Spinal Nerves and ANS Flashcards
CNS
Brain and spinal cord
Spinal cord
Neural tissue, shorter than vertebral column, ends at Lumbar section
Vertebral Column
Bone
PNS
Spinal nerves, Fibers
Fiber Types
Somatic and Visceral
Sensory and Motor
Somatic
Body wall (outside of trunk), Limbs
Visceral
Smooth muscle, cardiac muscle, glands
Sensory
Brings sense in
Motor
Signals starts in CNS and goes out to visceral
Cervical Spinal Cord
8 cervical spinal cord levels in neck
Thoracic Spinal Cord
12 thoracic spinal cord levels in chest
Lumbar Spinal Cord
5 lumbar spinal cord levels in lower back
Sacral Spinal Cord
5 sacral spinal cord levels
Coccygeal Spinal cord
1 level
Spinal cord pairs
One pair associated with each level. Conveys information to and from
Spinal nerves
Names derived from the vertebrae between which they arise
Vertebral Column
33 vertebrae arranged in 5 regions 7 Cervical 12 Thoracic 5 Lumbar 5 Sacral 4 Coccygeal
Intervertebral foramen
Where spinal nerves exit the vertebral column between adjacent vertebrae
Spinal Nerves
8 pairs of cervical spinal nerves
C1-7 spinal nerves named for vertebra inferior to their exit
The rest are named by vertebra superior to their exit
Conus medullaris
Tapered area where spinal cord narrows to, End at L1 Vertebral level
Cauda equina
The more caudal (lower) nerve roots which are longer and more vertical
Subarachnoid space
Where cauda equina is housed, widened area, lumbar cistern, site of lumbar puncture
Pia mater
Stabilize the spinal cord transversely and longitudinally,
Denticulate ligaments
Pia mater that stabilizes spinal cord transversely (side to side)
Filum terminale
Pia mater that stabilizes spinal cord from top to bottom
Dorsal root
Off dorsal horn, one set on each side of spinal cord level
Dorsal root (spinal) Ganglion
Group of cell bodies out CNS, Swelling on dorsal root
Ventral Root
Motor fibers, merges with dorsal root, less nerve fibers
True spinal nerve
Nerve root, where ventral and dorsal roots converge
Ventral Ramus
Ventral branch of nerves, can remain segmental (in trunk), or unite with other ventral rami to form a Plexus
Dorsal Ramus
Dorsal branch of nerves, each will remain separate (segmental) throughout entire length of spinal cord, carries motor and sensory fibers
Cervical plexus
(APR C1-C4) thousands of axons
Brachial Plexus
(APR C5-T1) thousands of axons
Dermatome
Strip of skin supplied by sensory branches of a dorsal and ventral rami from ONE spinal cord level
Limb dermatome
fibers from a single spinal cord level in the limbs may be carried by several peripheral nerves arising from a plexus
Cutaneous Innervation
Consists of an area of skin innervated by a peripheral nerve
Myotome
Group of muscles innervated by a single spinal nerve
Somatic Nervous System
Somatic motor
Somatic sensory
Visceral nervous system
Visceral motor (ANS)
Sympathetic- preganglionic (presynaptic), Postganglionic (postsynaptic)
Parasympaethic- preganglionic (presynaptic), postganglionic (postsynaptic)
Visceral sensory
Motor Neuron
Efferent (from CNS to effector organ)
From lower motor neuron, out through ventral root, through true spinal nerve, out ventral or dorsal ramus
Sensory Neuron
Afferent (from effector organ, sensory organ to CNS)
From dorsal ramus, true spinal nerve, extend through dorsal root, synapse in dorsal root, to associated neuron
Visceral nervous system
Links CNS to a gland, internal organ or blood vessel
sensory or motor neurons
Visceral motor
Autonomic nervous system (ANS)
Preganglionic neuron
Somewhere in CNS. Send axon out. Can NOT innervate a smooth muscle, cardiac muscle, or gland. Only postganglionic neuron
Postganglionic neuron
Innervate smooth muscle, cardiac muscle, or gland
Autonomic ganglia
Have synapses
Somatic ganglia
NO SYNAPSES
Paravertebral Ganglia
Used only for synapses of the sympathetic division of the ANS
Innervate targets in body wall, limbs, thoracic viscera
Sympathetic chain
Where synapse occurs for smooth muscle, cardiac muscle, thorax
Prevertebral ganglia
In front of vertebral columb
Not in chain
Used only for synapses of the sympathetic divison of the ANS
Innervate targets in the abdomen and pelvis
Intramural ganglia
terminal ganglia
Located close to, or within the wall of the effector organ
These are sites of parasympathetic synapse
Innervate targets in thorax, abdomen, and pelvis
Preganaglionic sympathetic cell bodies
Only in the spinal cord
intermediolateral grey horn (cell column)
T1-L2 Grey horn,
Starting point of all preganglionic sympathetic cell bodies
Thoracolumbar
Sympathetic Division
From lateral horn, ventral root, true spinal nerve, exit at white ramus (exit ramp), then it synapse within sympathetic chain ganglia
Gray ramus is the on ramp back into true spinal nerve to go out dorsal or ventral ramus
Only white rami from in IML horn
White rami
Only in IML from T1-L2 (off ramp)
input sympathetic innervation and are erstricted to T1-L2 where the sympathetic cell bodies are located
Gray Rami
From skull to coccyx (on ramp)
Found at every vertebral level that exhibits a sympathetic ganglion
More gray than white
preganglionic fiber
ascends or descends within symp. trunk to synapse in a sympathetic ganglion at a level other than that at which it entered the trunk
Splanchnic nerve
goes from postganglionic nerve to internal organ
Preganglionic fiber
passes through sympathetic ganglion via a splanchnic nerve to a prevertebral autonomic ganglion where it synapses
Parasympathetic Division
Smooth muscle, cardiac muscle, glands
localized in the nuclei of the brain stem and in spinal cord segments S2-4
craniosacral in distribution
The preganglionic sympathetic fiber
travels out via cranial nerves (from the brain stem nuclei)
Synapses within intramural ganglions (vagus)
Pelvic splanchnic nerve
S2-4 to internal organs within parasympathetic ganglions
Visceral afferent
Sensory
Carry sensory information from viscera to CNS
Visceral afferents’ cell bodies are in spinal/dorsal root ganglion
Visceral Afferents 2
Travel through splanchnic nerve. Send their axons from the viscera via the white rami communicans and travel up and down the sympathetic trunk prior to synapsing in the spinal cord