Sympathetic Nervous System Pathways

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Questions and Answers

What is the role of the sympathetic trunk in the sympathetic nervous system pathway for skin innervation?

  • To exclusively innervate arrector pili muscles
  • To isolate the functions of sweat glands from blood vessels
  • To provide a connection between spinal cord and periphery (correct)
  • To directly innervate sweat glands at the spinal level

Which ganglia are involved when sympathetic fibers travel to the organs of the head and neck?

  • Lumbar ganglia
  • Celiac ganglia
  • Superior cervical ganglia (correct)
  • Sacral ganglia

What specific pathway do sympathetic fibers take to reach thoracic organs?

  • Spinal Cord (T1-T5) -> White Ramus -> Thoracic Organs
  • Spinal Cord (T1-T5) -> Sympathetic Trunk -> Preganglionic Neurons
  • Spinal Cord (T1-T5) -> Sympathetic Trunk -> Cardiopulmonary Splanchnic Nerves (correct)
  • Spinal Cord (T1-T5) -> Cardinal Splanchnic Nerves -> Thoracic Organs

What is the role of postganglionic neurons in the sympathetic nervous system pathway?

<p>To synapse with preganglionic fibers in the ganglia (B)</p> Signup and view all the answers

Which of the following organs is specifically innervated by the sympathetic fibers originating from the thoracic region?

<p>Heart (D)</p> Signup and view all the answers

The sympathetic nervous system pathway for abdominopelvic organs includes which specific type of nerves?

<p>Greater, Lesser, and Least Thoracic and Lumbar Splanchnic Nerves (D)</p> Signup and view all the answers

How do sympathetic fibers exit the sympathetic trunk after synapsing in the ganglia?

<p>Through gray ramus nerves (B)</p> Signup and view all the answers

Which of the following statements best describes the function of sympathetic fibers in relation to the arrector pili muscles?

<p>They innervate them to promote hair erection (A)</p> Signup and view all the answers

Which spinal cord levels are involved in the sympathetic innervation of the skin?

<p>T1-L2 (C)</p> Signup and view all the answers

What is the primary function of the sympathetic nervous system innervation in the thoracic organs?

<p>Regulate blood flow during stress (C)</p> Signup and view all the answers

Where do sympathetic fibers synapse for innervation of abdominopelvic organs?

<p>In the prevertebral ganglia (C)</p> Signup and view all the answers

What type of nerves do sympathetic fibers use to reach the organs of the head and neck after synapsing in the ganglia?

<p>Cephalic arterial branch (B)</p> Signup and view all the answers

Which of the following structures is innervated by sympathetic fibers from the thoracic region?

<p>Heart (D)</p> Signup and view all the answers

What role does the sympathetic trunk play in the pathway for skin innervation?

<p>It serves as a relay point for sympathetic fibers. (B)</p> Signup and view all the answers

Which group of ganglia is primarily involved in the sympathetic innervation to the thoracic organs?

<p>Paravertebral ganglia (C)</p> Signup and view all the answers

Which of the following accurately describes the pathway for sympathetic fibers to the thoracic organs?

<p>Fibers leave via the cardiopulmonary splanchnic nerves after synapsing. (A)</p> Signup and view all the answers

What is the main role of postganglionic neurons in the sympathetic pathway for skin?

<p>Innervate blood vessels and sweat glands. (C)</p> Signup and view all the answers

Which spinal cord segments give rise to sympathetic fibers that innervate the upper thoracic region?

<p>T1-T5 (B)</p> Signup and view all the answers

Flashcards

Sympathetic Skin Pathway

Spinal cord (T1-L2) to sympathetic trunk/paravertebral ganglia at all levels, then to peripheral nerves, innervating sweat glands, arrector pili muscles, and blood vessels.

Sympathetic Head/Neck Pathway

Spinal cord (T1-T5) to superior cervical ganglia, then to cephalic arterial branches, affecting ciliary muscle, pupil dilation, and carotid sinus sensory.

Sympathetic Thoracic Pathway

Spinal cord (T1-T5) to various sympathetic trunk ganglia (Superior Cervical Ganglion to T5), then to cardiopulmonary splanchnic nerves, affecting the heart and lungs.

Sympathetic Trunk Neuron Synapse

Sympathetic fibers synapse (connect) with postganglionic neurons within paravertebral ganglia before reaching target organs.

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White Ramus

The pathway by which preganglionic sympathetic fibers enter the sympathetic trunk.

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Splanchnic Nerves

Nerve pathways carrying sympathetic fibers to abdominal and pelvic organs.

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Prevertebral Ganglia

Ganglia located anterior to the vertebral column, receiving sympathetic fibers and controlling abdominal/pelvic organs.

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Sympathetic Abdominopelvic Pathway

Spinal cord (T5-L2) to splanchnic nerves (greater, lesser, least, and lumbar), then to prevertebral ganglia (celiac, superior mesenteric), affecting abdominopelvic organs.

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Sympathetic Thoracic Organs Pathway

The pathway of sympathetic nerve fibers to the thoracic organs, involving spinal cord (T1-T5), sympathetic trunk/superior cervical to T5 ganglia, and cardiopulmonary splanchnic nerves.

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Where do sympathetic skin fibers enter the sympathetic trunk?

Sympathetic fibers for skin innervation enter the sympathetic trunk at the T1-L2 levels, using the white ramus.

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What happens to sympathetic fibers in the sympathetic trunk?

Fibers can stay at the same level or travel superiorly or inferiorly in the sympathetic trunk to reach the targeted spinal level before synapsing with the postganglionic neuron.

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What happens to sympathetic fibers for head/neck?

Fibers enter the sympathetic trunk via the white ramus, travel superiorly to the superior cervical ganglia, synapse on postganglionic neurons, and exit via the cephalic arterial branch to innervate the head and neck.

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Where & How do sympathetic fibers for thoracic organs synapse?

Some fibers travel superiorly to the superior, middle, or inferior cervical ganglia, synapse, and leave via the cardiopulmonary splanchnic nerves. Others synapse on postganglionic neurons at the same level (T1-T5) and leave via the cardiopulmonary splanchnic nerves.

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What are prevertebral ganglia and why are they important?

Prevertebral ganglia are collections of postganglionic neurons located anterior to the vertebral column. They receive sympathetic fibers from splanchnic nerves and further distribute them to abdominopelvic organs.

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What are splanchnic nerves and their role in the sympathetic nervous system?

Splanchnic nerves are bundles of sympathetic fibers carrying signals from the paravertebral sympathetic trunk to the prevertebral ganglia, and ultimately to the abdominopelvic organs.

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Study Notes

Sympathetic Nervous System Pathways

  • Skin Pathway:

    • Fibers from spinal cord segments T1-L2 enter the sympathetic trunk.
    • They may stay at the same level or travel up or down within the trunk.
    • Synapse with postganglionic neurons within paravertebral ganglia.
    • Leave the trunk via gray rami.
    • Innervate sweat glands, arrector pili muscles, and blood vessels in the skin's dermatomes
  • Organs of the Head & Neck Pathway:

    • Fibers from spinal cord segments T1-T5 enter the sympathetic trunk via white rami.
    • Travel superiorly in the trunk to the superior cervical ganglia.
    • Synapse with postganglionic neurons.
    • Exit via cephalic arterial branches.
    • Innervate the ciliary muscle, dilator pupillae, and sensory structures of the carotid sinus.
  • Thoracic Organs Pathway:

    • Fibers from spinal cord segments T1-T5 enter the sympathetic trunk.

    • Synapse with postganglionic neurons at the level of the superior cervical to T5 ganglia.

    • Leave the trunk via cardiopulmonary splanchnic nerves.

    • Innervate the heart and lungs.

    • Heart: Fibers may ascend to superior, middle, or inferior cervical ganglia for synapse.

  • Abdominopelvic Organs Pathway:

    • Fibers from spinal cord segments T5-L2 enter the sympathetic trunk via white rami.
    • May travel inferiorly or leave as splanchnic nerves.
    • Splanchnic nerves synapse in prevertebral ganglia (e.g., celiac, superior mesenteric).
    • Innervate abdominal and pelvic organs.
      • Greater thoracic (T5-T9) travels to celiac ganglion to control stomach, liver, gallbladder, spleen, and pancreas.
      • Lesser thoracic (T10-T11) travels to aorticorenal ganglion to control kidneys and adrenal glands.
      • Least thoracic (T12) travels to superior mesenteric ganglion to affect the proximal GI tract.
      • Lumbar (L1-L2/3) controls the distal GI tract, bladder, and reproductive organs with innervation at the inferior mesenteric ganglion.
    • Sacral splanchnic nerves innervate pelvic organs.

Key Ganglia and Nerves

  • Paravertebral ganglia: Chains of ganglia alongside the spinal cord.
  • Prevertebral ganglia: Ganglia anterior to the vertebral column (e.g., celiac, superior mesenteric).
  • White rami: Branches carrying preganglionic sympathetic fibers into the sympathetic trunk.
  • Gray rami: Branches carrying postganglionic sympathetic fibers back into the spinal nerves.
  • Splanchnic nerves: Nerves carrying sympathetic fibers to prevertebral ganglia.

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