Peripheral Nervous Flashcards
Nerves and Scattered Ganglia
Cranial Nerves (12)
Spinal Nerves (31)
Autonomic Nervous System
Sympathetic Nervous System
Parasympathetic Nervous System
Special Senses
- Eye (Vision)
- Ears (Hearing and Balance)
- Taste and Smell (Chemical Senses)
Generalized Sense:
Touch
Spinal Nerves
Axons
Schwann Cells
Connective Tissue
Connective Tissue
Endoneurium
Perineurium
Epineurium
- Bundle of nerve fibers attached to spinal cord
- All are classified as mixed nerves
SPINAL NERVES
sensory fibers
Dorsal root
motor fibers
Ventral root
- Group of nerve fibers from ventral rami of cervical, lumbar and sacral spinal nerves
- is a network of intersecting nerves that serve the same
part of the body
Plexuses
Plexuses
- I. Cervical Plexus
- II. Brachial Plexus
- III. Lumbar Plexus
- IV. Sacral Plexus
- Formed by the first 4 cervical nerves (C1, C2, C3, C4)
- This supplies the back and sides of the head and front of the neck with ordinary sensory fibers
- Most important branch is the phrenic nerve composed of motor fibers supplying the diaphragm
Cervical Plexus
- Lower 4 cervical nerves (C5, C6, C7, C8) and first thoracic (T1),
which supplies the skin and muscles of the upper limb - With branches like the radial, ulnar, and median nerves
- It passes above the first rib posterior to the clavicle and then enters the axilla.
Brachial Plexus
- From L1 to L4 spinal nerves
- Femoral nerve: supplies muscle and skin on the anterior aspect of the thigh
- Obrutator nerve: supplies muscles and skin of medial aspect of thigh
Lumbar Plexus
- From L4, L5, S1, S2 and S3 spinal nerves
- The largest branch is called as “Sciatic Nerve”
Sacral Plexus
T1 – T11 spinal nerves
Intercostal Nerves
T12 spinal nerves
Subcostal Nerves
- are 12 pairs of symmetrically arranged nerves attached to the brain
- serve functions such as smell, sight, eye movement, and feeling in the face.
Cranial Nerves
- Carry impulses towards the brain
- Cranial Nerves: I, II, VIII
Purely Sensory Nerves
- Carry impulses away from the brain
- Cranial Nerves: III, IV, VI, XI, XII
Purely Motor Nerves
- Carry both sensory and motor nerve fibers
- Cranial Nerves: V, VII, IX, X
Mixed Nerves
- Efferent peripheral nerve fibers distributed to smooth muscles, cardiac muscles and glands
Autonomic Nervous System
Autonomic Subdivisions
- Sympathetic
- Parasympathetic
- Also called as Thoracolumbar Division
- Actions are directed toward mobilizing the body’s energy for dealing with an increase in activity
Sympathetic Division
- Also called as Craniosacral Division
- Arises from the 3rd, 7th, 9th and 10th cranial nerves and from the 2nd, 3rd, and 4th sacral segments of the spinal cord
- Action of this division conserve body energies
Parasympathetic Division
- Injury to the brain due to involvement of its blood vessels
Cerebrovascular Accident (CVA / Stroke)
- Infection of the meninges
Meningitis
- Manifestations of an abnormal discharge of nerve impulses from some part of the brain
Seizure Disorders
- Increased in CSF pressure
Hydrocephalus
- Complete loss of voluntary motor function due to dysfunction of nervous system
Plegia
- Weakness of voluntary muscle activity due to dysfunction of nervous system
Paresis
- Caused by a virus that damages the anterior horn cells of the cord and the motor nuclei of the cranial nerves
Infantile paralysis (poliomyelitis)
Patchy demyelinization in multiple areas of the nervous system involving sensory and motor fibers followed by replacement of the myelin by scarlike plaques
Multiple Sclerosis
- Cavitation of the central canal of the spinal cord and excessive multiplication of neuroglia in the gray substance around it
Syringomyelia
- Injury to one half of the spinal cord and involving neuronal groups and nerve tracts
J. Brown-Sequard Syndrome
- disabling senile dementia, the loss of reasoning and ability to care for oneself
K. Alzheimer’s Disease
Outer fibrous layer
sclera and cornea
Middle vascular layer or uveal tract
Iris, Choroid and Ciliary Body
Inner nervous tissue layer
retina
- white of the eye forms the outermost layer of the eyeball
-Consists of a firm fibrous membrane that maintains the shape of the eye
-Gives attachment to the extrinsic muscles of the eye
Sclera
-as a clear transparent epithelial membrane
-Light rays pass through the cornea to reach the retina
cornea
- Lines the posterior five-sixths of the inner surface of the sclera.
- Very rich in blood vessels
- Deep chocolate brown in color.
- Light enters the eye through the pupil, stimulates the sensory receptors in the retina and is then absorbed by the choroid
Choroid
- The anterior continuation of the choroid consisting of ciliary muscle (smooth muscle fibers) and secretory epithelial cells.
- Acts like a sphincter
- Lens is attached to the ciliary body by radiating suspensory ligaments, like the spokes of a wheel
- Supplied by parasympathetic branches of the oculomotor nerve (3rd cranial nerve).
Ciliary Body
- Visible colored ring at the front of the eye lying behind the cornea and in front of the lens.
- Composed of pigment cells and two layers of smooth muscle fibers - one circular and the other radiating
- In the center is an aperture called the pupil.
- Parasympathetic stimulation constricts the pupil and sympathetic stimulation dilates it
Iris
- Highly elastic circular biconvex body, immediately behind the pupil.
*Thickness is controlled by the ciliary muscle through the suspensory ligament.
*Lens bends (refracts) light rays reflected by objects in front of the eye - only structure in the eye that can vary its refractory power, which is achieved by changing its thickness.
Lens
*Innermost lining of the eye
*Extremely delicate structure and well adapted for stimulation by light rays
*Composed of several layers of nerve cell bodies and their axons - sensory receptor cells, rods and cones
Retina
*Composed of several layers of nerve
cell bodies and their axons
sensory receptor cells, rods and cones
- Near the center of the posterior part is the macula lutea, or yellow spot -little depression called the fovea centralis, consisting of only cones
*small area of retina where the optic nerve leaves the eye is the optic disc or blind spot-no light sensitive cells
Retina
Chambers of the eye
- Anterior chamber
- Posterior chamber
Anterior chamber
▪Front of lens
▪Filled with aqueous humor
Posterior chamber
▪Behind lens
▪Contains vitreous humor
▪Skin, muscle, and connective tissue
▪Blinking
✓Prevents surface from drying out
✓Keeps foreign material out of eye
Eyelids
▪Eye sockets
▪Form a protective shell around the eyes
Eye orbits
Mucous membranes
▪Line inner surfaces of eyelids
Conjunctivas
▪Six per eye - move the eyeball
✓Superiorly
✓Inferiorly
✓Laterally
✓Medially
*Extrinsic eye muscles
Lacrimal apparatus
▪Lacrimal glands
▪Nasolacrimal ducts