AUTONOMIC NERVOUS SYSTEM

 

 

The major nerves that leave the brain or spinal cord are the cranial nerves or spinal nerves respectively

 

·        CENTRAL NERVOUS SYSTEM

•BRAIN

•SPINAL CORD

 

·        PERIPHERAL NERVOUS SYSTEM

•SOMATIC AFFERENT

skin, skeletal muscle, joints —> CNS

•SOMATIC EFFERENT

CNS —> skeletal muscle

•VISCERAL AFFERENT

smooth muscle, glands, heart—> CNS

•VISCERAL EFFERENT (Autonomic)

CNS —> smooth muscle, glands, heart

 

 

·        CRANIAL NERVES

•identified by roman numeral which refects their relative position anterior to posterior

•unlike spinal nerves, some contain only sensory nerves, others are mixed

1

Olfactory

2

Optic

3

Oculomotor

4

Trochlear

5

Trigeminal

6

Abducent

7

Facial

8

Vestibulocochlear

9

Glossopharangeal

10

Vagus

11

Accessory

12

Hypoglossal

 

·        VISCERAL EFFERENT NERVES

•emerge from CNS in select cranial nerves + ant roots of spinal nerves

T1—T12, L1—L2, S2—S4

•T1—T12, L1—L2: thoracolumbar —> make up the sympathetic division of the ANS

•Cranial nerves & S2—S4: craniosacral —> part of the parasympathetic division of the ANS

•carry impulses from spine or cranium —> synapse centres [ganglion]

•presynaptic; post synaptic

•parasympathetic ganglia closer to target organ

•sympathetic ganglia close to CNS organised in vertical chains lateral to spinal cord (sympathetic trunk)

 

 

·        Heart Nervous Supply

 The heart is well supplied by both sympathetic & parasympathetic (vagal) nerves.

The two atria are especially well supplied with large numbers of sympathetic & parasympathetic nerves; but the ventricles are supplied mainly by sympathetic nerves & far fewer parasympathetic fibres.

 

Sympathetic stimulation —> increased heart rate & contractile strength

Parasympathetic stimulation —> decreased heart rate & contractile strength (to a lesser degree)

 

All the Vagal & sympathetic cardiac nerves converge on the Cardiac plexus; the plexus lies between the aortic arch and the tracheal bifurcation

 

 

·        VAGUS X

Type of nerve

Site of origin

Site of termination

Function

Sensory-afferent

Mucus membrane lining respiratory & digestive tracts

Pharynx, larynx, trachea, esophagus, heart, abdominal viscera

Medulla

Taste & sensation from larynx, neck, thorax & abdomen

Motor-efferent

Medulla

Muscles of pharynx & larynx

 

Parasym fibres to abdominal & thoracic viscera

 

[motor to all smooth muscle; almost all thoracic & abdominal organs]

Swallowing, movement of pharynx & larynx

Inhibitory fibres to heart; secretion of gastric glands & pancreas; vasodilator fibres to abdominal viscera [secretory to all? glands]

 

     The vagus [cranial nerve X] has branches to serve the pharynx, larynx, and heart, as well as the oesophhagus, stomach and small intestine

     the longest cranial nerves essential for speech, swallowing . . . . communicates through 13 branches

 

vasovagal reflex: stimulation of the vagus nerve by reflex in which the irritation of the larynx or trachea results in bradycardia

 

K. C. Potger
Copyright © 2001