Autonomic nervous system part 2 Flashcards
What is the stellate ganglion
- Fused inferior cervical ganglion and T1 ganglion
Path of postganglionic fibres from the cervical ganglia to supply upper limbs
- Exit via grey rami communicans to spinal nerves
Path of postganglionic fibres from the cervical ganglia to supply the heart
- Follows path of common carotid artery
Path of postganglionic fibres from the cervical ganglia to supply the eye and lacrimal gland
- Fibres go up to join the internal carotid plexus
- Same path as internal/external carotid artery to head
Path of postganglionic fibres from the cervical ganglia to supply the submandibular and parotid glands
- Fibres join external carotid plexus to inhibit secretions of submandibular and parotid glands
What is horner’s syndrome
- Disruption of the sympathetic supply to head
- Any part of pathway - hypothalamus to preganglionic neurons
- Pupil
- Eyelid
- Skin of face
What is miosis
- Excessive constriction of the pupil
What is ptosis
- Falling or drooping of the upper eyelid
What is anhydrosis
- Lack of sweating
Exit of postganglionic fibres exit from thoracic sympathetic ganglia to supply heart and lungs
- Grey rami communicans to spinal nerves
- Medial branches to heart and lungs (cardiac plexus)
Path of preganglionic fibres exit via thoracic splanchnic nerves to abdomen
- Preganglionic fibres exit via thoracic splanchnic nerves to abdomen
- Greater, lesser and least to prevertebral ganglia
How many lumbar sympathetic trunk ganglia are there
- 4
Path of the postganglionic fibres exit from lumbar sympathetic ganglia
- Grey rami communicans to spinal nerves
Path of the preganglionic fibres exit from lumbar sympathetic ganglia
- Lumbar splanchnic nerves to pelvis
- Synapse to prevertebral ganglia
How many sacral sympathetic trunk ganglia are there
- 4
Path of postganglionic fibres exit from sacral sympathetic trunk ganglia
- Postganglionic fibres exit via
1) grey rami communicans to spinal nerves(lower limb)
2) Sacral splanchnic nerves to pelvic organs (other sympathetic splanchnic nerves mainly contain preganglionic fibres)
Effect of parasymp system on cardiac system
- Decreases pacemaker activity and contractile force
Effect of parasymp system on bronchi of lungs
- Bronchoconstriction
Effect of parasymp system on sweat glands, hair follicles and blood vessels
- none
- Except male erectile tissue/salivary glands - vasodilation, normal vasculature does not have parasymp supply
Effect of parasymp system on abdomino-pelvic viscera
- Stimulates peristalsis + gastric secretions
Effect of parasymp system on eye
- Constricts pupils
Effect of parasymp system on salivary and lacrimal glands
- Increases secretions
Where are parasympathetic preganglionic fibres
- Brainstem
- Grey matter spinal cord(part that forms S2-S4 spinal nerves)
Location of CNIII preganglionic neuronal cell bodies
- Edinger-westphal nucleus
- in the midbrain
Location of CNVII preganglionic neuronal cell bodies
- Superior salivatory nucleus
- In the pons
Location of CNIX preganglionic neuronal cell bodies
- Inferior salivatory nucleus
- In the pons
Location of CNX preganglionic neuronal cell bodies
- In the nucleus ambiguous, dorsal motor nucleus
- In the medulla
Where does CNIII synapse and how does it control sphincter pupillae
- Ciliary ganglion
- Sphincter pupillae(pupil) constriction
Where does CNVII synapse and how does it control lacrimal and submandibular glands
- Pterygopalatine ganglion(lacrimal)
- Submandibular ganglion
- Causes lacrimal gland to secrete tears
- Causes submandibular gland to secrete watery saliva
Where does CNIX synapse and how does it control parotid gland
- Otic ganglion
- Causes parotid gland to produce watery saliva
Where does the vagus nerve pass to
- Heart, lungs and abdominal viscera
- Exits via jugular foramen
Path of preganglionic parasymp sacral fibres
- From sacral spinal cord
- Preganglionic fibres exit via pelvic splanchnic nerves to pelvic organs
- Form pelvic plexus over viscera
- Preganglionic fibres synapse in walls of target organs
- From s2-s4
Effect of sacral parasymp function on bladder
urination
- Contraction of bladder wall
- Inhibition of bladder sphincter
Effect of sacral parasymp function on rectum
Defecation
- Inhibition of rectal sphincter
Effect of sacral parasymp function on sexual function
- Vasodilation in erectile tissues