Peripheral nervous system

Peripheral nervous system consists of the somatic and autonomous nervous system

1. PERIPHERAL nervous system -Aqsa Quazi Asst. Prof. SSIPR 4/6/2021 1

2. Classification of PNS 4/6/2021 2

3. Structure of Sympathetic Nervous System Another name for the sympathetic division is thoracolumbar division, which tells us where the sympathetic preganglionic neurons originate. Their cell bodies are in the thoracic segments and some of the lumbar segments of the spinal cord. Their axons extend to the sympathetic ganglia, most of which are located in two chains just outside the spinal column. Within the ganglia are the synapses between preganglionic and postganglionic neurons; the postganglionic axons then go to the visceral effectors. One preganglionic neuron often synapses with many postganglionic neurons to many effectors. This anatomic arrangement has physiological importance: The sympathetic division brings about widespread responses in many organs. 4/6/2021 3

4. Structure of Sympathetic Nervous System Pathway from Spinal Cord to Sympathetic Trunk Ganglia Cell bodies of sympathetic preganglionic neurons are part of the lateral gray horns of all thoracic segments and of the first two lumbar segments of the spinal cord After exiting through the intervertebral foramina, the myelinated preganglionic sympathetic axons pass into the anterior root of a spinal nerve and enter a short pathway called a white ramus Pathways from Sympathetic Trunk Ganglia to Visceral Effectors Axons leave the sympathetic trunk in four possible ways: (1) They can enter spinal nerves; (2) they can form cephalic periarterial nerves; (3) they can form sympathetic nerves; and (4) they can form splanchnic nerves. Organisation of sympathetic trunk ganglia The cervical portion of each sympathetic trunk is located in the neck and is subdivided into superior cervical ganglion Middle cervical ganglion Inferior cervical ganglion 4/6/2021 4

5. Functions of sympathetic nervous system The pupils of the eyes dilate. Heart rate, force of heart contraction, and blood pressure increase. The airways dilate, allowing faster movement of air into and out of the lungs. The blood vessels that supply the kidneys and gastrointestinal tract constrict, which decreases blood flow through these tissues. The result is a slowing of urine formation and digestive activities, which are not essential during exercise. Blood vessels that supply organs involved in exercise or fighting off danger—skeletal muscles, cardiac muscle, liver, and adipose tissue—dilate, allowing greater blood flow through these tissues. Liver cells perform glycogenolysis (breakdown of glycogen to glucose), and adipose tissue cells perform lipolysis (breakdown of triglycerides to fatty acids and glycerol). Release of glucose by the liver increases blood glucose level. Processes that are not essential for meeting the stressful situation are inhibited. For example, muscular movements of the gastrointestinal tract and digestive secretions slow down or even stop. 4/6/2021 5

6. Structure of parasympathetic nervous system The other name for the parasympathetic division is the craniosacral division. The cell bodies of parasympathetic preganglionic neurons are in the brain stem and the sacral segments of the spinal cord. Their axons are in cranial nerve pairs 3, 7, 9, and 10 and in some sacral nerves and extend to the parasympathetic ganglia. These ganglia are very close to or actually in the visceral effector, and contain the postganglionic cell bodies, with very short axons to the cells of the effector. One preganglionic neuron synapses with just a few postganglionic neurons to only one effector and so very localized (one organ) responses are possible. 4/6/2021 6

7. Functions of parasympathetic nervous system The parasympathetic division dominates in relaxed (non-stress) situations to promote normal functioning of several organ systems. Digestion will be efficient, with increased secretions and peristalsis; defecation and urination may occur; and the heart will beat at a normal resting rate. Notice that when an organ receives both sympathetic and parasympathetic impulses, the responses are opposites. Such an arrangement makes maintaining an appropriate level of activity quite simple, as in changing the heart rate to meet the needs of a situation. Notice also that some visceral effectors receive only sympathetic impulses. In such cases, the opposite response is brought about by a decrease in sympathetic impulses. Secretion by the sweat glands is an example 4/6/2021 7

8. 4/6/2021 8

9. 4/6/2021 9

10. Spinal cord physiology About 100 million neurons and even more neuroglia compose the spinal cord, the part of the central nervous system that extends from the brain. In length, the spinal cord extends from the foramen magnum of the occipital bone to the disc between the first and second lumbar vertebrae. The spinal cord and its associated spinal nerves contain neural circuits that control some of your most rapid reactions to environmental changes. The spinal cord has two principal functions in maintaining homeostasis: nerve impulse propagation and integration of information . The white matter tracts in the spinal cord are highways for nerve impulse propagation. Sensory input travels along these tracts toward the brain, and motor output travels from the brain along these tracts toward skeletal muscles and other effector tissues. T T he gray matter of the spinal cord receives and integrates incoming and outgoing information 4/6/2021 10

11. Functions of the Spinal Cord and Spinal Nerves The white matter of the spinal cord contains sensory and motor tracts, the “highways” for conduction of sensory nerve impulses toward the brain and motor nerve impulses from the brain toward effector tissues. The spinal cord gray matter is a site for integration (summing) of excitatory postsynaptic potentials (EPSPs) and inhibitory postsynaptic potentials (IPSPs). Spinal nerves and the nerves that branch from them connect the CNS to the sensory receptors, muscles, and glands in all parts of the body. 4/6/2021 11

12. Spinal nerves Spinal nerves are associated with the spinal cord and, like all nerves of the peripheral nervous system (PNS), are parallel bundles of axons and their associated neuroglial cells wrapped in several layers of connective tissue. Spinal nerves connect the CNS to sensory receptors, muscles, and glands in all parts of the body. The 31 pairs of spinal nerves are named and numbered according to the region and level of the vertebral column from which they emerge. Not all spinal cord segments are aligned with their corresponding vertebrae. Spinal cord ends near the level of the superior border of the second lumbar vertebra (L2), and that the roots of the lumbar, sacral, and coccygeal nerves descend at an angle to reach their respective foramina before emerging from the vertebral column. This arrangement constitutes the cauda equina. 4/6/2021 12

13. Spinal Nerves The first cervical pair of spinal nerves emerges from the spinal cord between the occipital bone and the atlas (first cervical vertebra, or C1). Most of the remaining spinal nerves emerge from the spinal cord through the intervertebral foramina between adjoining vertebrae. Spinal nerves C1–C7 exit the vertebral canal above their corresponding vertebrae. Spinal nerve C8 exits the vertebral canal between vertebrae C7 and T1. Spinal nerves T1–L5 exit the vertebral canal below their corresponding vertebrae. From the spinal cord, the roots of the sacral spinal nerves (S1–S5) and the coccygeal spinal nerves (Co1) enter the sacral canal, the part of the vertebral canal in the sacrum. Subsequently, spinal nerves S1–S4 exit the sacral canal via the four pairs of anterior and posterior sacral foramina, and spinal nerves S5 and Co1 exit the sacral canal via the sacral hiatus. A typical spinal nerve has two connections to the cord: a posterior root and an anterior root . Because the posterior root contains sensory axons and the anterior root contains motor axons, a spinal nerve is classified as a mixed nerve . 4/6/2021 13

14. Cervical plexus 4/6/2021 14

15. Brachial plexus 4/6/2021 15

16. Lumbar Plexus 4/6/2021 16

17. Sacral and Coccygeal Plexuses 4/6/2021 17

18. Sacral and Coccygeal Plexuses 4/6/2021 18

19. References G J Tortora, B Derrickson; Tortora’s Principle of Anatomy and Physiology; Wiley; 15 th edition; 2017: 446-472 & 526-546 Valerie C. Scanlon, Tina Sanders; Essentials of Anatomy and physiology; F A Davis Company; 5 th edition ; 2007: 187-191 4/6/2021 19

20. This Photo by Unknown Author is licensed under CC BY-SA 4/6/2021 20