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Serve as the main pathways for autonomic signals
brainstem and spinal cord
Which regions of the spinal cord does the sympathetic division originate in?
thoracic and lumbar region
The different nuclei of the hypothalamus are responsible for what autonomic functions (name a few)?
temperature regulation, osmoregulation, sleep, circadian rhythms, arousal, stress, energy expenditure, memory
The hypothalamus is organized into many functionally specialized ______ that together help coordinate _________ function.
nuclei, autonomic
What does the ventromedial hypothalamus (VMH) do?
energy balance, autonomic control
hypothalamo-spinal tract
pathway through which the hypothalamus sends commands to autonomic neurons
Where is the hypothalamo-spinal tract located?
brainstem and spinal cord
What’s the dorsal motor nucleus of vagus (DMNX) responsible for?
parasympathetic output
The hypothalamus sends coordinated signals to both the __________ and _________ autonomic targets
sympathetic, parasympathetic
Where does the hypothalamo-spinal tract terminate?
in the intermediolateral cell column/lateral horn
Where do preganglionic sympathetic neurons originate?
in the lateral horn
sympathetic trunk/chain
chain of sympathetic ganglia running alongside the vertebral column
Where is the pre and post ganglionic synapse in the sympathetic nervous system
in the sympathetic chain/paravertebral ganglia OR
in a prevertebral ganglion OR
on the adrenal medulla
Where is the pre and post ganglionic synapse for all innervations above the diaphragm?
in the sympathetic trunk
Where do the sympathetic preganglionic neurons that innervate the heart and lungs originate?
lateral horn in thoracic spinal cord
Where do the sympathetic pre and post ganglionic neurons that innervate the heart and lungs synapse?
in the sympathetic chain
What structure do the postganglionic neurons that innervate the heart travel through?
the cardiac plexus
What structure do the postganglionic neurons that innervate the lungs travel through?
the pulmonary plexus
Where do the sympathetic preganglionic neurons that innervate the small intestine originate?
lower thoracic spinal cord
Where do the sympathetic pre and post ganglionic neurons that innervate the small intestine synapse?
superior mesenteric ganglion
What other ganglion besides the celiac ganglion is important for small intestine functions?
superior mesenteric ganglion
Some of the preganglionic neurons that innervate the small intestine also form what nerve?
greater splanchnic nerve
What do neurons in the GI tract operate?
peristalsis, enzyme secretion
splanchnic nerve
innervates visceral organs (liver, SI, colon, kidneys)
What’s unique about the sympathetic innervation of the adrenal medulla?
preganglionic fiber synapses directly onto the target organ
What does having the preganglionic neuron synapsing directly on the adrenal medulla allow for?
rapid release of epi/adrenaline
What is a plexus?
a network of intersecting nerves
What’s the point of a plexus
resilience; if a pathway is damaged, there’s redundancy to ensure continued function
efficiency; integrate autonomic and sensory inputs
Which spinal segments are the only ones to contain sympathetic preganglionic neurons?
T1-L3
What’s inside the lateral horn/intermediolateral cell column?
sympathetic preganglionic neuron cell bodies
Pathway for a sympathetic neuron
lateral horn
ventral root (w/ visceral efferent fibers)
white ramus
synapse and then through gray ramus
up/down the chain
to prevertebral ganglia or beyond
Sympathetic post-ganglionic nerves exiting through the gray ramus are going to innervate the…
blood vessels and skin
Origin of thoracic sympathetic nerves
T1-T5
Origin of abdominal sympathetic nerves
T5-L2
Origin of adrenal medulla sympathetic nerves
T5-T11
Origin of pelvic sympathetic AND parasympathetic nerves
S1-S5
Neurons innervating the adrenal medulla exit the sympathetic trunk via the…
grater splanchnic nerve
Neurons innervating the adrenal medulla pass through what structure after exiting the sympathetic trunk but before reaching their target
celiac ganglion
The parasympathetic nervous system originates in which two locations
the brainstem and the sacral spinal cord
Which cranial nerves have parasympathetic functions?
3, 7, 9, 10 (oculomotor, facial, glossopharyngeal, vagus)
What does the facial nerve innervate?
lacrimal glands, salivary glands
Where does the facial nerve synapse when innervating the lacrimal glands?
pterygopalatine ganglion
Where does the facial nerve synapse when innervating the salivatory glands?
submandibular ganglion
What does the oculomotor nerve innervate?
eye
Where does the oculomotor nerve synapse?
ciliary ganglion
What does the glossopharyngeal nerve innervate?
salivary glands
Where does the glossopharyngeal nerve synapse?
otic ganglion
What does the vagus nerve innervate?
heart, lungs, GI tract, kidneys
What are the pelvic organs innervated by?
the greater pelvic splanchnic nerve
Where does the oculomotor nerve originate?
edinger-westphal nucleus (midbrain)
Where do the facial and glossopharyngeal nerves originate?
salivatory nuclei (medulla)
Where does the vagus nerve originate?
DMNX, nucleus ambiguus (medulla)
Origin of sacral preganglionic parasympathetic somas in the spinal cord
intermediate gray zone (sacral spinal cord)
Cardioacceleratory center function
activates sympathetic pathways to increase heart activity, NE on heart, adrenal gland activation
Cardioinhibitory center function
activate parasympathetic pathways to decrease heart activity, vagus releases Ach on heart
Location of cardioacceleratory center
C1 region of vasomotor area
The cardioacceleratory center is typically ACTIVE unless inhibited by the…
nucleus of the solitary tract (NTS)
Cardioinhibitory center components
vagal nucleus, nucleus ambiguus (stimulate vagus to release Ach on heart)
both the cardioacceleratory and cardioinhibitory centers receive input from what brain structure
the NTS
Plexuses of the enteric nervous system
myenteric plexus
submucosal plexus
Myenteric plexus function
peristalsis
Submucosal plexus function
GI secretions
What CN regulates enteric NS activity?
vagus nerve
What parasympathetic nerve regulates enteric NS activity?
greater pelvic nerve
Do both sympathetic and parasympathetic pathways play a role in regulating the enteric nervous system?
yes
What do the post-ganglionic neurons in the oculomotor pathway control?
pupillary constriction, lens accomodation
Do the short or long ciliary nerves arise from the oculomotor nerve?
short
What do long ciliary nerves do?
convey sensory and sympathetic fibers to the eye
What is the carotid plexus?
network of sympathetic fibers wrapped around the internal carotid artery
When the radial muscles of the iris contract, the pupil _______
dilates
When the circular muscles of the iris contract, the pupil __________
constricts
What brain structure provides the somatic motor component of CN 3?
oculomotor nerve nucleus
edinger-westphal nucleus
parasympathetic nucleus of the oculomotor nerve
Pupillary light reflex pathway - parasympathetic
light enters eye
retina —> sensory info through optic nerve
optic chiasm, optic tracts
pretectal nuclei (midbrain), relay point
edinger-westphal nucleus (midbrain)
preganglionic fibers w/ CN 3
ciliary ganglion
postganglionic fibers w/ short ciliary nerves
Ach on CIRCULAR muscles of iris (constriction)
Pupillary light reflex pathway - sympathetic
no light
hypothalamus, processing info that there’s no light
neurons travel through hypothalamospinal tract to T1
synapse in lateral horn
preganglionic neuron goes to sympathetic chain and ascends
synapse in superior cervical ganglion
postganglionic neurons form carotid plexus
postganglionic fibers join nasociliary nerve
fibers travel through long ciliary nerves
NE on RADIAL muscles of iris (dilation)