Upload
baraah-alsalamat
View
110
Download
0
Embed Size (px)
Citation preview
The Autonomic Nervous System in The Head & Neck
Nervous Nervous TissueTissue
CNSCNS PNSPNS
BrainBrain Spinal CordSpinal Cord SomaticSomatic
(under control)
AutonomicAutonomic(no conscious
control)
Somatic Nervous SystemSomatic Nervous System
Sensory:
general sensations
pain, thermal (hot & cold), tactile sensation, pressure
special sensations (In Medicine?)
vision, smell, hearing, taste
Motor: (1 Fxn.)
contraction of Sk. Muscle (voluntary movement)
Autonomic Nervous SystemAutonomic Nervous System
Sensory: include internal receptorschemoreceptors ?? & mechanoreceptors ??
Motor: (2 Fxn.s)either exciting or inhibiting effects
cardiac muscle, smooth muscles, & glands
2 divisions:Sympathetic (from sympathy)
under dangerous situations & stress(Fight-or-Flight response)
Parasympatheticunder normal situations & relaxation
Somatic Vs. AutonomicSomatic Vs. Autonomic
Somatic
1. General & special sensations
2. Voluntary movement
3. On sk. Muscle
4. Single function (contraction of sk. Muscle)
5. Single neuron pathway
Autonomic
1. Non conscious sensations
2. Involuntary control
3. On smooth, cardiac, & glands
4. Dual functions
(excitation & inhibition)
5. Two neuron pathway
ANSANS
Anatomically
1. Preganglionic Neuronsfrom CNS autonomic ganglia, myelinated
2. Autonomic Gangliaganglion: aggregation of neuronal cell bodies & supporting cells
3. Postganglionic Neuronsfrom autonomic ganglia effector tissueunmyelinated
AutonomicAutonomicNSNS
(Motor Fxn.)(Motor Fxn.)
Sympathetic:Sympathetic:Preganglionic N.Preganglionic N.
Sympathetic gangliaSympathetic gangliaPostganglionic N.Postganglionic N.
Parasympathetic:Parasympathetic:Preganglionic N.Preganglionic N.
Parasymp. gangliaParasymp. gangliaPostganglionic N.Postganglionic N.
Sympathetic
(Thoracolumbar)
Preganglionic:
Thorax & Abd.
Ganglia:
Sympathetic chain
Parasympathetic
(Craniosacral)
Preganglionic:
Brain (C.N.) &
sacral
Ganglia:
Terminal ganglia
Sympathetic Ganglia in Head & NeckSympathetic Ganglia in Head & Neck
3 cervical ganglia
sup., middle, & inf.
*Part of the sympathetic chain in the body
Location: ??
Stellate Ganglion?
Parasympathetic Ganglia in Head & NeckParasympathetic Ganglia in Head & Neck
4 ganglia
Ciliary ganglion:
constriction of pupil
Pterygopalatine ganglion:
lacrimal gland secretion
Otic ganglion:
parotid gland secretion
Submandibular ganglion:
submand. & sublingual gland
secretions
Ciliary GanglionCiliary Ganglion
Location: between ??
Suspended by ??
Pregang. Parasym. Fibers: ??
Postgang. Parasymp.: ??
Sphincter pupillae m. & ?
Postgang. Sympathetic :
Sup. Cervical ganglion
Long ciliary n. (from ?)
Dilator pupillae m.
Horner’s SyndromeHorner’s Syndrome
Damage to sympathetic innervation through sup. Cervical ganglion
Symptoms:
- Ptosis: dropping of upper eyelid (why?)
- pupil constriction (miosis)
- Anhydrosis: lack of sweating
- Flushing of the face (why?)
Pterygopalatine GanglionPterygopalatine Ganglion
Location: ??
Suspended by V2
Pregang. Parasymp.: ??
Postgang. Parasymp.:
Zygomaticotemporal of V2
Lacrimal of V1
Lacrimal gland
Postgang. Sympathetic:
From sup. Cervical ganglion
Deep petrosal nerve
Joins greater petrosal n.
To form = vidian nerve (or ?)
Otic GanglionOtic Ganglion
Location: ??
Suspended by ?
Pregang. Parasymp.:
IX Tympanic n. Plexus (??) Lesser petrosal nerve
Postgang. Parasymp.:
Auriculotemporal n. to ??
Postgang. sympathetic.:
Sup. Cervical ganglion Parotid g.
Submandibular GanglionSubmandibular Ganglion
Location: lat. to ??
Suspended by?
Pregang. Parasymp.:
VII chorda tympani
joins the ??
Postgang. Parasymp:
Distributed directly to
Submand. & sublingual glands
Postgang. Sympathetic:
From sup. Cervical ganglion.