial nerve (VII) 
– Glossopharyngeal nerve (IX) 
– Vagus nerve (X) 
•  Cell bodies of cranial nerves located in 
cranial nerve nuclei in the brainstem 
•  Ganglionic cell bodies located near 
viscera/organs/tissues being innervated 1
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11
Q

Path of Vagus Nerve (CN X)
sends branches through
parasympathetic autonomic
nerve plexuses:

A
  •   Nerve plexus = network of nerves
  •   Cardiac plexus
  •   Pulmonary plexus
  •   Esophageal plexus
  •   Celiac plexus
  •   Superior mesenteric plexus
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12
Q

Sacral Outflow

A

•  Emerges from S2–S4
•  Innervates organs of the pelvis and lower
abdomen and stimulates defecation,
urination, and erection
•  Preganglionic cell bodies are located in
visceral motor region of spinal gray matter
•  Axons run in ventral roots to ventral rami
and form pelvic nerves
•  Run through the inferior hypogastric (or
pelvic) plexus

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13
Q

The Sympathetic Division

A
Issues from T1–L2 
•  Preganglionic fibers emerge from the 
LATERAL GRAY HORN in spinal cord 
•  Supplies visceral organs and structures 
of superficial body regions 
•  Contains more ganglia than the 
parasympathetic division
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14
Q

Sympathetic Trunk Ganglia

A
Located on both sides of the vertebral 
column 
•  Linked by short nerves into 
sympathetic trunks 
•  Sympathetic trunk ganglia are also 
called chain ganglia or paravertebral 
ganglia
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15
Q

Sympathetic neurons in the
thoracolumbar spinal cord send motor
axons through trunk ganglia
via the following sequence

A
Preganglionic axon (lightly myelinated) 
•  Ventral root 
•  Ventral ramus of spinal nerve 
•  White ramus communicans 
•  Associated sympathetic trunk ganglion 
Postganglionic axon (unmyelinated) 
•  Gray ramus communicans 
•  Ventral ramus of spinal nerve
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16
Q

White & gray rami communicans

A

•  White rami communicans—contain lightly
myelinated preganglionic fibers traveling to
sympathetic trunk ganglia
•  Gray rami communicans—contain
unmyelinated postganglionic fibers traveling
from ganglia to peripheral structures

17
Q

Sympathetic preganglionic axons follow

one of three pathways

A
  1. Synapses with a postganglionic neuron at
    the same level and exit on a spinal nerve at that
    level
    •  # 2. Axon ascends or descends in the
    sympathetic trunk to synapse in another ganglion
    •  # 3. Axon does not synapse in the sympathetic
    trunk but instead passes through and exits in a
    splanchnic nerve and synapses in a collateral
    ganglion from which a postganglionic axon
    extends to the visceral organ
18
Q

Collateral (prevertebral) ganglia
(#3) differ from sympathetic trunk
ganglia in three ways

A

Unpaired, not segmentally arranged
•  Occur only in abdomen and pelvis
•  Lie anterior to the vertebral column

19
Q

Splanchnic nerves

A

•  Splanchnic nerves carry preganglionic

neurons to the collateral ganglia

20
Q

Main sympathetic

collateral ganglia

A
  •   Celiac
  •   Superior mesenteric
  •   Inferior mesenteric
  •   Inferior hypogastric
21
Q

Main sympathetic ganglia

A
Superior cervical 
•  Middle cervical 
•  Inferior cervical 
•  Celiac 
•  Superior mesentery 
•  Inferior mesentery 
•  Hypogastric
22
Q

Sympathetic Pathways to the

Head

A
Preganglionic fibers originate in spinal 
cord at T1–T4 
•  Fibers ascend in the sympathetic 
trunk and synapse in superior cervical 
ganglion 
•  Postganglionic fibers associate with 
eye, lacrimal gland, nasal mucosa, 
salivary glands
23
Q

Sympathetic Pathways to

Thoracic Organs

A

Preganglionic fibers originate at spinal levels T1–T6
•  Some fibers synapse in nearest sympathetic trunk
ganglion and the postganglionic fibers run to heart,
lungs and esophagus
•  Functions
– Increase heart rate
– Dilate blood vessels to the heart wall
– Dilate bronchioles
– Inhibit muscles and glands in the esophagus and
digestive system

24
Q

Sympathetic Pathways to

Abdominal Organs

A

•  Preganglionic fibers originate in spinal cord
(T5–L2)
•  Pass through adjacent sympathetic trunk
ganglia then travel in splanchnic nerves
•  Synapse in collateral ganglia (celiac and
superior mesenteric ganglia) in abdomen

25
Q

Sympathetic Pathways to the

Pelvic Organs

A

Preganglionic fibers originate in the spinal
cord from T10–L2
•  Some preganglionic fibers pass directly to
autonomic plexuses and synapse in
collateral ganglia (inferior mesenteric or
inferior hypogastric ganglia)
•  Postganglionic fibers go from these
plexuses to the bladder, reproductive
organs, and distal large intestine

26
Q

Sympathetic Pathways to the

Pelvic Organs

A

Some preganglionic fibers descend in the
sympathetic trunk to lumbar and sacral
ganglia where they synapse
•  Postganglionic fibers run in lumbar and sacral
nerves to inferior mesenteric, aortic and
hypogastric plexuses

27
Q

The Role of the Adrenal Medulla in

the Sympathetic Division

A

•  Adrenal medulla is major organ of the
sympathetic nervous system
•  Constitutes largest sympathetic ganglia
•  Secretes large quantities of norepinephrine
and epinephrine (=adrenaline) to produce
a widespread excitatory response, the
“surge of adrenaline”
•  Stimulated to secrete by preganglionic
sympathetic fibers carried in thoracic
splanchnic nerve

28
Q

Central Control of the ANS

A

– Reticular formation exerts most direct influence
•  Medulla oblongata e.g., cardiac center, vasomotor
center, and digestive activities
•  Periaqueductal gray matter in midbrain exerts
sympathetic fear response
–  Control by the hypothalamus and amygdala
•  Hypothalamus—the main integration center of the
ANS
•  Amygdala—main limbic region for emotions
–  Control by the cerebral cortex: for example calm
feelings achieved during meditation are associated with
cerebral cortex influence on the parasympathetic
centers of hypothalamus via various limbic structures

29
Q

Central nervous system control of

autonomic nervous system

A
  •   Cerebral cortex
  •   Amygdala
  •   Hypothalamus
  •   Brainstem
  •   Spinal cord
30
Q

Spinal cord control of autonomic
nervous system influences
visceral spinal reflexes

A
  •   Urination reflex
  •   Defecation reflex
  •   Erection reflex
  •   Ejaculation/orgasm reflex
31
Q

Brainstem control of

autonomic nervous system

A

Reticular formation exerts most direct
influence over autonomic functions
•  Medulla oblongata e.g., cardiac center,
vasomotor center, and digestive activities
•  Periaqueductal gray matter in midbrain
exerts sympathetic fear response

32
Q

Hypothalamus control of

autonomic nervous system

A

•  Hypothalamus is main integration center of
the autonomic nervous system by influencing
preganglionic autonomic neurons in
brainstem and spinal cord through direct
connections and relays in reticular formation
and periaqueductal gray matter
•  Medial and anterior parts direct
parasympathetic functions
•  Lateral and posterior parts direct sympathetic
functions

33
Q

Amygdala control of

autonomic nervous system

A

•  Amygdala is main limbic region for emotions
•  Amygdala communications with the
hypothalamus and the periaqueductal gray
matter can stimulate sympathetic activity,
especially previously learned fear-related
behavior

34
Q

Cerebral frontal cortex control

of autonomic nervous system

A

People can exert some conscious control over some
autonomic functions by developing control over their
thoughts and emotions
•  Feelings of calm achieved during meditation are
associated with cerebral cortex enhancing the
parasympathetic centers in the hypothalamus via
limbic structures
•  Voluntary recall of a frightful experience can
activate the sympathetic system via the amygdala

35
Q

Disorders of the Autonomic

Nervous System

A
•  Raynaud’s disease—characterized by 
constriction of blood vessels 
– Provoked by exposure to cold or by 
emotional stress 
•  Hypertension—high blood pressure 
– Can result from overactive 
sympathetic vasoconstriction