Unit VII: Sympathetics Flashcards
General course of pre-ganglionic sympathetic neurons Pg 267
Lateral horn T1-L2 or L3 -> anterior rootlets -> anterior primary ramus -> enter sympathetic trunk via white ramus communicans -> some synapse on post-ganglionic cells in the trunk, some pass through in splanchnic nerves to synapse in prevertebral plexuses
Sympathetic are classical _____ (cholinergic or adrenergic) Pg 267
Adrenergic
Sympathetic fibers release what? Pg 267
Acetylcholine
Where does the sympathetic trunk extend from? Pg 267
Superior cervical ganglion inferior to ganglion impar
How many ganglion in each sympathetic trunk? Pg 267
21 or 22 (2-3 cervical, 11 thoracic, 4 lumbar, and 4 sacral)
Location of the sympathetic trunk Pg 267
Posterior to the carotid sheath in the cervical area, anterior to the necks of the ribs in the upper thoracic area, more medial resting on the lateral aspects of the vertebral bodies in the lower thoracic and lumbar areas, anterior aspect of the sacrum, and joining at the ganglion impar at the coccyx
Where does the cervical sympathetic trunk and ganglion lie? pg 267
Between the carotid sheath and the longus colli and longus capitis muscles
Does the cervical sympathetic trunk and ganglion have white rami communicans? Pg 267
NO
Does the cervical sympathetic trunk and ganglion have gray rami communicans? Pg 267
Yes, one to each cervical nerve
How many cervical ganglion are there and what are their names? Pg 268
3; superior, middle, and inferior cervical ganglion
The inferior cervical ganglion may fuse with the first thoracic ganglion to form what ganglion? Pg 268
Stellate
Which cervical ganglion is the largest? Pg 268
Superior
What forms the superior cervical ganglion? Pg 268
Union of upper four cervical ganglion
Where is the superior cervical ganglion located? Pg 268
C2-C3, between carotid sheath and longus capitis muscle
How are post-ganglion fibers distributed from the superior cervical ganglion? Pg 268
Anterior, medial, and lateral branches
What do the lateral branches from the superior cervical ganglion communicate with? Pg 268
Anterior primary rami of C1-4 as well as come cranial nerves (IX, X, XII)
Which branch off the superior cervical ganglion is the gray ramus communicans? Pg 268
Lateral
Where do the medial branches off the superior cervical ganglion travel? Pg 268
Larynx, pharynx and the heart
What are branches to the heart from the medial branches off the superior cervical ganglion called? Pg 268
Superior cardiac nerves
What kind of information is carried in superior cardiac nerves? Pg 268
Efferent information only
Where do the anterior branches off the superior cervical ganglion travel? Pg 268
Follow the common and external carotid arteries, innervating blood vessels that supply structures inside and outside the skull
Which cervical ganglion is the smallest? Pg 268
Middle
Where is the middle cervical ganglion located? Pg 268
C6
Middle cervical ganglion communicates with anterior primary rami of C5 and C6 nerves via what? Pg 268
Gray rami communicans
Which branch of the middle cervical ganglion reaches the thyroid and parathyroid glands? Pg 268
Thyroid branches
Cardiac branches from the middles cervical ganglion travel to the heart as what nerves? Pg 268
Middle cardiac nerves