Sympathetic Pathways to Head and Neck
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Questions and Answers

Which cervical spinal nerves are associated with the grey communicating ramus?

  • C1-C2
  • C5-C6 (correct)
  • C3-C4
  • C7-C8
  • What types of tissues are affected by the sympathetic pathways originating from the cervical ganglia?

  • Muscle and nerve tissues
  • Epithelial and connective tissues
  • Somatic tissues such as skin and vascular smooth muscle (correct)
  • Bone and lymphatic tissues
  • What does the white communicating ramus connect to in the sympathetic chain?

  • Sympathetic ganglia (correct)
  • Grey matter
  • Brainstem
  • Spinal cord efferent pathways
  • Which segment of spinal nerves is primarily responsible for supplying thoracic viscera via sympathetic pathways?

    <p>T1-T4</p> Signup and view all the answers

    Which ramus specifically carries sympathetic fibers from the cervical ganglia to the somatic tissues?

    <p>Grey communicating ramus</p> Signup and view all the answers

    What type of muscles receive postganglionic fibers from the cardiopulmonary splanchnic nerves?

    <p>Smooth and cardiac muscles</p> Signup and view all the answers

    Which cervical ganglia innervate vascular smooth muscle and sweat glands of the skin?

    <p>C7-C8 Cervical ganglia</p> Signup and view all the answers

    What is the role of the grey communicating ramus?

    <p>Transmit postganglionic sympathetic fibers</p> Signup and view all the answers

    Which neurotransmitter is primarily involved in sympathetic pathways to smooth muscle?

    <p>Norepinephrine</p> Signup and view all the answers

    What structures does the sympathetic communication to the head and neck primarily target?

    <p>Visceral tissues of the head</p> Signup and view all the answers

    What is a key physiological action of the sympathetic system in the head and neck region?

    <p>Dilates pupils</p> Signup and view all the answers

    What effect does the parasympathetic system have on the pupils?

    <p>Causes miosis (constricts pupils)</p> Signup and view all the answers

    What symptoms are associated with Horner’s syndrome?

    <p>Miosis and anhidrosis</p> Signup and view all the answers

    Which of the following describes the primary actions of the sympathetic system?

    <p>Energy-expending and catabolic</p> Signup and view all the answers

    Which anatomical structures are commonly associated with Horner’s syndrome?

    <p>Spinal cord at T1-T4 and cervical ganglia</p> Signup and view all the answers

    What is the main role of the parasympathetic nervous system in the head and neck?

    <p>Stimulates gland secretions</p> Signup and view all the answers

    What type of responses does the sympathetic nervous system NOT promote?

    <p>Stimulating salivation</p> Signup and view all the answers

    What does miosis refer to in the context of the parasympathetic system?

    <p>Pupil constriction</p> Signup and view all the answers

    Which nerve contains preganglionic parasympathetic fibers that travel to the submandibular ganglion?

    <p>Chorda tympani nerve</p> Signup and view all the answers

    What is the primary function of the postganglionic parasympathetic fibers from the submandibular ganglion?

    <p>Innervate the submandibular and sublingual salivary glands</p> Signup and view all the answers

    To which ganglion do the preganglionic parasympathetic fibers in the greater petrosal nerve travel?

    <p>Pterygopalatine ganglion</p> Signup and view all the answers

    Which salivary gland is innervated by postganglionic fibers from the otic ganglion?

    <p>Parotid gland</p> Signup and view all the answers

    What type of fibers travel from the superior cervical ganglion to the salivary glands?

    <p>Postganglionic sympathetic fibers</p> Signup and view all the answers

    Which of the following ganglia is associated with the glossopharyngeal nerve?

    <p>Otic ganglion</p> Signup and view all the answers

    Which branch of the facial nerve carries preganglionic parasympathetic fibers to the lacrimal gland?

    <p>Greater petrosal nerve</p> Signup and view all the answers

    From where do postganglionic sympathetic fibers innervate the vascular plexuses in the nasal cavity?

    <p>Superior cervical ganglion</p> Signup and view all the answers

    Which ganglion is primarily responsible for postganglionic sympathetic innervation to the head and neck?

    <p>Superior cervical ganglion</p> Signup and view all the answers

    What do the internal and external carotid nerves hitch-hike along?

    <p>Internal and external carotid arteries</p> Signup and view all the answers

    Which nerve contributes fibers to the cardiac, pulmonary, and esophageal plexuses?

    <p>T1-T4 chain fibers</p> Signup and view all the answers

    What is the primary role of the arrector pili muscles mentioned in the content?

    <p>To raise hair follicles in response to cold or fear</p> Signup and view all the answers

    What kind of muscles do the cardiopulmonary splanchnic nerves primarily innervate?

    <p>Vascular smooth muscle and cardiac muscles</p> Signup and view all the answers

    What structure might be referred to when mentioning the inferior cervical ganglion?

    <p>Stellate ganglion</p> Signup and view all the answers

    Which of the following anatomical structures is directly involved in the sympathetics pathways to the head and neck?

    <p>Cervical sympathetic chain</p> Signup and view all the answers

    Which sympathetic fibers follow blood vessels and enter branches of the trigeminal nerve?

    <p>Postganglionic fibers</p> Signup and view all the answers

    What is the functional significance of the sympathomimetic activity at the postganglionic levels?

    <p>Dilation of pupils</p> Signup and view all the answers

    Which of the following structures holds postganglionic sympathetic axons traveling to C1-C8?

    <p>Spinal nerves</p> Signup and view all the answers

    Study Notes

    Sympathetic Pathways to Head and Neck

    • Sympathetic innervation to the head and neck originates in the superior, middle, and inferior cervical ganglia
    • Superior cervical ganglion is the main source of postganglionic sympathetic fibers to head and neck structures, including the superior cardiac nerve
    • Middle cervical ganglion is the origin of the middle cardiac nerve
    • Inferior cervical ganglion may be fused with the first thoracic ganglion, forming the stellate ganglion, and is the origin of the inferior cardiac nerve
    • Postganglionic sympathetic fibers travel as internal and external carotid nerves alongside the carotid arteries, forming internal and external carotid plexuses
    • Sympathetic innervation via these plexuses reaches:
      • Smooth muscle in the eye (dilator muscle of iris, smooth muscle of upper eyelid)
      • Arrector pili muscles of face and scalp
      • Vascular smooth muscle
      • Sweat glands of the face and scalp

    Parasympathetic Innervation to Head and Neck

    • Submandibular Ganglion: associated with the Facial Nerve (CN VII)
      • Preganglionic parasympathetic fibers travel via the chorda tympani nerve (branch of Facial Nerve), then in the lingual nerve to synapse in the submandibular ganglion
      • Postganglionic fibers innervate the submandibular and sublingual salivary glands
    • Pterygopalatine Ganglion: associated with the Facial Nerve (CN VII)
      • Preganglionic parasympathetic fibers travel via the greater petrosal nerve, then in the nerve of the pterygoid canal to synapse in the pterygopalatine ganglion
      • Postganglionic fibers innervate the lacrimal gland and glands in the nasal cavity, pharynx, and palate
    • Otic Ganglion: associated with the Glossopharyngeal Nerve (CN IX)
      • Preganglionic parasympathetic fibers travel via the lesser petrosal nerve to synapse in the otic ganglion
      • Postganglionic fibers travel via the auriculotemporal nerve to innervate the parotid gland

    Actions of Sympathetic System in the Head and Neck

    • Fight or flight response
    • Catabolic (energy-expending)
    • Stimulates sweat secretion and goosebumps
    • Dilates pupil (mydriasis)
    • Inhibits lacrimal, nasal, palatine, pharyngeal, and salivary gland secretions

    Actions of Parasympathetic System in the Head and Neck

    • Feed & breed, rest & digest response
    • Anabolic (energy-conserving)
    • Constricts pupil (miosis)
    • Stimulates lacrimal, nasal, palatine, pharyngeal, and salivary gland secretions

    Horner’s Syndrome

    • Sympathetic denervation of the face

    • Causes:

      • Ptosis (slight drooping of the eyelid)
      • Anhidrosis (absence of sweating) and flushing of affected side of face
      • Miosis (pupil constriction)
    • Associated with lesions of:

      • Spinal cord at T1-T4
      • Sympathetic chain
      • Cervical ganglia (often due to lung tumor)
      • Aneurysm of internal carotid artery

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    Description

    Explore the intricate pathways of sympathetic innervation to the head and neck, focusing on the roles of the superior, middle, and inferior cervical ganglia. This quiz covers the origin of postganglionic fibers, the associated nerves, and the target structures such as the smooth muscles, arrector pili muscles, and sweat glands. Test your knowledge on these essential anatomical concepts.

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