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© 2012 Pearson Education, Inc. 14 The Nervous System: The Spinal Cord and Spinal Nerves PowerPoint ® Lecture Presentations prepared by Steven Bassett Southeast Community College Lincoln, Nebraska

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Page 1: The Nervous System: Spinal Nerves - Napa Valley College...© 2012 Pearson Education, Inc. 14 The Nervous System: The Spinal Cord and Spinal Nerves PowerPoint® Lecture Presentations

© 2012 Pearson Education, Inc.

14 The Nervous System: The Spinal Cord and Spinal Nerves

PowerPoint® Lecture Presentations prepared by

Steven Bassett

Southeast Community College

Lincoln, Nebraska

Page 2: The Nervous System: Spinal Nerves - Napa Valley College...© 2012 Pearson Education, Inc. 14 The Nervous System: The Spinal Cord and Spinal Nerves PowerPoint® Lecture Presentations

© 2012 Pearson Education, Inc.

Introduction

• The Central Nervous System (CNS)

consists of:

• The spinal cord

• Integrates and processes information

• Can function with the brain

• Can function independently of the brain

• The brain

• Integrates and processes information

• Can function with the spinal cord

• Can function independently of the spinal cord

Page 3: The Nervous System: Spinal Nerves - Napa Valley College...© 2012 Pearson Education, Inc. 14 The Nervous System: The Spinal Cord and Spinal Nerves PowerPoint® Lecture Presentations

© 2012 Pearson Education, Inc.

Gross Anatomy of the Spinal Cord

• Features of the Spinal Cord

• 45 cm in length

• Passes through the foramen magnum

• Extends from the brain to L1

• Consists of:

• Cervical region

• Thoracic region

• Lumbar region

• Sacral region

• Coccygeal region

Page 4: The Nervous System: Spinal Nerves - Napa Valley College...© 2012 Pearson Education, Inc. 14 The Nervous System: The Spinal Cord and Spinal Nerves PowerPoint® Lecture Presentations

© 2012 Pearson Education, Inc.

Gross Anatomy of the Spinal Cord

• Features of the Spinal Cord

• Consists of (continued):

• Cervical enlargement

• Lumbosacral enlargement

• Conus medullaris

• Cauda equina

• Filum terminale: becomes a component of the

coccygeal ligament

• Posterior and anterior median sulci

Page 5: The Nervous System: Spinal Nerves - Napa Valley College...© 2012 Pearson Education, Inc. 14 The Nervous System: The Spinal Cord and Spinal Nerves PowerPoint® Lecture Presentations

© 2012 Pearson Education, Inc.

Figure 14.1a Gross Anatomy of the Spinal Cord

Cervical spinal

nerves

Thoracic

spinal

nerves

Lumbar

spinal

nerves

Sacral spinal

nerves

Coccygeal

nerve (Co1)

Filum terminale

(in coccygeal ligament)

Cauda equina

Inferior

tip of

spinal cord

Conus

medullaris

Lumbosacral

enlargement

Posterior

median sulcus

Cervical

enlargement

C1

C2

C3

C4

C5

C6 C7 C8

T1 T2

T3

T4

T5

T6

T7

T8

T9

T10

T11

T12

L1

L2

L3

L4

L5

S1

S2

S3

S4 S5

Superficial anatomy and orientation of the adult spinal cord. The

numbers to the left identify the spinal nerves and indicate where

the nerve roots leave the vertebral canal. The spinal cord, however,

extends from the brain only to the level of vertebrae L1–L2.

Page 6: The Nervous System: Spinal Nerves - Napa Valley College...© 2012 Pearson Education, Inc. 14 The Nervous System: The Spinal Cord and Spinal Nerves PowerPoint® Lecture Presentations

© 2012 Pearson Education, Inc.

Gross Anatomy of the Spinal Cord

• Features of the Spinal Cord

• Transverse view

• White matter

• Gray matter

• Central canal

• Dorsal root and ventral root: merge to form a spinal

nerve

• Dorsal root is sensory: axons extend from the

soma within the dorsal root ganglion

• Ventral root is motor

Page 7: The Nervous System: Spinal Nerves - Napa Valley College...© 2012 Pearson Education, Inc. 14 The Nervous System: The Spinal Cord and Spinal Nerves PowerPoint® Lecture Presentations

© 2012 Pearson Education, Inc.

Figure 14.1d Gross Anatomy of the Spinal Cord

Inferior views of cross sections

through representative

segments of the spinal cord

showing the arrangement of

gray and white matter

Posterior median sulcus

White matter

Gray

matter

Anterior median fissure

Dorsal root

Spinal

nerve

Ventral

root

Dorsal root

ganglion

Central

canal

C3

T3

L1

S2

Page 8: The Nervous System: Spinal Nerves - Napa Valley College...© 2012 Pearson Education, Inc. 14 The Nervous System: The Spinal Cord and Spinal Nerves PowerPoint® Lecture Presentations

© 2012 Pearson Education, Inc.

Gross Anatomy of the Spinal Cord

• Features of the Spinal Nerves

• Consist of:

• Sensory nerves (afferent nerves): transmit

impulses toward the spinal cord

• Motor nerves (efferent nerves): transmit impulses

away from the spinal cord

Page 9: The Nervous System: Spinal Nerves - Napa Valley College...© 2012 Pearson Education, Inc. 14 The Nervous System: The Spinal Cord and Spinal Nerves PowerPoint® Lecture Presentations

© 2012 Pearson Education, Inc.

Figure 14.1d Gross Anatomy of the Spinal Cord

Inferior views of cross sections

through representative

segments of the spinal cord

showing the arrangement of

gray and white matter

Posterior median sulcus

White matter

Gray

matter

Anterior median fissure

Dorsal root

Spinal

nerve

Ventral

root

Dorsal root

ganglion

Central

canal

C3

T3

L1

S2

Page 10: The Nervous System: Spinal Nerves - Napa Valley College...© 2012 Pearson Education, Inc. 14 The Nervous System: The Spinal Cord and Spinal Nerves PowerPoint® Lecture Presentations

© 2012 Pearson Education, Inc.

Spinal Meninges

• Features of spinal meninges:

• Specialized membranes that provide protection,

physical stability, and shock absorption

• Continuous with the cranial (cerebral) meninges

• Denticulate ligaments help anchor the spinal

cord in position

• Made of three layers

• Dura mater: tough, fibrous outermost layer

• Arachnoid mater: middle layer

• Pia mater: innermost layer

Page 11: The Nervous System: Spinal Nerves - Napa Valley College...© 2012 Pearson Education, Inc. 14 The Nervous System: The Spinal Cord and Spinal Nerves PowerPoint® Lecture Presentations

© 2012 Pearson Education, Inc.

Figure 14.2c The Spinal Cord and Spinal Meninges

Posterior view of the spinal cord showing the

meningeal layers, superficial landmarks, and

distribution of gray and white matter

White matter

Ventral root

Dorsal root

Pia mater

Arachnoid mater

Gray matter

Spinal nerve

Dorsal root

ganglion

Dura mater

Page 12: The Nervous System: Spinal Nerves - Napa Valley College...© 2012 Pearson Education, Inc. 14 The Nervous System: The Spinal Cord and Spinal Nerves PowerPoint® Lecture Presentations

© 2012 Pearson Education, Inc.

Figure 14.2a The Spinal Cord and Spinal Meninges

Anterior view of spinal cord showing meninges and spinal nerves. For this

view, the dura and arachnoid membranes have been cut longitudinally and

retracted (pulled aside); notice the blood vessels that run in the

subarachnoid space, bound to the outer surface of the delicate pia mater.

Ventral root of

sixth cervical

nerve

Dorsal root of

sixth cervical

nerve

Spinal blood

vessel

Dura mater

(reflected)

Arachnoid mater

(reflected)

Denticulate

ligaments

Pia mater

Anterior median

fissure

Spinal cord

Page 13: The Nervous System: Spinal Nerves - Napa Valley College...© 2012 Pearson Education, Inc. 14 The Nervous System: The Spinal Cord and Spinal Nerves PowerPoint® Lecture Presentations

© 2012 Pearson Education, Inc.

Sectional Anatomy of the Spinal Cord

• Gray matter

• Central canal

• Consists of somas (cell bodies) surrounding

the central canal

• White matter

• Consists of axons

• Nerves are organized into tracts or columns

• Located outside the gray matter area

Page 14: The Nervous System: Spinal Nerves - Napa Valley College...© 2012 Pearson Education, Inc. 14 The Nervous System: The Spinal Cord and Spinal Nerves PowerPoint® Lecture Presentations

© 2012 Pearson Education, Inc.

Sectional Anatomy of the Spinal Cord

• Organization of Gray Matter

• Somas are organized into groups called nuclei

• Sensory nuclei

• Motor nuclei

• Transverse view shows:

• Posterior gray horns

• Lateral gray horns

• Anterior gray horns

• Gray commissure

Page 15: The Nervous System: Spinal Nerves - Napa Valley College...© 2012 Pearson Education, Inc. 14 The Nervous System: The Spinal Cord and Spinal Nerves PowerPoint® Lecture Presentations

© 2012 Pearson Education, Inc.

Sectional Anatomy of the Spinal Cord

• Organization of gray matter

• Posterior gray horns: somatic sensory and

visceral nuclei

• Lateral gray horns: visceral motor nuclei

• Anterior gray horns: somatic motor nuclei

• Gray commissure

• Consists of axons crossing from one side to the

other

Page 16: The Nervous System: Spinal Nerves - Napa Valley College...© 2012 Pearson Education, Inc. 14 The Nervous System: The Spinal Cord and Spinal Nerves PowerPoint® Lecture Presentations

© 2012 Pearson Education, Inc.

Figure 14.4b Sectional Organization of the Spinal Cord

The left half of this sectional view shows important anatomical landmarks; the right half indicates

the functional organization of the gray matter in the anterior, lateral, and posterior gray horns.

Posterior

gray horn

Posterior gray

commissure

Lateral

gray horn

Anterior

gray horn

Anterior gray

commissure

Anterior median

fissure

To ventral

root

Posterior median sulcus From dorsal root

Sensory

nuclei

Motor

nuclei

Somatic

Somatic

Visceral

Visceral

Page 17: The Nervous System: Spinal Nerves - Napa Valley College...© 2012 Pearson Education, Inc. 14 The Nervous System: The Spinal Cord and Spinal Nerves PowerPoint® Lecture Presentations

© 2012 Pearson Education, Inc.

Sectional Anatomy of the Spinal Cord

• Organization of white matter

• Consists of columns of nerves (fascicles)

• Columns convey either:

• Sensory tracts (ascending tracts)

• Motor tracts (descending tracts)

Page 18: The Nervous System: Spinal Nerves - Napa Valley College...© 2012 Pearson Education, Inc. 14 The Nervous System: The Spinal Cord and Spinal Nerves PowerPoint® Lecture Presentations

© 2012 Pearson Education, Inc.

Figure 14.4c Sectional Organization of the Spinal Cord

The left half of this sectional view shows the major columns of white matter. The right half

indicates the anatomical organization of sensory tracts in the posterior white column for

comparison with the organization of motor nuclei in the anterior gray horn. Note that both

sensory and motor components of the spinal cord have a definite regional organization.

Posterior white

column (funiculus)

Anterior white

column (funiculus)

Anterior white

commissure

Flexors

Extensors

Lateral

white

column

(funiculus)

Leg

Hip

Trunk

Arm

Hand

Forearm

Arm

Shoulder

Trunk

Page 19: The Nervous System: Spinal Nerves - Napa Valley College...© 2012 Pearson Education, Inc. 14 The Nervous System: The Spinal Cord and Spinal Nerves PowerPoint® Lecture Presentations

© 2012 Pearson Education, Inc.

Spinal Nerves

• There are 31 pairs of spinal nerves

• 8 cervical nerves

• 12 thoracic nerves

• 5 lumbar nerves

• 5 sacral nerves

• 1 coccygeal nerve

Page 20: The Nervous System: Spinal Nerves - Napa Valley College...© 2012 Pearson Education, Inc. 14 The Nervous System: The Spinal Cord and Spinal Nerves PowerPoint® Lecture Presentations

© 2012 Pearson Education, Inc.

Figure 14.1a Gross Anatomy of the Spinal Cord

Cervical spinal

nerves

Thoracic

spinal

nerves

Lumbar

spinal

nerves

Sacral spinal

nerves

Coccygeal

nerve (Co1)

Filum terminale

(in coccygeal ligament)

Cauda equina

Inferior

tip of

spinal cord

Conus

medullaris

Lumbosacral

enlargement

Posterior

median sulcus

Cervical

enlargement

C1

C2

C3

C4

C5

C6 C7 C8

T1 T2

T3

T4

T5

T6

T7

T8

T9

T10

T11

T12

L1

L2

L3

L4

L5

S1

S2

S3

S4 S5

Superficial anatomy and orientation of the adult spinal cord. The

numbers to the left identify the spinal nerves and indicate where

the nerve roots leave the vertebral canal. The spinal cord, however,

extends from the brain only to the level of vertebrae L1–L2.

Page 21: The Nervous System: Spinal Nerves - Napa Valley College...© 2012 Pearson Education, Inc. 14 The Nervous System: The Spinal Cord and Spinal Nerves PowerPoint® Lecture Presentations

© 2012 Pearson Education, Inc.

Spinal Nerves

• Spinal nerves

• Each peripheral nerve consists of:

• Epineurium: outer layer – becomes continuous

with the dura mater

• Perineurium: layer surrounding a fascicle – a

fascicle is a bundle of axons

• Endoneurium: layer surrounding a single axon

Page 22: The Nervous System: Spinal Nerves - Napa Valley College...© 2012 Pearson Education, Inc. 14 The Nervous System: The Spinal Cord and Spinal Nerves PowerPoint® Lecture Presentations

© 2012 Pearson Education, Inc.

Figure 14.5a Anatomy of a Peripheral Nerve

A typical peripheral

nerve and its connective

tissue wrappings

Connective Tissue Layers

Blood vessels

Fascicle

Schwann cell

Myelinated

axon

Epineurium covering

peripheral nerve

Perineurium (around

one fascicle)

Endoneurium

Page 23: The Nervous System: Spinal Nerves - Napa Valley College...© 2012 Pearson Education, Inc. 14 The Nervous System: The Spinal Cord and Spinal Nerves PowerPoint® Lecture Presentations

© 2012 Pearson Education, Inc.

Spinal Nerves

• Peripheral Distribution of Spinal Nerves

• Four branches of the spinal nerves:

• White ramus

• Gray ramus

• White and gray ramus are collectively called rami

communicantes

• Dorsal ramus

• Ventral ramus

Page 24: The Nervous System: Spinal Nerves - Napa Valley College...© 2012 Pearson Education, Inc. 14 The Nervous System: The Spinal Cord and Spinal Nerves PowerPoint® Lecture Presentations

© 2012 Pearson Education, Inc.

Spinal Nerves

• Branches of the spinal nerves (details)

• Rami communicantes (white and gray

ramus)

• Innervates smooth muscles, glands, and organs

• Motor impulses leave the spinal cord through the

ventral root to the spinal nerves

• Dorsal ramus

• Innervates skeletal muscles of the neck and back

• Ventral ramus

• Innervates skeletal muscles of the limbs

Page 25: The Nervous System: Spinal Nerves - Napa Valley College...© 2012 Pearson Education, Inc. 14 The Nervous System: The Spinal Cord and Spinal Nerves PowerPoint® Lecture Presentations

© 2012 Pearson Education, Inc.

Figure 14.6a Peripheral Distribution of Spinal Nerves

Motor Commands

KEY

Postganglionic fibers to smooth muscles, glands, etc., of back

To skeletal muscles of back

To skeletal muscles of body wall, limbs

Postganglionic fibers to smooth muscles, glands, etc., of body wall, limbs

Postganglionic fibers

to smooth muscles,

glands, visceral organs

in thoracic cavity

Preganglionic fibers to

sympathetic ganglia

innervating abdomino-

pelvic viscera

Somatic motor commands

Visceral motor commands

Rami communicantes

Gray ramus (postganglionic)

White ramus (preganglionic)

Sympathetic nerve

Sympathetic ganglion

Spinal nerve

Ventral ramus

Dorsal ramus

Dorsal root ganglion Dorsal

root Visceral motor

Somatic motor

Ventral root

The distribution of motor neurons in the spinal cord and motor fibers within the spinal

nerve and its branches. Although the gray ramus is typically proximal to the white ramus,

this simplified diagrammatic view makes it easier to follow the relationships between

preganglionic and postganglionic fibers.

Page 26: The Nervous System: Spinal Nerves - Napa Valley College...© 2012 Pearson Education, Inc. 14 The Nervous System: The Spinal Cord and Spinal Nerves PowerPoint® Lecture Presentations

© 2012 Pearson Education, Inc.

Spinal Nerves

• Sensory impulses associated with the

spinal nerves

• Sensory impulses travel in the spinal nerve

through the dorsal root to the spinal cord

Page 27: The Nervous System: Spinal Nerves - Napa Valley College...© 2012 Pearson Education, Inc. 14 The Nervous System: The Spinal Cord and Spinal Nerves PowerPoint® Lecture Presentations

© 2012 Pearson Education, Inc.

Figure 14.6b Peripheral Distribution of Spinal Nerves

Sensory Information

KEY

From interoceptors

of visceral organs

From interoceptors

of back

From exteroceptors,

proprioceptors of back

From exteroceptors,

proprioceptors of

body wall, limbs

From interoceptors

of body wall, limbs

Somatic

sensations

Visceral

sensations

Ventral ramus

Rami

communicantes

Dorsal

root

ganglion

Dorsal

root Somatic

sensory

Visceral

sensory

Ventral

root

A comparable view detailing the distribution of sensory neurons and sensory fibers

Dorsal ramus

Page 28: The Nervous System: Spinal Nerves - Napa Valley College...© 2012 Pearson Education, Inc. 14 The Nervous System: The Spinal Cord and Spinal Nerves PowerPoint® Lecture Presentations

© 2012 Pearson Education, Inc.

Spinal Nerves

• Dermatomes

• Each pair of spinal nerves monitors specific

surface areas

• These are clinically important areas regarding

surgery

Page 29: The Nervous System: Spinal Nerves - Napa Valley College...© 2012 Pearson Education, Inc. 14 The Nervous System: The Spinal Cord and Spinal Nerves PowerPoint® Lecture Presentations

© 2012 Pearson Education, Inc.

Figure 14.7 Dermatomes

ANTERIOR POSTERIOR

S1

L5

L4

L3

L2

L1

L4

L3

L2

L1

L5

S2

S1

S5

S2 S 3

S 4

T1 C7

C8

C6

C6

C7

C8

T1

T2

T2

C5

C4

C3

C2

C3

C2–C3

C2–C3

NV

C4

C5

T1 T2

T2 T3

T3

T4

T4

T5

T5

T6

T6

T7

T7

T8

T8

T9

T9

T10

T10

T11

T11

T12

T12

L1 L2

L3 L4 L5

Page 30: The Nervous System: Spinal Nerves - Napa Valley College...© 2012 Pearson Education, Inc. 14 The Nervous System: The Spinal Cord and Spinal Nerves PowerPoint® Lecture Presentations

© 2012 Pearson Education, Inc.

Nerve Plexuses

• There are four nerve plexuses

• Cervical plexus

• Brachial plexus

• Lumbar plexus

• Sacral plexus

• Sometimes the lumbar and sacral are combined to

form the lumbosacral plexus

Page 31: The Nervous System: Spinal Nerves - Napa Valley College...© 2012 Pearson Education, Inc. 14 The Nervous System: The Spinal Cord and Spinal Nerves PowerPoint® Lecture Presentations

© 2012 Pearson Education, Inc.

Figure 14.8 Peripheral Nerves and Nerve Plexuses

Lesser occipital nerve Great auricular nerve

Transverse cervical nerve

Supraclavicular nerve

Phrenic nerve

Axillary nerve

Musculocutaneous nerve

Thoracic nerves

Radial nerve

Ulnar nerve

Median nerve

Iliohypogastric

nerve

Ilioinguinal

nerve

Genitofemoral

nerve

Femoral nerve

Obturator nerve

Superior

Inferior

Gluteal

nerves

Pudendal nerve

Sciatic nerve

Lateral femoral cutaneous nerve

Saphenous nerve

Common fibular nerve

Tibial nerve

Medial sural cutaneous nerve

Cervical plexus

Brachial plexus

Lumbar plexus

Sacral plexus

C1 C2 C3 C4 C5 C6 C7 C8 T1 T2 T3 T4 T5 T6 T7

T8

T9

T10

T11

T12

L1

L2

L3

L4

L5

S1

S2 S3

S4

S5 Co1

Page 32: The Nervous System: Spinal Nerves - Napa Valley College...© 2012 Pearson Education, Inc. 14 The Nervous System: The Spinal Cord and Spinal Nerves PowerPoint® Lecture Presentations

© 2012 Pearson Education, Inc.

Nerve Plexuses

• The Cervical Plexus (C1–C5)

• Consists of cutaneous and muscular

branches

• Cutaneous branch innervates:

• Head

• Neck

• Chest

Page 33: The Nervous System: Spinal Nerves - Napa Valley College...© 2012 Pearson Education, Inc. 14 The Nervous System: The Spinal Cord and Spinal Nerves PowerPoint® Lecture Presentations

© 2012 Pearson Education, Inc.

Nerve Plexus

• The Cervical Plexus

• Consists of cutaneous and muscular branches

• Muscular branch innervates: • Omohyoid, sternohyoid, geniohyoid, thyrohyoid

• Sternothyroid

• Scalenes

• Sternocleidomastoid

• Levator scapulae

• Trapezius

• Diaphragm (controlled by the phrenic nerve of the cervical plexus)

Page 34: The Nervous System: Spinal Nerves - Napa Valley College...© 2012 Pearson Education, Inc. 14 The Nervous System: The Spinal Cord and Spinal Nerves PowerPoint® Lecture Presentations

© 2012 Pearson Education, Inc.

Figure 14.9 The Cervical Plexus

Great auricular nerve

Geniohyoid muscle

Transverse cervical nerve

Thyrohyoid muscle

Ansa cervicalis

Omohyoid muscle

Phrenic nerve

Sternohyoid muscle

Sternothyroid muscle

Cranial

nerves

Accessory

nerve (N XI)

Hypoglossal

nerve (N XII)

Lesser occipital

nerve

Nerve roots of

cervical plexus

Supraclavicular

nerves

Clavicle

C1

C2

C3

C4

C5

Page 35: The Nervous System: Spinal Nerves - Napa Valley College...© 2012 Pearson Education, Inc. 14 The Nervous System: The Spinal Cord and Spinal Nerves PowerPoint® Lecture Presentations

© 2012 Pearson Education, Inc.

Nerve Plexus

• The Brachial Plexus (C4–T1)

• The immediate nerves emerging from C5 to T1

are the:

• Superior trunk

• Middle trunk

• Inferior trunk

• These trunks all merge to form the lateral cord

Page 36: The Nervous System: Spinal Nerves - Napa Valley College...© 2012 Pearson Education, Inc. 14 The Nervous System: The Spinal Cord and Spinal Nerves PowerPoint® Lecture Presentations

© 2012 Pearson Education, Inc.

Figure 14.10b The Brachial Plexus

Anterior view of the brachial plexus and upper limb showing the peripheral distribution of major nerves

Anterior

Distribution of cutaneous nerves

Median nerve

Ulnar nerve

Radial nerve

Palmar digital nerves

Superficial branch of ulnar nerve

Deep branch of ulnar nerve

Anterior interosseous nerve

Median nerve

Ulnar nerve

Deep radial nerve

Radial nerve

Median nerve

Ulnar nerve

Superficial branch of radial nerve

Lateral antebrachial cutaneous nerve

Musculocutaneous nerve

BRACHIAL PLEXUS

Dorsal scapular nerve

Suprascapular nerve

Superior trunk

Middle trunk

Inferior trunk

C4

C5

C6

C7

C8

T1

Page 37: The Nervous System: Spinal Nerves - Napa Valley College...© 2012 Pearson Education, Inc. 14 The Nervous System: The Spinal Cord and Spinal Nerves PowerPoint® Lecture Presentations

© 2012 Pearson Education, Inc.

Nerve Plexus

• The cords of the brachial plexus

• Lateral cord: merging of the trunks

• Medial cord: an extension of the inferior trunk

• Posterior cord: an extension of the middle

trunk

Page 38: The Nervous System: Spinal Nerves - Napa Valley College...© 2012 Pearson Education, Inc. 14 The Nervous System: The Spinal Cord and Spinal Nerves PowerPoint® Lecture Presentations

© 2012 Pearson Education, Inc.

Figure 14.10a The Brachial Plexus

Radial nerve

Ulnar nerve

Thoracodorsal nerve

Long thoracic nerve

INFERIOR TRUNK

MIDDLE TRUNK BRACHIAL

PLEXUS

The trunks and cords of the brachial plexus

KEY

Lateral cord

Posterior cord

Medial cord

C5

C6

C7

C8

T1

Median nerve

Medial antebrachial cutaneous nerve

Posterior brachial cutaneous nerve

Musculocutaneous nerve

Axillary nerve

Subscapular nerves

Medial pectoral nerve

Lateral pectoral nerve

Suprascapular nerve

SUPERIOR TRUNK

Nerve to subclavius muscle

Dorsal scapular nerve

First rib

Roots (ventral rami)

Trunks

Divisions

Cords

Peripheral nerves

Page 39: The Nervous System: Spinal Nerves - Napa Valley College...© 2012 Pearson Education, Inc. 14 The Nervous System: The Spinal Cord and Spinal Nerves PowerPoint® Lecture Presentations

© 2012 Pearson Education, Inc.

Nerve Plexus

• The cords of the brachial plexus (details)

• Lateral cord: extends to form the

musculocutaneous nerve

• The lateral cord and medial cord extend to

form the median nerve

• Medial cord extends to form the ulnar nerve

• Posterior cord: branches to form the radial

nerve and axillary nerve

Page 40: The Nervous System: Spinal Nerves - Napa Valley College...© 2012 Pearson Education, Inc. 14 The Nervous System: The Spinal Cord and Spinal Nerves PowerPoint® Lecture Presentations

© 2012 Pearson Education, Inc.

Figure 14.10a The Brachial Plexus

Radial nerve

Ulnar nerve

Thoracodorsal nerve

Long thoracic nerve

INFERIOR TRUNK

MIDDLE TRUNK BRACHIAL

PLEXUS

The trunks and cords of the brachial plexus

KEY

Lateral cord

Posterior cord

Medial cord

C5

C6

C7

C8

T1

Median nerve

Medial antebrachial cutaneous nerve

Posterior brachial cutaneous nerve

Musculocutaneous nerve

Axillary nerve

Subscapular nerves

Medial pectoral nerve

Lateral pectoral nerve

Suprascapular nerve

SUPERIOR TRUNK

Nerve to subclavius muscle

Dorsal scapular nerve

First rib

Roots (ventral rami)

Trunks

Divisions

Cords

Peripheral nerves

Page 41: The Nervous System: Spinal Nerves - Napa Valley College...© 2012 Pearson Education, Inc. 14 The Nervous System: The Spinal Cord and Spinal Nerves PowerPoint® Lecture Presentations

© 2012 Pearson Education, Inc.

Figure 14.10b The Brachial Plexus

Anterior view of the brachial plexus and upper limb showing the peripheral distribution of major nerves

Anterior

Distribution of cutaneous nerves

Median nerve

Ulnar nerve

Radial nerve

Palmar digital nerves

Superficial branch of ulnar nerve

Deep branch of ulnar nerve

Anterior interosseous nerve

Median nerve

Ulnar nerve

Deep radial nerve

Radial nerve

Median nerve

Ulnar nerve

Superficial branch of radial nerve

Lateral antebrachial cutaneous nerve

Musculocutaneous nerve

BRACHIAL PLEXUS

Dorsal scapular nerve

Suprascapular nerve

Superior trunk

Middle trunk

Inferior trunk

C4

C5

C6

C7

C8

T1

Page 42: The Nervous System: Spinal Nerves - Napa Valley College...© 2012 Pearson Education, Inc. 14 The Nervous System: The Spinal Cord and Spinal Nerves PowerPoint® Lecture Presentations

© 2012 Pearson Education, Inc.

Figure 14.10c The Brachial Plexus

Posterior view of the brachial plexus and

the innervation of the upper limb

Posterior

Distribution of cutaneous nerves

Median nerve

Ulnar nerve

Radial nerve

Musculocutaneous nerve

Axillary nerve

Branches of axillary nerve

Radial nerve

Ulnar nerve

Median nerve

Posterior antebrachial cutaneous nerve

Deep branch of radial nerve

Superficial branch of radial nerve

Dorsal digital nerves

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Figure 14.11 The Cervical and Brachial Plexuses

Cervical

plexus

Right common

carotid artery

Sternocleido-

mastoid muscle,

sternal head

Sternocleido-

mastoid muscle,

clavicular head

Right subclavian

artery

Retractor holding

pectoralis major

muscle (cut and

reflected)

Brachial plexus

(C5–T1)

Median nerve

Radial nerve

Ulnar nerve

Median

nerve

Right brachial

artery

Coracobrachialis

muscle

Biceps brachii,

long and short heads

Right axillary artery

over axillary nerve

Musculocutaneous

nerve

Clavicle, cut

and removed

Deltoid muscle

Skin

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Table 14.2 The Brachial Plexus

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Nerve Plexus

• The Lumbar and Sacral Plexuses (T12–S4)

• Also called the lumbosacral plexus

• Lumbar plexus nerves

• Genitofemoral nerve

• Lateral femoral cutaneous nerve

• Femoral nerve

• Sacral plexus nerves

• Sciatic nerve (branches to form the common

fibular nerve and the tibial nerve)

• Pudendal nerve

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Figure 14.12a The Lumbar and Sacral Plexuses, Part I

The lumbar plexus, anterior view

Lumbosacral

trunk

LUMBAR

PLEXUS

T12

L1

L2

L3

L4

L5

Femoral branch

Genital branch

Femoral nerve

Obturator nerve

Branches of

genitofemoral

nerve

Lateral femoral

cutaneous nerve

Genitofemoral nerve

Ilioinguinal nerve

Iliohypogastric nerve

T12 subcostal nerve

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Figure 14.12b The Lumbar and Sacral Plexuses, Part I

The sacral plexus, anterior view

SACRAL

PLEXUS

Co1

S1

S2

S3

S4

S5

L5

Sciatic nerve

Posterior femoral

cutaneous nerve

Superior gluteal nerve

Inferior gluteal nerve

Lumbosacral trunk

Pudendal nerve

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Figure 14.12c The Lumbar and Sacral Plexuses, Part I

The lumbar and sacral

plexuses, anterior view

Subcostal nerve

Iliohypogastric nerve

Ilioinguinal nerve

Genitofemoral nerve

Lateral femoral

cutaneous nerve

Femoral nerve

Superior gluteal nerve

Inferior gluteal nerve

Pudendal nerve

Posterior femoral

cutaneous nerve (cut)

Sciatic nerve

Saphenous nerve

Common fibular

nerve

Superficial fibular

nerve

Deep fibular

nerve

Obturator nerve

Sural

nerve

Sural

nerve

Saphenous

nerve

Saphenous

nerve

Saphenous

nerve

Sural

nerve

Tibial

nerve

Tibial

nerve

Fibular

nerve

Fibular

nerve

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Table 14.3 The Lumbar and Sacral Plexuses

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Figure 14.12d The Lumbar and Sacral Plexuses, Part I

Sural

nerve

Sural

nerve

Saphenous

nerve

Saphenous

nerve

Saphenous

nerve

Sural

nerve

Tibial

nerve

Tibial

nerve

Fibular

nerve

Fibular

nerve

The sacral plexus,

posterior view

Tibial nerve

Medial plantar

nerve

Lateral plantar

nerve

Common fibular

nerve

Medial sural

cutaneous nerve

Lateral sural

cutaneous nerve

Sural nerve

Sciatic nerve

Posterior femoral

cutaneous nerve

Superior gluteal nerve

Inferior gluteal nerve

Pudendal

nerve

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Figure 14.13c The Lumbar and Sacral Plexuses, Part II (Part 1 of 2)

A diagrammatic posterior view of the

right hip and lower limb detailing the

distribution of peripheral nerves

Gluteus maximus

(cut)

Inferior gluteal

nerve

Pudendal nerve

Perineal branch

Hemorrhoidal

branch

Perineal branches

Descending

cutaneous

branch

Semitendinosus

Gluteus medius

(cut)

Gluteus minimus

Superior gluteal

nerve

Piriformis

Posterior femoral

cutaneous nerve

Sciatic

nerve

Biceps femoris

(cut)

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Figure 14.13c The Lumbar and Sacral Plexuses, Part II (Part 2 of 2)

A diagrammatic posterior view of the

right hip and lower limb detailing the

distribution of peripheral nerves

Tibial nerve

Popliteal artery

and vein

Common fibular

nerve

Lateral sural

cutaneous

nerve

Sural nerve

Medial sural

cutaneous

nerve

Gastrocnemius

Small saphenous

vein

Calcaneal tendon

Tibial nerve

(medial calcaneal

branch)

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Figure 14.13a The Lumbar and Sacral Plexuses, Part II

A dissection of the right gluteal region

Posterior femoral

cutaneous nerve

Gluteus

maximus

Greater trochanter of femur

Gluteus minimus

Gluteus medius

Gluteus maximus

Common fibular

branch

Tibial branch

Inferior gluteal nerve

Superior gluteal nerve

Pudendal

nerve

Nerve to

gemellus

and

obturator

internus

Internal

pudendal

artery

Components of

sciatic nerve

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Figure 14.13b The Lumbar and Sacral Plexuses, Part II

A dissection of the popliteal fossa

Biceps femoris

Tibial nerve

Lateral sural

cutaneous nerve

Common fibular

nerve

Nerve to lateral head

of gastrocnemius

Plantaris

Gastrocnemius,

lateral head Gastrocnemius,

medial head

Sartorius

Gracilis

Semimembranosus

Popliteal artery

Semitendinosus

Nerve to

medial head

of gastrocnemius

Medial sural

cutaneous nerve

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Nerve Plexus

• Summary of the spinal nerves

• Cervical spinal nerves emerge from C1–C8

• Thoracic spinal nerves emerge from T1–T12

• Lumbar spinal nerves emerge from L1–L5

• Sacral spinal nerves emerge from S1–S5

• Coccygeal spinal nerves emerge from Co1

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Nerve Plexus

• Summary of the nerve plexuses

• Cervical plexus nerves emerge from C1–C5

• Brachial plexus nerves emerge from C5–T1

• There is not a thoracic plexus

• Lumbar plexus nerves emerge from T12–L4

• Sacral plexus nerves emerge from L4–S4

• There is not a coccygeal plexus

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Figure 14.3 Posterior View of Vertebral Column and Spinal Nerves

Cervical plexus (C1–C5)

Brachial plexus (C5–T1)

Lumbar spinal

nerves (L1–L5)

Sacral plexus (L4–S4)

Coccygeal nerves (Co1)

Sacral spinal nerves (S1–S5) emerging from sacral foramina

Sciatic nerve

Lumbar plexus (T12–L4)

Thoracic spinal nerves (T1–T12)

Cervical spinal nerves (C1–C8 )

Occipital bone

Spinal cord emerging from foramen magnum

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Reflexes

• Reflex

• An immediate involuntary response

• Reflex arc

• The neural “wiring” of a single reflex

• Begins at a sensory receptor and ends at a

peripheral receptor

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Reflexes

• Reflexes are classified according to:

• Their development

• Innate or acquired

• The site where information is processed

• Spinal or cranial (cerebral)

• The nature of the resulting motor response

• Somatic, visceral, or autonomic

• The complexity of the neural circuit

• Monosynaptic or polysynaptic

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Reflexes

• Pathway of a reflex arc

• 1. Activation of a sensory receptor

• 2. Relay of information to the CNS

• 3. Information processing

• 4. Activation of a motor neuron

• 5. Response by the effector

ANIMATION Components of a Reflex Arc

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Figure 14.14 A Reflex Arc

Arrival of stimulus and activation of receptor

Response by effector

Activation of a sensory neuron

Activation of a motor neuron

Information processing in CNS

Stimulus

Effector

Receptor

REFLEX ARC

Ventral root

Dorsal root

Sensation relayed to

the brain by collateral

KEY

Sensory neuron (stimulated)

Excitatory interneuron

Motor neuron (stimulated)

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Figure 14.15 The Classification of Reflexes

Reflexes

development response

can be classified by

complexity of circuit processing site

• Processing in

the spinal cord

• Processing in

the brain

• One synapse

• Multiple synapses

(two to several hundred)

• Genetically

determined

• Learned • Control actions of smooth and

cardiac muscles, glands

• Control skeletal muscle contractions

• Include superficial and stretch reflexes

Innate Reflexes

Acquired Reflexes

Somatic Reflexes

Visceral (Autonomic) Reflexes

Spinal Reflexes

Cranial Reflexes

Monosynaptic

Polysynaptic

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Reflexes

• Spinal reflexes can be:

• Monosynaptic

• Involves a single segment of the spinal cord

• Polysynaptic

• Integrates motor output from several spinal

segments

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Figure 14.16 Neural Organization and Simple Reflexes

CENTRAL NERVOUS SYSTEM

CENTRAL NERVOUS SYSTEM

Motor neuron

Ganglion

Sensory neuron

Sensory receptor (muscle spindle)

Skeletal muscle

Circuit 1

A monosynaptic reflex circuit involves a peripheral

sensory neuron and a central motor neuron. In this

example, stimulation of the receptor will lead to a

reflexive contraction in a skeletal muscle.

A polysynaptic reflex circuit involves a sensory neuron,

interneurons, and motor neurons. In this example, the

stimulation of the receptor leads to the coordinated

contractions of two different skeletal muscles.

Skeletal muscle 1

Skeletal muscle 2

Motor neurons

Circuit 2

Interneurons

Ganglion

Sensory neuron

Sensory receptor

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Reflexes

• Stretch reflex

• 1. Stimulus stretches a muscle

• 2. Activates a sensory neuron

• 3. Information is processed in the spinal cord

• 4. Motor neurons are activated

• 5. Muscle (effector) contracts

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Figure 14.17a Stretch Reflexes

Steps 1–5 are common to all stretch reflexes.

Response. Contraction

of muscle

Activation of

motor neuron

Stimulus. Stretching of muscle

stimulates muscle spindles

Activation of a

sensory neuron

Information processing

at motor neuron

KEY

Motor neuron

(stimulated)

Sensory neuron

(stimulated)

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Figure 14.17b Stretch Reflexes

KEY

Motor neuron

(stimulated)

Sensory neuron

(stimulated)

The patellar reflex is controlled by muscle spindles in the quadriceps group. The

stimulus is a reflex hammer striking the muscle tendon, stretching the spindle

fibers. This results in a sudden increase in the activity of the sensory neurons,

which synapse on spinal motor neurons. The response occurs upon the activation

of motor units in the quadriceps group, which produces an immediate increase in

muscle tone and a reflexive kick.

Spinal cord

Stimulus

Stretch

Contraction

Effector

Receptor

(muscle

spindle)

REFLEX

ARC

Response