Cervical autonomic nervous system Flashcards

1
Q

Define the central nervous system

A

the central nervous system is composed of the brain and spinal cord

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2
Q

Define the peripheral nervous system

A

The PNS is composed of all the motor (efferent) and sensory (afferent) neurons out with the brain and spinal cord and can be divided into autonomic and somatic nervous system

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3
Q

Define the autonomic nervous system

A

The autonomic system controls viscera (involuntary responses) and can further be divided into sympathetic and parasympathetic nervous system.

the function is to control involuntary physiological processes

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4
Q

Define the sympathetic nervous system

A

The sympathetic nervous system sends motor innervation to the body core (viscera) and body periphery (eg blood vessels and sweat glands)

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5
Q

Define the parasympathetic nervous system

A

The parasympathetic nervous system only sends nerves to innervate the core (viscera)

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6
Q

The enteric division is also a division of the autonomic nervous system, what is its function?

A

The enteric division of the autonomic nervous system works in conjunction with CNS to regulate the digestive system

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7
Q

Describe the relationship of the sympathetic and parasympathetic nervous system

A

Both systems work in synergy- brake and accelerator analogy.
There is an increase in sympathetic in stress - incr BP, blood sugar, blood flow to skeletal and away from viscera, dilation of pupils, decreased saliva)
and there is an increase in parasympathetic when sedentary (opposite effects)

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8
Q

What is a ganglion?

A

A ganglion is a collection of nerve bodies within PNS

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9
Q

Where do visceral motor nerve synapse?

A

All visceral motor nerves synapse in peripheral ganglion

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10
Q

Where are the cell bodies of all sensory nerves?

A

All sensory (somatic and visceral) have their cell bodies in a spinal ganglion

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11
Q

Describe the organisation of an autonomic pathway

A

All autonomic pathways are efferent and consist of 2 neurons which synapse in a ganglion
- preganglionic neurons are myelinated
- post ganglionic neurons are non-myelinated

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12
Q

What is the difference between preganglionic neurons in sympathetic v parasympathetic divisions?

A

Preganglionic neurons are shorter in sympathetic

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13
Q

What is a synaptic cleft?

A

A synaptic cleft is the space between the axon terminal of one neuron, dendrite of receiving neuron and glial process

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14
Q

name common neurotransmitters with excitatory effect

A

acetylcholine and noradrenaline both have excitatory effects

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15
Q

what is the name given to fibres which release ACh?

A

Neurons which release ACh = cholinergic

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16
Q

What is the name given to neurons which release noradrenaline?

A

neurons which release noradrenaline = adrenergic

17
Q

What is the origin of parasymapthetic neurons and location of cell bodies?

A

cell bodies are in nuclei in the brain stem

18
Q

where do preganglionic cell bodies of sympathetic neurons originate?

A

preganglionic bodies of sympathetic neurons originate in lateral horn of spinal cord

19
Q

where do the preganglionic sympathetic neurons leave the spinal cord?

A

the preganglionic sympathetic neurons leave the spinal cord via ventral root (motor fibres, sensory in dorsal root)

20
Q

What is the sympathetic trunk?

A

The sympathetic trunk is a chain of ganglia which contains cell bodies of postganglionic fibres - can either synapse in ganglia at the same level or travel up/ down the chain to synapse with ganglia at different level.
they exit through grey rami communicantes

21
Q

where do sympathetic preganglionic fibres destined for the head region synapse and travel?

A

sympathetic preganglionic fibres destined for the head synapse in the superior cervical region- post ganglionic fibres then travels into head along surface of ICA and carotid plexus

22
Q

what are the branches of the superior cervical ganglion (sympathetic trunk)?

A

The superior cervical ganglion supplies branches via:
- ICA and ECA (carotid plexus)
- cervical spinal nerves (C1-4 - cervical plexus)
- pharynx
- superior cardiac nerves

23
Q

what are the branches of the middle cervical ganglion (sympathetic trunk)?

A

The middle cervical ganglion supplies branches via:
- cervical spinal nerves (C5-6)
- middle cardiac nerves

24
Q

what are the branches of the inferior cervical ganglion (sympathetic trunk)?

A

the inferior cervical ganglion supplies branches via:
- vertebral artery (forming a plexus)
- cervical spinal nerves (C7-T1, C7 and 8 to brachial plexus)
- inferior cardiac nerves

25
Q

what is the function of the cervical ganglia of the sympathetic trunk?

A

cervical ganglia regulates sympathetic innervation of eyes, eyelids, lacrimal glands, carotid body, salivary glands, sweat glands

26
Q

What is Horner’s syndrome?

A

Horner’s syndrome is damage to cervical sympathetic trunk resulting in absence of sympathetically stimulated functions on ipsilateral side of head.

27
Q

describe the clinical signs and symptoms of Horner’s syndrome?

A

Horner’s syndrome:
- miosis (constriction of pupil)
- ptosis (drooping of superior eyelid)
- flushed face and anhidrosis (vasodilation and absence of sweating of face/ neck)

28
Q

where are preganglionic neurons of parasympathetic ganglia located?

A

preganglionic parasympathetic neurons are located in cranial and sacral regions of CNS

28
Q

where are preganglionic neurons of parasympathetic ganglia located?

A

preganglionic parasympathetic neurons are located in cranial and sacral regions of CNS

28
Q

where are preganglionic neurons of parasympathetic ganglia located?

A

preganglionic parasympathetic neurons are located in cranial and sacral regions of CNS

29
Q

Which cranial nerves have parasympathetic visceral afferent fibres

A

CN 3, 7, 9 and 10 have visceral afferent fibres

30
Q

What is ciliary ganglia?

A

located between optic nerve and lateral rectus
preganglionic neurons of occulomotor (CN 3) travel to ciliary ganglion- postganglionic innervate ciliary muscle and sphincter (controls pupil)

31
Q

What is pterygopalatine ganglion/ submandibular ganglion?

A

pterygopalatine- located in superior part of pterygopalatine fossa, neurons of facial nerve synapse with pterygopalatine ganglia

submandibular- lies in vicinity of submandibular gland

both innervate lacrimal gland and nasal mucosa and submandibular gland

Fibres from facial nerve (CN 7)

32
Q

What is otic ganglion?

A

Lies in infratemporal fossa, below foramen ovale
preganglionic fibres of glossopharyngeal nerve (CN 9) synapse with otic ganglion- parotid gland via auriculotemporal nerve (wraps around middle meningeal artery)
also carries visceral afferent information from chemoreceptors/ baroreceptors in carotid body/ sinus.

33
Q

where do preganglionic fibres of vagus nerve (CN 10) travel to?

A

preganglionic fibres of CN 10 travel from dorsal nucleus of vagus nerve and nucleus ambiguus and synapse with muscle of thoracic and abdominal organs, which they then supply