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Nemitz-Head ANS
Question | Answer |
---|---|
Presynaptic Sympathetic fibers to the Head and neck come from | IML T1-T5 |
Presynaptic sympathetic axon pathways to get up to the neck | IML, Anterior root, white rami communicans, paravertebral sympathetic chain, move upwards into cervical region. |
Superior Cervical ganglia is made up of what | The sympathetic ganglia from C1-4 all grouped together. This is the largest ganglia, does the head. |
How do postsynaptic sympathetic axons travel to their target organ? | On Blood vessels such as Periarterial plexus (carotids). Also use CN V |
End organs of the Superior Cervical ganglia | 1.Dilator pupillae M (dilates pupil, CN V). 2.Superior Tarsal M (elevates eyelid, CN V). 3.Blood vessels (Vasoconstriction). 4.Sweat glands (diaphoresis). |
Horner's Syndrome | Produced by a lesion anywhere in the sympathetic pathway to the head. Symptoms will be ipsilateral of the lesion and reverse the normal sympathetic effects. |
Pathways of Postsynpatic Cervical sympathetic Ganglia axons | After synapsing, they leave the sympathetic chain via GREY RAMI communicanas onto spinal nerves. Actions: Blood vessel constriction, Diaphoresis. |
Presynaptic neurons of the Parasympathetics for the head and neck | Cells are in the Brainstem. Axons travel to target ganglia on CN |
Pathway of Ciliary ganglia parasympathetics | Brainstem > Presynp axons: CN III > Postsynp nucleus: Ciliary Ganglion > Postsynp axons: CN V1 (short ciliary N) |
Targets of Ciliary parasympathetic ganglia | 1.Sphincter Pupallae M (constricts the pupil). 2.Ciliary Body (Provides Accommodation) |
Accomodatoin | Allows the eye to quickly adjust from near to far or far to near and stay in focus. **Decreases with age. |
Pathways of Pterygopalatine Ganglion parasympathetics | Brainstem > Presynp axons: CN VII > Nervus intermedius > Greater Petrosal N > N to Pterygoid > Postsynp nucleus: Pterygopalatine ganglion > postsynp axons: CN V1 and V2 |
Targets of Pterygopalatine parasympathetic Ganglion | 1.Lacrimal gland (keeps the eye moist with tears). 2.Mucous Glands/membranes in Naso/oropharynx and sinuses |
Pathways of Submandibular Ganglion parasympathetics | Presynp nucleus: Brainstem > presynp axons: CN VII > Nervus Intermedius > Chondra Tympani > Lingual > Postsynp nucleus: Submandibular ganglion > Postsynp axons: CN V3 (Lingual N) and blood vessels |
Targets of the Submandibular parasympathetic Ganglion | 1.Submandibular gland. 2.Sublingual gland. |
Lesion/severed Chondra Tympani | Loss of taste on anterior 2/3 of tongue and salivary gland activity |
Locations of the CN VII ganglia | Pterygopalatine: (Pterygopalatine fossa, just superioposterior to nasal conchae after the foramen rotundum). Submandibular: (superior to submandibular gland |
Pathway of Otic ganglion parasympathetics | Presynp Nucleus: Brainstem > Presynp axons: CN IX > Tympanic N > Lesser Petrosal N > Postsynp nucleus: Otic ganglion > postsynp axons: CN V3 Auriculotemporal N |
Targets and location of Otic parasympathetic ganglion | Located just inferior to foramen ovale. Targets: Parotid gland. |
CN V branches carrying postsynp parasympathetic pterygopalatine axons | 1. CN V2 (Zygomatic N to the lacrimal gland, Palatine N to palate and nosal mucous membranes). 2.CN V1 (Lacrimal N to lacrimal gland, Nasal N to the nasopharynx mucous membrane and sinuses) |
Symp branches using CN V | Superior cervical Ganglion/Periarterial Plexus use V1, V2, and V3 branches |
Parasymp and symp acting on the Orbit | Parasymp: 1.CN III/Ciliary gnaglion (constrict pupil/ ciliary body). 2.CN VII/Pterygopalatine ganglion (Lacrimal gland). Sympathetic: Superior cervical ganglion (dilate pupils, elevate eyelids, vasoconstrict). |
Parasymp and symp acting on the Nasal Cavity | Parasymp: CN VII/pterygopalatine ganglion (mucous membranes, mucous production). Sympathetic: Superior cervical ganglion (vasoconstriction) |
Parasymp and symp acting on Parotid gland | Parasymp: CN IX/otic ganglion (parotid salivation). Sympathetics: Superior cervical ganglion (Reduce secretion, vasoconstrict) |