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INTRODUCTION TO AUTONOMICS
SOMATIC
VS.
Voluntary
external environment
AUTONOMIC
Involuntary
internal environment
Rest / Digest
Fight / Flight
Body Cavities
Skeletal m. Pain
Pressure
Proprioception
Temp
Touch
Motor
Glands
Cardiac m.
Smooth m.
Sympathetic
Everywhere
Motor
Sensory
Physiological
(reflex)
Glands
Cardiac m.
Smooth m.
Pain
Outflow of
autonomics
from CNS
SNS
Thoracolumbar
(T1-L2)
(CN 3,7,9,10)
Craniosacral PSNS
(S2-4)
Parasympathetic - Craniosacral
Cranio - from the brain: preganglionic cell bodies in
brainstem nuclei associated with CN III, VII, IX, X
(Vagus)
Vagus is the only cranial parasympathetic cranial
nerve functioning
in the cervical, thoracic and lumbar regions, serving
parasympathetics to visceral structures in the neck,
thorax and abdomen
Sacral - sacral or pelvic region: preganglionic cell bodies
in spinal cord segments S2,3,4 - functioning in the pelvic
region (called pelvic splanchnic nerves)
There is NO PARASYMPATHETIC INNERVATION TO THE
BODY WALL OR LIMBS (therefore parasympathetic fibers
should only be found on nerves leaving the CNS - CN III,
Sympathetic Thoraco-lumbar
1) Preganglionic cell bodies are located in lateral horn
of spinal cord segments T1 L2
2) All preganglionic axons enter the sympathetic chain
through white rami communicans
3) From the above outflow into the sympathetic chain,
sympathetics are supplied to the entire body,
including the body wall/limbs as well as organs in body
cavities (therefore there must be routes from the chain
that lead to body cavities as well as the body wall)
Visceral afferents - sensory fibers that accompany
both sympathetic and parasympathetic fibers (these
visceral afferents are hitch-hiking with
sympathetics and parasympathetics and are not
technically part of the SNS or PSNS)
AUTONOMICS SCHEMATIC
CNS
PNS
Sympathetic
Short
Parasympathetic
Long
Target:
Smooth m.
Cardiac m.
Glands
Long
Short
Target:
Smooth m.
Cardiac m.
Glands
12 Thoracic
Segments
5 Lumbar
Segments
1 Coccygeal
Segment
5 Sacral
Segments
Ventral
ramus
of
spinal
nerve
Dorsal ramus
Of spinal
nerve
Dorsal root
Dorsal
Dorsal
root
ganglion
White ramus
communicans
(WRC)
Sympathetic chain
& ganglion
Spinal
nerve
Somatic
innervation of
the body wall
Sympathetics to
Body Wall
For spinal nerves above
T1, preganglionic axons
ascend in the chain to
cervical chain ganglia
Sympathetic
Chain and
Ganglia
(paravertebral)
ALL preganglionic
sympathetics have cell bodies
in the lateral horn of spinal
gray matter from T1-L2; axons
travel on spinal nerve ventral
roots and enter the
sympathetic chain via white
rami communicantes
Segments T1-L2
WRC
GRCs
only
Segments above T1
and below L2
Segments T1-L2
WRC
GRCs
only
WRCs
and
GRCs
GRCs
only
Segments above
T1 (cervical cord)
Segments T1-L2
Segments below L2
GRCs
only
WRCs
and
GRCs
GRCs
only
Segments above
T1 (cervical cord)
Upper Thoracic
Segments
Segments below L2
Sympathetics to spinal
nerves below L2
preganglionics with cell
bodies in lateral horn of
upper lumbar spinal
segments enter the
sympathetic chain via
WRCs descend in chain
synapse in lower lumbar
and sacral chain ganglia
postganglionics exit chain
via gray rami spinal
nerves L3-S5 dorsal and
ventral rami of these spinal
nerves
innervate body wall / lower
limbs below L2 level
GRCs
only
WRCs
and
GRCs
GRCs
only
Segments above
T1 (cervical cord)
Lower Thoracic,
Segments, L1-L2
Segments below L2
GRCs
only
WRCs
and
GRCs
GRCs
only
Segments above
T1 (cervical cord)
Segments T1-L2
Segments below L2
Preganglionic
Somatic Motor
Sensory
Postganglionic
Somatic Motor
Segments T1-T4
Cardiopulmonary
plexus
Esophageal
plexus
Cervical cord /
sympathetic chain
B) Other preganglionic
sympathetics with cell
bodies in lateral horn from
T1-T4 enter chain via WRCs,
ascend in the chain and
synapse in cervical chain
ganglia, postganglionic
axons exit the chain and
travel to the cardiopulmonary plexus
Segments T1-T4
Cardiopulmonary
plexus
Cervical cord /
sympathetic chain
Segments T1-T4
Cardiopulmonary
plexus
Segments T5-L2
Preaortic
ganglia
GI
The post-ganglionic
fibers follow arteries to
the GI tract
L1-2 = Lumbar
splanchnic nerves
CNS
Postganglionic
Preganglionic
Visceromotor (2 neuron chain)
WRC
Segments T1-T4
Somatic afferent
Visceral afferent
Preganglionic
Cardiopulmonary
plexus
Postganglionic
Segments T5-L2
WRC
Somatic afferent
GI
Preaortic
ganglion
Visceral afferent
Preganglionic
Postganglionic
Thoracic
Sympathetic
Chain
Intercostal nn.
Somatic ventral
rami of thoracic spinal
nerves
Vagus n.
(PSNS)
Sympathetic
chain
Sympathetic
chain ganglia
(paravertebral
ganglia)
Cervical part of
sympathetic chain
Gray rami
communicantes
from cervical
chain/ganglia to
cervical spinal
nerves
Heart
(cardiopulmonary)
autonomics
C
e
r
v
i
c
a
l
c
h
a
i
n
Vagus
T1
T4
WRC
T
h
o
r
a
c
i
c
c
h
a
i
n
Greater thoracic
splanchnic nerve (T5-9)
Lesser thoracic
splanchnic nerve (T10-11)
Least thoracic
splanchnic nerve (T12)
Chain
ganglia
-T5-9
WRC
Greater thoracic
splanchnic nerve
Preaortic
ganglion
(celiac)
Intermesenteric
plexus
Sympathetic
chain
(lumbar part)
Lumbar
splanchnic
nerve
Preaortic ganglia
Superior hypogastric
plexus
Sympathetic chain
(what part?)
Segments S2,3,4
Pel
v
ner ic spl
a
ve(
s) nchni
c
Preganglionic parasympathetics with cell bodies in a small lateralhorn-like area of sacral (S2-4) segments of the spinal cord axons
travel on the ventral (motor) roots to spinal nerves and then ventral
rami of S2,3 and 4 then jump off the ventral rami as Pelvic
Splanchnic Nerves to enter the inferior hypogastric (pelvic) plexus
Postganglionic parasympathetic nerves are located at or in the walls
of target organs in the pelvis (such as the urinary bladder)
Preaortic ganglia
Superior hypogastric plexus
Sacral sympathetic
chain
S2,3,4
(Parasympathetic
Pelvic Splanchnic
Nerves)
Pelvic (Inferior
Hypogastric) Plexus