PNS / spinal nerves Flashcards

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1
Q

PNS

A
12 pairs cranial
31 pairs spinal 
- 8 C1-C8
- 12 T1-T12
- 5 L1-L5
- 5 S1-S5
- 1 coccygeal
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2
Q

Spinal nerves

A
  • lumbar, sacral, and coccygeal nerve roots descend from their point of origin at the lower end of spinal cord (level of L1)
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3
Q

Cauda equina

A

Describes the appearance of the lower end of the spinal cord and its spinal nerves as ia horse’s tail

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4
Q

Structure of spinal nerves

A
  • . Each spinal nerve attaches to the spinal cord by a ventral root and a dorsal root
  • the dorsal root is easily recognizable by the dorsal root ganglion
  • the dorsal root includes sensory fibers that carry information from receptors in peripheral nerves
  • the ventral root includes motor neurons that carry information from the CNS and toward effectors (muscles and glands)
  • all spinal nerves contain both motor and sensory fibers (mixed nerves)
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5
Q

Pic

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Pic

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6
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Pic

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Pic

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7
Q

Ramus

A

One of several large branches formed after each spinal nerve emerges from the spinal cavity
- each spinal nerve splits into a distinct ventral ramus and dorsal ramus

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8
Q

Pic

A

Pi

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9
Q

Dorsal ramus

A

Supplies somatic motor and sensory fibers to several smaller nerves

  • these smaller nerves innervate the muscles and skin of the posterior surface f the head, neck, and trunk
  • the structure for the ventral ramus is more complex than that of the dorsal ramus
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10
Q

Ventral ramus

A

Motor (autonomic and somatic) and sensory fibers innervate muscles and glands in the extremities and in the lateral and ventral portions of the neck and trunk
- autonomic motor fibers split from the ventral ramus and head toward a ganglion of the sympathetic chain

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11
Q

Nerve plexus facts

A
  • plexuses are complex networks formed by the ventral rami of most spinal nerves (not T2-T12) subdividing and then joining together to form individual nerves
  • each Indy nerve that emerges contains all the fibers that innervate a particular region of the body
  • in plexuses, spinal nerve fibers are rearranged according to their ultimate destination, reducing the number of nerves needed to supply each body part
  • correspond to spinal cord areas of enlargement
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12
Q

Cervical plexus

A
  • deep within the neck
  • ventral rami of C1-C4 (and a branch of C5 ventral ramus)
  • innervates: muscles and skin of neck, upper shoulders, chest, and part of head
  • phrenic nerve exits cervical plexus and innervates the diaphragm (ventral rami C3, C4, and C5)
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13
Q

Pic

A

Pci

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14
Q

Brachial plexus

A
  • deep in shoulder
  • ventral rami of C5-T1
  • nerves from the brachial plexus innervate lower part of the shoulder and entire arm
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15
Q

Pic

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Pic

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16
Q

Lumbar plexus

A
  • deep to psoas muscle
  • fibers of ventral rami L1-L4
  • femoral nerve exits the lumbar plexus and divides into branches, supplying the thigh and leg
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17
Q

Pic

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Pic

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18
Q

Sacral and coccygeal plexus

A
  • in peeve cavity, typically anterior to piriformis mm
  • intermingling fibers from L4-S4
  • tibial and common peroneal/fibular nerves
  • sciatic nerve exits the sacral plexus and supplies nearly all the skin of the leg, posterior thigh muscles, leg and foot mm
  • often combined with the lumbar plexus and referred to as the lumbosacral plexus
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19
Q

Dermatomes and myotomes

A

Close relationship between the spinal origin of each spinal nerve and the region of the body it innervates
- clinical application: enables a health professional to identify the site of spinal cord or nerve abnormality from symptoms in an area of the body

20
Q

Dermatomes

A

A region of the skin surface area supplied by afferent (sensory) fibers of a given spinal nerve

  • skin section
  • there is some overlap between adjacent dermatomes
21
Q

Pic

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Pic

22
Q

Myotome

A

Skeletal muscle innervates by 1+ efferent (motor) fibers of a given spinal nerve
- some skeletal muscle organs may be innervates by motor axon from more than 1 spinal nerve

23
Q

Pic

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Pic

24
Q

Cranial nerves

A
  • 12 pairs connect to the undersurface of the brain (primarily the brain stem)
  • both names and numbers used to identify
  • their names suggest their distribution (to or from)
  • their numerous indicate the Oder in which they connect to the brain from anterior to posterior
25
Q

Mixed cranial nerves

A

Axons of sensory and motor neurons

26
Q

Sensory cranial nerves

A

Axons of sensory neurons only

27
Q

Motor cranial nerves

A

Mainly axons of motor neurons and a small number of sensory fibers (proprioceptors)

28
Q

Olfactory nerve (I)

A

Composed of axons and neurons that lie in the nasal mucosa

  • high up along the septum and conchae
  • carries info about the sense of smell
  • functional classification: sensory
29
Q

Optic nerve (II)

A

Composed of axons form the innermost layer of sensory neurons of the retina

  • carries visual information from the eyes to the brain
  • functional classification: sensory
30
Q

Pic

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Pic

31
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Pic

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Pic

32
Q

Oculomotor nerve (III)

A

Fibers originate from cells in the oculomotor nucleus (ventral midbrain) and extend to some of the external eye mm (not superior oblique or lateral rectus)

  1. Superior branch innervates extrinsic eyeball mm that control movements of eyeball and upper eyelid
  2. Inferior branch supplies parasympathetic motor axons to intrinsic eyeball mm (smooth mm) that adjust the lens for near vision and contract the iris when bright light stimulates the eye
  3. Proprioceptors in the eye mm
    - functional classification: motor
33
Q

Trochlear nerve (IV)

A

Fibers originate in cells of the midbrain and extend to the superior oblique muscles (extrinsic mm) of the eye

  • also contains afferent fibers from proprioceptors in the superior oblique mm of the eye
  • responsible for eye movements (motor) and proprioceptors (sensory)
  • functional classification: motor
34
Q

Trigémino nerve (V)

A
  1. Ophthalmic nerve
  2. Maxillary nerve
  3. Mandíbular nerve
    - sensory neurons carry afferent impulses from skin and mucosa of head and teeth to cell bodies in the trigéminal ganglion
    - motor fibers extend to the mm of mastication through the mandibular nerve (chewing)
    - functional classification: mixed/both
35
Q

Abducen nerve (VI)

A

Fibers originate from a nucleus in the pons on the floor of the fourth ventricle and extend to the lateral rectus mm of the eye (abd of eye)

  • contains some afferent fibers form proprioceptors in the lateral rectus mm
  • functional classification: motor
36
Q

Facial nerve (VII)

A

Fibers originate from a nucleus in the lower part of the pons and extend to superficial mm of the face and scalp: facial expression

  • efferent fibers extend to submaxillary and sublingual salivary glands
  • contains sensory fibers from taste buds of the anterior 2/3 of tongue
  • functional classification: mixed/both
37
Q

Pic

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Ic

38
Q

Vestibulocochlear nerve (VIII)

A
  1. Vestibular nerve
  2. Cochlear nerve
    - Damage to the cochlear nerve can cause deafness
    - sometimes called the auditory or acoustic nerve
    - functional classification: sensory
39
Q

Vestibular nerve

A

Fibers originate in the semicircular canals in the inner ear and transmit impulses that results in sensation of equilibrium

40
Q

Cochlear nerve

A

Fibers originate in the organ of corti in the cochlea of the inner ear and transmit impulses that result in sensations of hearing

41
Q

Glossopharyngeal nerve (IX)

A
  • composed of both sensory and motor neurons
  • supplies fibers to the tongue, pharynx, and carotid sinus
  • responsible for sensations of the tongue, swallowing, movements and secretion of saliva
  • functional classificaiton: mixed/both
42
Q

Vagus nerve (X)

A
  • composed of sensory and motor fibers with many widely distributed branches
  • vagus means “vagrant or wandering” distributed from the head and neck into the thorax and abdomen
  • sensory fibers supply pharynx, larynx, trachea, heart, carotid body, lungs, bronchi, esophagus, stomach, small intestine, and gallbladder
  • somatic motor fibers innervate the pharynx and larynx and are mostly autonomic fibers: peristalsis
  • functional classification: mixed
43
Q

Pic

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Pic

44
Q

Accessory nerve (XI)

A

Conveys motor impulses to the sternocleidomastoid and trapezius mm to coordinate head movements

  • sensory axons in the accessory nerve originate from proprioceptors in the SCM and trap, shoulder movements, turning movements of head
  • functional classification: motor
45
Q

Hypoglossal nerve (XII)

A
  • fibers innervate the mm of the tongue (speech and swallowing)
  • fibers from proprioceptors in mm of the tongue
  • “under the tongue”
  • functional classificaiton: motor
46
Q

Pic

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Pic