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Sympathetic Nervous System

Sympathetic nervous system: subdivision of the autonomic nervous system

  • ‘fight or flight’ system

  • diffuse activation

Distribution of Sympathetic Nervous System

  1. Cervical division

  2. Cardio-pulmonary division

  3. Splanchnic division

  4. Somatic division

Cervical Division

arises from: lateral horn cells of T1, T2

ends: 1st superior cervical ganglion

  • Eye

  • Salivary glands

  • Skin

  • Cerebral blood vessels

Cardio-Pulmonary Division

arises from: lateral horn cells of T1, T2, T3, T4

ends: 3rd superior cervical ganglion and upper 4 thoracic ganglia

  • Heart

  • Lungs

Splanchnic Division

arises from: lateral horn cells of T5-L3

ends: collateral ganglia

  • Greater splanchnic nerve (T5 - T9 and rely celiac ganglia):

    • wall of GIT

    • sphincters

    • liver

    • spleen

    • adipose tissue

    • adrenal medulla

  • Lesser splanchnic nerve (L1 - L3, rely inferior mesenteric ganglia)(small splanchnic nerve arises from T10 - T12, rely in superior mesenteric ganglia):

    • rectum

    • urinary bladder

    • sex organs

Somatic Division

arises from: lateral horn cells of T4 - L8 (upper limbs), T10- L12 (lower limbs)

relay in: the sympathetic chain

  • Skin

    • blood vessels

    • sweat

    • hair

  • Skeletal muscles

    • blood vessels

    • chemical reactions

Sympathetic Effect on Organs

Organ

Effect

Eye

mydriasis, contraction of tarsal muscle and elevation of the lids, relaxation of ciliary muscles for far vision

Salivary glands

increase secretion that is rich in proteins (enzymes) (viscus)

Skin

contraction of arrector pili muscles, pale skin, increase sweating

Blood vessels

vasoconstriction in all vessels, except skeletal muscles and heart

Heart

Increase all cardiac properties:contractility, rate, conductivity, excitability, increase blood pressure

Sex organs

Male: ejaculation, inhibition of erection.Female: vary according to hormones and menstrual cycle

Renal

Decrease micturition and urine formation

GIT

Decrease mobility, contraction of pyloric sphincter, decrease defecation, increase glycogenolysis in liver, release epinephrine and norepinephrine from adrenal medulla, contraction of spleen and release of red blood cells

Lungs

Broncho-dilation, inhibition of mucus secretion

Organs supplied by Sympathetic Fibers Only

  • Ventricles

  • Skin structures

  • Skeletal blood vessels

  • Dilator pupillary muscles

  • Adrenal medulla

Receptors

α1 (stimulatory): stimulation of sphincters.

α2 (inhibitory): relaxation of GIT wall.

β1 (stimulatory): increase heart rate.

β2 (inhibitory): relaxation of bronchial smooth muscle (bronchial dilation)

Horner’s Syndrome

Horner’s syndrome: results from an interruption of the sympathetic nerve supply to the eye (cervical sympathectomy) and is characterized by the classical triad of miosis (i.e. constricted pupil), partial ptosis and loss of hemifacial sweating (i.e. anhidrosis)

Can be caused by:

  • lesion of primary neuron

  • brainstem stroke or tumor or syrinx of the pre-ganglionic neuron

  • trauma to the brachial plexus

  • tumors or infection of the lung apex

LA

Sympathetic Nervous System

Sympathetic nervous system: subdivision of the autonomic nervous system

  • ‘fight or flight’ system

  • diffuse activation

Distribution of Sympathetic Nervous System

  1. Cervical division

  2. Cardio-pulmonary division

  3. Splanchnic division

  4. Somatic division

Cervical Division

arises from: lateral horn cells of T1, T2

ends: 1st superior cervical ganglion

  • Eye

  • Salivary glands

  • Skin

  • Cerebral blood vessels

Cardio-Pulmonary Division

arises from: lateral horn cells of T1, T2, T3, T4

ends: 3rd superior cervical ganglion and upper 4 thoracic ganglia

  • Heart

  • Lungs

Splanchnic Division

arises from: lateral horn cells of T5-L3

ends: collateral ganglia

  • Greater splanchnic nerve (T5 - T9 and rely celiac ganglia):

    • wall of GIT

    • sphincters

    • liver

    • spleen

    • adipose tissue

    • adrenal medulla

  • Lesser splanchnic nerve (L1 - L3, rely inferior mesenteric ganglia)(small splanchnic nerve arises from T10 - T12, rely in superior mesenteric ganglia):

    • rectum

    • urinary bladder

    • sex organs

Somatic Division

arises from: lateral horn cells of T4 - L8 (upper limbs), T10- L12 (lower limbs)

relay in: the sympathetic chain

  • Skin

    • blood vessels

    • sweat

    • hair

  • Skeletal muscles

    • blood vessels

    • chemical reactions

Sympathetic Effect on Organs

Organ

Effect

Eye

mydriasis, contraction of tarsal muscle and elevation of the lids, relaxation of ciliary muscles for far vision

Salivary glands

increase secretion that is rich in proteins (enzymes) (viscus)

Skin

contraction of arrector pili muscles, pale skin, increase sweating

Blood vessels

vasoconstriction in all vessels, except skeletal muscles and heart

Heart

Increase all cardiac properties:contractility, rate, conductivity, excitability, increase blood pressure

Sex organs

Male: ejaculation, inhibition of erection.Female: vary according to hormones and menstrual cycle

Renal

Decrease micturition and urine formation

GIT

Decrease mobility, contraction of pyloric sphincter, decrease defecation, increase glycogenolysis in liver, release epinephrine and norepinephrine from adrenal medulla, contraction of spleen and release of red blood cells

Lungs

Broncho-dilation, inhibition of mucus secretion

Organs supplied by Sympathetic Fibers Only

  • Ventricles

  • Skin structures

  • Skeletal blood vessels

  • Dilator pupillary muscles

  • Adrenal medulla

Receptors

α1 (stimulatory): stimulation of sphincters.

α2 (inhibitory): relaxation of GIT wall.

β1 (stimulatory): increase heart rate.

β2 (inhibitory): relaxation of bronchial smooth muscle (bronchial dilation)

Horner’s Syndrome

Horner’s syndrome: results from an interruption of the sympathetic nerve supply to the eye (cervical sympathectomy) and is characterized by the classical triad of miosis (i.e. constricted pupil), partial ptosis and loss of hemifacial sweating (i.e. anhidrosis)

Can be caused by:

  • lesion of primary neuron

  • brainstem stroke or tumor or syrinx of the pre-ganglionic neuron

  • trauma to the brachial plexus

  • tumors or infection of the lung apex

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